Firesteel Healthcare Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 31 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (12 vs median 5.0)
Bottom 25% in SD · Below recommended RN staffing · Worst in EVERGREEN HEALTHCARE GROUP chain · $110,798 in fines
What this means for your family
While the physical therapy team is highly regarded, the facility faces severe, recurring complaints regarding resident neglect and slow response times. We strongly advise families to conduct unannounced visits during weekends and evenings to observe staffing levels and response times firsthand before making a decision.
Google Reviews
Google Reviews
31 reviews on Google“Firesteel Healthcare Center receives highly polarized feedback, with some families praising the compassionate, dedicated staff, while others report severe neglect and systemic failures. Critical concerns frequently center on slow response times for basic needs like bathroom assistance, poor communication, and inconsistent quality of care. Families considering this facility should be aware of these significant discrepancies in resident experiences.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and friendly nursing staff
- Strong physical therapy department
- Personalized attention for some long-term residents
Concerns
- Slow response times for call lights and bathroom assistance (mentioned by 3 reviewers)
- Inconsistent or poor quality of medical care and neglect (mentioned by 5 reviewers)
- Understaffing issues leading to missed care (mentioned by 3 reviewers)
- Poor communication and dismissive attitude from management (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 32 analyzed
How They Respond to Reviews
This facility responds to some reviews.
Questions for Your Tour
- 1I noticed the management team is quite active in responding to feedback; how does the administration currently work with families to ensure communication stays clear and consistent?
- 2With the physical therapy department being a noted strength, how do you coordinate therapy schedules to ensure residents are getting the most out of their sessions?
- 3How does the nursing team manage call light response times during the night shifts to ensure residents get help quickly when they need to use the restroom?
- 4Could you walk me through the specific protocols the staff follows for medication management and how you ensure accuracy during shift changes?
- 5What does a typical daily schedule look like for residents, and what kind of social activities or dining experiences do you have planned to keep everyone engaged?
- 6In the event of a medical emergency or a sudden change in a resident's condition, what is the immediate process for notifying the family and coordinating care?
Personalized based on this facility's data
Key Review Excerpts
“My mother who's 87 blind in one eye and vision is the other is blurry with a broken hip waits at times a half hour just to be taken to the bathroom.”
“Firesteel's physical therapist are the best. I've worked with Amber, Chris and Renee for many months now. I broke my right knee in three places and broke my left foot.”
“They ignore calls outright and are extremely rude. The manager and head of nursing are horrible to deal with. Some put on a facade of kindness but as soon as you make a complaint, you're told the resident is 'crazy' and a liar.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
7
measures
4
measures
6
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents whose bladder or bowel control got worse
Residents vaccinated for pneumonia
Residents needing more daily help over time
Residents on anti-anxiety or sleep medication
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed numerous complaints triggering over half of the 35 deficiencies found across 11 surveys, indicating ongoing concerns about resident safety and accident prevention, care planning quality, and infection control. The facility shows a troubling pattern of repeated issues with preventing accidents and hazards, which have occurred multiple times despite corrections. While most deficiencies show correction dates, the high volume of complaint-driven findings suggests persistent problems that warrant careful consideration before choosing this facility.
Dec 18, 2025Complaint3
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Apr 25, 2025Routine8
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Administration Deficiencies
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Egress Deficiencies
Have horizontal exits used in accordance with safety requirements.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Egress Deficiencies
Have exits that are accessible at all times.
Apr 25, 2025Complaint4
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Jan 22, 2025Complaint2
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jan 2, 2025Complaint4
Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nov 26, 2024Complaint1
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Federal Penalties
Fine
Dec 18, 2025
$65,400
Fine
Apr 25, 2025
$46,137
Fine
Nov 26, 2024
$34,320
Fine
Oct 17, 2024
$6,788
Fine
Sep 17, 2024
$15,041
Fine
May 30, 2024
$8,512
Ownership & Operations
Who Operates This Facility
Firesteel Healthcare Center
for profit
Chain Affiliation
Evergreen Healthcare Group
43 facilities nationwide
Chain avg rating: 2.3/5 · Rank 37 of 41 (Worst)
Ownership & Management
Owners
Pacific Northwest Snf Operations Holdings (sd) LLC
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
31 reviews from families & visitors
Official Website
Visit firesteelcare.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 1 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.