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D
Poor

FIRESTEEL HEALTHCARE CENTER

1120 EAST 7TH AVENUE · MITCHELL, SD 57301

6059966526 · For profit - Limited Liability company

150 beds113.4 residents198 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
D
Poor
RN Staff
D
Poor
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

FIRESTEEL HEALTHCARE CENTER receives an overall staffing grade of D (Poor). With 3.4562 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.3988 HPRD, below the recommended 0.75. It is 0.44 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 18.68% compared to weekdays. The facility relies heavily on temporary agency staff (28.74% of hours), suggesting potential workforce instability.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (3)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.4562 HPRD — needs 0.02 more hours per resident per day.
⚠️RN staffing (0.3988 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️28.74% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (1)

✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.4562hrs/resident/day▼ 0.44
CMS benchmark: 3.48
RN HPRD
0.3988hrs/resident/day▼ 0.28
Recommended: 0.75
Weekend Drop-off
18.68%
3.6488 weekday → 2.9673 weekend
Agency Staff
28.74%
11.51% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.8264hrs/resident/day
Direct care aides
LPN HPRD
0.567hrs/resident/day
Licensed practical nurses
Consistency
0.4088std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Davison County Average-0.64 HPRD
4.09
03.46 HPRD
vs. South Dakota State Average-0.37 HPRD
3.83
03.46 HPRD
vs. National Average-0.44 HPRD
3.90
03.46 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
FIRESTEEL HEALTHCARE CENTER ★
MITCHELL · This facility
—
D
3.45620.3988★☆☆☆☆
AVERA BRADY HEALTH AND REHAB
MITCHELL
2 mi
A
4.73141.4347★★★★★
AVERA BORMANN MANOR
PARKSTON
21.9 mi
C
3.23850.9193★★★☆☆
PRAIRIE VIEW HEALTHCARE CENTER
WOONSOCKET
26.8 mi
C
3.36830.4093★★☆☆☆
DIAMOND CARE CENTER
BRIDGEWATER
27.6 mi
F
2.61460.2095★☆☆☆☆
Good Samaritan Society Corsica
CORSICA
28.1 mi
C
3.37230.8089★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

11
Inspections
30
Total Deficiencies
$135,641
Fines Assessed
Dec 18, 2025Health
3 deficiencies cited· Includes actual harm
▼
Apr 25, 2025Health
9 deficiencies cited· Includes actual harm
▼
Jan 22, 2025Health
2 deficiencies cited
▼
Jan 2, 2025Health
4 deficiencies cited
▼
Nov 26, 2024Health
1 deficiency cited· Includes actual harm
▼
Oct 17, 2024Health
1 deficiency cited· Includes actual harm
▼
Sep 17, 2024Health
1 deficiency cited· Includes actual harm
▼
May 30, 2024Health
1 deficiency cited· Includes actual harm
▼
Apr 23, 2024Health
1 deficiency cited
▼
Jan 4, 2024Health
3 deficiencies cited
▼
Jan 31, 2023Health
4 deficiencies cited
▼

Penalty History

Apr 25, 2025Fine
$70,980
Nov 26, 2024Fine
$34,320
Oct 17, 2024Fine
$6,788
Sep 17, 2024Fine
$15,041
May 30, 2024Fine
$8,512
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.