Five Counties Nursing Home
405 6TH AVENUE WEST, Lemmon, SD 57638
Lemmon, South Dakota · CMS verdict
On the federal five-star scale, Five Counties Nursing Home carries a 1 of 5 CMS overall rating, below-average quality that runs below South Dakota's state average of 2.9.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Five Counties Nursing Home in Lemmon, South Dakota holds a CMS overall rating of 1 of 5 stars and a PlainElderCare Quality & Compliance Index of 19 of 100 (grade F). The 42-bed facility operates where a semi-private nursing-home room in South Dakota runs a median of $9,444 per month. Figures are from CMS Nursing Home Compare.
PlainElderCare Quality & Compliance Index
A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 1 of 5 stars. How this is calculated.
How the 19 is built
Each segment is a dimension's weighted points toward the score, summing to 19.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Data insights
Quality ratings
Five Counties Nursing Home holds a CMS overall quality rating of 1 out of 5 stars, based on the most recent Care Compare release (data as of April 2026). CMS breaks this into three sub-ratings: health inspection (1/5), staffing (3/5), and quality measures (1/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Lemmon, South Dakota, this facility operates 42 certified beds with an average daily census of roughly 32 residents - an occupancy rate of about 76%. The facility is classified under non profit - corporation ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 76% occupancy, this facility has meaningful open capacity relative to its certified bed count.
Same-ownership peers
Within South Dakota, Five Counties Nursing Home is one of 50 non profit - corporation nursing homes CMS rates. Its 1-star overall rating sits below the non profit - corporation-segment average of 3.0 stars, ahead of roughly 0% of same-ownership peers in the state. Comparing a facility against its own ownership segment holds the business model roughly constant, which helps isolate facility-level performance from the staffing and reinvestment patterns that differ across for-profit, non-profit, and government operators.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility (34 total). CMS has levied 1 enforcement penalty - civil money penalties or denials of payment, during the same window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
The figures above come directly from the U.S. Centers for Medicare \& Medicaid Services Nursing Home Compare dataset for federal quality ratings, combined with the CareScout 2025 Cost of Care Survey of more than 15,000 elder-care providers nationwide and U.S. Census American Community Survey income data. Cost figures are monthly medians, refreshed annually with each new CareScout release; quality ratings are refreshed quarterly from the CMS Provider Information File. Read these state and county medians as benchmarks, then verify current rates with individual providers and consult care managers before making placement decisions. See our methodology for source vintage.
How Five Counties Nursing Home compares to South Dakota
CMS five-star sub-ratings (0–5) for this facility against the South Dakota facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = South Dakota state average. Higher is better on all four CMS measures.
Where Five Counties Nursing Home ranks in South Dakota
Among the 95 CMS-rated nursing homes in South Dakota, Five Counties Nursing Home’s 1-star overall rating is higher than 0% of them. The bars show how all South Dakota homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
20 South Dakota homes share this 1-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 42 |
| Residents | 32 |
| Ownership | Non profit - Corporation |
| County | Perkins |
| Penalties | 1 |
| Deficiencies | 34 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Five Counties Nursing Home? ▾
1 out of 5 stars is Five Counties Nursing Home's current CMS overall rating, built from a health inspection rating of 1/5, a staffing rating of 3/5, and a quality measures rating of 1/5.
How much does a nursing home cost per month in South Dakota? ▾
CareScout's 2025 survey puts South Dakota's median semi-private nursing home rate at $9,444 per month ($113,333 per year), with private rooms averaging $10,190 per month.
What services does Five Counties Nursing Home offer? ▾
With 42 beds with approximately 32 current residents, Five Counties Nursing Home is a skilled nursing facility. It operates under non profit - corporation ownership, and CMS's inspection record shows 34 deficiencies and 1 penalties.
Does Five Counties Nursing Home have any deficiencies or penalties? ▾
Five Counties Nursing Home has multiple deficiencies (34 total) and 1 penalties recorded by CMS. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in South Dakota? ▾
In South Dakota, alternatives include assisted living ($4,900/mo), home health aides ($8,437/mo), and adult day care (N/A/mo).
Elder Care Guides
Explore PlainElderCare
Related Resources
Compare cost and CMS quality across the state on the South Dakota elder-care overview, or see how facilities rank nationwide in our highest-rated states ranking.
Weigh nursing care against assisted living, home health, and adult day care, with national median costs, on our care types comparison, and learn how to fund it in our paying for elder care guide.
Source: CMS Nursing Home Compare. Provider ID: 435090.
Read our methodology - how this data is sourced, computed, and verified.