The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited April 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
Five Counties Nursing Home
LEMMON, SD · Medicare-certified · 38 beds
Needs attention
Non-profit
Data as of July 1, 2026
1 of 5 overall
Five Counties Nursing Home has a 1 out of 5 overall rating, with 1-star health inspection and quality ratings and 2-star staffing. It reports 2.90 nursing hours per resident per day versus the 4.1 federal benchmark, and had $20,703 in fines in the last 24 months with a recent federal penalty.
Facility ratings
Health inspections
Staffing
2.8978 hrs/resident/day
Quality measures
Last inspection: May 7, 2026Penalties, last 24 months: $20,703recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.8978.
Staffing detail
- Registered nurses
- 0.76
- Licensed practical nurses
- 0.19
- Nurse aides
- 1.95
- Weekend nursing
- 2.51
Hours per resident per day.
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
19%20.8%Worsening
Residents with a fall causing major injury
11.4%3.4%Improving
Residents with pressure ulcers (bedsores)
3.8%3.5%No change
Residents with a urinary tract infection
2.9%7.4%Worsening
Residents who lost too much weight
8.8%18.5%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
18.2%27.6%Worsening
Residents whose ability to walk got worse
—29.5%—
Long-stay residents on antianxiety or sleep medication
14.3%10.3%Improving
Residents with a long-term catheter
0%2.7%Worsening
Residents with new or worsening incontinence
23.5%3.3%Improving
Residents with depressive symptoms
3.3%0%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—95.2%—
Long-stay residents given the pneumonia vaccine
85.7%100%Improving
Short-stay residents given the pneumonia vaccine
—72.2%—
What the inspectors found
The nursing home failed to ensure residents were free from significant medication errors. Cited April 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited March 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: F
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited March 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
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- PENALTY
A federal fine of $20,703 was recorded.
- INSPECTION
Health inspection found 21 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $20,703 in total fines.
- $20,703
Federal fine
Mar 12, 2025
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 34.5 residents on an average day (91% of 38 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 30 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.