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Firesteel Healthcare Center

Nursing Home Facility

1120 East 7th Avenue, Mitchell, SD 57301

Nursing Home Care Respite Care Senior Living
Firesteel Healthcare Center

Firesteel Healthcare Center, located in Mitchell, South Dakota is a 148 bed facility with a long-standing history of serving the healthcare needs of the community

Operated by Mission Healthcare, which runs 8 communities in our directory.

Firesteel Healthcare Center is licensed for 125 beds, about typical for the area, where senior care communities in Mitchell average about 105 beds.

Federal reporting puts occupancy at about 86% of its licensed beds.

Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Mitchell average about 3.0 stars. Its most recent standard health inspection was in April 2025 and recorded 15 deficiencies.

Residents receive about 3.5 hours of nursing care per day on average, including 0.5 hours from a registered nurse. Communities in Mitchell average about 3.9 hours. Nursing staff turnover over the past year was about 55%.

The community is located in Davison County, SD.

Medicare five-star ratings

  • Overall ★★★★★ 1/5
  • Health inspections ★★★★★ 1/5
  • Staffing ★★★★★ 2/5
  • Quality measures ★★★★★ 2/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 33 problems at Firesteel Healthcare Center. 8 findings involved harm to a resident. 21 came from investigating complaints by residents or families.

In the last three years Medicare fined this home 6 times, a total of $153,308.

Findings from the most recent inspection cycle

  • Caused harm to a resident, one or a few residents Quality of Life and Care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Inspected December 2025, after a complaint. Corrected by January 9, 2026.

  • Caused harm to a resident, one or a few residents Quality of Life and Care

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Inspected December 2025, after a complaint. Corrected by December 22, 2025.

  • Caused harm to a resident, a pattern Infection Control

    Provide and implement an infection prevention and control program.

    Inspected April 2025, after a complaint. Corrected by May 20, 2025.

  • Caused harm to a resident, one or a few residents Environmental

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Inspected April 2025. Corrected by May 20, 2025.

  • Could cause more than minimal harm, a pattern Freedom from Abuse, Neglect, and Exploitation

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Inspected May 2026, after a complaint. Corrected by May 28, 2026.

  • Could cause more than minimal harm, a pattern Quality of Life and Care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Inspected May 2026, after a complaint. Corrected by June 1, 2026.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Inspected May 2026, after a complaint. Corrected by May 28, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Ensure services provided by the nursing facility meet professional standards of quality.

    Inspected December 2025, after a complaint. Corrected by December 22, 2025.

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  • Could cause more than minimal harm, widespread Nutrition and Dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Inspected April 2025. Corrected by May 20, 2025.

  • Could cause more than minimal harm, a pattern Resident Rights

    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.

    Inspected April 2025, after a complaint. Corrected by May 20, 2025.

  • Could cause more than minimal harm, a pattern Resident Rights

    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.

    Inspected April 2025, after a complaint. Corrected by May 20, 2025.

  • Could cause more than minimal harm, a pattern Resident Assessment and Care Planning

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Inspected April 2025. Corrected by May 20, 2025.

  • Could cause more than minimal harm, a pattern Administration

    Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

    Inspected April 2025. Corrected by May 20, 2025.

  • Could cause more than minimal harm, a pattern Administration

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Inspected April 2025, after a complaint. Corrected by May 20, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Allow residents to self-administer drugs if determined clinically appropriate.

    Inspected April 2025. Corrected by May 20, 2025.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Firesteel Healthcare Center offers nursing home care, respite care, and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 125
  • Religious affiliation Lutheran
  • Occupancy 86%
  • Nursing hours per resident/day 3.5
  • Annual staff turnover 55%
  • Last health inspection April 2025

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