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CMS CCN 435090 · Non profit - Corporation

Five Counties Nursing Home

405 6TH AVENUE WEST, LEMMON, SD 57638

Overall CMS Rating

1/5

Staffing Rating

2/5
View on Medicare.gov

Below-average staffing — research carefully

2.90 total HPRD vs. 3.89 national avg · 0.76 RN HPRD vs. 0.69 national avg

Staffing Hours Per Resident Per Day

2.90

Total HPRD

Nat avg 3.89

0.76

RN HPRD

Nat avg 0.69

N/A

LPN HPRD

Nat avg 0.94

1.95

CNA HPRD

Nat avg 2.27

Staffing Comparison

Bar = this facility. Markers = state avg (blue) and national avg (purple).

RN Hours/Day0.76 hr/day
State 0.72National 0.69
LPN Hours/DayN/A
State 0.82National 0.94
CNA Hours/Day1.95 hr/day
State 2.41National 2.27
Total Nursing Hours/Day2.90 hr/day
State 3.95National 3.89

Weekend Staffing

Weekend RN hours often drop 10–20% — a key quality indicator.

Weekend RN HPRD

N/A

National avg 0.48

Weekend Drop vs. Weekday

N/A

Staff Turnover

Annual staff turnover — below 30% is excellent; above 70% indicates instability.

Total Nursing Turnover

N/A

National avg 52%

RN Turnover

N/A

CMS Star Ratings

Overall Rating

Much below average

1/5

Health Inspection

Much below average

1/5

Staffing

Below average

2/5

Quality Measures

Much below average

1/5

Facility Information

Ownership
Non profit - Corporation
Certified Beds
38
State
South Dakota
ZIP
57638
Last Inspection
CMS CCN
435090

Penalty & Inspection History

1 CMS fine totaling $20,703

Review full inspection reports on Medicare.gov Care Compare.

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Frequently Asked Questions

What are the staffing levels at Five Counties Nursing Home?
Five Counties Nursing Home reports 2.90 total nursing hours per resident per day (HPRD), including 0.76 RN hours, N/A LPN hours, and 1.95 CNA hours. The U.S. national average is 3.89 total HPRD (0.69 RN, 0.94 LPN, 2.27 CNA).
What is the CMS rating for Five Counties Nursing Home?
Five Counties Nursing Home holds a CMS overall rating of 1 out of 5 stars. The staffing-specific rating is 2 stars, health inspection rating is 1 stars, and quality measure rating is 1 stars. CMS ratings are updated quarterly.
How does Five Counties Nursing Home compare to other South Dakota nursing homes?
The South Dakota average is 3.95 total HPRD and 0.72 RN HPRD. Five Counties Nursing Home's total HPRD of 2.90 is below the state average.
What is the staff turnover rate at Five Counties Nursing Home?
Turnover data is not available for Five Counties Nursing Home in the current CMS dataset. Ask the facility directly about their 12-month nursing staff retention rate.

Data: CMS Payroll-Based Journal (PBJ) via CMS Care Compare. Revalidated every 24 h. Not a substitute for professional medical advice.

Five Counties Nursing Home Staffing Ratios — LEMMON, South Dakota Nursing Home (2026) | AllyKin