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.
March 12, 2025
Tag F0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected May 7, 2025.
March 12, 2025
Tag F0848Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected May 7, 2025.
March 12, 2025
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 26, 2025.
March 12, 2025
Tag F0732Post nurse staffing information every day.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected April 26, 2025.
March 12, 2025
Tag F0583Keep residents' personal and medical records private and confidential.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 26, 2025.
March 12, 2025
Tag F0727Have 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.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected April 26, 2025.
March 12, 2025
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected April 26, 2025.
March 12, 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 F0699Provide care or services that was trauma informed and/or culturally competent.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 26, 2025.
March 12, 2025
Tag F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected April 26, 2025.
March 12, 2025
Tag F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 26, 2025.
January 22, 2025
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 7, 2025.
December 6, 2023
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 January 20, 2024.
December 6, 2023
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 20, 2024.
December 6, 2023
Tag F0625Notify 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 20, 2024.
December 6, 2023
Tag F0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 20, 2024.
December 6, 2023
Tag F0692Provide enough food/fluids to maintain a resident's health.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 20, 2024.
November 3, 2022
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 December 23, 2022.
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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