Five Counties Nursing Home is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1995-09-01. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (605) 374-3871 or your local Medicaid office to verify current eligibility.

Five Counties Nursing Home holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 1 out of 5 stars. This is made up of three components: Health Inspection (1★), Staffing (3★), and Quality of Resident Care (1★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 42.9/100, placing it #14517 of 14703 facilities nationally and #97 of 97 in South Dakota. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Five Counties Nursing Home receives a reported average of 3 hours 1 minute of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 51 minutes; Licensed Practical Nurse (LPN) — 11 minutes; Nurse Aide — 1 hour 58 minutes. On weekends, total nurse staffing is 2 hours 34 minutes per resident per day. The CMS Staffing Rating for this facility is 3 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 65.5%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 1 fine(s) totaling $31,850. 3 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 1 fine(s) totaling $31,850, and 0 Medicare payment denial(s). Total penalties: 1. The Total Weighted Health Survey Score is 356.5 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Five Counties Nursing Home ranks 14517th out of 14,703 facilities (composite score: 42.9/100), placing it in the bottom 25% nationwide. Within SD, it ranks 97th out of 97 nursing homes. For 2026 staffing: total nurse hours rank #13,075 nationally and RN hours rank #3,086 nationally (#31 in SD). Our composite quality score of 42.9/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Lemmon, visit: https://nursinghomesnearme.org/south_dakota/lemmon/