Skip to the page
Get started free

Data / Nursing homes / South Dakota / Five Counties Nursing Home

Five Counties Nursing Home, Lemmon, SD: 1 star rating, fined $20,703 across 1 fine

Five Counties Nursing Home in Lemmon, SD is run by Lemmon Area Medical Association, with no owner listed in the CMS ownership file, is rated 1 of 5 stars by Medicare, and was fined $20,703 across 1 fine in the three years to October 1, 2026. CMS lists 37 health citations from inspections in that time, the latest survey on May 7, 2026, and 2 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Watch this facility's inspections and finesGet nursing homes in South Dakota
Address
405 6th Avenue West, Lemmon, SD 57638
Overall rating
1 of 5 stars
Health inspection rating
1 of 5
Staffing rating
2 of 5
Quality measure rating
1 of 5
Certified beds
38
Residents per day
35 on average
Ownership type
Nonprofit, corporation
Legal business name
Lemmon Area Medical Association
Fines
$20,703 across 1 fine, three years to October 1, 2026
Payment denials
0
Health citations
37, of which 2 with actual harm or immediate jeopardy
Latest survey
May 7, 2026
CMS Certification Number
435090
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
March 12, 2025Fine$20,703Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
May 7, 2026F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 5, 2026data.cms.gov
May 7, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 5, 2026data.cms.gov
May 7, 2026F554Allow residents to self-administer drugs if determined clinically appropriate.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 5, 2026data.cms.gov
May 7, 2026F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 5, 2026data.cms.gov
May 15, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 27, 2025data.cms.gov
April 9, 2025F760Ensure that residents are free from significant medication errors.G: isolated, actual harmCorrectedMay 2, 2025data.cms.gov
April 9, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G: isolated, actual harmCorrectedMay 2, 2025data.cms.gov
April 9, 2025F761Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 2, 2025data.cms.gov
April 9, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 27, 2025data.cms.gov
April 9, 2025F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 27, 2025data.cms.gov
March 12, 2025F909Regularly 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 26, 2025data.cms.gov
March 12, 2025F865Have a plan that describes the process for conducting QAPI and QAA activities.F: widespread, no actual harm, potential for more than minimal harmCorrectedApril 26, 2025data.cms.gov
March 12, 2025F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.F: widespread, no actual harm, potential for more than minimal harmCorrectedApril 26, 2025data.cms.gov
March 12, 2025F848Provide a neutral and fair arbitration process and agree to arbitrator and venue.F: widespread, no actual harm, potential for more than minimal harmCorrectedMay 7, 2025data.cms.gov
March 12, 2025F847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.F: widespread, no actual harm, potential for more than minimal harmCorrectedMay 7, 2025data.cms.gov
March 12, 2025F837Establish 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.F: widespread, no actual harm, potential for more than minimal harmCorrectedApril 26, 2025data.cms.gov
March 12, 2025F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.F: widespread, no actual harm, potential for more than minimal harmCorrectedApril 26, 2025data.cms.gov
March 12, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedApril 26, 2025data.cms.gov
March 12, 2025F761Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 26, 2025data.cms.gov
March 12, 2025F758Implement 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 26, 2025data.cms.gov
March 12, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.F: widespread, no actual harm, potential for more than minimal harmCorrectedMay 27, 2025data.cms.gov
March 12, 2025F732Post nurse staffing information every day.F: widespread, no actual harm, potential for more than minimal harmCorrectedApril 26, 2025data.cms.gov
March 12, 2025F727Have 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.F: widespread, no actual harm, potential for more than minimal harmCorrectedApril 26, 2025data.cms.gov
March 12, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.F: widespread, no actual harm, potential for more than minimal harmCorrectedApril 26, 2025data.cms.gov
March 12, 2025F700Try 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 8, 2025data.cms.gov
March 12, 2025F699Provide care or services that was trauma informed and/or culturally competent.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 26, 2025data.cms.gov
March 12, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 26, 2025data.cms.gov
March 12, 2025F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedE: pattern, no actual harm, potential for more than minimal harmCorrectedApril 26, 2025data.cms.gov
March 12, 2025F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 27, 2025data.cms.gov
March 12, 2025F583Keep residents' personal and medical records private and confidential.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 26, 2025data.cms.gov
March 12, 2025F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 26, 2025data.cms.gov
January 22, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 7, 2025data.cms.gov
December 6, 2023F758Implement 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 20, 2024data.cms.gov
December 6, 2023F692Provide enough food/fluids to maintain a resident's health.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 20, 2024data.cms.gov
December 6, 2023F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 20, 2024data.cms.gov
December 6, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 20, 2024data.cms.gov
December 6, 2023F625Notify 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 20, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 2 individual or personal trusts (1 managers, 1 officers, directors or trustees). Their names are not shown on this page.

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.