Five Counties Nursing Home
405 6TH AVENUE WEST, LEMMON, SD 57638 · CCN 435090
SFF Candidate
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★☆☆☆☆ 1
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 42
- Avg residents/day
- 32.4
- Phone
- 6053743871
Inspection history vs South Dakota & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | South Dakota avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-03-12 | 27 | 6.8 | 9.5 | +20.2 worse |
| 2 | 2023-12-06 | 6 | 5.6 | 9.8 | +0.4 worse |
| 3 | 2022-11-03 | 1 | 3.0 | 9.3 | -2.0 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 2 |
| Quality of life and care | 4 |
| Resident assessment and care planning | 3 |
| Nursing and physician services | 3 |
| Resident rights | 2 |
| Nutrition and dietary | 1 |
| Pharmacy service | 5 |
| Environmental | 1 |
| Administration | 6 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.02 | 65.5% |
| RN staffing (reported) | 0.86 | 87.5% |
| Total nurse staffing (adjusted) | 3.83 | — |
Fines & penalties
- Total fines
- $31,850
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Inspection citations (34)2 actual harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-05-15 · Health · corrected 2025-05-27
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2025-04-09 · Health · corrected 2025-05-27
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-04-09 · Health · corrected 2025-05-27
Potential for more than minimal harm
- GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-04-09 · Health · corrected 2025-05-02
Actual harm
- GF0760Ensure that residents are free from significant medication errors.2025-04-09 · Health · corrected 2025-05-02
Actual harm
- EF0761Ensure 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 · Health · corrected 2025-05-02
Potential for more than minimal harm
- EF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2025-03-12 · Health · corrected 2025-04-26
Potential for more than minimal harm
- EF0583Keep residents' personal and medical records private and confidential.2025-03-12 · Health · corrected 2025-04-26
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2025-03-12 · Health · corrected 2025-05-27
Potential for more than minimal harm
- EF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-03-12 · Health · corrected 2025-04-26
Potential for more than minimal harm
- EF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-03-12 · Health · corrected 2025-04-26
Potential for more than minimal harm
- EF0699Provide care or services that was trauma informed and/or culturally competent.2025-03-12 · Health · corrected 2025-04-26
Potential for more than minimal harm
- EF0700Try 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 · Health · corrected 2025-05-08
Potential for more than minimal harm
- FF0725Provide 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 · Health · corrected 2025-04-26
Potential for more than minimal harm
- FF0727Have 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 · Health · corrected 2025-04-26
Potential for more than minimal harm
- FF0732Post nurse staffing information every day.2025-03-12 · Health · corrected 2025-04-26
Potential for more than minimal harm
- FF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-03-12 · Health · corrected 2025-05-27
Potential for more than minimal harm
- DF0758Implement 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.2025-03-12 · Health · corrected 2025-04-26
Potential for more than minimal harm
- EF0761Ensure 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 · Health · corrected 2025-04-26
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-03-12 · Health · corrected 2025-04-26
Potential for more than minimal harm
- FF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2025-03-12 · Health · corrected 2025-04-26
Potential for more than minimal harm
- FF0837Establish 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 · Health · corrected 2025-04-26
Potential for more than minimal harm
- FF0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.2025-03-12 · Health · corrected 2025-05-07
Potential for more than minimal harm
- FF0848Provide a neutral and fair arbitration process and agree to arbitrator and venue.2025-03-12 · Health · corrected 2025-05-07
Potential for more than minimal harm
- FF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.2025-03-12 · Health · corrected 2025-04-26
Potential for more than minimal harm
- FF0865Have a plan that describes the process for conducting QAPI and QAA activities.2025-03-12 · Health · corrected 2025-04-26
Potential for more than minimal harm
- EF0909Regularly 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 · Health · corrected 2025-04-26
Potential for more than minimal harm
- EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-01-22 · Health · corrected 2025-02-07
Potential for more than minimal harm
- DF0625Notify 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 · Health · corrected 2024-01-20
Potential for more than minimal harm
- EF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-12-06 · Health · corrected 2024-01-20
Potential for more than minimal harm
- EF0678Provide 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 · Health · corrected 2024-01-20
Potential for more than minimal harm
- EF0692Provide enough food/fluids to maintain a resident's health.2023-12-06 · Health · corrected 2024-01-20
Potential for more than minimal harm
- DF0758Implement 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.2023-12-06 · Health · corrected 2024-01-20
Potential for more than minimal harm
- EF0700Try 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.2022-11-03 · Health · corrected 2022-12-23
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| STROSCHEIN, CHAD | Individual | CORPORATE DIRECTOR | — | 2018-11-19 |
| STROSCHEIN, CHAD | Individual | W-2 MANAGING EMPLOYEE | — | 2018-11-19 |
Other facilities in LEMMON
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.