South Dakota › Perkins County › Lemmon
Five Counties Nursing Home
405 6th Avenue West, Lemmon, SD 57638
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Five Counties Nursing Home, in Lemmon, South Dakota, is certified for 38 beds under non-profit, corporation ownership.
CMS gives it 1 of 5 stars overall, below the South Dakota median of 3; the health inspection rating is 1, staffing 2 and quality measures 1.
Inspectors recorded 37 health deficiencies across the three most recent survey cycles (4, 28, 5 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 97.4 per 100 beds, more than the state median of 23.9.
CMS lists 1 penalty in the period covered: fines totalling $21K.
Reported nurse staffing is 2.9 hours per resident per day (0.8 RN), close to the South Dakota median of 3.6.
Compared with county, state and nation
| Measure | This facility | Perkins Co. median | South Dakota median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 1 | 3 | 3.0 |
| Health citations, 3 cycles | 37 | 37 | 16 | 28.7 |
| Citations per 100 beds | 97.4 | 97.4 | 23.9 | 26.8 |
| Total nurse hours per resident day | 2.9 | 2.9 | 3.6 | 3.9 |
| RN hours per resident day | 0.8 | 0.8 | 0.8 | 0.7 |
| Nursing staff turnover | — | — | 46.6% | 45.8% |
| Fines listed | $20,703 | $20,703 | $20,183 | — |
County and state figures are medians across facilities (1 in the county, 96 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: South Dakota average per facility for the same cycle, as published by CMS. Standard health survey dates: 7 May 2026, 12 Mar 2025.
Severity mix: G ×2 D ×10 E ×14 F ×11
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 7 May 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 5 Jun 2026 |
| 7 May 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 5 Jun 2026 |
| 7 May 2026 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 5 Jun 2026 |
| 7 May 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 5 Jun 2026 |
| 15 May 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 27 May 2025 |
| 9 Apr 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 2 May 2025 |
| 9 Apr 2025 | F0760 | Ensure that residents are free from significant medication errors. | G | Complaint investigation | 2 May 2025 |
| 9 Apr 2025 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Complaint investigation | 2 May 2025 |
| 9 Apr 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 27 May 2025 |
| 9 Apr 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 27 May 2025 |
| 12 Mar 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Standard survey | 26 Apr 2025 |
| 12 Mar 2025 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | Standard survey | 26 Apr 2025 |
| 12 Mar 2025 | F0732 | Post nurse staffing information every day. | F | Standard survey | 26 Apr 2025 |
| 12 Mar 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | F | Standard survey | 27 May 2025 |
| 12 Mar 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 26 Apr 2025 |
| 12 Mar 2025 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Standard survey | 26 Apr 2025 |
| 12 Mar 2025 | F0837 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | F | Standard survey | 26 Apr 2025 |
| 12 Mar 2025 | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | F | Standard survey | 7 May 2025 |
| 12 Mar 2025 | F0848 | Provide a neutral and fair arbitration process and agree to arbitrator and venue. | F | Standard survey | 7 May 2025 |
| 12 Mar 2025 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Standard survey | 26 Apr 2025 |
| 12 Mar 2025 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard survey | 26 Apr 2025 |
| 12 Mar 2025 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | Standard survey | 26 Apr 2025 |
| 12 Mar 2025 | F0583 | Keep residents' personal and medical records private and confidential. | E | Standard survey | 26 Apr 2025 |
| 12 Mar 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Standard survey | 26 Apr 2025 |
| 12 Mar 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 26 Apr 2025 |
| 12 Mar 2025 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | E | Standard survey | 26 Apr 2025 |
| 12 Mar 2025 | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | E | Standard survey | 8 May 2025 |
| 12 Mar 2025 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard survey | 26 Apr 2025 |
| 12 Mar 2025 | F0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | E | Standard survey | 26 Apr 2025 |
| 12 Mar 2025 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 27 May 2025 |
| 12 Mar 2025 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 26 Apr 2025 |
| 22 Jan 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 7 Feb 2025 |
| 6 Dec 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 20 Jan 2024 |
| 6 Dec 2023 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | E | Standard survey | 20 Jan 2024 |
| 6 Dec 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | E | Standard survey | 20 Jan 2024 |
| 6 Dec 2023 | F0625 | 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. | D | Standard survey | 20 Jan 2024 |
| 6 Dec 2023 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 20 Jan 2024 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 12 Mar 2025 | Fine | $20,703 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the South Dakota average. Turnover: nursing staff —, RNs —; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | South Dakota median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 21.6% | 20.7% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 3.3% | 1.7% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 4.8% | 2.2% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 8.7% | 4.8% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 17.4% | 19.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.4% | 3.9% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 19.3% | 22.4% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, corporation. Legal business name: Lemmon Area Medical Association.
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Questions and answers
How many deficiencies has Five Counties Nursing Home been cited for?
37 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The South Dakota median is 16 per facility.
Has Five Counties Nursing Home been fined?
Yes. CMS lists fines totalling $21K in the period covered.
How does staffing at Five Counties Nursing Home compare?
Reported total nurse staffing is 2.9 hours per resident per day against a South Dakota median of 3.6 and a national average of 3.9.
Who operates Five Counties Nursing Home?
Ownership type is non-profit, corporation. Individual owners and managers are not listed on this site.
When was Five Counties Nursing Home last inspected?
The most recent survey or investigation in the CMS record is dated 7 May 2026; the most recent standard health survey was 7 May 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.