FIRESTEEL HEALTHCARE CENTER

1120 EAST 7TH AVENUE, MITCHELL, SD 57301 · CCN 435109 · 125 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing2 of 5CMS quality2 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

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

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

6 enforcement action(s), totaling $153,308 in fines.

DateTypeAmount
2025-12-18Fine$42,510
2025-04-25Fine$46,137
2024-11-26Fine$34,320
2024-10-17Fine$6,788
2024-09-17Fine$15,041
2024-05-30Fine$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:

Full citation history

By severity: Actual harm: 8 · Potential for more than minimal harm: 25

Survey dateTagCategorySeverityCorrected
2026-05-28F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesEnot recorded
2026-05-28F0684Quality of Life and Care DeficienciesEnot recorded
2026-05-28F0755Pharmacy Service DeficienciesDnot recorded
2025-12-18F0658Resident Assessment and Care Planning DeficienciesDnot recorded
2025-12-18F0689Quality of Life and Care DeficienciesGnot recorded
2025-12-18F0740Quality of Life and Care DeficienciesGnot recorded
2025-04-25F0554Resident Rights DeficienciesDnot recorded
2025-04-25F0584Resident Rights DeficienciesEnot recorded
2025-04-25F0625Resident Rights DeficienciesEnot recorded
2025-04-25F0656Resident Assessment and Care Planning DeficienciesEnot recorded
2025-04-25F0812Nutrition and Dietary DeficienciesFnot recorded
2025-04-25F0847Administration DeficienciesEnot recorded
2025-04-25F0867Administration DeficienciesEnot recorded
2025-04-25F0880Infection Control DeficienciesHnot recorded
2025-04-25F0925Environmental DeficienciesGnot recorded
2025-01-22F0684Quality of Life and Care DeficienciesDnot recorded
2025-01-22F0689Quality of Life and Care DeficienciesDnot recorded
2025-01-02F0583Resident Rights DeficienciesDnot recorded
2025-01-02F0658Resident Assessment and Care Planning DeficienciesDnot recorded
2025-01-02F0689Quality of Life and Care DeficienciesDnot recorded
2025-01-02F0803Nutrition and Dietary DeficienciesEnot recorded
2024-11-26F0684Quality of Life and Care DeficienciesGnot recorded
2024-10-17F0689Quality of Life and Care DeficienciesGnot recorded
2024-09-17F0725Nursing and Physician Services DeficienciesGnot recorded
2024-05-30F0760Pharmacy Service DeficienciesGnot recorded
2024-04-23F0689Quality of Life and Care DeficienciesDnot recorded
2024-01-04F0584Resident Rights DeficienciesDnot recorded
2024-01-04F0812Nutrition and Dietary DeficienciesEnot recorded
2024-01-04F0880Infection Control DeficienciesFnot recorded
2023-01-31F0658Resident Assessment and Care Planning DeficienciesDnot recorded
2023-01-31F0758Pharmacy Service DeficienciesDnot recorded
2023-01-31F0801Nutrition and Dietary DeficienciesDnot recorded
2023-01-31F0880Infection Control DeficienciesDnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “FIRESTEEL HEALTHCARE CENTER, MITCHELL” at medicare.gov/care-compare.