Five Counties Nursing Home: Staffing, Turnover, and Inspection Record
Five Counties Nursing Home is a 38-bed nonprofit nursing home in Lemmon, South Dakota. In the CMS August 2026 release it reported 1.95 nurse aide hours per resident per day, 22% below the South Dakota average of 2.52.
Five Counties Nursing Home
405 6th Avenue WestLemmon, SD 57638
Perkins County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Five Counties Nursing Home, nurse aides logged 1.95 hours per resident per day, 22% below the South Dakota average. With about 35 residents a day, that works out to roughly 67 aide hours a day, or about 8 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 13% below the all-days figure.
| Hours per resident per day | This home | South Dakota avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.95 | 2.52 | 2.32 |
| Licensed practical nurses | 0.19 | 0.47 | 0.86 |
| Registered nurses | 0.76 | 0.80 | 0.69 |
| All nursing staff | 2.90 | 3.79 | 3.86 |
| All nursing staff, weekends | 2.51 | 3.26 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
CMS publishes no nursing staff turnover figure for Five Counties Nursing Home in this release.
CMS note: Staffing data not submitted or not valid for calculating turnover.
Inspections and penalties
State inspectors last completed a standard health inspection on May 7, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 4 health deficiencies (South Dakota average 6.9). CMS lists 1 fine totaling $20,703 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Mar 12, 2025 | Fine | $20,703 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Five Counties Nursing Home holds 1 of 5 overall; the South Dakota average is 2.9.
About Five Counties Nursing Home
- Ownership: Non profit - Corporation
- Legal name: Lemmon Area Medical Association
- Medicare and Medicaid certified since: Sep 1, 1995
- Councils: resident council
- Area: rural
Nursing homes near Five Counties Nursing Home
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Western Horizons Care Center Hettinger · abuse citation | 25.5 | 31 | 3.50 | 4.75 | — | 1 | $62,703 |
| Marian Manor Healthcare Center Glen Ullin | 62.7 | 54 | 2.66 | 4.11 | 57.8% | 1 | $22,835 |
| Richardton Health Center Inc Richardton | 65.6 | 29 | 2.74 | 4.18 | 46.2% | 5 | None |
| St Benedicts Health Center Dickinson | 71.6 | 124 | 2.60 | 3.75 | 53.9% | 5 | None |
| St Lukes Home Dickinson | 72.0 | 88 | 4.55 | 6.30 | 53.6% | 5 | None |
| Elm Crest Manor New Salem | 72.1 | 62 | 3.35 | 4.74 | 50.6% | 4 | None |
| Medicine Wheel Village Eagle Butte · SFF candidate | 79.3 | 50 | 2.69 | 4.79 | 31.4% | 2 | $22,636 |
| Sunset Drive - a Prospera Community Mandan · SFF candidate · abuse citation | 86.6 | 128 | 2.27 | 3.57 | 64.5% | 1 | $42,226 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.