FIRESTEEL HEALTHCARE CENTER
State inspectors recorded 8 citation(s) in the last three years where CMS determined a resident was actually harmed.
Serious inspection findings
2025-12-18 — ACTUAL HARM (tag F0740, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
2025-12-18 — ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2025-04-25 — ACTUAL HARM (tag F0925, severity G)
Environmental Deficiencies · correction not recorded in CMS data
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
2025-04-25 — ACTUAL HARM (tag F0880, severity H)
Infection Control Deficiencies · correction not recorded in CMS data
Provide and implement an infection prevention and control program.
2024-11-26 — ACTUAL HARM (tag F0684, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2024-10-17 — ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-09-17 — ACTUAL HARM (tag F0725, severity G)
Nursing and Physician Services Deficiencies · correction not recorded in CMS data
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
2024-05-30 — ACTUAL HARM (tag F0760, severity G)
Pharmacy Service Deficiencies · correction not recorded in CMS data
Ensure that residents are free from significant medication errors.
Staffing, from payroll records
Nursing hours / resident / day
2.50
state median 2.96
Weekend staffing gap
−6%
fewer nursing hours on weekends · state median −10%
RN hours / resident / day
0.22
registered nurses only
Contract (agency) staff
28%
share of all nursing hours
Days with zero RN hours reported
5
with residents present
Nursing staff turnover
55%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
6 enforcement action(s), totaling $153,308 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-12-18 | Fine | $42,510 |
| 2025-04-25 | Fine | $46,137 |
| 2024-11-26 | Fine | $34,320 |
| 2024-10-17 | Fine | $6,788 |
| 2024-09-17 | Fine | $15,041 |
| 2024-05-30 | Fine | $8,512 |
Ownership
Ownership type: For profit - Limited Liability company. Part of the EVERGREEN HEALTHCARE GROUP chain.
Other facilities under the same ownership, with their CMS overall ratings:
- MISSOULA HEALTH & REHABILITATION CENTER (MISSOULA, MT) —
- LIVINGSTON HEALTH & REHABILITATION CENTER (LIVINGSTON, MT) —
- POLSON HEALTH & REHABILITATION CENTER (POLSON, MT) —
- HOT SPRINGS HEALTH & REHABILITATION CENTER (HOT SPRINGS, MT) —
- LAUREL HEALTH & REHABILITATION CENTER (LAUREL, MT) —
- ASPEN MEADOWS HEALTH AND REHABILITATION CENTER (BILLINGS, MT) —
- EL JEN SKILLED CARE (LAS VEGAS, NV) —
- ORMSBY POST ACUTE REHABILITATION (CARSON CITY, NV) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-05-28 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | E | not recorded |
| 2026-05-28 | F0684 | Quality of Life and Care Deficiencies | E | not recorded |
| 2026-05-28 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-12-18 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-12-18 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2025-12-18 | F0740 | Quality of Life and Care Deficiencies | G | not recorded |
| 2025-04-25 | F0554 | Resident Rights Deficiencies | D | not recorded |
| 2025-04-25 | F0584 | Resident Rights Deficiencies | E | not recorded |
| 2025-04-25 | F0625 | Resident Rights Deficiencies | E | not recorded |
| 2025-04-25 | F0656 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2025-04-25 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2025-04-25 | F0847 | Administration Deficiencies | E | not recorded |
| 2025-04-25 | F0867 | Administration Deficiencies | E | not recorded |
| 2025-04-25 | F0880 | Infection Control Deficiencies | H | not recorded |
| 2025-04-25 | F0925 | Environmental Deficiencies | G | not recorded |
| 2025-01-22 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-01-22 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-01-02 | F0583 | Resident Rights Deficiencies | D | not recorded |
| 2025-01-02 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-01-02 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-01-02 | F0803 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2024-11-26 | F0684 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-10-17 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-09-17 | F0725 | Nursing and Physician Services Deficiencies | G | not recorded |
| 2024-05-30 | F0760 | Pharmacy Service Deficiencies | G | not recorded |
| 2024-04-23 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-01-04 | F0584 | Resident Rights Deficiencies | D | not recorded |
| 2024-01-04 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2024-01-04 | F0880 | Infection Control Deficiencies | F | not recorded |
| 2023-01-31 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-01-31 | F0758 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-01-31 | F0801 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2023-01-31 | F0880 | Infection Control Deficiencies | D | not recorded |