Firesteel Healthcare Center
FIRESTEEL HEALTHCARE CENTER in MITCHELL, SD — inspection on January 2, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Review of the provider's submitted 12/17/24 SD DOH FRI regarding resident 2 revealed:
*She had an unwitnessed fall on 12/11/24.
*She was found lying in her bathroom doorway with a lump and an abrasion (layer of skin broken) on the back of her head and an abrasion on her upper lip.
*Registered nurse (RN) I had completed a full skin assessment, vitals, a post fall neurological evaluation, cleaned her wounds, and he manually lifted resident 2 off the floor by himself.
Review of resident 2's electronic medical record (EMR) revealed:
*She was admitted on [DATE]
*She had a Brief Interview for Mental Status (BIMS) assessment score of 0, which indicated she was severely cognitively impaired.
*Her diagnoses included moderate protein-calorie malnutrition, anxiety disorder, and major depressive disorder.
*She had been admitted to hospice for end-of-life care.
*She needed the assistance of two staff for transfers between surfaces.
*Her neurological evaluation was not completed at the designated times by RN I following her fall on 12/11/24.
2.
Review of the provider's submitted 12/17/24 SD DOH FRI regarding resident 3 revealed:
*He had fallen on 12/11/24 in the hallway heading back to his room from supper.
*RN I had taken vitals and completed a full skin evaluation.
*RN I did not find any injuries on resident 3 and stated he felt comfortable lifting the resident off of the floor without a full body mechanical lift.
Review of resident 3's EMR revealed:
435109
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 435109 B.
Wing 01/02/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Firesteel Healthcare Center 1120 East 7th Avenue Mitchell, SD 57301
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.