Five Counties Nursing Home has received an F grade based on CMS data, with a score of 20/100 — placing it among the lowest-rated nursing facilities in South Dakota. Families considering this Lemmon facility should carefully review its inspection history and quality metrics.
With 3.02 total nurse hours per resident per day, Five Counties Nursing Home falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent inspections identified 34 deficiencies at Five Counties Nursing Home. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.02 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.86 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 0.19 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 1.97 | 2.4 | Below Average |
| Weekend Total Nursing | 2.57 | 3.8 | Below Average |
| Weekend RN Hours | 0.62 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0689 Severity DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.May 14, 2025 · Quality of Life and Care Deficiencies
- Tag 0686 Severity GProvide appropriate pressure ulcer care and prevent new ulcers from developing.Apr 8, 2025 · Quality of Life and Care Deficiencies
- Tag 0760 Severity GEnsure that residents are free from significant medication errors.Apr 8, 2025 · Pharmacy Service Deficiencies
- Tag 0761 Severity EEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiApr 8, 2025 · Pharmacy Service Deficiencies
- Tag 0610 Severity DRespond appropriately to all alleged violations.Apr 8, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 2.5% | 4.5% | Better |
| Falls with major injury | 9.9% | 3.0% | Worse |
| On antipsychotic medication | 16.8% | 14.5% | Worse |
| Urinary tract infections | 3.6% | 2.5% | Worse |
| ADL decline (daily activities) | 27.1% | 14.0% | Worse |
| Excessive weight loss | 8.0% | 7.5% | Average |
| New/worsened incontinence | 24.8% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $31,850
How This Grade Was Calculated
This facility's grade of F is based on a score of 20 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 1★ → 3 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -3 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
Other Facilities in South Dakota
- BPRAIRIE HEIGHTS HEALTHCAREABERDEEN
- FAVANTARA MILBANKMILBANK
- CAVANTARA HURONHURON
- B
- BWesthills Village Health Care FacilityRAPID CITY