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Data / Nursing homes / South Dakota / Firesteel Healthcare Center

Firesteel Healthcare Center, Mitchell, SD: 1 star rating, fined $153,308 across 6 fines

Firesteel Healthcare Center in Mitchell, SD is owned by Pacific Northwest SNF Operations Holdings (SD) LLC, is rated 1 of 5 stars by Medicare, and was fined $153,308 across 6 fines in the three years to October 1, 2026. CMS lists 39 health citations from inspections in that time, the latest survey on July 30, 2026, and 9 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in South Dakota
Address
1120 East 7th Avenue, Mitchell, SD 57301
Overall rating
1 of 5 stars
Health inspection rating
1 of 5
Staffing rating
3 of 5
Quality measure rating
1 of 5
Certified beds
125
Residents per day
104 on average
Ownership type
For profit, limited liability company
Legal business name
Firesteel SNF Operations, LLC
Chain
Evergreen Healthcare Group, 43 facilities
Special focus
Special focus candidate
Fines
$153,308 across 6 fines, three years to October 1, 2026
Payment denials
0
Health citations
39, of which 9 with actual harm or immediate jeopardy
Latest survey
July 30, 2026
CMS Certification Number
435109
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
December 18, 2025Fine$42,510Not listeddata.cms.gov
April 25, 2025Fine$46,137Not listeddata.cms.gov
November 26, 2024Fine$34,320Not listeddata.cms.gov
October 17, 2024Fine$6,788Not listeddata.cms.gov
September 17, 2024Fine$15,041Not listeddata.cms.gov
May 30, 2024Fine$8,512Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
July 30, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedAugust 20, 2026data.cms.gov
July 30, 2026F883Develop and implement policies and procedures for flu and pneumonia vaccinations.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 20, 2026data.cms.gov
July 30, 2026F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 20, 2026data.cms.gov
July 30, 2026F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 20, 2026data.cms.gov
July 30, 2026F732Post nurse staffing information every day.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 20, 2026data.cms.gov
July 30, 2026F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 20, 2026data.cms.gov
July 30, 2026F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 20, 2026data.cms.gov
July 30, 2026F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 20, 2026data.cms.gov
July 30, 2026F565Honor the resident's right to organize and participate in resident/family groups in the facility.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 20, 2026data.cms.gov
July 30, 2026F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 20, 2026data.cms.gov
May 28, 2026F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 28, 2026data.cms.gov
May 28, 2026F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 1, 2026data.cms.gov
May 28, 2026F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 28, 2026data.cms.gov
December 18, 2025F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.G: isolated, actual harmCorrectedDecember 22, 2025data.cms.gov
December 18, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedJanuary 9, 2026data.cms.gov
December 18, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 22, 2025data.cms.gov
April 25, 2025F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.G: isolated, actual harmCorrectedMay 20, 2025data.cms.gov
April 25, 2025F880Provide and implement an infection prevention and control program.H: pattern, actual harmCorrectedMay 20, 2025data.cms.gov
April 25, 2025F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 20, 2025data.cms.gov
April 25, 2025F847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 20, 2025data.cms.gov
April 25, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedMay 20, 2025data.cms.gov
April 25, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 20, 2025data.cms.gov
April 25, 2025F625Notify 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: pattern, no actual harm, potential for more than minimal harmCorrectedMay 20, 2025data.cms.gov
April 25, 2025F584Honor 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: pattern, no actual harm, potential for more than minimal harmCorrectedMay 20, 2025data.cms.gov
April 25, 2025F554Allow residents to self-administer drugs if determined clinically appropriate.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 20, 2025data.cms.gov
January 22, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 14, 2025data.cms.gov
January 22, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmPast noncomplianceJanuary 21, 2025data.cms.gov
January 2, 2025F803Ensure 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: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 30, 2025data.cms.gov
January 2, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 30, 2025data.cms.gov
January 2, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 30, 2025data.cms.gov
January 2, 2025F583Keep residents' personal and medical records private and confidential.D: isolated, no actual harm, potential for more than minimal harmPast noncomplianceDecember 18, 2024data.cms.gov
November 26, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G: isolated, actual harmCorrectedDecember 27, 2024data.cms.gov
October 17, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmPast noncomplianceOctober 4, 2024data.cms.gov
September 17, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.G: isolated, actual harmCorrectedOctober 12, 2024data.cms.gov
May 30, 2024F760Ensure that residents are free from significant medication errors.G: isolated, actual harmPast noncomplianceJanuary 25, 2024data.cms.gov
April 23, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 30, 2024data.cms.gov
January 4, 2024F880Provide and implement an infection prevention and control program.F: widespread, no actual harm, potential for more than minimal harmCorrectedFebruary 10, 2024data.cms.gov
January 4, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 10, 2024data.cms.gov
January 4, 2024F584Honor 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: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 10, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 16 individual or personal trusts (7 managers, 2 officers, directors or trustees, 7 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Pacific Northwest SNF Operations Holdings (SD) LLCDirect owner100%August 31, 2023data.cms.gov
Couve Financial Services LLCOperational or managerial controlNot listedAugust 31, 2023data.cms.gov
Couve Healthcare Consulting LLCOperational or managerial controlNot listedAugust 31, 2023data.cms.gov
Firesteel SNF Operations, LLCOperational or managerial controlNot listedAugust 31, 2023data.cms.gov
Pacific Northwest OPCO Management LLCOperational or managerial controlNot listedAugust 31, 2023data.cms.gov
South Dakota SNF Consulting LLCOperational or managerial controlNot listedAugust 31, 2023data.cms.gov
CH Pacific Northwest Holdings LLCAdditional disclosable partyNot listedAugust 31, 2023data.cms.gov
Couve Financial Services LLCAdditional disclosable partyNot listedMarch 7, 2025data.cms.gov
Couve Healthcare Consulting LLCAdditional disclosable partyNot listedMarch 12, 2025data.cms.gov
Firesteel SNF Operations, LLCAdditional disclosable partyNot listedJuly 31, 2025data.cms.gov
Firesteel SNF Realty LLCAdditional disclosable partyNot listedMay 13, 2025data.cms.gov
Pacific Northwest OPCO Management LLCAdditional disclosable partyNot listedMarch 7, 2025data.cms.gov
South Dakota SNF Consulting LLCAdditional disclosable partyNot listedMarch 12, 2025data.cms.gov
Witzcorp Global LLCAdditional disclosable partyNot listedAugust 31, 2023data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.