Firesteel Healthcare Center

1120 East 7th Avenue, Mitchell, SD 57301 · (605) 996-6526
For profit - Limited Liability company · 125 certified beds

Firesteel Healthcare Center has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in July 2026, found 10 citations, 1 for actual harm or immediate jeopardy (the South Dakota average is 6.7). It was fined 6 times in the last three years, $153,308 in all.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on July 30, 2026 found 10 citations. What an inspection citation means

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.July 30, 2026 · F0689 · Level of harm: Actual harm · Residents affected: Few
• Honor the resident's right to organize and participate in resident/family groups in the facility.July 30, 2026 · F0565 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.July 30, 2026 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.July 30, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Develop and implement policies and procedures for flu and pneumonia vaccinations.July 30, 2026 · F0883 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.July 30, 2026 · F0561 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.July 30, 2026 · F0644 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe and appropriate respiratory care for a resident when needed.July 30, 2026 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Post nurse staffing information every day.July 30, 2026 · F0732 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.July 30, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Complaint inspections, last three years

Inspections after complaints found 22 citations.

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.July 30, 2026 · F0689 · Level of harm: Actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.May 28, 2026 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.May 28, 2026 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.May 28, 2026 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure services provided by the nursing facility meet professional standards of quality.December 18, 2025 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.December 18, 2025 · F0689 · Level of harm: Actual harm · Residents affected: Few
• Ensure each resident must receive and the facility must provide necessary behavioral health care and services.December 18, 2025 · F0740 · Level of harm: Actual harm · Residents affected: Few
• 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.April 25, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.April 25, 2025 · F0625 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.April 25, 2025 · F0867 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide and implement an infection prevention and control program.April 25, 2025 · F0880 · Level of harm: Actual harm · Residents affected: Some
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.January 22, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.January 22, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Keep residents' personal and medical records private and confidential.January 2, 2025 · F0583 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure services provided by the nursing facility meet professional standards of quality.January 2, 2025 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.January 2, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.January 2, 2025 · F0803 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.November 26, 2024 · F0684 · Level of harm: Actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.October 17, 2024 · F0689 · Level of harm: Actual harm · Residents affected: Few
• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.September 17, 2024 · F0725 · Level of harm: Actual harm · Residents affected: Few
• Ensure that residents are free from significant medication errors.May 30, 2024 · F0760 · Level of harm: Actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.April 23, 2024 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Fines and payment denials

• Fine of $42,510December 18, 2025
• Fine of $46,137April 25, 2025
• Fine of $34,320November 26, 2024
• Fine of $6,788October 17, 2024
• Fine of $15,041September 17, 2024
• Fine of $8,512May 30, 2024

Nurse staffing

Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.

About this home