Firesteel Healthcare Center has received an F grade based on CMS data, with a score of 2/100 — placing it among the lowest-rated nursing facilities in South Dakota. Families considering this Mitchell facility should carefully review its inspection history and quality metrics.
Staffing at Firesteel Healthcare Center is near the national average, with 3.45 total nursing hours per resident per day (national average: 3.8 hours).
Recent inspections identified 30 deficiencies at Firesteel Healthcare Center. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.45 | 3.8 | Average |
| Registered Nurses (RN) | 0.40 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.57 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.49 | 2.4 | Average |
| Weekend Total Nursing | 2.96 | 3.8 | Below Average |
| Weekend RN Hours | 0.25 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0689 Severity GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Dec 17, 2025 · Quality of Life and Care Deficiencies
- Tag 0740 Severity GEnsure each resident must receive and the facility must provide necessary behavioral health care and services.Dec 17, 2025 · Quality of Life and Care Deficiencies
- Tag 0658 Severity DEnsure services provided by the nursing facility meet professional standards of quality.Dec 17, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0880 Severity HProvide and implement an infection prevention and control program.Apr 24, 2025 · Infection Control Deficiencies
- Tag 0925 Severity GMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.Apr 24, 2025 · Environmental Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 4.0% | 4.5% | Better |
| Falls with major injury | 4.6% | 3.0% | Worse |
| On antipsychotic medication | 24.0% | 14.5% | Worse |
| Urinary tract infections | 2.1% | 2.5% | Better |
| ADL decline (daily activities) | 17.6% | 14.0% | Worse |
| Excessive weight loss | 1.6% | 7.5% | Better |
| New/worsened incontinence | 26.9% | 45.0% | Better |
⚠️ Penalties & Fines
5 penalties recorded by CMS
Total fines: $110,798
How This Grade Was Calculated
This facility's grade of F is based on a score of 2 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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