CCN 435109 · Davison County, South Dakota
Firesteel Healthcare Center
1120 East 7th Avenue, Mitchell, SD 57301
Firesteel Healthcare Center is a 125-bed for-profit nursing home in Mitchell, South Dakota, first certified for Medicare or Medicaid in 1997. CMS rates it 1 out of 5 stars overall in its September 2026 data, and it averaged 107.1 residents a day, about 86% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).
Facility facts
- Certified beds
- 125
- Average residents per day
- 107.1 (85.7% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare and Medicaid
- Legal business name
- Firesteel SNF Operations, LLC
- Certified since
- Nov 1, 1997
- Chain or affiliated group
- Evergreen Healthcare Group (43 facilities, chain average 2.4 stars)
- Location
- Rural
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | South Dakota median | US median |
|---|---|---|---|
| Overall rating | 1 of 5 | State spread: 19 at 1, 22 at 2, 18 at 3, 16 at 4, 19 at 5 | |
| Health inspections | 1 of 5 | ||
| Quality measures | 2 of 5 | ||
| Staffing | 2 of 5 | ||
| Total nurse hours per resident per day | 3.47 | 3.62 | 3.68 |
| RN hours per resident per day | 0.51 | 0.76 | 0.58 |
| Weekend nurse hours per resident per day | 2.94 | ||
| Nursing staff turnover | 55.0% | 46.6% | 44.9% |
| Occupancy (residents / beds) | 85.7% | 90.3% | 85.7% |
| Fines reported by CMS | 6 totaling $153,308 | ||
| Health deficiencies, latest standard survey | 16 (Jul 30, 2026) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Firesteel Healthcare Center does not meet it today: overall rating 1, health inspection rating 1. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Pacific Northwest SNF Operations Holdings (Sd) LLCOrganization | Direct Ownership Interest | 100% | 08/31/2023 |
| Couve Financial Services LLCOrganization | Operational / Managerial Control | n/a | 08/31/2023 |
| Couve Healthcare Consulting LLCOrganization | Operational / Managerial Control | n/a | 08/31/2023 |
| Firesteel SNF Operations, LLCOrganization | Operational / Managerial Control | n/a | 08/31/2023 |
| Pacific Northwest Opco Management LLCOrganization | Operational / Managerial Control | n/a | 08/31/2023 |
| South Dakota SNF Consulting LLCOrganization | Operational / Managerial Control | n/a | 08/31/2023 |
| Bossman, AnnIndividual | Operational / Managerial Control | n/a | 08/31/2023 |
| Lowe, LeonorIndividual | Operational / Managerial Control | n/a | 08/31/2023 |
| Mirkovic, PetarIndividual | Operational / Managerial Control | n/a | 08/31/2023 |
| Peterson, ScottIndividual | Operational / Managerial Control | n/a | 08/31/2023 |
| Spielman, ShimonIndividual | Operational / Managerial Control | n/a | 08/31/2023 |
| Yenowitz, YitzchokIndividual | Operational / Managerial Control | n/a | 08/31/2023 |
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Aug 31, 2023 | Firesteel SNF Operations, LLC | Empres at Mitchell LLC |
HUD Section 232 loans
No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
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