Eagle Butte · 57625
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24266 Airport Road
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Five Counties Nursing Home
⌖ Lemmon, SD · Perkins County
No photos yet
Medicare overall rating 1 of 5 stars
Certified beds38
Medicare / MedicaidMedicare & Medicaid
OwnershipNon-profit (corporation)
About Five Counties Nursing Home
Five Counties Nursing Home is a 38-bed nonprofit nursing home in Lemmon, SD. Medicare rates it 1 out of 5 stars overall (much below average); the average in South Dakota is 2.9. At its last full inspection (May 2026), inspectors found 4 problems, fewer than the South Dakota average of 6.7. None of the problems in its recent inspections were found to have harmed residents. Nurses and aides spend about 2 hr 54 min a day with each resident, less than the South Dakota average of 3 hr 47 min. Medicare fined it $20,703 in the last three years.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
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Key details
Facility nameFive Counties Nursing Home
LocationPerkins County, South Dakota
Phone(605) 374-3871
Address405 6th Avenue West, Lemmon, SD 57638 · Perkins County
CMS provider number435090
Ownership typeNon-profit (corporation)
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceSeptember 1, 1995 (31 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
2 strengths and 2 things to ask about in Medicare's inspection, fine and staffing records for this home. 1 care-quality measure is worse than the state average in the rehab and long-term care section below.
Strengths
- Serious health citationsNone on recordNo citations for actual harm or immediate jeopardy since May 2026.Strength
- Health citations at last inspection4 (May 2026)South Dakota average: 6.7. Most citations are minor and corrected within weeks.Strength
About average
- Registered nurse time per resident45 min a daySouth Dakota average: 48 minAbout average
Things to ask about
This home hasn’t responded to these yet. Represent this home? Respond →
- Fines and penalties1 fine totaling $20,703Federal penalties from the last three years, most recently in Mar 2025 (about 1 year ago). The national average is $30,972 per home.Worth asking about
- Nurse staffing per resident2 hr 54 min a daySouth Dakota average: 3 hr 47 minWorse than state average
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the South Dakota average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury8.7%State average: 5.5%Worse than average
- Pressure sores (bedsores)3.4%State average: 4.6%Better than average
- Given antipsychotic drugs19.3%State average: 24.6%Better than average
- Hospital stays per 1,000 resident days1.8State average: 1.5About average
Source: Medicare (CMS) quality measures, compared with the South Dakota average. Lower is better for every rate shown.
Who pays, and how full it is
Many residents here pay privately or through insurance. In South Dakota, Medicaid pays for 54% of resident days at a typical home.
- 46% Medicaid
- 7% Medicare
- 47% Private pay, insurance and other
Beds in use, on average80%South Dakota typical: 85%
Cost of care per resident day$315South Dakota typical: $330
Shares of resident days, from the home’s Medicare cost report for the year ending September 2024. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.
Ratings over time
Its overall Medicare rating is 1 star now, down from 3 stars in January 2019. It has ranged from 1 to 5 stars and changed 16 times.
Overall rating1★
Health inspections1★
Staffing2★
Quality of care1★
Nurse hours per resident per day2.9
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 3 | 2 | 4 | 4 | 3.5 |
| Jan 2020 | 5 | 3 | 4 | 5 | 2.8 |
| Jan 2021 | 4 | 3 | 4 | 2 | 3.0 |
| Jan 2022 | 4 | 4 | 4 | 2 | 3.3 |
| Jan 2023 | 3 | 3 | 2 | 2 | 3.0 |
| Jan 2024 | 2 | 4 | 1 | 1 | – |
| Feb 2025 | 1 | 3 | 1 | 1 | 1.9 |
| Feb 2026 | 1 | 1 | 3 | 1 | 3.0 |
| Sep 2026 | 1 | 1 | 2 | 1 | 2.9 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
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Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
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