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    Nursing home · LEMMON, SD

    Five Counties Nursing Home

    405 6TH AVENUE WEST, LEMMON, SD 57638

    CMS certification number: 435090 · Updated October 1, 2026

    Request care assistance6053743871Directions

    At a glance

    Official CMS profile

    CMS overall rating

    1 / 5

    Certified beds

    38

    Residents / day

    34.7

    Ownership

    Non profit - Corporation

    Facility information

    Certification
    Medicare and Medicaid
    Ownership
    Non profit - Corporation
    County
    Perkins
    Certified beds
    38
    Average residents per day
    34.7
    First certified
    September 1, 1995

    CMS quality ratings

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

    These are CMS quality ratings, not customer reviews.

    How this home compares locally

    Other homes in Perkins, South Dakota. Missing values are excluded; this home is excluded from peer averages.

    CMS overall rating / 5

    This home
    1.00
    County peers
    Not reported
    n=0
    State peers
    3.01

    Nurse hours / resident / day

    This home
    2.88
    County peers
    Not reported
    n=0
    State peers
    3.87
    n=90

    Weekend nurse hours / resident / day

    This home
    2.46
    County peers
    Not reported
    n=0
    State peers
    3.29
    n=90

    Nursing staff turnover (%)

    This home
    Not reported
    County peers
    Not reported
    n=0
    State peers
    48.57
    n=87

    Reported staffing is not adjusted for resident needs. These are descriptive averages, not a quality ranking or prediction of care. Sources and methodology

    Questions for your visit

    • Reported weekend staffing is 14.8% below the all-days average. How is weekend coverage maintained?
    • What has changed since your latest health inspection?
    • How do you retain nursing staff and maintain continuity of care?
    • Which services are included, what costs extra, and can you provide a written care and payment plan?

    Published record coverage

    Hospital measures
    4
    Fire safety citations
    14
    Health citations
    37
    Resident measures
    17
    Ownership records
    2
    Penalties
    1
    SNF rehabilitation measures
    57
    Inspection summaries
    3

    Counts reflect the imported CMS publication, not a complete lifetime history. Zero records does not establish zero historical events.

    Full CMS profile

    Staffing & operations

    1 source records · CMS source date 2026-10-01CMS source

    Staffing hours are per resident per day; turnover figures are percentages. Blank values are not zero.

    Reported Total Nurse Staffing Hours per Resident per Day
    2.88086
    Reported RN Staffing Hours per Resident per Day
    0.74792
    Reported LPN Staffing Hours per Resident per Day
    0.15650
    Reported Nurse Aide Staffing Hours per Resident per Day
    1.97645
    Total number of nurse staff hours per resident per day on the weekend
    2.45563
    Registered Nurse hours per resident per day on the weekend
    0.62969
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.03597
    Total nursing staff turnover
    Not reported
    Registered Nurse turnover
    Not reported
    Number of administrators who have left the nursing home
    Not reported
    Chain Name
    Not reported
    Number of Facilities in Chain
    Not reported
    Chain Average Overall 5-star Rating
    Not reported
    Special Focus Status
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    With a Resident and Family Council
    Resident
    Automatic Sprinkler Systems in All Required Areas
    Yes
    All provider source fields
    State
    SD
    Urban
    N
    Chain ID
    Not reported
    Latitude
    45.9399
    Location
    405 6TH AVENUE WEST,LEMMON,SD,57638
    ZIP Code
    57638
    City/Town
    LEMMON
    Longitude
    -102.17
    QM Rating
    1
    Abuse Icon
    N
    Chain Name
    Not reported
    County/Parish
    Perkins
    Provider Name
    Five Counties Nursing Home
    Provider Type
    Medicare and Medicaid
    Overall Rating
    1
    Ownership Type
    Non profit - Corporation
    Number of Fines
    1
    Processing Date
    2026-10-01
    Staffing Rating
    2
    Provider Address
    405 6TH AVENUE WEST
    Telephone Number
    6053743871
    Geocoding Footnote
    Not reported
    QM Rating Footnote
    Not reported
    Legal Business Name
    LEMMON AREA MEDICAL ASSOCIATION
    Long-Stay QM Rating
    1
    High Performing Icon
    N
    Short-Stay QM Rating
    Not reported
    Special Focus Status
    Not reported
    Nursing Case-Mix Index
    1.09865
    Chain Average QM Rating
    Not reported
    Overall Rating Footnote
    Not reported
    Health Inspection Rating
    1
    Number of Certified Beds
    38
    Provider SSA County Code
    520
    Staffing Rating Footnote
    Not reported
    Number of Payment Denials
    0
    Registered Nurse turnover
    Not reported
    Total Number of Penalties
    1
    Reported Staffing Footnote
    Not reported
    Long-Stay QM Rating Footnote
    Not reported
    Nursing Case-Mix Index Ratio
    0.77905
    Provider Resides in Hospital
    N
    Total nursing staff turnover
    Not reported
    Chain Average Staffing Rating
    Not reported
    Number of Facilities in Chain
    Not reported
    Short-Stay QM Rating Footnote
    2
    CMS Certification Number (CCN)
    435090
    Administrator turnover footnote
    26
    Total Amount of Fines in Dollars
    20703.00
    Health Inspection Rating Footnote
    Not reported
    Rating Cycle 1 Total Health Score
    20
    Registered Nurse turnover footnote
    26
    Total Weighted Health Survey Score
    133.500
    With a Resident and Family Council
    Resident
    Average Number of Residents per Day
    34.7
    Chain Average Overall 5-star Rating
    Not reported
    Rating Cycle 1 Health Revisit Score
    0
    Rating Cycle 2/3 Total Health Score
    474
    Continuing Care Retirement Community
    N
    Physical Therapist Staffing Footnote
    Not reported
    Rating Cycle 2/3 Health Revisit Score
    158
    Total nursing staff turnover footnote
    26
    Chain Average Health Inspection Rating
    Not reported
    Rating Cycle 1 Health Deficiency Score
    20
    Rating Cycle 1 Standard Survey Footnote
    Not reported
    Rating Cycle 2 Standard Survey Footnote
    Not reported
    Rating Cycle 1 Number of Health Revisits
    1
    Rating Cycle 2/3 Health Deficiency Score
    316
    Rating Cycle 1 Standard Survey Health Date
    2026-05-07
    Rating Cycle 2 Standard Health Survey Date
    2025-03-12
    Rating Cycle 2/3 Number of Health Revisits
    2
    Average Number of Residents per Day Footnote
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    Adjusted RN Staffing Hours per Resident per Day
    0.95251
    Case-Mix RN Staffing Hours per Resident per Day
    0.53882
    Reported RN Staffing Hours per Resident per Day
    0.74792
    Adjusted LPN Staffing Hours per Resident per Day
    0.19931
    Case-Mix LPN Staffing Hours per Resident per Day
    0.67143
    Reported LPN Staffing Hours per Resident per Day
    0.15650
    Automatic Sprinkler Systems in All Required Areas
    Yes
    Rating Cycle 1 Total Number of Health Deficiencies
    4
    Most Recent Health Inspection More Than 2 Years Ago
    N
    Rating Cycle 2/3 Total Number of Health Deficiencies
    28
    Rating Cycle 1 Number of Standard Health Deficiencies
    4
    Rating Cycle 2 Number of Standard Health Deficiencies
    21
    Reported Licensed Staffing Hours per Resident per Day
    0.90441
    Number of Citations from Infection Control Inspections
    Not reported
    Rating Cycle 1 Number of Complaint Health Deficiencies
    0
    Adjusted Nurse Aide Staffing Hours per Resident per Day
    2.51710
    Case-Mix Nurse Aide Staffing Hours per Resident per Day
    1.82870
    Number of administrators who have left the nursing home
    Not reported
    Reported Nurse Aide Staffing Hours per Resident per Day
    1.97645
    Adjusted Total Nurse Staffing Hours per Resident per Day
    3.66891
    Case-Mix Total Nurse Staffing Hours per Resident per Day
    3.03894
    Rating Cycle 2/3 Number of Complaint Health Deficiencies
    7
    Reported Total Nurse Staffing Hours per Resident per Day
    2.88086
    Registered Nurse hours per resident per day on the weekend
    0.62969
    Date First Approved to Provide Medicare and Medicaid Services
    1995-09-01
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.03597
    Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
    3.12737
    Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
    2.67449
    Total number of nurse staff hours per resident per day on the weekend
    2.45563

    COMMUNITY EXPERIENCE

    Reviews of Five Counties Nursing Home

    Consumer experiences, separate from CMS ratings. Accounts are verified; care experiences are not independently verified.

    No published community reviews yet.

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    Source: Centers for Medicare & Medicaid Services · Data processed October 1, 2026