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Five Counties Nursing Home

Lemmon, SD · Medicare and Medicaid-certified nursing home (CCN 435090) · 38 certified beds

CMS overall rating: 1★ (state average 2.88★ — below state average)
Health inspection: 1 · Quality measures: 1 · Staffing: 2
Federal fines: 1 totaling $20,703
Phone: (605) 374-3871 · Verify on Medicare Care Compare ↗

Five Counties Nursing Home has an overall CMS rating of 1 out of 5 stars, below the South Dakota state average of 2.88. Its health inspection rating is 1 out of 5, and its staffing rating is 2 out of 5.

Five Counties Nursing Home reports about 2.90 total nurse hours per resident per day, including roughly 0.76 RN hours per resident per day, earning a CMS staffing rating of 2 out of 5. CMS does not have turnover data reported in this dataset.

Five Counties Nursing Home has 1 federal fine on record totaling $20,703.00, with no payment denials reported. There is no abuse icon or Special Focus designation listed for this facility in the available CMS data.

Overall rating vs. benchmarks
Five Counties Nursing… Five Counties Nursing…: 1★ 1★ SD average SD average: 2.88★ 2.88★

About this facility

Five Counties Nursing Home is a non-profit corporation-owned nursing facility in Lemmon, Perkins County, South Dakota, certified for both Medicare and Medicaid since September 1995. The facility is certified for 38 beds and has an average daily census of 34.5 residents.

According to CMS Care Compare, Five Counties Nursing Home holds an overall star rating of 1 out of 5, which is below the South Dakota state average of 2.88 stars. Its component ratings are also low: the health inspection rating is 1 out of 5, the quality measure (QM) rating is 1 out of 5, and the staffing rating is 2 out of 5.

Nurse staffing data reported to CMS show total nurse staffing of approximately 2.90 hours per resident per day, including about 0.76 RN hours per resident per day. Nursing staff turnover data was not provided in this dataset.

On the penalty record, CMS lists 1 federal fine totaling $20,703.00 for this facility. There are no payment denials on record. No abuse icon is present in the provided data, and no Special Focus Facility status is listed for Five Counties Nursing Home.

No chain affiliation information was provided in this dataset, and there is no indication of an ownership change within the past 12 months.

This profile is based on data from CMS Care Compare; families should consult the Care Compare listing directly for the most current inspection reports and ratings.

Questions families ask

What is this nursing home's CMS overall star rating and how does it compare to the state average?

Five Counties Nursing Home has an overall rating of 1 out of 5 stars, which is below the South Dakota state average of 2.88.

Does this facility accept Medicare, Medicaid, or both?

Yes, it is certified for both Medicare and Medicaid.

How well is this facility staffed — nurse hours per resident and turnover?

Total nurse staffing is about 2.90 hours per resident per day, including 0.76 RN hours, with a staffing rating of 2 out of 5; turnover data was not reported.

Does this facility have federal fines or penalties on record?

Yes, CMS lists 1 fine totaling $20,703.00, with no payment denials.

Has CMS flagged this facility for abuse or placed it in the Special Focus program?

The data provided shows no abuse icon and no Special Focus Facility designation for this facility.

How large is this facility and how many residents live there?

It is certified for 38 beds and has an average daily census of 34.5 residents.

Who owns this facility — and is it part of a chain?

It is owned by a non-profit corporation; no chain affiliation is listed in the available data.

How long has this facility been Medicare/Medicaid certified?

It has been certified since September 1995.

What do the four different CMS star ratings mean?

CMS rates facilities on an overall score plus three components — health inspections, staffing, and quality measures — each from 1 to 5 stars, with this facility scoring 1, 1, 1, and 2 respectively.

Does this facility offer short-term rehabilitation as well as long-term care?

This information is not available in the provided data; contact the facility at 605-374-3871 or check Medicare Care Compare for details.

What should I look for when touring this facility?

This data set does not cover tour details; contact the facility directly at 605-374-3871 to arrange a visit.

How do I verify this facility's current record on Medicare Care Compare?

You can review the most current inspection and rating details at https://www.medicare.gov/care-compare/details/nursing-home/435090?state=SD.

Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.