Nursing Homes · Medicare certified
Five Counties Nursing Home
405 6th Avenue West · Lemmon, SD 57638 · 38 certified beds
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About Five Counties Nursing Home
Five Counties Nursing Home is a nursing home in Lemmon, South Dakota. Its capacity is 38 beds, below the South Dakota median of 50 for nursing homes. It is run by a nonprofit operator. It is Medicare certified. Its public inspection record shows 38 citations, the most recent on May 7, 2026. CMS also lists 1 fine or payment denial against it. Nurse staffing averages 2.88 hours per resident per day. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
1.0Staffing
2.0Quality measures
1.0CMS Care Compare, October 2026.
Inspection history (38)
Records from November 2022 to May 2026.
May 7, 2026
Tag F0554Allow residents to self-administer drugs if determined clinically appropriate.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 5, 2026.
May 7, 2026
Tag F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 5, 2026.
May 7, 2026
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 5, 2026.
May 7, 2026
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 5, 2026.
May 15, 2025
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 27, 2025.
April 9, 2025
Tag F0760Ensure that residents are free from significant medication errors.
Severity G: isolated, actual harm. Corrected May 2, 2025.
April 9, 2025
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 27, 2025.
April 9, 2025
Tag F0761Ensure 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 2, 2025.
April 9, 2025
Tag F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity G: isolated, actual harm. Corrected May 2, 2025.
April 9, 2025
Tag F0610Respond appropriately to all alleged violations.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 27, 2025.
March 12, 2025
Tag F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 26, 2025.
March 12, 2025
Tag F0758Implement 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….
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 26, 2025.
March 12, 2025
Tag F0837Establish 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.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected April 26, 2025.
March 12, 2025
Tag F0865Have a plan that describes the process for conducting QAPI and QAA activities.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected April 26, 2025.
March 12, 2025
Tag F0909Regularly 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 26, 2025.
March 12, 2025
Tag F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected May 27, 2025.
March 12, 2025
Tag F0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected April 26, 2025.
March 12, 2025
Tag F0761Ensure 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 26, 2025.
March 12, 2025
Tag F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected April 26, 2025.
March 12, 2025
Tag F0700Try 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 8, 2025.
Penalties (1)
Total fines: $20,703
March 12, 2025 · Fine
CMS recorded a civil money penalty of $20,703 against this nursing home on March 12, 2025.
Staffing
2.88 nurse hours per resident per day in Q2 2026, down from 3.23 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
Non profit - Corporation
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in South Dakota.
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