Five Counties Nursing Home
405 6TH AVENUE WEST, Lemmon, SD 57638
Based on 2026 CMS Data
Official Government Ratings
Health Inspections
Frequency & severity of deficiencies
Staffing Levels
Nurse hours per resident per day
Quality Measures
Clinical outcomes & care quality
Resident Council Active
Active councils indicate resident empowerment and facility transparency.
Vetting This Facility? Get Answers They Don't Volunteer
Free guide: the exact questions to ask Five Counties Nursing Home, how to pull the public records (ownership, inspections, penalties), and how to request the info that isn't online — like the medical director.
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Care Quality Indicators
Lower is better
Lower is better
Lower is better
How Five Counties Nursing Home Compares
Five Counties Nursing Home is a 38-bed nonprofit nursing facility in Lemmon, South Dakota. It holds an overall CMS rating of 1 out of 5 stars, below the South Dakota average of 2.8 stars. Its lowest sub-rating is health inspections at 1 star. Its rate of falls resulting in major injury (10.2%) is above the South Dakota average of 5.3% — a measure worth asking the staff about. With 38 certified beds, it maintains moderate occupancy at roughly 79% occupied.
By the numbers vs. South Dakota average
- Long-stay antipsychotic medication use: 17.4% — better than the South Dakota average of 24.5% (29% lower).
- Falls with major injury: 10.2% — worse than the South Dakota average of 5.3% (91% higher).
- High-risk pressure ulcers: 3.3% — better than the South Dakota average of 4.7% (30% lower).
Comparisons use CMS Care Compare data (updated June 5, 2026) measured against South Dakota averages across 96 facilities tracked by ElderVoice.
Questions to Ask Five Counties Nursing Home
Use these facility-specific questions when calling admissions, touring the building, or comparing Five Counties Nursing Home with other nursing homes in Lemmon.
How is Five Counties Nursing Home addressing its health inspections rating?
CMS currently rates this category 1 out of 5 stars, so ask what specific improvements are underway and when the next survey update is expected.
What practices help Five Counties Nursing Home keep long-stay antipsychotic medication use below the state average?
Long-stay antipsychotic medication use is 17.4% here versus 24.5% across South Dakota. Lower is generally better for this CMS measure.
What is Five Counties Nursing Home doing to reduce falls with major injury?
Falls with major injury is 10.2% here versus 5.3% across South Dakota. Lower is generally better for this CMS measure.
How can a new family connect with existing councils at Five Counties Nursing Home?
Active resident or family councils can provide useful context about daily life, responsiveness, and recurring concerns.
What would the first 30 days look like for a new resident at Five Counties Nursing Home?
Ask who builds the care plan, how medication changes are communicated, how often families receive updates, and who to call after hours.
The Senior Community Around Lemmon
Lemmon sits in Perkins County, where adults 65 and older make up about 24.4% of the population — a higher share of seniors than South Dakota as a whole (16.7% statewide). The area's median household income is consistent with state averages.
- Residents 65+
- 731 (24.4%)
- Median age
- 45.6 years
- Median household income
- $61,815
- Median home value
- $100,700
Demographics for Perkins County from the U.S. Census Bureau, American Community Survey (ACS) 5-year estimates. Provided as local context for families comparing care options near Lemmon.
Facility Details
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