Firesteel Healthcare Center: Staffing, Turnover, and Inspection Record
Firesteel Healthcare Center is a 125-bed for-profit nursing home in Mitchell, South Dakota, part of Evergreen Healthcare Group. In the CMS August 2026 release it reported 2.40 nurse aide hours per resident per day, 5% below the South Dakota average of 2.52, and 55.0% nursing staff turnover (South Dakota average 48.2%).
Firesteel Healthcare Center
1120 East 7th AvenueMitchell, SD 57301
Davison County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Firesteel Healthcare Center, nurse aides logged 2.40 hours per resident per day, 5% below the South Dakota average. With about 107 residents a day, that works out to roughly 257 aide hours a day, or about 32 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 15% below the all-days figure.
| Hours per resident per day | This home | South Dakota avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.40 | 2.52 | 2.32 |
| Licensed practical nurses | 0.56 | 0.47 | 0.86 |
| Registered nurses | 0.51 | 0.80 | 0.69 |
| All nursing staff | 3.47 | 3.79 | 3.86 |
| All nursing staff, weekends | 2.94 | 3.26 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
55.0% of nursing staff at Firesteel Healthcare Center left over the year CMS measured, against a South Dakota average of 48.2% and a US average of 45.8%. Registered nurse turnover was 46.2%.
Inspections and penalties
State inspectors last completed a standard health inspection on Apr 25, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 15 health deficiencies (South Dakota average 6.9). CMS lists 6 fines totaling $153,308 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Dec 18, 2025 | Fine | $42,510 |
| Apr 25, 2025 | Fine | $46,137 |
| Nov 26, 2024 | Fine | $34,320 |
| Oct 17, 2024 | Fine | $6,788 |
| Sep 17, 2024 | Fine | $15,041 |
| May 30, 2024 | Fine | $8,512 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Firesteel Healthcare Center holds 1 of 5 overall; the South Dakota average is 2.9.
About Firesteel Healthcare Center
- Ownership: For profit - Limited Liability company
- Chain: Evergreen Healthcare Group, 44 homes
- Legal name: Firesteel SNF Operations, LLC
- Medicare and Medicaid certified since: Nov 1, 1997
- Councils: resident council
- Area: rural
Nursing homes near Firesteel Healthcare Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Avera Brady Health and Rehab Mitchell | 2.0 | 84 | 2.84 | 4.40 | 43.4% | 5 | None |
| Avera Bormann Manor Parkston | 21.9 | 50 | 2.52 | 3.63 | 42.6% | 3 | $47,187 |
| Prairie View Healthcare Center Woonsocket | 26.8 | 42 | 2.43 | 3.61 | 73.1% | 3 | $8,512 |
| Diamond Care Center Bridgewater · many days without an RN | 27.6 | 36 | 2.00 | 2.44 | 54.5% | 1 | $69,512 |
| Good Samaritan Society Howard Howard | 31.6 | 45 | 2.34 | 3.39 | 53.7% | 5 | None |
| Aurora Brule Nursing Home Inc White Lake | 35.1 | 44 | 2.33 | 3.29 | — | 3 | $17,928 |
| Good Samaritan Society Canistota Canistota | 36.5 | 55 | 2.49 | 3.23 | 68.0% | 3 | $9,009 |
| Weskota Manor Inc Wessington Springs | 37.4 | 40 | 2.24 | 3.40 | 37.5% | 4 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.