Senior Home Review
Home›Browse›South Dakota›Mitchell›Firesteel Healthcare Center
Nursing homeFAID #11714

Firesteel Healthcare Center

1120 EAST 7TH AVENUE, MITCHELL, SD, 57301
(605) 996-6526
125 licensed beds
★★★★★1/5CMS Five-Star overall1/5 health inspections2/5 staffing2/5 quality measuresSource: CMS Care Compare

Generate this report

Delivered within 24–48 hours
Photo of FIRESTEEL HEALTHCARE CENTER
Photo via Google · Firesteel Healthcare
What we can show you for free.
Bed capacity
125
CMS facility ID
435109
Care type
Nursing home
County
Davison
Facility name
Firesteel Healthcare Center
Street address
1120 EAST 7TH AVENUE
City / state / ZIP
Mitchell, SD 57301
Phone
(605) 996-6526

Firesteel Healthcare Center is a Medicare/Medicaid-certified skilled nursing facility in Mitchell, South Dakota. It is licensed for 125 beds — well above the median for skilled nursing facilities in South Dakota (52 beds).

It is one of 10 senior care facilities in Mitchell and 96 skilled nursing facilities across South Dakota. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Firesteel Healthcare Center 38 times across 16 inspections in the last three years, including 4 food-safety citations, and CMS has imposed $153,308 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Parent company
Evergreen Healthcare Group
Ownership type
For profit - Limited Liability company

Registered owners & officers

Pacific Northwest Snf Operations Holdings (sd) Llc
Direct owner — 100% stake — since 2023
Bossman, Ann
Operational control · Additional disclosable party — since 2023
Ch Pacific Northwest Holdings Llc
Additional disclosable party — since 2023
Couve Financial Services Llc
Operational control · Additional disclosable party — since 2023
Couve Healthcare Consulting Llc
Operational control · Additional disclosable party — since 2023
Firesteel Snf Operations, Llc
Operational control · Additional disclosable party — since 2023
Firesteel Snf Realty Llc
Additional disclosable party — since 2025
Herzka, Yisroel
Additional disclosable party — since 2023
Lowe, Leonor
Governing body · Operational control · Additional disclosable party — since 2023
Mirkovic, Petar
Operational control · Additional disclosable party — since 2023
Pacific Northwest Opco Management Llc
Operational control · Additional disclosable party — since 2023
Peterson, Scott
Operational control · Additional disclosable party — since 2023
South Dakota Snf Consulting Llc
Operational control · Additional disclosable party — since 2023
Spielman, Shimon
Officer · Operational control · Additional disclosable party — since 2023
Witzcorp Global Llc
Additional disclosable party — since 2023
Yenowitz, Yitzchok
Officer · Operational control · Additional disclosable party — since 2023

Regulatory standing

Licensed / certified since
1997-11-01
CMS overall rating
1 of 5 stars
Health deficiencies
15 at the last standard inspection
Federal fines
$153,308 total
Last standard inspection
2025-04-25
Nurse staffing
3.5 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$419 per day (≈ $12,740/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
50% Medicaid · 12% Medicare · 38% private/other
Occupancy
67% (fiscal year 2023)
Vs. state median
2% above the SD median of $412/day — full state cost breakdown

Services & coverage

Licensed beds
125
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 4 food-safety citations on its three-year record — flagged below among the inspections.
2026-05-28Health inspectionComplaint-triggered3 citations
F-0609
E · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2026-05-28
F-0684
E · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-06-01
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2026-05-28
2025-12-18Health inspectionComplaint-triggered3 citations
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-12-22
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-01-09
F-0740
G · Actual harmFrom a complaint
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2025-12-22
13 earlier / fire-safety inspections (32 citations)
2025-04-25Health inspectionComplaint-triggered9 citations
F-0554
D · No harm found
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-05-20
F-0584
E · No harm foundFrom a complaint
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.
Corrected 2025-05-20
F-0625
E · No harm foundFrom a complaint
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.
Corrected 2025-05-20
F-0656
E · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-05-20
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-05-20
F-0847
E · No harm found
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected 2025-05-20
F-0867
E · No harm foundFrom a complaint
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2025-05-20
F-0880
H · Actual harmFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-05-20
F-0925
G · Actual harm
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2025-05-20
2025-01-22Health inspectionComplaint-triggered2 citations
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-01-21
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-02-14
2025-01-02Health inspectionComplaint-triggered4 citations
F-0583
D · No harm foundFrom a complaint
Keep residents' personal and medical records private and confidential.
Corrected 2024-12-18
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-01-30
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-01-30
F-0803
E · No harm foundFood safetyFrom a complaint
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.
Corrected 2025-01-30
2024-11-26Health inspectionComplaint-triggered1 citation
F-0684
G · Actual harmFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-12-27
2024-10-17Health inspectionComplaint-triggered1 citation
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-10-04
2024-09-17Health inspectionComplaint-triggered1 citation
F-0725
G · Actual harmFrom a complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-10-12
2024-05-30Health inspectionComplaint-triggered1 citation
F-0760
G · Actual harmFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2024-01-25
2024-04-23Health inspectionComplaint-triggered1 citation
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-05-30
2024-01-04Health inspection3 citations
F-0584
D · No harm found
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.
Corrected 2024-02-10
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-02-10
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-02-10
2023-01-31Health inspection4 citations
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-03-09
F-0758
D · No harm found
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.
Corrected 2023-03-09
F-0801
D · No harm foundFood safety
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.
Corrected 2023-03-09
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-03-09
2025-04-25Fire-safety inspection3 citations
K-0226
E · No harm found
Have horizontal exits used in accordance with safety requirements.
Corrected 2025-05-20
K-0271
D · No harm found
Have exits that are accessible at all times.
Corrected 2025-05-20
K-0920
E · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2025-05-20
2024-01-04Fire-safety inspection1 citation
K-0712
C · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2024-02-10
2023-01-31Fire-safety inspection1 citation
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-03-09

Federal penalties

2025-12-18Fine$42,510
2025-04-25Fine$46,137
2024-11-26Fine$34,320
2024-10-17Fine$6,788
2024-09-17Fine$15,041
2024-05-30Fine$8,512
Total fines$153,308
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 435109.
What people say on Google.
3.631 ratings on Google
★★★★★Melanie Bravo · 2026-05-26 · via Google

“I recently had the opportunity to visit Firesteel Healthcare, and I was truly impressed by the level of care and professionalism from the entire team. The facility was exceptionally clean, well-maintained, and welcoming from the moment I walked in. The staff were attentive, compassionate, and always willing to help. It was clear they genuinely care about their residents and work hard to create a …”

★★★★★Stephanie B · 2024-03-21 · via Google

“My grandpa resides at Firesteel & the care he receives has been compassionate & dedicated. During his bad days, they pay close attention to his pain & create a solid care plan to make him comfortable. On his good days, the team is always around to boost his spirits, listen to his stories, and make him feel at home. I wouldn’t hesitate to recommend Firesteel for any of my loved one’s future care!”

★★★★★Kim Olson · 2023-04-05 · via Google

“Almost a year ago I had to move my parents from assisted living to a long term care facility. I wanted to have them as close to Sioux Falls as possible but was unable to find anyplace in a 50 mile radius. I was very hesitant about moving them 70 miles away but I did end up moving them to Firesteel. Little did I know at the time that this is where they were meant to be! Firesteel is wonderful facil…”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 38 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered