Nursing home
Firesteel Healthcare Center
1120 East 7Th Avenue, Mitchell, SD 57301 · Map
For profit - Limited Liability company · Part of Evergreen Healthcare Group (41 facilities) · 150 certified beds
Firesteel Healthcare Center is a Medicare-certified nursing home in Mitchell, South Dakota. CMS rates it 1 out of 5 stars overall (2/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.45 hours per resident per day, below the South Dakota average of 3.89. Its most recent inspection on Apr 25, 2025 cited 12 deficiencies.
- 5 fines totaling $110,798In CMS records: 5 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Firesteel Healthcare Center compares
This facility vs. the South Dakota and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | South Dakota avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.45 | 3.89 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.40 | 0.80 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.49 | 2.61 | 2.34 | below avg |
| Nursing staff turnover | 50.0% | 49.7% | 46.4% | above avg |
| Deficiencies cited, last inspection | 12.0 | 6.8 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 5 fines totaling $110,798, 5 total penalties.
What inspectors found at Firesteel Healthcare Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Actual harm
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Quality of Life and Care Deficiencies · Dec 18, 2025 · Full report (PDF) - Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Dec 18, 2025 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Dec 18, 2025 · Full report (PDF) - Actual harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Apr 25, 2025 · Full report (PDF) - Actual harm
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · Apr 25, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Apr 25, 2025 · Full report (PDF) - Potential for harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · Apr 25, 2025 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Apr 25, 2025 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Apr 25, 2025 · Full report (PDF) - Potential for harm
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Administration Deficiencies · Apr 25, 2025 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Apr 25, 2025 · Full report (PDF) - Potential for harm
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Apr 25, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1120 East 7Th Avenue
Mitchell, SD 57301 - CMS certification #
- 435109
- Ownership
- For profit - Limited Liability company
- Certified beds
- 150
- Avg residents/day
- 113.4
- Provider type
- Medicare and Medicaid
- First certified
- 1997-11-01
- Chain
- Evergreen Healthcare Group (41 facilities)
- Setting
- Rural
Part of Evergreen Healthcare Group
Evergreen Healthcare Group operates 41 nursing facilities across the United States. View all Evergreen Healthcare Group facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Firesteel Healthcare Center using Google Maps.
Other public records
- Workplace safety 1 OSHA workplace safety inspection since 2019, no violations cited
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Nov 6, 2019: complaint inspection, partial (health). Case closed Apr 7, 2020. No violations cited. OSHA record. OSHA recorded the employer as Empress at Mitchell, LLC. Matched by street address; the name OSHA recorded differs from the community's.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Avera Queen Of Peace, Mitchell. 0.1 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Avera Brady Health and Rehab, Mitchell. 2.0 miles away, straight line.
- Nearest home health agency office
- Avera @ Home, Mitchell. 0.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Lewis Pharmacy. 1.9 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 57301 as micropolitan (micropolitan core).
- Dialysis within 15 miles
- Avera Dialysis - Mitchell, Mitchell, 1.6 miles away, straight line (CMS rating 4 of 5 stars)
- Hospice
- 2 Medicare hospices tell CMS they serve ZIP code 57301.
Avera @ Home, office in Mitchell, 0.1 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Unmc Physicians, Omaha. 194.7 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Zone X: 0.2% annual chance (500-year) flood area (moderate risk). (FEMA flood map)
- Wildfire risk to homes
- In Mitchell, SD, risk to homes is greater than 60% of communities in South Dakota and 66% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively high. By hazard: inland flooding relatively high, wildfire relatively moderate, tornado very high, heat wave relatively low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Firesteel Healthcare Center a good nursing home?
CMS gives Firesteel Healthcare Center an overall rating of 1 out of 5 stars, including 2/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Firesteel Healthcare Center staffed?
Firesteel Healthcare Center reports 3.45 total nurse hours per resident per day, compared with the South Dakota average of 3.89.
Has Firesteel Healthcare Center had inspection problems?
Its most recent CMS inspection cited 12 deficiencies.
How many beds does Firesteel Healthcare Center have?
Firesteel Healthcare Center is certified for 150 beds.