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Complaint Investigation

Firesteel Healthcare Center

January 22, 2025 · Mitchell, SD · 1120 East 7th Avenue
Citations 3
CMS Rating 1/5
Beds 125
Provider ID 435109
Healthcare Facility
Firesteel Healthcare Center
Mitchell, SD  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

FIRESTEEL HEALTHCARE CENTER in MITCHELL, SD — inspection on January 22, 2025.

Found 3 citations. 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

FF0684
Provide appropriate treatment and care according to orders, resident?s preferences and goals.

Based on the above information, past non-compliance at F-F684 occurred on 1/16/25, and based on the provider's implemented corrective action for the deficient practice confirmed on 1/22/25, the non-compliance is considered past non-compliance.

435109 01/22/2025

Firesteel Healthcare Center 1120 East 7th Avenue Mitchell, SD 57301

*The maximum lifting capacity of each lift is located on the opposite side of the stand mast from the

*All [brand name sit-to-stand lift] equipment must be maintained regularly by competent staff according to the maintenance checklist provided. *For the safety of the patient, securely fasten the safety strap around the patient's torso.

Secure the buckle and pull the strap to tighten. *Verify the loops are properly hooked inside the pigtail and the end of the [brand name sit-to-stand lift] arms and the Safety Catch is in place, blocking the strap from exiting through the pigtail. *As the patient is being raised, simultaneously tighten the safety strap buckled around their torso. *The Safety & Maintenance Checklist included safety tabs need to be checked to make sure they are in place, with a photograph of the metal clips where the sling attached to the lift.

Review of the provider's 1/12/25 SD DOH FRI regarding resident 2 revealed:

*On 1/11/25 at 9:30 p.m. while CNA C was attempting to transfer him with the sit-to-stand lift she lowered him to the floor because he was not able to maintain a safe standing position.

*He required two staff to assist him with transfers while using the sit-to-stand lift.

*The sit-to-stand leg strap was not used during that transfer.

*His Brief Interview for Mental Status (BIMS) assessment score was 14, which indicated he was cognitively intact.

-He was his own responsible party and did not want his mother called.

*He was assessed and had no injuries.

*The physician was notified.

2.

Interview on 1/21/25 at 2:06 p.m. with CNA H and CNA I regarding the use of mechanical lifts revealed:

*Some residents who used the mechanical sit-to-stand lift for transfers required the assistance of one staff and some required the assistance of two staff.

*Some residents had a lift sling stored in their room and others shared a sling that was stored on the lift.

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 01/22/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Firesteel Healthcare Center 1120 East 7th Avenue Mitchell, SD 57301

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in MITCHELL, SD, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from FIRESTEEL HEALTHCARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


More Reports

About This Inspection Report

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.