Firesteel Healthcare Center
1120 East 7Th Avenue, Mitchell, SD, 57301
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Evergreen Healthcare Group
- Certified beds
- 125 · avg 114 residents/day
- Total nursing staff turnover
- 58.2% — higher than most South Dakota nursing homesSouth Dakota avg: 49.0% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 46.2% — higher than most South Dakota nursing homesSouth Dakota avg: 37.2% · National avg: 43.3% · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 6 fines · $176,198 total
Medicare certification
- CMS Certification Number
- 435109
- Certified beds
- 125 beds · avg 114 residents/day
- Ownership type
- For profit - Limited Liability company
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Firesteel Snf Operations, Llc
- Chain affiliation
- Evergreen Healthcare Group
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Evergreen Healthcare Group chain — 43 facilities across 6 states. Chain-wide average overall rating 2.4 / 5.
Parent entity
Pacific Northwest Snf Operations Holdings (sd) Llc
Disclosed owners (23 on record)
- (unnamed Owner)
Indirect Ownership Interest · 1% · since 2025
- Firesteel Snf Operations, Llc
Adp of The Snf · since 2025
- Firesteel Snf Realty Llc
Adp of The Snf · since 2025
- Couve Healthcare Consulting Llc
Adp of The Snf · since 2025
- South Dakota Snf Consulting Llc
Adp of The Snf · since 2025
- Couve Financial Services Llc
Adp of The Snf · since 2025
+ 17 additional owners on the federal record.
Recent change of ownership
August 2023 (2 years ago) · acquired from Firesteel Healthcare Center
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of May 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 30)
- G0740·Dec 18, 2025Complaint
Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
- G0689·Dec 18, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0658·Dec 18, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
- H0880·Apr 25, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0867·Apr 25, 2025Complaint
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- E0625·Apr 25, 2025Complaint
Resident Rights Deficiencies
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.
- E0584·Apr 25, 2025Complaint
Resident Rights Deficiencies
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.
- G0925·Apr 25, 2025
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Federal penalties
By year
- 20252 fines · $112K
- 20244 fines · $65K
Most recent events
- Dec 18, 2025Fine · $65K
- Apr 25, 2025Fine · $46K
- Nov 26, 2024Fine · $34K
- Oct 17, 2024Fine · $6,788
- Sep 17, 2024Fine · $15K
- May 30, 2024Fine · $8,512
Largest single fine on record: $65K.
Fire-safety citations
5 Life-Safety-Code citations on file. Most recent: Apr 25, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Firesteel Healthcare Centerinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.