Nursing home

Firesteel Healthcare Center

1120 East 7th Avenue, Mitchell, SD, 57301

CMS ownership records associate this facility with Evergreen Healthcare Group · For profit - Limited Liability company.

CMS overall rating
CMS overall rating: 1 out of 51of 5

At a glance

CMS reports a 1-star overall rating for Firesteel Healthcare Center, with 30 inspection citations on record (8 higher severity). Federal records include $176,198 in the current dataset.
CMS overall
1
of 5
Health inspection
1
of 5
Staffing
2
of 5
Quality measures
2
of 5
Certified beds
125
CMS-reported

CMS rating profile

The four CMS ratings on one aligned scale, with county and state averages for context.

Rating profile

How this facility's overall rating relates to its three CMS component ratings.

Overall1 of 5
Health inspection1 of 5
Staffing2 of 5
Quality measures2 of 5

CMS-reported data · updated 2026-07-17

Comparative context

This facility's CMS overall rating next to its county and state averages.

This facility 1
15
Davison Co. avg 3South Dakota avg 2.81This facility
This facility: 1 of 5. Davison Co. avg: 3. South Dakota avg: 2.81.

CMS-reported data · updated 2026-07-17 · site-calculated context, not a CMS rating

Methodology
Averages are calculated from CMS records included in this dataset and exclude facilities CMS has not rated. A neutral reference point, not a CMS rating or a pass/fail line.

Inspections and citations

Health-inspection citations CMS reports for this facility. Individual records are in the technical appendix.

Citation profile

How many citations CMS reports, how severe, and when they occurred.

30
Citations on record
8
Higher severity (G–L)
18
From complaints
0
Infection control
Citations by inspection year
42023
82024
182025
Higher severity Standard

CMS-reported data · updated 2026-07-17

Methodology
Severity uses the CMS scope-and-severity letter (G–L count as higher severity). Counts are CMS-reported inspection findings, not a judgment about current conditions.

Federal records

Federal fines (CMPs) and payment-denial records CMS reports in the recent reporting period. These are distinct record types and are never merged.

Federal fines (CMP)

Fine records over time, sized by amount.

6 records · $176,198 total · May 30, 2024–Dec 18, 2025
  1. Dec 18, 2025$65,400
  2. Apr 25, 2025$46,137
  3. Nov 26, 2024$34,320
  4. Oct 17, 2024$6,788
  5. Sep 17, 2024$15,041
  6. May 30, 2024$8,512

CMS-reported data · updated 2026-07-17

Payment denials

Payment-denial records over time, sized by duration.

No payment-denial records are included in this data for this facility.

CMS-reported data · updated 2026-07-17

Methodology
CMS may deny Medicare/Medicaid payment for new admissions. This is a distinct record type from a civil monetary fine. Confirm current status on CMS Care Compare.

Staffing and care

Selected CMS care indicators for long-stay residents, with a typical level for context. The CMS staffing star rating appears in the rating profile above.

Selected care measures

How this facility's reported care indicators sit against a typical level.

3 of 3 care measures reported by CMS
On antipsychotic medication(lower is better)23.6%

Long-stay residents given antipsychotic medication.

With new/worsened pressure ulcers(lower is better)3.77%

Long-stay residents with new or worsened pressure ulcers.

Falls with major injury(lower is better)4.44%

Long-stay residents with one or more falls with major injury.

CMS-reported data · updated 2026-07-17 · site-calculated context, not a CMS rating

Methodology
The tick marks a typical level for context and is calculated from CMS records included in this dataset — not a CMS rating. Per-shift staffing hours are not part of this dataset. Missing values are shown as “Not reported”, never as zero.

Facilities and agencies grouped by CMS-reported ownership fields. A company appearing here does not by itself mean it controlled day-to-day care or did anything wrong.

Owner / organizationRole
Pacific Northwest SNF Operations Holdings (sd) LLC5% OR GREATER DIRECT OWNERSHIP INTEREST
Lowe, LeonorMANAGING CONTROL - GOVERNING BODY
Spielman, ShimonCORPORATE OFFICER
Yenowitz, YitzchokCORPORATE OFFICER
Couve Financial Services LLCOPERATIONAL/MANAGERIAL CONTROL
Couve Healthcare Consulting LLCOPERATIONAL/MANAGERIAL CONTROL
Firesteel SNF Operations, LLCOPERATIONAL/MANAGERIAL CONTROL
Pacific Northwest Opco Management LLCOPERATIONAL/MANAGERIAL CONTROL
South Dakota SNF Consulting LLCOPERATIONAL/MANAGERIAL CONTROL
Bossman, AnnOPERATIONAL/MANAGERIAL CONTROL
Lowe, LeonorOPERATIONAL/MANAGERIAL CONTROL
Mirkovic, PetarOPERATIONAL/MANAGERIAL CONTROL
Peterson, ScottOPERATIONAL/MANAGERIAL CONTROL
Spielman, ShimonOPERATIONAL/MANAGERIAL CONTROL
Yenowitz, YitzchokOPERATIONAL/MANAGERIAL CONTROL
Ch Pacific Northwest Holdings LLCADP OF THE SNF
Couve Financial Services LLCADP OF THE SNF
Couve Healthcare Consulting LLCADP OF THE SNF
Firesteel SNF Operations, LLCADP OF THE SNF
Firesteel SNF Realty LLCADP OF THE SNF
Pacific Northwest Opco Management LLCADP OF THE SNF
South Dakota SNF Consulting LLCADP OF THE SNF
Witzcorp Global LLCADP OF THE SNF
Bossman, AnnADP OF THE SNF
Herzka, YisroelADP OF THE SNF
Lowe, LeonorADP OF THE SNF
Mirkovic, PetarADP OF THE SNF
Peterson, ScottADP OF THE SNF
Spielman, ShimonADP OF THE SNF
Yenowitz, YitzchokADP OF THE SNF

Nearby facilities

Other CMS-certified nursing homes near Davison County.

1120 East 7th Avenue, Mitchell
Davison County · SD · 57301
125 certified beds43.7156, -98.0090

Verify the current location and license with official sources.

FacilityLocationOverallHealthStaffingCMS abuse iconFederal penalties
Prairie Heights Healthcare
CCN 435004
Aberdeen, SD542Not shown$0
Avantara Milbank
CCN 435009
Milbank, SD222Not shown$55,361
Avantara Huron
CCN 435020
Huron, SD112Shown$8,338
Avera Rosebud Country Care Center
CCN 435029
Gregory, SD444Not shown$0
Westhills Village Health Care Facility
CCN 435033
Rapid City, SD443Not shown$13,520
Avera Maryhouse Long Term Care
CCN 435034
Pierre, SD555Not shown$0

Related research

Frequently asked questions

What is Firesteel Healthcare Center's CMS rating?

Firesteel Healthcare Center has a 1-star CMS overall rating (out of 5) in the current dataset, with CMS component ratings of 1 for health inspections, 2 for staffing, and 2 for quality measures. A star rating is a CMS summary of past data, not a judgment about current conditions.

Where is Firesteel Healthcare Center located?

Firesteel Healthcare Center is located at 1120 East 7th Avenue, Mitchell, SD, 57301 in Davison County, and CMS lists 125 certified beds.

Does Firesteel Healthcare Center have federal penalties or payment denials on record?

The CMS data includes $176,198 in federal fine amounts and 0 payment-denial records for Firesteel Healthcare Center over roughly the past three years. These are CMS-reported records; see CMS Care Compare for the details and context.

How does Firesteel Healthcare Center's rating compare to nearby facilities?

Firesteel Healthcare Center's CMS overall rating is 1 of 5. For comparison, the average CMS overall rating is 3 across 2 facilities in Davison County, and 2.81 across South Dakota. Averages exclude facilities CMS has not rated, and a star rating is a CMS summary, not a judgment about any individual facility.

How can I verify Firesteel Healthcare Center's current information?

SeniorCareRating.com organizes public CMS data and is not affiliated with CMS. Confirm Firesteel Healthcare Center's current ratings, inspection reports, and license status on the official CMS Care Compare site and with your state survey agency.

Technical appendix

Record identifiers

CMS provider number (CCN)
435109
Ownership type
For profit - Limited Liability company
Certified beds
125
Data snapshot
2026-07-17
All 30 citation records
DateCMS tagSeverityTypeCMS deficiency statusCorrection date
Dec 18, 20250658DComplaintDeficient, Provider has date of correctionDec 22, 2025
Dec 18, 20250689GComplaintDeficient, Provider has date of correctionJan 9, 2026
Dec 18, 20250740GComplaintDeficient, Provider has date of correctionDec 22, 2025
Apr 25, 20250554DStandardDeficient, Provider has date of correctionMay 20, 2025
Apr 25, 20250656EStandardDeficient, Provider has date of correctionMay 20, 2025
Apr 25, 20250812FStandardDeficient, Provider has date of correctionMay 20, 2025
Apr 25, 20250847EStandardDeficient, Provider has date of correctionMay 20, 2025
Apr 25, 20250925GStandardDeficient, Provider has date of correctionMay 20, 2025
Apr 25, 20250584EComplaintDeficient, Provider has date of correctionMay 20, 2025
Apr 25, 20250625EComplaintDeficient, Provider has date of correctionMay 20, 2025
Apr 25, 20250867EComplaintDeficient, Provider has date of correctionMay 20, 2025
Apr 25, 20250880HComplaintDeficient, Provider has date of correctionMay 20, 2025
Jan 22, 20250684DComplaintPast Non-ComplianceJan 21, 2025
Jan 22, 20250689DComplaintDeficient, Provider has date of correctionFeb 14, 2025
Jan 2, 20250583DComplaintPast Non-ComplianceDec 18, 2024
Jan 2, 20250658DComplaintDeficient, Provider has date of correctionJan 30, 2025
Jan 2, 20250689DComplaintDeficient, Provider has date of correctionJan 30, 2025
Jan 2, 20250803EComplaintDeficient, Provider has date of correctionJan 30, 2025
Nov 26, 20240684GComplaintDeficient, Provider has date of correctionDec 27, 2024
Oct 17, 20240689GComplaintPast Non-ComplianceOct 4, 2024
Sep 17, 20240725GComplaintDeficient, Provider has date of correctionOct 12, 2024
May 30, 20240760GComplaintPast Non-ComplianceJan 25, 2024
Apr 23, 20240689DComplaintDeficient, Provider has date of correctionMay 30, 2024
Jan 4, 20240584DStandardDeficient, Provider has date of correctionFeb 10, 2024
Jan 4, 20240812EStandardDeficient, Provider has date of correctionFeb 10, 2024
Showing the 25 most recent of 30 citations.

How to verify this data

  • The current CMS profile on Medicare’s Care Compare
  • Your state survey agency’s latest inspection reports
  • Any recent complaint investigations
  • Current ownership and license status

SeniorCareRating.com organizes public CMS data and is not affiliated with CMS. Ratings and records are CMS-reported summaries of past data, not a judgment about current conditions. See methodology.

SeniorCareRating.com summarizes public CMS data. It is not affiliated with CMS, Medicare.gov, or any nursing home. Data may lag current conditions. This is not medical, legal, or care-placement advice — always verify with official sources and qualified professionals.