Nursing Homes · Medicare certified
Firesteel Healthcare Center
1120 East 7th Avenue · Mitchell, SD 57301 · 125 certified beds
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About Firesteel Healthcare Center
Firesteel Healthcare Center is a nursing home in Mitchell, South Dakota. Its capacity is 125 beds, above the South Dakota median of 50 for nursing homes. It is run by a for-profit operator and is part of Evergreen Healthcare Group. It is Medicare certified. Its public inspection record shows 33 citations, the most recent on May 28, 2026. CMS also lists 6 fines or payment denials against it. Nurse staffing averages 3.54 hours per resident per day. It is one of 2 nursing homes listed in Mitchell. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Special Focus Facility candidate
CMS lists this nursing home as a candidate for its Special Focus Facility program, which is for nursing homes with a history of serious quality issues. About the program.
Certification
Medicare-certified.
Ratings
Overall
1.0Staffing
3.0Quality measures
1.0CMS Care Compare, October 2026.
Inspection history (33)
Records from January 2023 to May 2026.
May 28, 2026
Tag F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 28, 2026.
May 28, 2026
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 1, 2026.
May 28, 2026
Tag F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 28, 2026.
December 18, 2025
Tag F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Severity G: isolated, actual harm. Corrected December 22, 2025.
December 18, 2025
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 22, 2025.
December 18, 2025
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity G: isolated, actual harm. Corrected January 9, 2026.
April 25, 2025
Tag F0880Provide and implement an infection prevention and control program.
Severity H: pattern, actual harm. Corrected May 20, 2025.
April 25, 2025
Tag F0554Allow residents to self-administer drugs if determined clinically appropriate.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 20, 2025.
April 25, 2025
Tag F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 20, 2025.
April 25, 2025
Tag F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 20, 2025.
April 25, 2025
Tag F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Severity G: isolated, actual harm. Corrected May 20, 2025.
April 25, 2025
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 20, 2025.
April 25, 2025
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected May 20, 2025.
April 25, 2025
Tag F0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 20, 2025.
April 25, 2025
Tag F0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 20, 2025.
January 22, 2025
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 14, 2025.
January 22, 2025
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 21, 2025.
January 2, 2025
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 30, 2025.
January 2, 2025
Tag F0583Keep residents' personal and medical records private and confidential.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 18, 2024.
January 2, 2025
Tag F0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 30, 2025.
Penalties (6)
Total fines: $153,308
December 18, 2025 · Fine
CMS recorded a civil money penalty of $42,510 against this nursing home on December 18, 2025.
April 25, 2025 · Fine
CMS recorded a civil money penalty of $46,137 against this nursing home on April 25, 2025.
November 26, 2024 · Fine
CMS recorded a civil money penalty of $34,320 against this nursing home on November 26, 2024.
October 17, 2024 · Fine
CMS recorded a civil money penalty of $6,788 against this nursing home on October 17, 2024.
September 17, 2024 · Fine
CMS recorded a civil money penalty of $15,041 against this nursing home on September 17, 2024.
May 30, 2024 · Fine
CMS recorded a civil money penalty of $8,512 against this nursing home on May 30, 2024.
Staffing
3.54 nurse hours per resident per day in Q2 2026, about the same as in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
For profit
Part of Evergreen Healthcare Group, a chain of 43 nursing homes.
Average CMS star ratings across the chain: 2.3 overall, 2.2 for health inspections, 3.3 for staffing, 2.9 for quality measures.
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in South Dakota.
Nearby alternatives
Other licensed providers in Mitchell.
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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