Five Counties Nursing Home
Five Counties Nursing Home is a 38-bed nursing home in LEMMON, South Dakota. CMS has certified it for Medicare and Medicaid since 1995-09-01. It averages 34.5 residents a day.
What harm was found in the violations cited at Five Counties Nursing Home?
CMS lists 37 health-inspection deficiencies for Five Counties Nursing Home, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-05-07.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-05-07 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2026-05-07 | F0550, F0554, F0689 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Allow residents to self-administer drugs if determined clinically appropriate. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2025-05-15 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2025-04-09 | F0686, F0760 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that residents are free from significant medication errors. | G |
| 2025-04-09 | F0761 | 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. | E |
| 2025-04-09 | F0610, F0658 | Respond appropriately to all alleged violations. / Ensure services provided by the nursing facility meet professional standards of quality. | D |
| 2025-03-12 | F0725, F0727, F0732, F0755, F0812, F0835, F0837, F0847, F0848, F0851, F0865 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / 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. / Post nurse staffing information every day. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Administer the facility in a manner that enables it to use its resources effectively and efficiently. / 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. / Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. / Provide a neutral and fair arbitration process and agree to arbitrator and venue. / Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. / Have a plan that describes the process for conducting QAPI and QAA activities. | F |
| 2025-03-12 | F0582, F0583, F0655, F0658, F0699, F0700, F0761, F0909 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Keep residents' personal and medical records private and confidential. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Ensure services provided by the nursing facility meet professional standards of quality. / Provide care or services that was trauma informed and/or culturally competent. / 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. / 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. / 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. | E |
| 2025-03-12 | F0610, F0758 | Respond appropriately to all alleged violations. / 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. | D |
| 2025-01-22 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E |
| 2023-12-06 | F0658, F0678, F0692 | Ensure services provided by the nursing facility meet professional standards of quality. / Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. / Provide enough food/fluids to maintain a resident's health. | E |
| 2023-12-06 | F0625, F0758 | 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. / 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. | D |
Why was Five Counties Nursing Home fined?
| Date | Type | Amount |
|---|---|---|
| 2025-03-12 | Fine | $20,703 |
How is Five Counties Nursing Home staffed relative to the SD average?
| Measure | This facility | SD average |
|---|---|---|
| Total nurse staffing hours per resident per day | 2.89775 | 3.78948 |
| Average number of residents per day | 34.5 | 52.1 |
Who owns Five Counties Nursing Home?
Five Counties Nursing Home is registered with CMS as Non profit - Corporation, operates under the legal business name LEMMON AREA MEDICAL ASSOCIATION.
| Role | Owner | Association date |
|---|---|---|
| W-2 MANAGING EMPLOYEE | STROSCHEIN, CHAD | since 11/19/2018 |
| CORPORATE DIRECTOR | STROSCHEIN, CHAD | since 11/19/2018 |
Were you or a family member harmed at Five Counties Nursing Home?