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Complaint Investigation

Firesteel Healthcare Center

January 22, 2025 · Mitchell, SD · 1120 East 7th Avenue
Citations 1
CMS Rating 1/5
Beds 125
Provider ID 435109
Healthcare Facility
Firesteel Healthcare Center
Mitchell, SD  ·  View full profile →
Inspection Summary

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

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Inspection Findings

FF684
Minimal harm or reported incident (FRI) review, observation, affected

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.


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