Nursing homes › South Dakota › Firesteel Healthcare Center
1120 East 7Th Avenue, Mitchell, SD 57301 · 6059966526 · 125 certified beds
Per CMS filings, this facility is affiliated with Evergreen Healthcare Group, a group operating 44 facilities in 6 states. Group record: average rating 2.5/5, 10 abuse citation icons, 4 facilities on the Special Focus list, $2,156,851 in federal fines. This facility rates below its group average (2.5/5).
Total nurse staffing: 3.47 (South Dakota median: 3.63). RN hours: 0.51. Weekend total: 2.94. Nursing staff turnover: 55%.
All-time on record: 33 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-28 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | complaint | corrected 2026-05-28 |
| 2026-05-28 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | complaint | corrected 2026-06-01 |
| 2026-05-28 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2026-05-28 |
| 2025-12-18 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2026-01-09 |
| 2025-12-18 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | G | complaint | corrected 2025-12-22 |
| 2025-12-18 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2025-12-22 |
| 2025-04-25 | Provide and implement an infection prevention and control program. | H | complaint | corrected 2025-05-20 |
| 2025-04-25 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | G | Health | corrected 2025-05-20 |
| 2025-04-25 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2025-05-20 |
| 2025-04-25 | 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. | E | complaint | corrected 2025-05-20 |
| 2025-04-25 | 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. | E | complaint | corrected 2025-05-20 |
| 2025-04-25 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2025-05-20 |
| 2025-04-25 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | E | Health | corrected 2025-05-20 |
| 2025-04-25 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | complaint | corrected 2025-05-20 |
| 2025-04-25 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Health | corrected 2025-05-20 |
| 2025-01-22 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2025-01-21 |
| 2025-01-22 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2025-02-14 |
| 2025-01-02 | 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. | E | complaint | corrected 2025-01-30 |
| 2025-01-02 | Keep residents' personal and medical records private and confidential. | D | complaint | corrected 2024-12-18 |
| 2025-01-02 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2025-01-30 |
| 2025-01-02 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2025-01-30 |
| 2024-11-26 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | complaint | corrected 2024-12-27 |
| 2024-10-17 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2024-10-04 |
| 2024-09-17 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | G | complaint | corrected 2024-10-12 |
| 2024-05-30 | Ensure that residents are free from significant medication errors. | G | complaint | corrected 2024-01-25 |
| 2024-04-23 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2024-05-30 |
| 2024-01-04 | Provide and implement an infection prevention and control program. | F | Health | corrected 2024-02-10 |
| 2024-01-04 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2024-02-10 |
| 2024-01-04 | 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. | D | Health | corrected 2024-02-10 |
| 2023-01-31 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2023-03-09 |
| 2023-01-31 | 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. | D | Health | corrected 2023-03-09 |
| 2023-01-31 | 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. | D | Health | corrected 2023-03-09 |
| 2023-01-31 | Provide and implement an infection prevention and control program. | D | Health | corrected 2023-03-09 |
| Date | Type | Amount |
|---|---|---|
| 2025-12-18 | Fine | $42,510 |
| 2025-04-25 | Fine | $46,137 |
| 2024-11-26 | Fine | $34,320 |
| 2024-10-17 | Fine | $6,788 |
| 2024-09-17 | Fine | $15,041 |
| 2024-05-30 | Fine | $8,512 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS (SD) LLC | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 08/31/2023 |
| LOWE, LEONOR | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 08/31/2023 |
| SPIELMAN, SHIMON | Corporate Officer | Individual | NOT APPLICABLE | since 08/31/2023 |
| YENOWITZ, YITZCHOK | Corporate Officer | Individual | NOT APPLICABLE | since 08/31/2023 |
| COUVE FINANCIAL SERVICES LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 08/31/2023 |
| COUVE HEALTHCARE CONSULTING LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 08/31/2023 |
| FIRESTEEL SNF OPERATIONS, LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 08/31/2023 |
| PACIFIC NORTHWEST OPCO MANAGEMENT LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 08/31/2023 |
| SOUTH DAKOTA SNF CONSULTING LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 08/31/2023 |
| BOSSMAN, ANN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/31/2023 |
| LOWE, LEONOR | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/31/2023 |
| MIRKOVIC, PETAR | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/31/2023 |
| PETERSON, SCOTT | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/31/2023 |
| SPIELMAN, SHIMON | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/31/2023 |
| YENOWITZ, YITZCHOK | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/31/2023 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 435109. Corrections: data@carerecords.org.