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Five Counties Nursing Home

405 6TH AVENUE WEST
LEMMON, SD 57638 · 6053743871 · Perkins County

CMS Star Ratings

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Facility Facts

Certified beds38
OwnershipNon profit - Corporation
State rank#91

By the numbers

37
Health citations (3 cycles)
0
Immediate-jeopardy (J/K/L)
2
Actual-harm (G/H/I)
$20,703
Federal fines (CMPs)
The trend: Citations are trending down — 4 in the most recent cycle versus 5 two cycles ago.

Recent Health Citations

May 7, 2026 · Health survey · F-tag 0689
D — No actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
May 7, 2026 · Health survey · F-tag 0554
D — No actual harm
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
May 7, 2026 · Health survey · F-tag 0550
D — No actual harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
May 7, 2026 · Health survey · F-tag 0812
E — No actual harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
May 15, 2025 · Health survey · F-tag 0689
D — No actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Apr 9, 2025 · Health survey · F-tag 0658
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Apr 9, 2025 · Health survey · F-tag 0610
D — No actual harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Apr 9, 2025 · Health survey · F-tag 0761
E — No actual harm
Pharmacy Service Deficiencies
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.
Apr 9, 2025 · Health survey · F-tag 0760
G — Actual harm
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Details
Correction status: Corrected May 2, 2025 — Deficient, Provider has date of correction
Inspection cycle: 2
Survey origin: Complaint investigation
Apr 9, 2025 · Health survey · F-tag 0686
G — Actual harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Details
Correction status: Corrected May 2, 2025 — Deficient, Provider has date of correction
Inspection cycle: 2
Survey origin: Complaint investigation
Mar 12, 2025 · Health survey · F-tag 0758
D — No actual harm
Pharmacy Service Deficiencies
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.
Mar 12, 2025 · Health survey · F-tag 0610
D — No actual harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Mar 12, 2025 · Health survey · F-tag 0909
E — No actual harm
Environmental Deficiencies
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Mar 12, 2025 · Health survey · F-tag 0761
E — No actual harm
Pharmacy Service Deficiencies
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.
Mar 12, 2025 · Health survey · F-tag 0700
E — No actual harm
Quality of Life and Care Deficiencies
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.
Mar 12, 2025 · Health survey · F-tag 0699
E — No actual harm
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
Mar 12, 2025 · Health survey · F-tag 0658
E — No actual harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Mar 12, 2025 · Health survey · F-tag 0655
E — No actual harm
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Mar 12, 2025 · Health survey · F-tag 0583
E — No actual harm
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Mar 12, 2025 · Health survey · F-tag 0582
E — No actual harm
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Showing the 20 most recent citations. View the full inspection record on CMS Care Compare →

More facilities in South Dakota →

How to read this page. Star ratings and citation counts come from the Centers for Medicare & Medicaid Services (CMS) Care Compare August 2026 dataset, covering the three most recent inspection cycles. Scope/severity letters: D–F no actual harm, G–I actual harm, J–L immediate jeopardy to resident health or safety.

Source: CMS Care Compare, August 2026 dataset. Updated quarterly. Figures come from public CMS records; contact info@theskilledreport.com for corrections.