Hearth Record

Firesteel Healthcare Center

A nursing home in Mitchell, South Dakota 57301

1120 East 7th Avenue, Mitchell, South Dakota 57301. (605) 996-6526.

  • A candidate for CMS’s special focus list
CMS’s own record, on Care Compare

Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.

The short answer

Record last released by CMS on Oct 28, 2026.

The last 24 months 39 citations in 11 months of the last 36. Last cited Jul 2026. Most serious: actual harm (G). Every month

Each figure’s source sits beside it, in its section below.

What these words mean7
Star ratings
CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
Scope and severity (A to L)
CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
Nurse staffing hours
The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
Fines and payment denials
A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
Capacity
The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.

What did inspectors find?

16 health citations at the latest inspection cycle

The South Dakota average is 6.3.

Last standard inspection Jul 30, 2026.

Most serious in three years: actual harm (G), at a standard and complaint inspection on Jul 30, 2026

Source:

CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

When those citations happened

39 citations in 11 months of the last 36. Last cited Jul 2026. Most serious: actual harm (G). The last 3 years, to Nov 5, 2026.

39 citations by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

All 39 citations in the last three years

Grouped by inspection, newest first. Each carries , from A, the least serious, to L, the most. 22 came from complaint inspections.

Source:

CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Jul 30, 2026: standard inspection9 citations

  • Honor the resident’s right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Rule F0561. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 20, 2026.

  • Honor the resident’s right to organize and participate in resident/family groups in the facility.

    Rule F0565. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 20, 2026.

  • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Rule F0644. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 20, 2026.

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

    Rule F0684. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 20, 2026.

  • Provide safe and appropriate respiratory care for a resident when needed.

    Rule F0695. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 20, 2026.

  • Post nurse staffing information every day.

    Rule F0732. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 20, 2026.

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

    Rule F0812. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 20, 2026.

  • Provide and implement an infection prevention and control program.

    Rule F0880. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 20, 2026.

  • Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Rule F0883. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 20, 2026.

Jul 30, 2026: standard and complaint inspection1 citation

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

    Rule F0689. G: actual harm. From a complaint. Correction date, as CMS recorded it: Aug 20, 2026.

May 28, 2026: complaint inspection3 citations

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

    Rule F0609. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 28, 2026.

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

    Rule F0684. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 1, 2026.

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

    Rule F0755. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 28, 2026.

Dec 18, 2025: complaint inspection3 citations

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

    Rule F0689. G: actual harm. From a complaint. Correction date, as CMS recorded it: Jan 9, 2026.

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

    Rule F0740. G: actual harm. From a complaint. Correction date, as CMS recorded it: Dec 22, 2025.

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

    Rule F0658. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 22, 2025.

Apr 25, 2025: standard inspection5 citations

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

    Rule F0925. G: actual harm. Correction date, as CMS recorded it: May 20, 2025.

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

    Rule F0554. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 20, 2025.

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

    Rule F0656. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 20, 2025.

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

    Rule F0812. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 20, 2025.

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

    Rule F0847. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 20, 2025.

Apr 25, 2025: standard and complaint inspection4 citations

  • Provide and implement an infection prevention and control program.

    Rule F0880. H: actual harm. From a complaint. Correction date, as CMS recorded it: May 20, 2025.

  • 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.

    Rule F0584. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 20, 2025.

  • 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.

    Rule F0625. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 20, 2025.

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

    Rule F0867. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 20, 2025.

Jan 22, 2025: complaint inspection2 citations

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

    Rule F0684. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 21, 2025.

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

    Rule F0689. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 14, 2025.

Jan 2, 2025: complaint inspection4 citations

  • Keep residents’ personal and medical records private and confidential.

    Rule F0583. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 18, 2024.

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

    Rule F0658. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 30, 2025.

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

    Rule F0689. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 30, 2025.

  • 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.

    Rule F0803. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 30, 2025.

Nov 26, 2024: complaint inspection1 citation

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

    Rule F0684. G: actual harm. From a complaint. Correction date, as CMS recorded it: Dec 27, 2024.

Oct 17, 2024: complaint inspection1 citation

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

    Rule F0689. G: actual harm. From a complaint. Correction date, as CMS recorded it: Oct 4, 2024.

Sep 17, 2024: complaint inspection1 citation

  • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Rule F0725. G: actual harm. From a complaint. Correction date, as CMS recorded it: Oct 12, 2024.

May 30, 2024: complaint inspection1 citation

  • Ensure that residents are free from significant medication errors.

    Rule F0760. G: actual harm. From a complaint. Correction date, as CMS recorded it: Jan 25, 2024.

Apr 23, 2024: complaint inspection1 citation

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

    Rule F0689. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 30, 2024.

Jan 4, 2024: standard inspection3 citations

  • 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.

    Rule F0584. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 10, 2024.

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

    Rule F0812. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 10, 2024.

  • Provide and implement an infection prevention and control program.

    Rule F0880. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 10, 2024.

Is it certified, and in good standing?

  • Certified for Medicare and Medicaid since Nov 1, 1997.
  • A candidate for CMS’s special focus list, which CMS keeps for homes with a history of serious problems.
  • No abuse icon from CMS.
  • No change of ownership in the last 12 months.
  • CMS lists its ownership as for profit, limited liability company.
  • 125 certified beds.
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Has it been fined or penalized?

  • 6 fines in the last three years, $153,308 in all.
  • No Medicare payment denials in the last three years.
  • 22 citations in the last three years came from complaint inspections.
Source:

CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Fines and payment denials, newest first
DateKindAmount
Dec 18, 2025Fine$42,510
Apr 25, 2025Fine$46,137
Nov 26, 2024Fine$34,320
Oct 17, 2024Fine$6,788
Sep 17, 2024Fine$15,041
May 30, 2024Fine$8,512

Who does the caring?

3.54 nurse hours per resident per day

The South Dakota average is 3.86.

CMS publishes staffing about four months after the fact.

Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

Staffing measures
MeasureThis homeSouth Dakota average
Nurse hours per resident per day3.543.86
Of which registered nurses0.580.78
At weekends3.003.28
Nursing staff turnover63.3%48.6%
Registered nurse turnover50%37.5%
Administrators who leftNot givenNot given

Who owns it?

  • Pacific Northwest SNF Operations Holdings (SD) LLC owns 100% directly since Aug 31, 2023.
  • Couve Healthcare Consulting LLC and Firesteel SNF Operations, LLC and Couve Financial Services LLC and Pacific Northwest Opco Management LLC and South Dakota SNF Consulting LLC run it.
  • 20 owners or officers are people: Yitzchok Yenowitz (runs it (operational or managerial control), 100%); Yisroel E Herzka (owns 5% or more through other companies, 66.5%); Yitzchok Yenowitz (owns 5% or more through other companies, 25%); A person CMS lists without a name (owns a share through other companies, 3%); A person CMS lists without a name (owns a share through other companies, 1%); Scott N Peterson (runs it (operational or managerial control)); Scott N Peterson (additional disclosable party (controls, leases property to, or provides services to the home)); Petar Mirkovic (runs it (operational or managerial control)); Petar Mirkovic (additional disclosable party (controls, leases property to, or provides services to the home)); Leonor Lowe (runs it (operational or managerial control)); Leonor Lowe (on the governing body (managing control)); Leonor Lowe (additional disclosable party (controls, leases property to, or provides services to the home)); Ann J Bossman (runs it (operational or managerial control)); Ann J Bossman (additional disclosable party (controls, leases property to, or provides services to the home)); Yitzchok Yenowitz (corporate officer); Yitzchok Yenowitz (additional disclosable party (controls, leases property to, or provides services to the home)); Yisroel E Herzka (additional disclosable party (controls, leases property to, or provides services to the home)); Shimon Spielman (corporate officer); Shimon Spielman (runs it (operational or managerial control)); Shimon Spielman (additional disclosable party (controls, leases property to, or provides services to the home)).
  • Part of Evergreen Healthcare Group (43 homes in CMS’s data).
  • A private-equity firm is among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, All Owners. Checked Nov 5, 2026. Updated monthly.

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Organisations CMS lists
OrganisationRoleShareSince
Pacific Northwest SNF Operations Holdings LLCOwns 5% or more through other companies100%Aug 31, 2023
Pacific Northwest SNF Operations Holdings (SD) LLCOwns 5% or more directly100%Aug 31, 2023
Ch Pacific Northwest Holdings LLCOwns 5% or more through other companies66.5%Aug 31, 2023
Witzcorp Global LLCOwns 5% or more through other companies25%Aug 31, 2023
An organisation CMS lists without a nameOwns a share through other companies3%Aug 31, 2023
An organisation CMS lists without a nameOwns a share through other companies2.25%Aug 31, 2023
An organisation CMS lists without a nameOwns a share through other companies2.25%Aug 31, 2023
An organisation CMS lists without a nameOwns a share through other companies1%Aug 31, 2023
Witzcorp Global LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Aug 31, 2023
Couve Healthcare Consulting LLCRuns it (operational or managerial control)Aug 31, 2023
Couve Healthcare Consulting LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Mar 12, 2025
Firesteel SNF Operations, LLCRuns it (operational or managerial control)Aug 31, 2023
Firesteel SNF Operations, LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Jul 31, 2025
Couve Financial Services LLCRuns it (operational or managerial control)Aug 31, 2023
Couve Financial Services LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Mar 7, 2025
Firesteel SNF Realty LLCAdditional disclosable party (controls, leases property to, or provides services to the home)May 13, 2025
Pacific Northwest Opco Management LLCRuns it (operational or managerial control)Aug 31, 2023
Pacific Northwest Opco Management LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Mar 7, 2025
South Dakota SNF Consulting LLCRuns it (operational or managerial control)Aug 31, 2023
South Dakota SNF Consulting LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Mar 12, 2025
Ch Pacific Northwest Holdings LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Aug 31, 2023

How do residents fare?

  • CMS rates its quality measures 1 of 5 (South Dakota average 2.7).
Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

CMS’s star ratings, from 1 to 5
MeasureRating
Overall rating1 of 5
Health inspections1 of 5
Staffing3 of 5
Quality measures1 of 5

How does it compare nearby?

  • Among the 12 nearest homes, within 41.6 miles, this one had the 1st most health citations at the latest inspection cycle (16; the middle value was 4).
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

The 12 nearest, by straight-line distance
PlaceMiles awayCitations, latest cycle
Firesteel Healthcare Center This nursing home16
Avera Brady Health and Rehab2.03
Avera Bormann Manor21.95
Prairie View Healthcare Center26.88
Diamond Care Center27.611
Good Samaritan Society Howard31.62
Aurora Brule Nursing Home Inc.35.19
Good Samaritan Society Canistota36.57
Weskota Manor Inc.37.43
Oakview Terrace38.53
Menno-Olivet Care Center39.70
Good Samaritan Society Scotland41.63

What the record doesn’t say

  • Complaints that didn’t lead to a citation aren’t published.
  • Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
  • CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
  • Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.

Sources

  • Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).

    Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Nov 5, 2026.

From the home

The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

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Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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