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.
March 12, 2025 · F
Citation F0847Federal surveyors cited this nursing home on 2025-03-12 under CMS tag F0847 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. 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.GOVMarch 12, 2025 · F
Citation F0848Federal 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.GOVMarch 12, 2025 · E
Citation F0658Federal 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.GOVMarch 12, 2025 · F
Citation F0732Federal surveyors cited this nursing home on 2025-03-12 under CMS tag F0732 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Post nurse staffing information every day. 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 F0583Federal surveyors cited this nursing home on 2025-03-12 under CMS tag F0583 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Keep residents' personal and medical records private and confidential. 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 F0727Federal surveyors cited this nursing home on 2025-03-12 under CMS tag F0727 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for 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. 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 F0812Federal 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.GOVMarch 12, 2025 · D
Citation F0610Federal 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.GOVMarch 12, 2025 · E
Citation F0699Federal 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.GOVMarch 12, 2025 · F
Citation F0725Federal 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.GOVMarch 12, 2025 · E
Citation F0582Federal 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.GOVJanuary 22, 2025 · E
Citation F0684Federal surveyors cited this nursing home on 2025-01-22 under CMS tag F0684 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2025-02-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-22.GOVDecember 6, 2023 · D
Citation F0758Federal surveyors cited this nursing home on 2023-12-06 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 2024-01-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-06.GOVDecember 6, 2023 · E
Citation F0658Federal surveyors cited this nursing home on 2023-12-06 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 2024-01-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-06.GOVDecember 6, 2023 · D
Citation F0625Federal surveyors cited this nursing home on 2023-12-06 under CMS tag F0625 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-01-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-06.GOVDecember 6, 2023 · E
Citation F0678Federal surveyors cited this nursing home on 2023-12-06 under CMS tag F0678 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. The deficiency was recorded as corrected on 2024-01-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-06.GOVDecember 6, 2023 · E
Citation F0692Federal surveyors cited this nursing home on 2023-12-06 under CMS tag F0692 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide enough food/fluids to maintain a resident's health. The deficiency was recorded as corrected on 2024-01-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-06.GOVNovember 3, 2022 · E
Citation F0700Federal surveyors cited this nursing home on 2022-11-03 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 2022-12-23. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-11-03.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
Check availability and pricing at Five Counties Nursing Home
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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.