Five Counties Nursing Home
Nursing home in Lemmon, South Dakota, CMS certification number 435090
405 6th Avenue West, Lemmon, SD 57638 · Perkins County
- CMS overall rating
- 1 of 5 stars
- Certified beds
- 38
- Certified for
- Medicare and Medicaid
- Last standard inspection
- May 7, 2026
- Deficiencies at that inspection
- 4
- Fines in 3 years
- $20,703 (1)
Does Five Counties Nursing Home take Medicare and Medicaid?
Yes to both. Five Counties Nursing Home is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 2 of 5 |
| Quality of resident care | 1 of 5 |
| Long-stay quality | 1 of 5 |
| Short-stay quality | Not rated |
Nurse staffing hours and turnover
These are the hours Five Counties Nursing Home reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 2.88
- Registered nurse hours
- 0.75
- Licensed practical nurse hours
- 0.16
- Nurse aide hours
- 1.98
- Weekend total hours
- 2.46
Health inspections and complaints
Inspectors last made a standard visit on May 7, 2026 and cited 4 deficiencies, plus 0 from complaint visits.
The visit before, on March 12, 2025, found 21.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined Five Counties Nursing Home 1 time in the past 3 years, for $20,703 in total.
Beds and residents
On an average day 34.7 residents live here, about 91% of its 38 certified beds.
- Certified beds
- 38
- Average residents per day
- 34.7
- Certified since
- September 1, 1995
- Resident or family council
- Resident
Who owns Five Counties Nursing Home
- Legal business name
- Lemmon Area Medical Association
- Ownership type
- Non profit - Corporation
Other nursing homes near Five Counties Nursing Home
- Medicine Wheel Village24266 Airport Road, Eagle Butte 57625
- Walworth County Care Center, Inc4861 Lincoln Avenue, Selby 57472
- Rolling Hills Healthcare2200 13th Ave, Belle Fourche 57717
- Avera Eureka Health Care Center202 J Avenue, Eureka 57437
- Monument Health Sturgis Care Center2140 Junction Avenue, Sturgis 57785
Who inspects nursing homes in South Dakota
South Dakota's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in South Dakota, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Five Counties Nursing Home, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Five Counties Nursing Home
What is the CMS star rating of Five Counties Nursing Home?
1 out of 5 stars overall.
Does Five Counties Nursing Home accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Five Counties Nursing Home?
4 cited at the last standard visit.
Who owns Five Counties Nursing Home?
Lemmon Area Medical Association, non profit - corporation.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.