Firesteel Healthcare Center
1120 East 7th Avenue, Mitchell, SD 57301
Firesteel Healthcare Center, a 125-bed for profit - limited liability company nursing facility in Mitchell, SD, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #91 of 93 rated homes in SD on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 8 inspection findings reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 6059966526
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- 1 / 5
- Much below average · CMS overall · nat'l 3.0
- #91 of 93
- In-state rank among rated SD homes
- 3.47
- Below average · nurse hrs/day · nat'l 3.86
- 33
- Inspection findings · 8 serious
The verdict
Firesteel Healthcare Center, a 125-bed for profit - limited liability company nursing facility in Mitchell, SD, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #91 of 93 rated homes in SD on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 8 inspection findings reached the actual-harm or immediate-jeopardy level.
- 1 / 5
- CMS overall · national 3.0
- #91 of 93
- In-state rank among rated SD homes
- 3.47
- Nurse hrs/resident-day · national 3.86
- 33
- Inspection findings · 8 serious
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 96 SD nursing homes split by ownership sector
This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 435109
- Ownership
- For profit - Limited Liability company
- Provider Type
- Medicare and Medicaid
- Beds
- 125
- Residents
- 107
- In Hospital
- No
- County
- Davison
- Last Inspection
- Apr 25, 2025
Staffing Data
How the 3.47 total nursing hours per resident-day are staffed:
- RN Hours
- 0.51 (nat'l avg: 0.69)
- LPN Hours
- 0.56
- CNA Hours
- 2.40
- Total Nursing Hours
- 3.47 (nat'l avg: 3.86)
- PT Hours
- 0.01
- Nursing Turnover
- 55.0%
- RN Turnover
- 46.2%
What the CMS Record Reveals About Firesteel Healthcare Center
According to CMS Nursing Home Compare, Firesteel Healthcare Center ranks #91 of 93 rated nursing homes in SD on overall stars (tie-broken by health+staffing+quality, then fewer fines). Firesteel Healthcare Center operates 125 certified beds in Mitchell, SD with approximately 107 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 1★ · staffing 2★ · quality 2★).
The inspection file contains 33 deficiency records from recent surveys, of which 8 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. CMS enforcement records show 6 penalties totaling $153K levied against this facility. Per resident day, this facility reports 3.47 total nursing hours (national average 3.86) and 0.51 RN hours.
Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Firesteel Healthcare Center falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 55.0% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (33 most recent)
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Category: Pharmacy Service Deficiencies
Corrected: May 28, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 1, 2026
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: May 28, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Dec 22, 2025
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Category: Quality of Life and Care Deficiencies
Corrected: Dec 22, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Jan 9, 2026
Allow residents to self-administer drugs if determined clinically appropriate.
Category: Resident Rights Deficiencies
Corrected: May 20, 2025
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Category: Administration Deficiencies
Corrected: May 20, 2025
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Category: Administration Deficiencies
Corrected: May 20, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: May 20, 2025
Notify 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.
Category: Resident Rights Deficiencies
Corrected: May 20, 2025
Honor 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.
Category: Resident Rights Deficiencies
Corrected: May 20, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: May 20, 2025
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Category: Environmental Deficiencies
Corrected: May 20, 2025
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: May 20, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Feb 14, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Jan 21, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Jan 30, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jan 30, 2025
Keep residents' personal and medical records private and confidential.
Category: Resident Rights Deficiencies
Corrected: Dec 18, 2024
Ensure 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.
Category: Nutrition and Dietary Deficiencies
Corrected: Jan 30, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Dec 27, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Oct 4, 2024
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Category: Nursing and Physician Services Deficiencies
Corrected: Oct 12, 2024
Ensure that residents are free from significant medication errors.
Category: Pharmacy Service Deficiencies
Corrected: Jan 25, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: May 30, 2024
Honor 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.
Category: Resident Rights Deficiencies
Corrected: Feb 10, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Feb 10, 2024
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Feb 10, 2024
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Mar 9, 2023
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Category: Nutrition and Dietary Deficiencies
Corrected: Mar 9, 2023
Implement 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.
Category: Pharmacy Service Deficiencies
Corrected: Mar 9, 2023
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Mar 9, 2023
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 22.6% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.3% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.3% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 20.8% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.9% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 24.2% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.5% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 3.2% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 0.5% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 82.1% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 14.0% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 97.1% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 26.2% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 38.6% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 75.3% | No |
Penalty History 6 penalties totaling $153K
| Date | Type | Amount |
|---|---|---|
| Dec 18, 2025 | Fine | $43K |
| Apr 25, 2025 | Fine | $46K |
| Nov 26, 2024 | Fine | $34K |
| Oct 17, 2024 | Fine | $7K |
| Sep 17, 2024 | Fine | $15K |
| May 30, 2024 | Fine | $9K |
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Firesteel Healthcare Center, both outside SD so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside SD (125 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside SD (3.74 here).
Nearby Nursing Homes in SD
95 other nursing homes are on record in SD; 6 are shown here.
Aberdeen Health and Rehab
Aberdeen, SD
Alcester Care And Rehab Center, Inc
Alcester, SD
Aurora Brule Nursing Home INC
White Lake, SD
Avantara Arrowhead
Rapid City, SD
Avantara Clark City
Clark, SD
Avantara Groton
Groton, SD
Understanding Nursing Home Data
What the CMS records show for Firesteel Healthcare Center
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The SD registry aggregates state averages and the highest-rated homes in this cohort. View SD registry
- Peer homes near 125 beds show how CMS stars vary at a similar scale in SD. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for Firesteel Healthcare Center?
Where does Firesteel Healthcare Center rank among nursing homes in SD?
What are the staffing levels at Firesteel Healthcare Center?
How many beds does Firesteel Healthcare Center have?
Does Firesteel Healthcare Center have any deficiencies on record?
Has Firesteel Healthcare Center received any fines or penalties?
Who owns Firesteel Healthcare Center?
When was Firesteel Healthcare Center last inspected?
What quality measures are tracked for Firesteel Healthcare Center?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
