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UPDATED JUL 2026

Nursing Homes · Medicare certified

Five Counties Nursing Home

405 6th Avenue West · Lemmon, SD 57638 · 38 certified beds

6053743871

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Public record

CMS Care Compare · Updated Jul 2026

CMS designation

Special Focus Facility candidate (CMS)

CMS lists this nursing home on the monthly Special Focus Facility candidate list. Candidate status means the facility qualifies for possible selection into the Special Focus Facility program based on CMS criteria. It is a public CMS designation, not an ElderCareCosts rating. CMS Special Focus Facility program.

Source: CMS Provider Information.GOV

Certification

  • Medicare-certified (CMS Certification Number on file)

Ratings

Not yet ratedSource: CMS Care Compare · Updated 2025Q4.GOV

Staffing rating

Not published

Quality-measure rating

Not published

Inspections on record

Not published

Cited deficiencies

Not published

1.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-06-01.GOV

Staffing rating

1.0

Quality-measure rating

1.0

Inspections on record

2

Cited deficiencies

33

Inspection history (34)

  • May 15, 2025 · D

    Citation F0689

    Federal surveyors cited this nursing home on 2025-05-15 under CMS tag F0689 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2025-05-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-05-15.GOV
  • April 9, 2025 · D

    Citation F0658

    Federal surveyors cited this nursing home on 2025-04-09 under CMS tag F0658 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2025-05-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-09.GOV
  • April 9, 2025 · G

    Citation F0760

    Federal surveyors cited this nursing home on 2025-04-09 under CMS tag F0760 (CMS scope/severity G: isolated, actual harm) for Ensure that residents are free from significant medication errors. The deficiency was recorded as corrected on 2025-05-02. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-09.GOV
  • April 9, 2025 · G

    Citation F0686

    Federal surveyors cited this nursing home on 2025-04-09 under CMS tag F0686 (CMS scope/severity G: isolated, actual harm) for Provide appropriate pressure ulcer care and prevent new ulcers from developing. The deficiency was recorded as corrected on 2025-05-02. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-09.GOV
  • April 9, 2025 · D

    Citation F0610

    Federal surveyors cited this nursing home on 2025-04-09 under CMS tag F0610 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Respond appropriately to all alleged violations. The deficiency was recorded as corrected on 2025-05-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-09.GOV
  • April 9, 2025 · E

    Citation F0761

    Federal surveyors cited this nursing home on 2025-04-09 under CMS tag F0761 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-05-02. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-09.GOV
  • March 12, 2025 · F

    Citation F0812

    Federal surveyors cited this nursing home on 2025-03-12 under CMS tag F0812 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2025-04-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-12.GOV
  • March 12, 2025 · D

    Citation F0610

    Federal surveyors cited this nursing home on 2025-03-12 under CMS tag F0610 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Respond appropriately to all alleged violations. The deficiency was recorded as corrected on 2025-05-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-12.GOV
  • March 12, 2025 · E

    Citation F0699

    Federal surveyors cited this nursing home on 2025-03-12 under CMS tag F0699 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide care or services that was trauma informed and/or culturally competent. The deficiency was recorded as corrected on 2025-04-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-12.GOV
  • March 12, 2025 · F

    Citation F0725

    Federal surveyors cited this nursing home on 2025-03-12 under CMS tag F0725 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. The deficiency was recorded as corrected on 2025-04-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-12.GOV
  • March 12, 2025 · E

    Citation F0655

    Federal surveyors cited this nursing home on 2025-03-12 under CMS tag F0655 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted. The deficiency was recorded as corrected on 2025-04-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-12.GOV
  • March 12, 2025 · D

    Citation F0758

    Federal surveyors cited this nursing home on 2025-03-12 under CMS tag F0758 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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 l…. The deficiency was recorded as corrected on 2025-04-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-12.GOV
  • March 12, 2025 · F

    Citation F0837

    Federal surveyors cited this nursing home on 2025-03-12 under CMS tag F0837 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-04-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-12.GOV
  • March 12, 2025 · F

    Citation F0865

    Federal surveyors cited this nursing home on 2025-03-12 under CMS tag F0865 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Have a plan that describes the process for conducting QAPI and QAA activities. The deficiency was recorded as corrected on 2025-04-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-12.GOV
  • March 12, 2025 · E

    Citation F0909

    Federal surveyors cited this nursing home on 2025-03-12 under CMS tag F0909 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-04-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-12.GOV
  • March 12, 2025 · F

    Citation F0755

    Federal surveyors cited this nursing home on 2025-03-12 under CMS tag F0755 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. The deficiency was recorded as corrected on 2025-05-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-12.GOV
  • March 12, 2025 · F

    Citation F0851

    Federal surveyors cited this nursing home on 2025-03-12 under CMS tag F0851 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. The deficiency was recorded as corrected on 2025-04-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-12.GOV
  • March 12, 2025 · E

    Citation F0582

    Federal surveyors cited this nursing home on 2025-03-12 under CMS tag F0582 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. The deficiency was recorded as corrected on 2025-04-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-12.GOV
  • March 12, 2025 · F

    Citation F0848

    Federal surveyors cited this nursing home on 2025-03-12 under CMS tag F0848 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Provide a neutral and fair arbitration process and agree to arbitrator and venue. The deficiency was recorded as corrected on 2025-05-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-12.GOV
  • March 12, 2025 · E

    Citation F0658

    Federal surveyors cited this nursing home on 2025-03-12 under CMS tag F0658 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2025-04-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-12.GOV

Penalties

Total fines on file: $20,703

Staffing

Latest: 3.23 nurse staffing hours per resident per day (2025Q4)

Ownership

Non profit - Corporation

Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.

Typical cost

Genworth Cost of Care Survey · 2024

This provider doesn't publish a specific price to us. Below is the typical SD range for the care type(s) it offers. Use it as context, not a quote.

Nursing Homes

Median · SD$8,386/mo
See full SD cost breakdownSource: Genworth Cost of Care Survey · Updated 2024

Nursing Homes

Median · SD$9,444/mo
See full SD cost breakdownSource: Genworth CareScout Cost of Care Survey · Updated 2025

Nearby alternatives

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Trust & methodology

Five Counties Nursing Home in Lemmon, SD · ElderCareCosts