CareSentinel

Federal Nursing-Home Survey Record

Five Counties Nursing Home

CCN 435090 · 405 6TH AVENUE WEST, LEMMON, SD, 57638

Does Five Counties Nursing Home have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), Five Counties Nursing Home (CCN 435090), in LEMMON, SD, has federal inspection findings on its record. CMS also lists the facility as a candidate for its Special Focus Facility program; a candidate is not on the active watch list. In its current inspection cycle, CMS cited the facility for 22 deficiencies; the most serious carries scope/severity F on CMS's A–L scale. The most recent federal survey on file is dated 2025-03-12. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. CMS has $20,703 in civil money penalties on file against the facility. This page restates the federal record as published by CMS and draws no conclusion of its own. Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

The Federal Record

CMS has $20,703 in civil money penalties on file against this facility.

Below is this facility's federal survey record as on file with federal regulators (CMS). Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

SFF Candidate

A candidate for the federal Special Focus Facility watch list

CMS lists this facility as a candidate for the Special Focus Facility program. It is not on the active watch list.

Scope & Severity — current cycle

ANo Harm
BNo Harm
CNo Harm
DPotential
EPotential
FPotential
GActual Harm
HActual Harm
IActual Harm
JImm. Jeopardy
KImm. Jeopardy
LImm. Jeopardy

CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations, as on file with federal regulators (CMS).

Civil money penalties on file

$20,703

CMS has $20,703 in civil money penalties on file against this facility.

Overall CMS star rating: this facility vs the CMS-published state average

This facility: 1  ·  CMS state average: 2.8

Side-by-side with the CMS-published Overall CMS star rating for this state. This is the government's own published state average — not a CareSentinel-computed figure or delta.

Deficiency timeline — full federal history

2025-05-15
CURRENT CYCLE
F689S/S D

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

2025-04-09
HISTORICAL
F686S/S G

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

2025-04-09
HISTORICAL
F760S/S G

Ensure that residents are free from significant medication errors.

2025-04-09
HISTORICAL
F761S/S E

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.

2025-04-09
HISTORICAL
F610S/S D

Respond appropriately to all alleged violations.

2025-04-09
HISTORICAL
F658S/S D

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

2025-03-12
CURRENT CYCLE
F837S/S F

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.

2025-03-12
CURRENT CYCLE
F835S/S F

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

2025-03-12
CURRENT CYCLE
F851S/S F

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

2025-03-12
CURRENT CYCLE
F812S/S F

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

2025-03-12
CURRENT CYCLE
F725S/S F

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

2025-03-12
CURRENT CYCLE
F865S/S F

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

2025-03-12
CURRENT CYCLE
F727S/S F

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.

2025-03-12
CURRENT CYCLE
F732S/S F

Post nurse staffing information every day.

2025-03-12
CURRENT CYCLE
F755S/S F

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

2025-03-12
CURRENT CYCLE
F848S/S F

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

2025-03-12
CURRENT CYCLE
F847S/S F

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

2025-03-12
CURRENT CYCLE
F909S/S E

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.

2025-03-12
CURRENT CYCLE
F583S/S E

Keep residents' personal and medical records private and confidential.

2025-03-12
CURRENT CYCLE
F655S/S E

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

2025-03-12
CURRENT CYCLE
F658S/S E

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

2025-03-12
CURRENT CYCLE
F699S/S E

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

2025-03-12
CURRENT CYCLE
F700S/S E

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.

2025-03-12
CURRENT CYCLE
F761S/S E

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.

2025-03-12
CURRENT CYCLE
F582S/S E

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

2025-03-12
CURRENT CYCLE
F610S/S D

Respond appropriately to all alleged violations.

2025-03-12
CURRENT CYCLE
F758S/S D

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.

2025-01-22
HISTORICAL
F684S/S E

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

2023-12-06
HISTORICAL
F678S/S E

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

2023-12-06
HISTORICAL
F692S/S E

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

2023-12-06
HISTORICAL
F658S/S E

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

2023-12-06
HISTORICAL
F625S/S D

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.

2023-12-06
HISTORICAL
F758S/S D

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.

2022-11-03
HISTORICAL
F700S/S E

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.

Each citation below is a federal survey finding, dated and labeled with its CMS deficiency tag, as on file with federal regulators (CMS). Older inspection cycles are de-emphasized; only the most recent cycle is current.

Document what happened

Were you or a loved one harmed at Five Counties Nursing Home?

Share a few details to put your inquiry on file. CareSentinel is an independent service that compiles the public CMS record and does not provide legal advice. As qualified attorneys join our network in your area, one may reach out — we can’t guarantee contact yet, so we encourage you to consult a qualified attorney promptly on your own as well. There is no cost, and your information is handled with care.

Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Step 1 of 3 · What happened

Your relationship to the resident
What happened? Select all that apply.

Physical injury

Skin & wounds

Medical & clinical

Safety & abuse

Loss

Something else

The resident is…