Memory careIndependent livingAssisted living
Five Counties Nursing Home
0.00 reviews · 0 verifiedLEMMON, SDLic. 435090
SFFSpecial Focus: SFF CandidateSource: CMS Provider Information
FINECMS fine: $20,703Source: CMS Penalties
Provided by facility
Five Counties Nursing Home is a skilled nursing care facility located in Lemmon, South Dakota. Established in 1951, it offers a family-oriented environment with a commitment to preserving and improving the health of its residents. The facility provides a range of services including medication management, pain management, and individualized care plans. Residents can enjoy three nutritional meals per day, housekeeping services, and various life enrichment activities. The community is known for its rich Western history and recreational opportunities, making it a vibrant place for residents and their families.
Housekeeping & MaintenanceHousekeeping ServicesLaundry Services
Transportation & ShoppingGeneral Transportation Services
Care Staffing & MedicalMedication Management
TherapiesOn-Site Rehabilitation Services
Safety & SecuritySecured Memory Care Unit
CMS Care CompareView on Medicare.gov →
Medicare overall
1/5Medicare.gov Care Compare stars are shown for context only. They are never part of the Unbeatable composite score.
Staffing (PBJ)
2.89 total HPRDRN 0.92 · weekend 87%Oct 2025 – Dec 2025
Survey history
9 inspections48 deficiencies on record
Federal IDs
CCN 435090
Overall: 1/5 · Health: 1/5 · Staffing: 1/5 · QM: 1/5
Unbeatable ratings come only from verified family, staff, and professional reviews on this site. CMS stars, staffing, and citations are public regulatory signals — useful for context, not blended into our score.
Recent inspections
Fire safetyMay 2026 · STATE FIRE MARSHAL2 deficiencies
- K-225SS C — Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- K-374SS C — Install smoke barrier doors that can resist smoke for at least 20 minutes.
Health surveyMay 2025 · CMS1 deficiencies
- F-689SS D — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Health surveyApr 2025 · CMS5 deficiencies
- F-610SS D — Respond appropriately to all alleged violations.
- F-658SS D — Ensure services provided by the nursing facility meet professional standards of quality.
- F-686SS G — Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- F-760SS G — Ensure that residents are free from significant medication errors.
- F-761SS E — 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.
Fire safetyMar 2025 · STATE FIRE MARSHAL5 deficiencies
- K-222SS D — Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- K-225SS C — Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- K-293SS D — Have properly located and lighted "Exit" signs.
- K-321SS D — Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- K-374SS C — Install smoke barrier doors that can resist smoke for at least 20 minutes.
Health surveyMar 2025 · CMS21 deficiencies
- F-582SS E — Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- F-583SS E — Keep residents' personal and medical records private and confidential.
- F-610SS D — Respond appropriately to all alleged violations.
- F-655SS E — Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- F-658SS E — Ensure services provided by the nursing facility meet professional standards of quality.
- F-699SS E — Provide care or services that was trauma informed and/or culturally competent.
- F-700SS E — 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.
- F-725SS F — Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- F-727SS F — 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.
- F-732SS F — Post nurse staffing information every day.
- F-755SS F — Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- F-758SS D — 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 limited.
- F-761SS E — 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.
- F-812SS F — Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F-835SS F — Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- F-837SS F — 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.
- F-847SS F — Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
- F-848SS F — Provide a neutral and fair arbitration process and agree to arbitrator and venue.
- F-851SS F — Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
- F-865SS F — Have a plan that describes the process for conducting QAPI and QAA activities.
Health surveyJan 2025 · CMS1 deficiencies
- F-684SS E — Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Fire safetyDec 2023 · STATE FIRE MARSHAL7 deficiencies
- E-36SS F — Establish emergency prep training and testing.
- E-39SS F — Conduct testing and exercise requirements.
- E-6SS F — Conduct risk assessment and an All-Hazards approach.
- K-225SS C — Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- K-351SS E — Install an approved automatic sprinkler system.
- K-374SS C — Install smoke barrier doors that can resist smoke for at least 20 minutes.
- K-918SS E — Have generator or other power source capable of supplying service within 10 seconds.
Health surveyDec 2023 · CMS5 deficiencies
- F-625SS D — 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.
- F-658SS E — Ensure services provided by the nursing facility meet professional standards of quality.
- F-678SS E — Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
- F-692SS E — Provide enough food/fluids to maintain a resident's health.
- F-758SS D — 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 limited.
Health surveyNov 2022 · CMS1 deficiencies
- F-700SS E — 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.
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