FIRESTEEL HEALTHCARE CENTER
1120 EAST 7TH AVENUE, MITCHELL, SD 57301 · CCN 435109
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★☆☆☆ 2
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 150
- Avg residents/day
- 113.4
- Phone
- 6059966526
Inspection history vs South Dakota & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | South Dakota avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-04-25 | 12 | 6.8 | 9.5 | +5.2 worse |
| 2 | 2024-01-04 | 14 | 5.6 | 9.8 | +8.4 worse |
| 3 | 2023-01-31 | 4 | 3.0 | 9.3 | +1.0 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 2 |
| Resident assessment and care planning | 2 |
| Resident rights | 3 |
| Nutrition and dietary | 1 |
| Environmental | 1 |
| Administration | 2 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.45 | 50.0% |
| RN staffing (reported) | 0.40 | 46.2% |
| Total nurse staffing (adjusted) | 3.84 | — |
Fines & penalties
- Total fines
- $110,798
- Number of fines
- 5
- Number of penalties
- 5
- Payment denials
- 0
Chain
- Chain
- EVERGREEN HEALTHCARE GROUP
- Facilities in chain
- 41
- Chain avg overall
- 2.30 / 5
Inspection citations (30)8 actual harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-12-18 · Health · corrected 2025-12-22
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-12-18 · Health · corrected 2026-01-09
Actual harm
- GF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2025-12-18 · Health · corrected 2025-12-22
Actual harm
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2025-04-25 · Health · corrected 2025-05-20
Potential for more than minimal harm
- EF0584Honor 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.2025-04-25 · Health · corrected 2025-05-20
Potential for more than minimal harm
- EF0625Notify 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.2025-04-25 · Health · corrected 2025-05-20
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-04-25 · Health · corrected 2025-05-20
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-04-25 · Health · corrected 2025-05-20
Potential for more than minimal harm
- EF0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.2025-04-25 · Health · corrected 2025-05-20
Potential for more than minimal harm
- EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2025-04-25 · Health · corrected 2025-05-20
Potential for more than minimal harm
- HF0880Provide and implement an infection prevention and control program.2025-04-25 · Health · corrected 2025-05-20
Actual harm
- GF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2025-04-25 · Health · corrected 2025-05-20
Actual harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-01-22 · Health · corrected 2025-01-21
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-22 · Health · corrected 2025-02-14
Potential for more than minimal harm
- DF0583Keep residents' personal and medical records private and confidential.2025-01-02 · Health · corrected 2024-12-18
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-01-02 · Health · corrected 2025-01-30
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-02 · Health · corrected 2025-01-30
Potential for more than minimal harm
- EF0803Ensure 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.2025-01-02 · Health · corrected 2025-01-30
Potential for more than minimal harm
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-11-26 · Health · corrected 2024-12-27
Actual harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-10-17 · Health · corrected 2024-10-04
Actual harm
- GF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-09-17 · Health · corrected 2024-10-12
Actual harm
- GF0760Ensure that residents are free from significant medication errors.2024-05-30 · Health · corrected 2024-01-25
Actual harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-04-23 · Health · corrected 2024-05-30
Potential for more than minimal harm
- DF0584Honor 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.2024-01-04 · Health · corrected 2024-02-10
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-01-04 · Health · corrected 2024-02-10
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2024-01-04 · Health · corrected 2024-02-10
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-01-31 · Health · corrected 2023-03-09
Potential for more than minimal harm
- DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2023-01-31 · Health · corrected 2023-03-09
Potential for more than minimal harm
- DF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2023-01-31 · Health · corrected 2023-03-09
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-01-31 · Health · corrected 2023-03-09
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS (SD) LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2023-08-31 |
| CH PACIFIC NORTHWEST HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-08-31 |
| PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-08-31 |
| WITZCORP GLOBAL LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-08-31 |
| HERZKA, YISROEL | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-08-31 |
| YENOWITZ, YITZCHOK | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-08-31 |
| COUVE FINANCIAL SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-31 |
| COUVE HEALTHCARE CONSULTING LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-31 |
| FIRESTEEL SNF OPERATIONS, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-31 |
| PACIFIC NORTHWEST OPCO MANAGEMENT LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-31 |
| SOUTH DAKOTA SNF CONSULTING LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-31 |
| BOSSMAN, ANN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-31 |
| LOWE, LEONOR | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-31 |
| MIRKOVIC, PETAR | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-31 |
| PERLMAN, HAROLD | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-31 |
| PETERSON, SCOTT | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-31 |
| SPIELMAN, SHIMON | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-31 |
| YENOWITZ, YITZCHOK | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-31 |
| SPIELMAN, SHIMON | Individual | CORPORATE OFFICER | — | 2023-08-31 |
| YENOWITZ, YITZCHOK | Individual | CORPORATE OFFICER | — | 2023-08-31 |
Other facilities in MITCHELL
| Name | Overall | Beds |
|---|---|---|
| AVERA BRADY HEALTH AND REHAB | ★★★★★ | 84 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.