Nursing homeActive
Firesteel Healthcare Center
1120 East 7th Avenue, Mitchell, SD 573016059966526125 certified beds · 107 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
12
since 2023
Deficiencies
33
● 0● 25● 8
Penalties · 3 yrs
$153,308
6 fines
Last survey
2026-05-28
Complaint
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 2
Quality 2
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · South Dakota Department of Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-05-28 | Complaint | 030 | CMS-2567 (Care Compare) | — |
| 2025-12-18 | Complaint | 012 | CMS-2567 (Care Compare) | — |
| 2025-04-25 | Standard | 072 | CMS-2567 (Care Compare) | — |
| 2025-01-22 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2025-01-02 | Complaint | 040 | CMS-2567 (Care Compare) | — |
| 2024-11-26 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2024-10-17 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2024-09-17 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2024-05-30 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2024-04-23 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-01-04 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2023-01-31 | Standard | 040 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · South Dakota Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-05-28Record 435109-20260528-F609
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-06-01Record 435109-20260528-F684
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-28Record 435109-20260528-F755
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2026-01-09Record 435109-20251218-F689
F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-12-22Record 435109-20251218-F740
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-22Record 435109-20251218-F658
F880Provide and implement an infection prevention and control program.Scope/severity HHarm
Infection control
Pattern; actual harm that is not immediate jeopardy.Corrected 2025-05-20Record 435109-20250425-F880
F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.Scope/severity GHarm
Environment
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-05-20Record 435109-20250425-F925
F554Allow residents to self-administer drugs if determined clinically appropriate.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-20Record 435109-20250425-F554
F584Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-20Record 435109-20250425-F584
F625Notify 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-20Record 435109-20250425-F625
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-20Record 435109-20250425-F656
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-05-20Record 435109-20250425-F812
F847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-20Record 435109-20250425-F847
F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-20Record 435109-20250425-F867
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-21Record 435109-20250122-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-14Record 435109-20250122-F689
F583Keep residents' personal and medical records private and confidential.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-18Record 435109-20250102-F583
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-30Record 435109-20250102-F658
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-30Record 435109-20250102-F689
F803Ensure 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.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-01-30Record 435109-20250102-F803
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-12-27Record 435109-20241126-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-10-04Record 435109-20241017-F689
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity GHarm
Staffing
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-10-12Record 435109-20240917-F725
F760Ensure that residents are free from significant medication errors.Scope/severity GHarm
Medication
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-01-25Record 435109-20240530-F760
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-30Record 435109-20240423-F689
F584Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-10Record 435109-20240104-F584
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-02-10Record 435109-20240104-F812
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-02-10Record 435109-20240104-F880
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-09Record 435109-20230131-F658
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-09Record 435109-20230131-F758
F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-09Record 435109-20230131-F801
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-09Record 435109-20230131-F880
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-12-18 | Civil money penalty | $42,510 | CMS · Penalties |
| 2025-04-25 | Civil money penalty | $46,137 | CMS · Penalties |
| 2024-11-26 | Civil money penalty | $34,320 | CMS · Penalties |
| 2024-10-17 | Civil money penalty | $6,788 | CMS · Penalties |
| 2024-09-17 | Civil money penalty | $15,041 | CMS · Penalties |
| 2024-05-30 | Civil money penalty | $8,512 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.51
Facility
South Dakota
National
South Dakota 0.80 · National 0.69
Total nurse hours per resident day3.47
Facility
South Dakota
National
South Dakota 3.79 · National 3.86
Weekend total nurse hours2.94
Facility
South Dakota
National
South Dakota 3.26 · National 3.42
Total nursing staff turnover55%
Facility
South Dakota
National
South Dakota 48% · National 46%
Registered nurse turnover46%
Facility
South Dakota
National
South Dakota 35% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | South Dakota | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 2.9% | 4.6% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 4.3% | 5.5% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 24.2% | 24.6% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 3.3% | 2.9% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 22.6% | 21.3% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 3.2% | 5.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 14.0% | 17.4% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Pacific Northwest SNF Operations Holdings (Sd) LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Bossman, Ann Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Couve Financial Services LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Couve Healthcare Consulting LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Firesteel SNF Operations, LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Lowe, Leonor Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Mirkovic, Petar Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Pacific Northwest Opco Management LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Peterson, Scott Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| South Dakota SNF Consulting LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Spielman, Shimon Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Yenowitz, Yitzchok Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Bossman, Ann Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ch Pacific Northwest Holdings LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Couve Financial Services LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Couve Healthcare Consulting LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Firesteel SNF Operations, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Firesteel SNF Realty LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Herzka, Yisroel Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Lowe, Leonor Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Lowe, Leonor Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Mirkovic, Petar Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Pacific Northwest Opco Management LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Peterson, Scott Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| South Dakota SNF Consulting LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Spielman, Shimon Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Spielman, Shimon Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Witzcorp Global LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Yenowitz, Yitzchok Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Yenowitz, Yitzchok Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
Part of a chain
Evergreen Healthcare Group — 44 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or South Dakota.
No county cost figures on file for Davison.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Avera Brady Health And Rehab Mitchell | 2.0 mi | 2026-04-27 | 060 |
| Avera Bormann Manor Parkston | 21.9 mi | 2026-02-04 | 0104 |
| Prairie View Healthcare Center Woonsocket | 26.8 mi | 2025-11-26 | 091 |
| Diamond Care Center Bridgewater | 27.6 mi | 2025-09-11 | 0222 |
| Good Samaritan Society Howard Howard | 31.6 mi | 2026-05-21 | 040 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |