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Nursing homesSouth Dakota › Five Counties Nursing Home

Five Counties Nursing Home

405 6Th Avenue West, Lemmon, SD 57638 · 6053743871 · 38 certified beds

Overall★☆☆☆☆ 1/5
Health inspections★☆☆☆☆ 1/5
Staffing★★☆☆☆ 2/5
Quality measures★☆☆☆☆ 1/5

Ownership

CMS lists no chain affiliation for this facility. Ownership type on record: Non profit - Corporation.

Staffing (hours per resident per day)

Total nurse staffing: 2.90 (South Dakota median: 3.63). RN hours: 0.76. Weekend total: 2.51.

Inspection deficiencies

All-time on record: 37 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).

Survey dateDeficiencySev.TypeStatus
2026-05-07Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. EHealthcorrected 2026-06-05
2026-05-07Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. DHealthcorrected 2026-06-05
2026-05-07Allow residents to self-administer drugs if determined clinically appropriate. DHealthcorrected 2026-06-05
2026-05-07Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. DHealthcorrected 2026-06-05
2025-05-15Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Dcomplaintcorrected 2025-05-27
2025-04-09Provide appropriate pressure ulcer care and prevent new ulcers from developing. Gcomplaintcorrected 2025-05-02
2025-04-09Ensure that residents are free from significant medication errors. Gcomplaintcorrected 2025-05-02
2025-04-09Ensure 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. Ecomplaintcorrected 2025-05-02
2025-04-09Respond appropriately to all alleged violations. Dcomplaintcorrected 2025-05-27
2025-04-09Ensure services provided by the nursing facility meet professional standards of quality. Dcomplaintcorrected 2025-05-27
2025-03-12Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. FHealthcorrected 2025-04-26
2025-03-12Have 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. FHealthcorrected 2025-04-26
2025-03-12Post nurse staffing information every day. FHealthcorrected 2025-04-26
2025-03-12Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. FHealthcorrected 2025-05-27
2025-03-12Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. FHealthcorrected 2025-04-26
2025-03-12Administer the facility in a manner that enables it to use its resources effectively and efficiently. FHealthcorrected 2025-04-26
2025-03-12Establish 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. FHealthcorrected 2025-04-26
2025-03-12Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. FHealthcorrected 2025-05-07
2025-03-12Provide a neutral and fair arbitration process and agree to arbitrator and venue. FHealthcorrected 2025-05-07
2025-03-12Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. FHealthcorrected 2025-04-26
2025-03-12Have a plan that describes the process for conducting QAPI and QAA activities. FHealthcorrected 2025-04-26
2025-03-12Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. EHealthcorrected 2025-04-26
2025-03-12Keep residents' personal and medical records private and confidential. EHealthcorrected 2025-04-26
2025-03-12Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted EHealthcorrected 2025-04-26
2025-03-12Ensure services provided by the nursing facility meet professional standards of quality. EHealthcorrected 2025-04-26
2025-03-12Provide care or services that was trauma informed and/or culturally competent. EHealthcorrected 2025-04-26
2025-03-12Try 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. EHealthcorrected 2025-05-08
2025-03-12Ensure 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. EHealthcorrected 2025-04-26
2025-03-12Regularly 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. EHealthcorrected 2025-04-26
2025-03-12Respond appropriately to all alleged violations. DHealthcorrected 2025-05-27
2025-03-12Implement 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. DHealthcorrected 2025-04-26
2025-01-22Provide appropriate treatment and care according to orders, resident’s preferences and goals. Ecomplaintcorrected 2025-02-07
2023-12-06Ensure services provided by the nursing facility meet professional standards of quality. EHealthcorrected 2024-01-20
2023-12-06Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. EHealthcorrected 2024-01-20
2023-12-06Provide enough food/fluids to maintain a resident's health. EHealthcorrected 2024-01-20
2023-12-06Notify 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. DHealthcorrected 2024-01-20
2023-12-06Implement 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. DHealthcorrected 2024-01-20

Federal penalties

DateTypeAmount
2025-03-12Fine$20,703

Ownership & control records (CMS filings)

NameRoleType%Since
STROSCHEIN, CHADCorporate DirectorIndividualNOT APPLICABLEsince 11/19/2018

Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 435090. Corrections: data@carerecords.org.