01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-04-25 | 15 | 2025-04-25 | 3 |
| Cycle 2 | 2024-01-04 | 12 | 2024-01-04 | 1 |
| Cycle 3 | 2023-01-31 | 6 | 2023-01-31 | 1 |
CMS CCN 4351092026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Firesteel Healthcare Center
1120 East 7Th Avenue · Mitchell, SD 57301 · Davison County
Certified beds125CMS provider file
Recent citation rows38current CMS citation release
Penalty rows6current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
38 rows in the current release
8 rows carry G–L scope/severity codes; 0 carry J–L. 6 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-05-28 · HEALTHF0609Severity E · pattern; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2026-05-28 · complaint2026-05-28 · HEALTHF0684Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2026-06-01 · complaint2026-05-28 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2026-05-28 · complaint2025-12-18 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2025-12-22 · complaint2025-12-18 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2026-01-09 · complaint2025-12-18 · HEALTHF0740Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Correction field: Deficient, Provider has date of correction · 2025-12-22 · complaint2025-04-25 · HEALTHF0554Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Correction field: Deficient, Provider has date of correction · 2025-05-202025-04-25 · HEALTHF0584Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-05-20 · complaint2025-04-25 · HEALTHF0625Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-05-20 · complaint2025-04-25 · HEALTHF0656Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2025-05-202025-04-25 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2025-05-202025-04-25 · HEALTHF0847Severity E · pattern; potential for more than minimal harm
Administration Deficiencies
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Correction field: Deficient, Provider has date of correction · 2025-05-202025-04-25 · HEALTHF0867Severity E · pattern; potential for more than minimal harm
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Correction field: Deficient, Provider has date of correction · 2025-05-20 · complaint2025-04-25 · HEALTHF0880Severity H · pattern of actual harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-05-20 · complaint2025-04-25 · HEALTHF0925Severity G · isolated actual harm
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Correction field: Deficient, Provider has date of correction · 2025-05-202025-04-25 · FIREK0226Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Have horizontal exits used in accordance with safety requirements.
Correction field: Deficient, Provider has date of correction · 2025-05-202025-04-25 · FIREK0271Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Have exits that are accessible at all times.
Correction field: Deficient, Provider has date of correction · 2025-05-202025-04-25 · FIREK0920Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has date of correction · 2025-05-202025-01-22 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Past Non-Compliance · 2025-01-21 · complaint2025-01-22 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-02-14 · complaint2025-01-02 · HEALTHF0583Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Correction field: Past Non-Compliance · 2024-12-18 · complaint2025-01-02 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2025-01-30 · complaint2025-01-02 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-01-30 · complaint2025-01-02 · HEALTHF0803Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-01-30 · complaint03 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-12-18 | Fine | $42,510 | 0 |
| 2025-04-25 | Fine | $46,137 | 0 |
| 2024-11-26 | Fine | $34,320 | 0 |
| 2024-10-17 | Fine | $6,788 | 0 |
| 2024-09-17 | Fine | $15,041 | 0 |
| 2024-05-30 | Fine | $8,512 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS (SD) LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 08/31/2023
- LOWE, LEONORIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 08/31/2023
- SPIELMAN, SHIMONIndividual · CORPORATE OFFICERNOT APPLICABLE · since 08/31/2023
- YENOWITZ, YITZCHOKIndividual · CORPORATE OFFICERNOT APPLICABLE · since 08/31/2023
- COUVE FINANCIAL SERVICES LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/31/2023
- COUVE HEALTHCARE CONSULTING LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/31/2023
- FIRESTEEL SNF OPERATIONS, LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/31/2023
- PACIFIC NORTHWEST OPCO MANAGEMENT LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/31/2023
- SOUTH DAKOTA SNF CONSULTING LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/31/2023
- BOSSMAN, ANNIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/31/2023
- LOWE, LEONORIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/31/2023
- MIRKOVIC, PETARIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/31/2023
- PETERSON, SCOTTIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/31/2023
- SPIELMAN, SHIMONIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/31/2023
- YENOWITZ, YITZCHOKIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/31/2023
- CH PACIFIC NORTHWEST HOLDINGS LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 08/31/2023
- COUVE FINANCIAL SERVICES LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 03/07/2025
- COUVE HEALTHCARE CONSULTING LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 03/12/2025
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.47per resident day
RN hours0.51per resident day
Weekend nurse hours2.94per resident day
Staff turnover55.0%CMS reported field
06 / LOCAL RECORDS
Open the Mitchell ledger →