Firesteel Healthcare Center is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1997-11-01. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (605) 996-6526 or your local Medicaid office to verify current eligibility.

Firesteel Healthcare Center holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 1 out of 5 stars. This is made up of three components: Health Inspection (1★), Staffing (2★), and Quality of Resident Care (2★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 58.5/100, placing it #12493 of 14703 facilities nationally and #78 of 97 in South Dakota. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Firesteel Healthcare Center receives a reported average of 3 hours 27 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 24 minutes; Licensed Practical Nurse (LPN) — 34 minutes; Nurse Aide — 2 hours 29 minutes. On weekends, total nurse staffing is 2 hours 58 minutes per resident per day. The CMS Staffing Rating for this facility is 2 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 50.0%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 5 fine(s) totaling $110,798. 9 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 5 fine(s) totaling $110,798, and 0 Medicare payment denial(s). Total penalties: 5. The Total Weighted Health Survey Score is 154.25 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Firesteel Healthcare Center ranks 12493rd out of 14,703 facilities (composite score: 58.5/100), placing it in the bottom 25% nationwide. Within SD, it ranks 78th out of 97 nursing homes. In Mitchell, it ranks 2nd out of 2 facilities. Among facilities sharing its ZIP code, it ranks 2nd of 2. For 2026 staffing: total nurse hours rank #9,546 nationally and RN hours rank #10,916 nationally (#89 in SD). Our composite quality score of 58.5/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Mitchell, visit: https://nursinghomesnearme.org/south_dakota/mitchell/