Five Counties Nursing Home

• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 5, 2026

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 5, 2026

• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 5, 2026

• Allow residents to self-administer drugs if determined clinically appropriate.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 5, 2026

• Have stairways and smokeproof enclosures used as exits that meet safety requirements.

  Severity C of L: potential for minimal harm, widespreadCorrected May 7, 2026

• Install smoke barrier doors that can resist smoke for at least 20 minutes.

  Severity C of L: potential for minimal harm, widespreadCorrected May 7, 2026

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 27, 2025

• Ensure that residents are free from significant medication errors.

  Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected May 2, 2025

• Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected May 2, 2025

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected May 2, 2025

• Ensure services provided by the nursing facility meet professional standards of quality.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 27, 2025

• Respond appropriately to all alleged violations.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 27, 2025

• Post nurse staffing information every day.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 26, 2025

• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 27, 2025

• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 26, 2025

• Administer the facility in a manner that enables it to use its resources effectively and efficiently.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 26, 2025

• 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.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 26, 2025

• Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 7, 2025

• Provide a neutral and fair arbitration process and agree to arbitrator and venue.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 7, 2025

• Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 26, 2025

• Have a plan that describes the process for conducting QAPI and QAA activities.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 26, 2025

• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 26, 2025

• 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.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 26, 2025

• Provide care or services that was trauma informed and/or culturally competent.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 26, 2025

• Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 26, 2025

• Keep residents' personal and medical records private and confidential.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 26, 2025

• Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 26, 2025

• Ensure services provided by the nursing facility meet professional standards of quality.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 26, 2025

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 8, 2025

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 26, 2025

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 26, 2025

• Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 26, 2025

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 26, 2025

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 26, 2025

• Respond appropriately to all alleged violations.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 27, 2025

• Have properly located and lighted "Exit" signs.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 26, 2025

• Install smoke barrier doors that can resist smoke for at least 20 minutes.

  Severity C of L: potential for minimal harm, widespreadCorrected Apr 26, 2025

• Have stairways and smokeproof enclosures used as exits that meet safety requirements.

  Severity C of L: potential for minimal harm, widespreadCorrected Apr 26, 2025

• Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Feb 7, 2025

• Conduct risk assessment and an All-Hazards approach.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 20, 2024

• Establish emergency prep training and testing.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 20, 2024

• Conduct testing and exercise requirements.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 20, 2024

• Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 20, 2024

• Install an approved automatic sprinkler system.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 4, 2024

• Ensure services provided by the nursing facility meet professional standards of quality.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 20, 2024

• Have generator or other power source capable of supplying service within 10 seconds.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 18, 2024

• Provide enough food/fluids to maintain a resident's health.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 20, 2024

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 20, 2024

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 20, 2024

• Have stairways and smokeproof enclosures used as exits that meet safety requirements.

  Severity C of L: potential for minimal harm, widespreadCorrected Jan 22, 2024

• Install smoke barrier doors that can resist smoke for at least 20 minutes.

  Severity C of L: potential for minimal harm, widespreadCorrected Jan 22, 2024

Five Counties Nursing Home offers Skilled Nursing / Long Term Care.

Five Counties Nursing Home is located at 405 6th Avenue West in Lemmon, South Dakota.

Five Counties Nursing Home carries a 4.3 out of 5 rating from 3 Google reviews. Reviews on MyLivingChoice come from families who confirmed a connection to the community and appear with the reviewer's first name and last initial.

Five Counties Nursing Home had 6 government inspection visits in the last three years, with 51 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.

Submit the Request Information form on this page, or contact Five Counties Nursing Home directly, to arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.