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    Nursing home · MITCHELL, SD

    FIRESTEEL HEALTHCARE CENTER

    1120 EAST 7TH AVENUE, MITCHELL, SD 57301

    CMS certification number: 435109 · Updated October 1, 2026

    CMS overall rating

    1 / 5

    Certified beds

    125

    Residents / day

    104

    Ownership

    For profit - Limited Liability company

    Facility information

    Certification
    Medicare and Medicaid
    Ownership
    For profit - Limited Liability company
    County
    Davison
    Certified beds
    125
    Average residents per day
    104
    First certified
    November 1, 1997

    CMS quality ratings

    Overall
    1 / 5
    Health inspections
    1 / 5
    Staffing
    3 / 5
    Quality measures
    1 / 5

    These are CMS quality ratings, not customer reviews.

    How this home compares locally

    Other homes in Davison, South Dakota. Missing values are excluded; this home is excluded from peer averages.

    CMS overall rating / 5

    This home
    1.00
    County peers
    5.00
    n=1
    State peers
    3.01

    Nurse hours / resident / day

    This home
    3.54
    County peers
    4.59
    n=1
    State peers
    3.86
    n=90

    Weekend nurse hours / resident / day

    This home
    3.00
    County peers
    4.10
    n=1
    State peers
    3.28
    n=90

    Nursing staff turnover (%)

    This home
    63.30
    County peers
    44.30
    n=1
    State peers
    48.40
    n=86

    Reported staffing is not adjusted for resident needs. These are descriptive averages, not a quality ranking or prediction of care. Sources and methodology

    Questions for your visit

    • Reported weekend staffing is 15.1% below the all-days average. How is weekend coverage maintained?
    • What has changed since your latest health inspection?
    • CMS reports 63.3% total nursing staff turnover. How do you retain staff and maintain continuity of care?
    • Which services are included, what costs extra, and can you provide a written care and payment plan?

    Published record coverage

    Hospital measures
    4
    Fire safety citations
    10
    Health citations
    39
    Resident measures
    17
    Ownership records
    30
    Penalties
    6
    SNF rehabilitation measures
    57
    Inspection summaries
    3
    Medicare performance records
    1

    Counts reflect the imported CMS publication, not a complete lifetime history. Zero records does not establish zero historical events.

    Full CMS profile

    Staffing & operations

    1 source records · CMS source date 2026-10-01CMS source

    Staffing hours are per resident per day; turnover figures are percentages. Blank values are not zero.

    Reported Total Nurse Staffing Hours per Resident per Day
    3.53934
    Reported RN Staffing Hours per Resident per Day
    0.58415
    Reported LPN Staffing Hours per Resident per Day
    0.52654
    Reported Nurse Aide Staffing Hours per Resident per Day
    2.42865
    Total number of nurse staff hours per resident per day on the weekend
    3.00374
    Registered Nurse hours per resident per day on the weekend
    0.26365
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.01118
    Total nursing staff turnover
    63.3
    Registered Nurse turnover
    50.0
    Number of administrators who have left the nursing home
    Not reported
    Chain Name
    EVERGREEN HEALTHCARE GROUP
    Number of Facilities in Chain
    43
    Chain Average Overall 5-star Rating
    2.3
    Special Focus Status
    SFF Candidate
    Provider Changed Ownership in Last 12 Months
    N
    With a Resident and Family Council
    Resident
    Automatic Sprinkler Systems in All Required Areas
    Yes
    All provider source fields
    State
    SD
    Urban
    N
    Chain ID
    846
    Latitude
    43.7156
    Location
    1120 EAST 7TH AVENUE,MITCHELL,SD,57301
    ZIP Code
    57301
    City/Town
    MITCHELL
    Longitude
    -98.009
    QM Rating
    1
    Abuse Icon
    N
    Chain Name
    EVERGREEN HEALTHCARE GROUP
    County/Parish
    Davison
    Provider Name
    FIRESTEEL HEALTHCARE CENTER
    Provider Type
    Medicare and Medicaid
    Overall Rating
    1
    Ownership Type
    For profit - Limited Liability company
    Number of Fines
    6
    Processing Date
    2026-10-01
    Staffing Rating
    3
    Provider Address
    1120 EAST 7TH AVENUE
    Telephone Number
    6059966526
    Geocoding Footnote
    Not reported
    QM Rating Footnote
    Not reported
    Legal Business Name
    FIRESTEEL SNF OPERATIONS, LLC
    Long-Stay QM Rating
    2
    High Performing Icon
    N
    Short-Stay QM Rating
    1
    Special Focus Status
    SFF Candidate
    Nursing Case-Mix Index
    1.24527
    Chain Average QM Rating
    2.9
    Overall Rating Footnote
    Not reported
    Health Inspection Rating
    1
    Number of Certified Beds
    125
    Provider SSA County Code
    170
    Staffing Rating Footnote
    Not reported
    Number of Payment Denials
    0
    Registered Nurse turnover
    50.0
    Total Number of Penalties
    6
    Reported Staffing Footnote
    Not reported
    Long-Stay QM Rating Footnote
    Not reported
    Nursing Case-Mix Index Ratio
    0.88301
    Provider Resides in Hospital
    N
    Total nursing staff turnover
    63.3
    Chain Average Staffing Rating
    3.3
    Number of Facilities in Chain
    43
    Short-Stay QM Rating Footnote
    Not reported
    CMS Certification Number (CCN)
    435109
    Administrator turnover footnote
    26
    Total Amount of Fines in Dollars
    153308.00
    Health Inspection Rating Footnote
    Not reported
    Rating Cycle 1 Total Health Score
    136
    Registered Nurse turnover footnote
    Not reported
    Total Weighted Health Survey Score
    158.750
    With a Resident and Family Council
    Resident
    Average Number of Residents per Day
    104.0
    Chain Average Overall 5-star Rating
    2.3
    Rating Cycle 1 Health Revisit Score
    0
    Rating Cycle 2/3 Total Health Score
    227
    Continuing Care Retirement Community
    N
    Physical Therapist Staffing Footnote
    Not reported
    Rating Cycle 2/3 Health Revisit Score
    0
    Total nursing staff turnover footnote
    Not reported
    Chain Average Health Inspection Rating
    2.2
    Rating Cycle 1 Health Deficiency Score
    136
    Rating Cycle 1 Standard Survey Footnote
    Not reported
    Rating Cycle 2 Standard Survey Footnote
    Not reported
    Rating Cycle 1 Number of Health Revisits
    1
    Rating Cycle 2/3 Health Deficiency Score
    227
    Rating Cycle 1 Standard Survey Health Date
    2026-07-30
    Rating Cycle 2 Standard Health Survey Date
    2025-04-25
    Rating Cycle 2/3 Number of Health Revisits
    1
    Average Number of Residents per Day Footnote
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    Adjusted RN Staffing Hours per Resident per Day
    0.65636
    Case-Mix RN Staffing Hours per Resident per Day
    0.61072
    Reported RN Staffing Hours per Resident per Day
    0.58415
    Adjusted LPN Staffing Hours per Resident per Day
    0.59162
    Case-Mix LPN Staffing Hours per Resident per Day
    0.76103
    Reported LPN Staffing Hours per Resident per Day
    0.52654
    Automatic Sprinkler Systems in All Required Areas
    Yes
    Rating Cycle 1 Total Number of Health Deficiencies
    16
    Most Recent Health Inspection More Than 2 Years Ago
    N
    Rating Cycle 2/3 Total Number of Health Deficiencies
    20
    Rating Cycle 1 Number of Standard Health Deficiencies
    10
    Rating Cycle 2 Number of Standard Health Deficiencies
    9
    Reported Licensed Staffing Hours per Resident per Day
    1.11069
    Number of Citations from Infection Control Inspections
    Not reported
    Rating Cycle 1 Number of Complaint Health Deficiencies
    7
    Adjusted Nurse Aide Staffing Hours per Resident per Day
    2.72884
    Case-Mix Nurse Aide Staffing Hours per Resident per Day
    2.07274
    Number of administrators who have left the nursing home
    Not reported
    Reported Nurse Aide Staffing Hours per Resident per Day
    2.42865
    Adjusted Total Nurse Staffing Hours per Resident per Day
    3.97682
    Case-Mix Total Nurse Staffing Hours per Resident per Day
    3.44449
    Rating Cycle 2/3 Number of Complaint Health Deficiencies
    15
    Reported Total Nurse Staffing Hours per Resident per Day
    3.53934
    Registered Nurse hours per resident per day on the weekend
    0.26365
    Date First Approved to Provide Medicare and Medicaid Services
    1997-11-01
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.01118
    Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
    3.37502
    Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
    3.03140
    Total number of nurse staff hours per resident per day on the weekend
    3.00374

    COMMUNITY EXPERIENCE

    Reviews of FIRESTEEL HEALTHCARE CENTER

    Consumer experiences, separate from CMS ratings. Accounts are verified; care experiences are not independently verified.

    No published community reviews yet.

    Community reviews & discussions

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    Third-party opinions are not verified CMS findings. Reviews have not been imported or combined into the CMS rating.

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    Source: Centers for Medicare & Medicaid Services · Data processed October 1, 2026