Nursing home report
MITCHELL, SD · Medicare-certified · 125 beds
Firesteel Healthcare Center in Mitchell, SD has a 1-star overall rating, with 1-star health inspection and 2-star staffing and quality ratings. It also has a recent federal penalty, $144,796 in fines over the last 24 months, and reported nurse staffing of 3.47 hours per resident per day versus the 4.1 federal benchmark.
Health inspections
Staffing
3.4726 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4726.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited April 2025 — limited pattern, actual harm.
F-Tag 880 — 42 CFR §483.80(a) — S/S: H
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited December 2025 — isolated incident, actual harm.
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The nursing home failed to ensure residents received the behavioral health care and services they needed. Cited December 2025 — isolated incident, actual harm.
F-Tag 740 — 42 CFR §483.40 — S/S: G
The nursing home failed to make sure it had a pest control program to prevent or deal with mice, insects, and other pests. Cited April 2025 — isolated incident, actual harm.
F-Tag 925 — 42 CFR §483.90 — S/S: G
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited November 2024 — isolated incident, actual harm.
F-Tag 684 — 42 CFR §483.25 — S/S: G
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 3 health deficiencies.
A federal fine of $42,510 was recorded.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
A federal fine of $65,400 was recorded.
Health inspection found 3 health deficiencies.
A federal fine of $46,137 was recorded.
Health inspection found 9 health deficiencies.
Health inspection found 2 health deficiencies.
A federal fine of $34,320 was recorded.
A federal fine of $6,788 was recorded.
A federal fine of $15,041 was recorded.
A federal fine of $8,512 was recorded.
On record with Medicare: 6 fines · $153,308 in total fines.
Federal fine
Dec 18, 2025
Federal fine
Apr 25, 2025
Federal fine
Nov 26, 2024
Federal fine
Oct 17, 2024
Federal fine
Sep 17, 2024
Federal fine
May 30, 2024
Now operated by Firesteel Healthcare, previously Firesteel Healthcare Center.
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.
