Five Counties Nursing Home

405 6TH AVENUE WEST, LEMMON, SD 57638 · CCN 435090 · 38 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing2 of 5CMS quality1 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 2 citation(s) in the last three years where CMS determined a resident was actually harmed.

Serious inspection findings

2025-04-09 ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2025-04-09 ACTUAL HARM (tag F0760, severity G)
Pharmacy Service Deficiencies · correction not recorded in CMS data
Ensure that residents are free from significant medication errors.

Staffing, from payroll records

Nursing hours / resident / day

2.47

state median 2.96

Weekend staffing gap

−15%

fewer nursing hours on weekends · state median −10%

RN hours / resident / day

0.62

registered nurses only

Contract (agency) staff

25%

share of all nursing hours

Days with zero RN hours reported

2

with residents present

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

1 enforcement action(s), totaling $20,703 in fines.

DateTypeAmount
2025-03-12Fine$20,703

Ownership

Ownership type: Non profit - Corporation.

Full citation history

By severity: Actual harm: 2 · Potential for more than minimal harm: 35

Survey dateTagCategorySeverityCorrected
2026-05-07F0550Resident Rights DeficienciesDnot recorded
2026-05-07F0554Resident Rights DeficienciesDnot recorded
2026-05-07F0689Quality of Life and Care DeficienciesDnot recorded
2026-05-07F0812Nutrition and Dietary DeficienciesEnot recorded
2025-05-15F0689Quality of Life and Care DeficienciesDnot recorded
2025-04-09F0610Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-04-09F0658Resident Assessment and Care Planning DeficienciesDnot recorded
2025-04-09F0686Quality of Life and Care DeficienciesGnot recorded
2025-04-09F0760Pharmacy Service DeficienciesGnot recorded
2025-04-09F0761Pharmacy Service DeficienciesEnot recorded
2025-03-12F0582Resident Rights DeficienciesEnot recorded
2025-03-12F0583Resident Rights DeficienciesEnot recorded
2025-03-12F0610Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-03-12F0655Resident Assessment and Care Planning DeficienciesEnot recorded
2025-03-12F0658Resident Assessment and Care Planning DeficienciesEnot recorded
2025-03-12F0699Quality of Life and Care DeficienciesEnot recorded
2025-03-12F0700Quality of Life and Care DeficienciesEnot recorded
2025-03-12F0725Nursing and Physician Services DeficienciesFnot recorded
2025-03-12F0727Nursing and Physician Services DeficienciesFnot recorded
2025-03-12F0732Nursing and Physician Services DeficienciesFnot recorded
2025-03-12F0755Pharmacy Service DeficienciesFnot recorded
2025-03-12F0758Pharmacy Service DeficienciesDnot recorded
2025-03-12F0761Pharmacy Service DeficienciesEnot recorded
2025-03-12F0812Nutrition and Dietary DeficienciesFnot recorded
2025-03-12F0835Administration DeficienciesFnot recorded
2025-03-12F0837Administration DeficienciesFnot recorded
2025-03-12F0847Administration DeficienciesFnot recorded
2025-03-12F0848Administration DeficienciesFnot recorded
2025-03-12F0851Administration DeficienciesFnot recorded
2025-03-12F0865Administration DeficienciesFnot recorded
2025-03-12F0909Environmental DeficienciesEnot recorded
2025-01-22F0684Quality of Life and Care DeficienciesEnot recorded
2023-12-06F0625Resident Rights DeficienciesDnot recorded
2023-12-06F0658Resident Assessment and Care Planning DeficienciesEnot recorded
2023-12-06F0678Quality of Life and Care DeficienciesEnot recorded
2023-12-06F0692Quality of Life and Care DeficienciesEnot recorded
2023-12-06F0758Pharmacy Service DeficienciesDnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Five Counties Nursing Home, LEMMON” at medicare.gov/care-compare.