Total Health inspections
6
33% above South Dakota average
South Dakota average:
4.5
Last Health inspection on May 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Five Counties Nursing Home
Five Counties Nursing Home is a Nursing Home in South Dakota
Five Counties Nursing Home is a Nursing Home in South Dakota
Five Counties Nursing Home
Five Counties Nursing Home is a Nursing Home in South Dakota
Five Counties Nursing Home is a Nursing Home in South Dakota
Five Counties Nursing Home is a skilled nursing facility located in Lemmon, South Dakota. It offers both short- and long-term care, as well as assisted living and independent living services. The facility is dedicated to providing personalized medical care and rehabilitation services in a nurturing environment.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
37
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
86.9%
Residents per day (avg)
34
Occupancy rate
86.9%
Residents per day (avg)
34
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
59% of new residents, usually for short-term rehab.
Typical stay
2 months
Private pay
32% of new residents, often for short stays.
Typical stay
2 - 3 years
Medicaid
9% of new residents, often for long-term daily care.
Typical stay
8 - 9 years
Finances and operations
Voluntary non-profit home
Other
Home revenue
$4.0M
Operating deficit
-$30.2K
Voluntary non-profit home
Other
Home revenue
$4,029,159.00
Operating deficit
$-30,172.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.5M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$2.5M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$4.1M
37-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
About this community
License Status
ActiveFacility Type
Nursing Home
License Date
August 6, 2025
Additional licensing details
License number:
10641
CMS Certification Number:
435090
County:
Perkins
Ownership & operating entity
Five Counties Nursing Home is administrated by Fish, Jordan.
Care Services
Nursing Services
Rehabilitation Services
Independent Living
Skilled Nursing
Licensed Nurses/CNAs
Amenities & Lifestyle
Programs & Activities
Specific Programs
Skilled Nursing, Assisted Living & Independent Living, Therapy
Compare Nursing Homes around South Dakota
The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.
Alcester Care and Rehab Center
+30%
-14%
+19%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
SD 57001
39
No
-
STROSCHEIN PROPERTIES III LLC
94.9%
$2,913,737.00
$1,508,672.00
51.8%
37.10
3.7156
2
11
1
+30%-14%+19%
Avantara Clark City
-22%
-27%
-1%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Clark
38
No
31
SCHLOMER, TIFFANY
79.4%
$5,951,228.00
$1,518,009.00
25.5%
30.60
3.1510
1
5
1
-22%-27%-1%
Aurora Brule Nursing Home Inc.
+29%
-20%
-23%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
SD 57383
44
No
-
AURORA-BRULE NURSING HOME
61.7%
$2,847,378.00
$1,491,258.00
52.4%
39.60
3.4495
2
16
1
+29%-20%-23%
Five Counties Nursing Home
-10%
-4%
+9%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
SD 57638
42
No
-
-
86.9%
$3,884,790.00
$1,547,064.00
39.8%
34.10
4.1525
1
34
2
-10%-4%+9%
Avantara Arrowhead
+52%
-36%
-6%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
SD 57702
74
No
12
PRESTON, PHILIP
75.2%
$10,728,053.00
$2,930,677.00
27.3%
60.50
2.7955
5
34
9
+52%-36%-6%
Alcester Care and Rehab Center
Type of care:
SNF
AL
Community:
SD 57001
Bed Count:
39
Pets Allowed:
No
Operator:
STROSCHEIN PROPERTIES III LLC
CCN:
435062
Occupancy:
94.9%
Home Revenue:
$2,913,737.00
Payroll Costs:
$1,508,672.00
Payroll %:
51.8%
Avg Residents/Day:
37.10
Overall Rating:
Adj Nurse Hours:
3.7156
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
2
Citations:
11
Severe Citations:
1
RN share vs State Avg:
+30%
+30%
Staffing vs State Avg:
-14%
-14%
Occupancy vs State Avg:
+19%
+19%
Avantara Clark City
Type of care:
SNF
AL
Community:
Clark
Bed Count:
38
Pets Allowed:
No
Operator:
SCHLOMER, TIFFANY
CCN:
435058
Occupancy:
79.4%
Home Revenue:
$5,951,228.00
Payroll Costs:
$1,518,009.00
Payroll %:
25.5%
Avg Residents/Day:
30.60
Overall Rating:
Adj Nurse Hours:
3.1510
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
5
Severe Citations:
1
RN share vs State Avg:
-22%
-22%
Staffing vs State Avg:
-27%
-27%
Occupancy vs State Avg:
-1%
-1%
Aurora Brule Nursing Home Inc.
Type of care:
SNF
AL
Community:
SD 57383
Bed Count:
44
Pets Allowed:
No
Operator:
AURORA-BRULE NURSING HOME
CCN:
435132
Occupancy:
61.7%
Home Revenue:
$2,847,378.00
Payroll Costs:
$1,491,258.00
Payroll %:
52.4%
Avg Residents/Day:
39.60
Overall Rating:
Adj Nurse Hours:
3.4495
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
2
Citations:
16
Severe Citations:
1
RN share vs State Avg:
+29%
+29%
Staffing vs State Avg:
-20%
-20%
Occupancy vs State Avg:
-23%
-23%
Five Counties Nursing Home
Type of care:
SNF
AL
Community:
SD 57638
Bed Count:
42
Pets Allowed:
No
CCN:
435090
Occupancy:
86.9%
Home Revenue:
$3,884,790.00
Payroll Costs:
$1,547,064.00
Payroll %:
39.8%
Avg Residents/Day:
34.10
Overall Rating:
Adj Nurse Hours:
4.1525
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
34
Severe Citations:
2
RN share vs State Avg:
-10%
-10%
Staffing vs State Avg:
-4%
-4%
Occupancy vs State Avg:
+9%
+9%
Avantara Arrowhead
Type of care:
SNF
AL
Community:
SD 57702
Bed Count:
74
Pets Allowed:
No
Operator:
PRESTON, PHILIP
CCN:
435051
Occupancy:
75.2%
Home Revenue:
$10,728,053.00
Payroll Costs:
$2,930,677.00
Payroll %:
27.3%
Avg Residents/Day:
60.50
Overall Rating:
Adj Nurse Hours:
2.7955
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
5
Citations:
34
Severe Citations:
9
RN share vs State Avg:
+52%
+52%
Staffing vs State Avg:
-36%
-36%
Occupancy vs State Avg:
-6%
-6%Places of interest near Five Counties Nursing Home
0.0 miles from city center
Lemmon, SD 57638
Calculate Travel Distance to Five Counties Nursing Home
Add your location
Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
41
Total Staff
25
Employees
16
Contractors
11,460
Total Hours (Quarter)
15
Avg Staff/Day
8.4
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 4 | 11.1 | Yes |
| Licensed Practical Nurse | 4 | 9.7 | Yes |
| Certified Nursing Assistant | 18 | 8.8 | Yes |
Staff by Category
Administration ⓘ
1 staff
0.8hs shift avg
Nursing Staff ⓘ
29 staff
9.2hs shift avg
Physicians & Practitioners ⓘ
3 staff
7.7hs shift avg
Therapy Services ⓘ
2 staff
2.8hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
1 staff
2hs shift avg
Dietary Services ⓘ
4 staff
6.8hs shift avg
Other Services ⓘ
1 staff
7.1hs shift avg
Contractor Analysis
45.7%
of total hours from contractors
5,235 contractor hours this quarter
Certified Nursing Assistant: 6
Licensed Practical Nurse: 1
Other Physician: 1
Registered Nurse: 3
Respiratory Therapy Technician: 1
Nurse Practitioner: 1
Physical Therapy Assistant: 1
Medical Director: 1
Qualified Social Worker: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 12 | 6 | 18 | 5,963 | 91 | 100% | 8.8 |
| Registered Nurse | 1 | 3 | 4 | 1,613 | 87 | 96% | 11.1 |
| Licensed Practical Nurse | 3 | 1 | 4 | 1,029 | 79 | 87% | 9.7 |
| Medication Aide/Technician | 3 | 0 | 3 | 867 | 86 | 95% | 8.8 |
| Dietitian | 2 | 0 | 2 | 442 | 58 | 64% | 7.4 |
| Other Dietary Services Staff | 2 | 0 | 2 | 433 | 64 | 70% | 6.2 |
| Nurse Practitioner | 0 | 1 | 1 | 397 | 47 | 52% | 8.4 |
| Mental Health Service Worker | 1 | 0 | 1 | 311 | 44 | 48% | 7.1 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 195 | 64 | 70% | 3 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 120 | 12 | 13% | 10 |
| Physical Therapy Assistant | 0 | 1 | 1 | 61 | 27 | 30% | 2.3 |
| Qualified Social Worker | 0 | 1 | 1 | 14 | 7 | 8% | 2 |
| Medical Director | 0 | 1 | 1 | 9 | 12 | 13% | 0.8 |
| Other Physician | 0 | 1 | 1 | 8 | 9 | 10% | 0.9 |
Health Inspection History
Total Health citations
34
130% above South Dakota average
South Dakota average:
14.8
5.67 citations per inspection (avg)
Citations origin
Citations can result from standard inspections or complaint-based investigations.
Standard inspections
27 citations
Complaint investigations
7 citations
Breakdown of citations
Critical Health citations
0
100% below South Dakota average
South Dakota average:
0.3
Serious Health citations
2
11% above South Dakota average
South Dakota average:
1.8
Moderate Health citations
32
Minor Health citations
0
Citations history (last 3 years)
Quality of Care moderate citation
May 15, 2025
Corrected
Abuse/Neglect moderate citation
Apr 09, 2025
Corrected
Pharmacy serious citation
Apr 09, 2025
Corrected
Pharmacy moderate citation
Apr 09, 2025
Corrected
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: Non-Profit Corporation
Resident Census by Payment Source
40
Total Residents
Medicare
4
(10%)
ⓘ
Medicaid
14
(35%)
ⓘ
Private Pay/Other
22
(55%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Nurse Aide Training
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
17.1
42% worse than South Dakota average
South Dakota average:
12.0
Functional decline score
29.9
25% worse than South Dakota average
South Dakota average:
23.9
Long-Stay Resident Measures
Daily care & independence
Need for Help with Daily Activities Increased
32.3%
45% above South Dakota average.
Walking Ability Worsened
31.6%
38% above South Dakota average.
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
25.8%
3% below South Dakota average.
Safety & clinical stability
Falls with Major Injury
9.9%
97% above South Dakota average.
High Risk Residents with Pressure Ulcers
2.7%
39% below South Dakota average.
Urinary Tract Infection
5.1%
46% above South Dakota average.
Emotional & behavioral wellbeing
Depressive Symptoms
3.1%
25% below South Dakota average.
Antipsychotic Use
11.9%
51% below South Dakota average.
Preventive care
Pneumococcal Vaccine
83.7%
13% below South Dakota average.
Influenza Vaccine
95.2%
2% below South Dakota average.
Nutrition & physical health
Lost Too Much Weight
8.8%
61% above South Dakota average.Short-stay resident measures
Pneumococcal Vaccine
66.0%
22% worse than South Dakota average
Antipsychotic medication increase
0.0%
100% better than South Dakota average Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$32K
This home paid 20% less in fines than the state average.
South Dakota average:
$40K
Number of Fines
1
This home received 51% fewer fines than the state average.
South Dakota average:
2.0
Payment Denials
0
This home is near the state average.
South Dakota average:
0.0
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Mar 12, 2025
$32K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Five Counties Nursing Home based on CMS SNF Cost Reports.
Occupancy Rate
86.9%
↑ 0.6pp vs 2022
Net Income
-$30,172
↓ ~$490K vs 2022
Total Payroll
$2,841,182
↑ ~$218K vs 2022
Profit Margin
-0.8%
↓ 12.5pp vs 2022
Loading trend charts...
Guides for Better Senior Living
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Financial Aid for South Dakota Seniors
Get financial aid guidance
Planning a tour? Check our touring checklist.
Thinking of living here? We can help you speak to a current resident
Looking for a job? Apply for Open Positions at Five Counties Nursing Home
Thinking about senior living? Use our bidding system to get competitive quotes from the best homes in your area.
Touring Checklist for Senior Living
Touring a community? Use this expert-backed checklist to stay organized, ask the right questions, and find the perfect fit.
Location
Community Spaces and Overall Environment
Services
Staffing
Accommodations
Finances
Other Notes
0/250
Send Checklist to Your Email
We'll send you a PDF version of the touring checklist.
Feedback
