Home›Browse›South Dakota›Lemmon›Five Counties Nursing Home

Nursing homeFAID #11698

Five Counties Nursing Home

405 6TH AVENUE WEST, LEMMON, SD, 57638

(605) 374-3871

38 licensed beds

★★★★★1/5CMS Five-Star overall1/5 health inspections2/5 staffing1/5 quality measuresSource: CMS Care Compare

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Address

405 6th Avenue West

Lemmon, SD 57638

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Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

435090

Care type

Nursing home

County

Perkins

Facility name

Five Counties Nursing Home

Street address

405 6TH AVENUE WEST

City / state / ZIP

Lemmon, SD 57638

Phone

(605) 374-3871

About this facility — Five Counties Nursing Home

Five Counties Nursing Home is a Medicare/Medicaid-certified skilled nursing facility in Lemmon, South Dakota. It is licensed for 38 beds — below the median for skilled nursing facilities in South Dakota (52 beds).

It is one of 2 senior care facilities in Lemmon and 96 skilled nursing facilities across South Dakota. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Five Counties Nursing Home 51 times across 9 inspections in the last three years, including 2 food-safety citations, and CMS has imposed $20,703 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Ownership type

Non profit - Corporation

Registered owners & officers

Stroschein, Chad

Managing employee · Director — since 2018

Regulatory standing

Licensed / certified since

1995-09-01

CMS overall rating

1 of 5 stars

Health deficiencies

4 at the last standard inspection

Federal fines

$20,703 total

Last standard inspection

2026-05-07

Nurse staffing

2.9 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$292 per day (≈ $8,880/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

47% Medicaid · 6% Medicare · 47% private/other

Occupancy

87% (fiscal year 2023)

Vs. state median

29% below the SD median of $412/day — full state cost breakdown

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.

2026-05-07Health inspection4 citations

F-0550

D · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2026-06-05

F-0554

D · No harm found

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2026-06-05

F-0689

D · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2026-06-05

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2026-06-05

2025-05-15Health inspectionComplaint-triggered1 citation

F-0689

D · No harm foundFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-05-27

7 earlier / fire-safety inspections (46 citations)

2025-04-09Health inspectionComplaint-triggered5 citations

F-0610

D · No harm foundFrom a complaint

Respond appropriately to all alleged violations.

Corrected 2025-05-27

F-0658

D · No harm foundFrom a complaint

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-05-27

F-0686

G · Actual harmFrom a complaint

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-05-02

F-0760

G · Actual harmFrom a complaint

Ensure that residents are free from significant medication errors.

Corrected 2025-05-02

F-0761

E · No harm foundFrom a complaint

Ensure 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.

Corrected 2025-05-02

2025-03-12Health inspection21 citations

F-0582

E · No harm found

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2025-04-26

F-0583

E · No harm found

Keep residents' personal and medical records private and confidential.

Corrected 2025-04-26

F-0610

D · No harm found

Respond appropriately to all alleged violations.

Corrected 2025-05-27

F-0655

E · No harm found

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2025-04-26

F-0658

E · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-04-26

F-0699

E · No harm found

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2025-04-26

F-0700

E · No harm found

Try 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.

Corrected 2025-05-08

F-0725

F · No harm found

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2025-04-26

F-0727

F · No harm found

Have 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.

Corrected 2025-04-26

F-0732

F · No harm found

Post nurse staffing information every day.

Corrected 2025-04-26

F-0755

F · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-05-27

F-0758

D · No harm found

Implement 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.

Corrected 2025-04-26

F-0761

E · No harm found

Corrected 2025-04-26

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-04-26

F-0835

F · No harm found

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2025-04-26

F-0837

F · No harm found

Establish 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.

Corrected 2025-04-26

F-0847

F · No harm found

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Corrected 2025-05-07

F-0848

F · No harm found

Provide a neutral and fair arbitration process and agree to arbitrator and venue.

Corrected 2025-05-07

F-0851

F · No harm found

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Corrected 2025-04-26

F-0865

F · No harm found

Have a plan that describes the process for conducting QAPI and QAA activities.

Corrected 2025-04-26

F-0909

E · No harm found

Regularly 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.

Corrected 2025-04-26

2025-01-22Health inspectionComplaint-triggered1 citation

F-0684

E · No harm foundFrom a complaint

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-02-07

2023-12-06Health inspection5 citations

F-0625

D · No harm found

Notify 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.

Corrected 2024-01-20

F-0658

E · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-01-20

F-0678

E · No harm found

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Corrected 2024-01-20

F-0692

E · No harm found

Provide enough food/fluids to maintain a resident's health.

Corrected 2024-01-20

F-0758

D · No harm found

Corrected 2024-01-20

2026-05-07Fire-safety inspection2 citations

K-0225

C · No harm found

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2026-05-07

K-0374

C · No harm found

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2026-05-07

2025-03-12Fire-safety inspection5 citations

K-0222

D · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2025-04-26

K-0225

C · No harm found

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2025-04-26

K-0293

D · No harm found

Have properly located and lighted "Exit" signs.

Corrected 2025-04-26

K-0321

D · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-04-26

K-0374

C · No harm found

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2025-04-26

2023-12-06Fire-safety inspection7 citations

E-0006

F · No harm found

Conduct risk assessment and an All-Hazards approach.

Corrected 2024-01-20

E-0036

F · No harm found

Establish emergency prep training and testing.

Corrected 2024-01-20

E-0039

F · No harm found

Conduct testing and exercise requirements.

Corrected 2024-01-20

K-0225

C · No harm found

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2024-01-22

K-0351

E · No harm found

Install an approved automatic sprinkler system.

Corrected 2024-01-04

K-0374

C · No harm found

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2024-01-22

K-0918

E · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-01-18

Federal penalties

2025-03-12Fine$20,703

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 435090.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 51 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-08-31

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered