Nursing Homes · Medicare certified
Five Counties Nursing Home
405 6th Avenue West · Lemmon, SD 57638 · 38 certified beds
License number not yet on file. We only publish license numbers we can source from an official registry.
NPI 1417994526. Look this up in the CMS NPPES registry (opens in a new tab)
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About Five Counties Nursing Home
Five Counties Nursing Home is a nursing home in Lemmon, South Dakota. Its reported capacity is 38 beds. Federal records list it as Medicare certified. It is recorded as a nonprofit operator. Our copy of the inspection record holds 38 citations, the newest dated 7 May 2026. Federal enforcement records add 1 fine or payment denial action. Staffing reports put it at 2.90 nurse hours per resident per day. Every fact above comes from the public records listed in the sources section on this page. The newest source file we hold for this listing is dated July 2026.
Public record
CMS Care Compare · Source data August 2026
Certification
- Medicare-certified (CMS Certification Number on file)
Ratings
Staffing rating
2.0Quality-measure rating
1.0Inspections on record
2
Cited deficiencies
32
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
1.0Quality-measure rating
1.0Inspections on record
2
Cited deficiencies
33
Staffing rating
2.0Quality-measure rating
1.0Inspections on record
2
Cited deficiencies
32
Inspection history (38)
Records from November 2022 to May 2026.
May 7, 2026 · D
Citation F0554Federal surveyors cited this nursing home on 2026-05-07 under CMS tag F0554 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Allow residents to self-administer drugs if determined clinically appropriate. The deficiency was recorded as corrected on 2026-06-05. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-05-07.GOVMay 7, 2026 · D
Citation F0550Federal surveyors cited this nursing home on 2026-05-07 under CMS tag F0550 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. The deficiency was recorded as corrected on 2026-06-05. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-05-07.GOVMay 7, 2026 · D
Citation F0689Federal surveyors cited this nursing home on 2026-05-07 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 2026-06-05. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-05-07.GOVMay 7, 2026 · E
Citation F0812Federal surveyors cited this nursing home on 2026-05-07 under CMS tag F0812 (CMS scope/severity E: pattern, 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 2026-06-05. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-05-07.GOVMay 15, 2025 · D
Citation F0689Federal 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.GOVApril 9, 2025 · G
Citation F0760Federal 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.GOVApril 9, 2025 · D
Citation F0658Federal 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.GOVApril 9, 2025 · E
Citation F0761Federal 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.GOVApril 9, 2025 · G
Citation F0686Federal 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.GOVApril 9, 2025 · D
Citation F0610Federal 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.GOVMarch 12, 2025 · E
Citation F0655Federal 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.GOVMarch 12, 2025 · D
Citation F0758Federal 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.GOVMarch 12, 2025 · F
Citation F0837Federal 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.GOVMarch 12, 2025 · F
Citation F0865Federal 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.GOVMarch 12, 2025 · E
Citation F0909Federal 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.GOVMarch 12, 2025 · F
Citation F0755Federal 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.GOVMarch 12, 2025 · F
Citation F0851Federal 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.GOVMarch 12, 2025 · E
Citation F0761Federal surveyors cited this nursing home on 2025-03-12 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 2025-04-26. 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.GOVMarch 12, 2025 · F
Citation F0835Federal surveyors cited this nursing home on 2025-03-12 under CMS tag F0835 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Administer the facility in a manner that enables it to use its resources effectively and efficiently. 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.GOVMarch 12, 2025 · E
Citation F0700Federal surveyors cited this nursing home on 2025-03-12 under CMS tag F0700 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-05-08. 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 (1)
Total fines on file: $20,703
March 12, 2025 · Fine
Citation FINE-100282CMS recorded a civil money penalty of $20,703 against this nursing home on 2025-03-12 (Fine ID: 100282). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-12.GOV
Staffing
Latest: 2.90 nurse staffing hours per resident per day (2026Q1)
Staffing trend (4 periods)
- 2025Q43.23 hrs/resident/day
- 2026-07-012.90 hrs/resident/day
- 2026-08-012.90 hrs/resident/day
- 2026Q12.90 hrs/resident/day
Most recent period is lower than 2025Q4 (-0.33 hrs/resident/day). Figures are CMS-reported nurse staffing hours, not our estimate.
Ownership
Non profit - Corporation
Recent changes to this listing
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Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.
Jul 23, 2026First appeared in our data
This listing first appeared in the government file we read. That is usually when it entered the file, not the day it opened.
Reported by CMS nursing homes (provider info)
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 CareScout Cost of Care Survey · 2025
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$9,444/moNearby alternatives
No other listed providers in Lemmon yet.
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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Trust & methodology
Where this information came from
Each block below is one file we read, the date on that file, and the fields on this page that came from it. The date is when the source published or we retrieved it, not the day we last looked at this listing.
- CMS enrollmentas of July 2026
- NPI
- CMS nursing homes (provider info)as of July 2026
- Chain identifier, Chain name, City, CMS Special Focus status, County, Licensed capacity, Map location, Medicare certification number, Name, Ownership type, Phone number, State, Street address, ZIP code
- CMS nursing homes (payroll-based journal staffing)as of June 2026
- Staffing hours per resident day
Read how we handle every file on the data sources page.