Firesteel Healthcare Center
Mitchell, Davison County, South Dakota · CCN 435109 · For-profit (LLC) · part of Evergreen Healthcare Group (44 facilities, chain average 2.5 stars)
CMS rates Firesteel Healthcare Center 1 of 5 overall as of August 2026. 125 certified beds, 107 residents a day on average. 33 citations on record from the current inspection cycles, 8 involving actual harm; 6 fines totalling $153,308.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★☆☆☆☆ 1 of 5 |
|---|---|
| Health inspections | ★☆☆☆☆ 1 of 5 |
| Staffing | ★★☆☆☆ 2 of 5 |
| Quality measures | ★★☆☆☆ 2 of 5 |
| Quality: long-stay / short-stay | 2 / 2 of 5 |
Staffing
| Total nurse staffing | 3.4726 hours per resident per day |
|---|---|
| Registered nurses | 0.50859 hours per resident per day |
| Weekend total | 2.94128 hours per resident per day |
| Nursing staff turnover | 55% (registered nurses 46.2%) |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-05-28 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-05-28 |
| 2026-05-28 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-06-01 |
| 2026-05-28 complaint survey |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-05-28 |
| 2025-12-18 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2026-01-09 |
| 2025-12-18 complaint survey |
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · tag F0740 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2025-12-22 |
| 2025-12-18 complaint survey |
Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-12-22 |
| 2025-04-25 complaint survey |
Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
H Actual harm that is not immediate jeopardy; pattern | Deficient, Provider has date of correction 2025-05-20 |
| 2025-04-25 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · tag F0925 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 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. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2025-05-20 |
| 2025-04-25 complaint survey |
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. Resident Rights Deficiencies · tag F0584 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-05-20 |
| 2025-04-25 complaint survey |
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. Resident Rights Deficiencies · tag F0625 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 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. Resident Assessment and Care Planning Deficiencies · tag F0656 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-05-20 |
| 2025-04-25 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Administration Deficiencies · tag F0847 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-05-20 |
| 2025-04-25 complaint survey |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · tag F0867 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-05-20 |
| 2025-04-25 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · tag F0554 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-20 |
| 2025-01-22 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Past Non-Compliance 2025-01-21 |
| 2025-01-22 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-02-14 |
| 2025-01-02 complaint survey |
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. Nutrition and Dietary Deficiencies · tag F0803 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-01-30 |
| 2025-01-02 complaint survey |
Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · tag F0583 |
D No actual harm, with potential for more than minimal harm; isolated | Past Non-Compliance 2024-12-18 |
| 2025-01-02 complaint survey |
Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-01-30 |
| 2025-01-02 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-01-30 |
| 2024-11-26 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2024-12-27 |
| 2024-10-17 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
G Actual harm that is not immediate jeopardy; isolated | Past Non-Compliance 2024-10-04 |
| 2024-09-17 complaint survey |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · tag F0725 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2024-10-12 |
| 2024-05-30 complaint survey |
Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760 |
G Actual harm that is not immediate jeopardy; isolated | Past Non-Compliance 2024-01-25 |
| 2024-04-23 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-30 |
| 2024-01-04 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 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. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 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. Resident Rights Deficiencies · tag F0584 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-10 |
| 2023-01-31 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Pharmacy Service Deficiencies · tag F0758 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Nutrition and Dietary Deficiencies · tag F0801 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-03-09 |
| 2023-01-31 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-03-09 |
Fines and payment denials
| Date | Penalty | 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 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Pacific Northwest Snf Operations Holdings (Sd) LLC Organization | 5% or greater direct ownership interest | 100% | 2023-08-31 |
| Ch Pacific Northwest Holdings LLC Organization | adp of the snf | — | 2023-08-31 |
| Couve Financial Services LLC Organization | adp of the snf | — | 2025-03-07 |
| Couve Healthcare Consulting LLC Organization | adp of the snf | — | 2025-03-12 |
| Firesteel Snf Operations, LLC Organization | adp of the snf | — | 2025-07-31 |
| Firesteel Snf Realty LLC Organization | adp of the snf | — | 2025-05-13 |
| Pacific Northwest Opco Management LLC Organization | adp of the snf | — | 2025-03-07 |
| South Dakota Snf Consulting LLC Organization | adp of the snf | — | 2025-03-12 |
| Witzcorp Global LLC Organization | adp of the snf | — | 2023-08-31 |
| Couve Financial Services LLC Organization | operational/managerial control | — | 2023-08-31 |
| Couve Healthcare Consulting LLC Organization | operational/managerial control | — | 2023-08-31 |
| Firesteel Snf Operations, LLC Organization | operational/managerial control | — | 2023-08-31 |
| Pacific Northwest Opco Management LLC Organization | operational/managerial control | — | 2023-08-31 |
| South Dakota Snf Consulting LLC Organization | operational/managerial control | — | 2023-08-31 |
| Bossman, Ann Individual | adp of the snf | — | 2023-08-31 |
| Herzka, Yisroel Individual | adp of the snf | — | 2023-08-31 |
| Lowe, Leonor Individual | adp of the snf | — | 2023-08-31 |
| Mirkovic, Petar Individual | adp of the snf | — | 2023-08-31 |
| Peterson, Scott Individual | adp of the snf | — | 2023-08-31 |
| Spielman, Shimon Individual | adp of the snf | — | 2023-08-31 |
| Yenowitz, Yitzchok Individual | adp of the snf | — | 2023-08-31 |
| Spielman, Shimon Individual | corporate officer | — | 2023-08-31 |
| Yenowitz, Yitzchok Individual | corporate officer | — | 2023-08-31 |
| Lowe, Leonor Individual | managing control - governing body | — | 2023-08-31 |
| Bossman, Ann Individual | operational/managerial control | — | 2023-08-31 |
| Lowe, Leonor Individual | operational/managerial control | — | 2023-08-31 |
| Mirkovic, Petar Individual | operational/managerial control | — | 2023-08-31 |
| Peterson, Scott Individual | operational/managerial control | — | 2023-08-31 |
| Spielman, Shimon Individual | operational/managerial control | — | 2023-08-31 |
| Yenowitz, Yitzchok Individual | operational/managerial control | — | 2023-08-31 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Firesteel Healthcare Center.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Davison County.