Five Counties Nursing Home

CMS star ratings

Overall★★★★★ 1/5

State avg 2.9

Health inspections★★★★★ 1/5

State avg 2.8

Staffing★★★★★ 2/5

State avg 3.5

Quality measures★★★★★ 1/5

State avg 2.8

Long-stay quality★★★★★ 1/5

Short-stay qualityNot rated

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing: 2.90 (state 3.79 · U.S. 3.86)
Registered nurses (RN): 0.76 (state 0.80 · U.S. 0.69)
Licensed practical nurses: 0.19 (state 0.47 · U.S. 0.86)
Nurse aides: 1.95 (state 2.52 · U.S. 2.32)
Weekend total: 2.51 (state 3.26 · U.S. 3.42)
Nursing staff turnover: —
RN turnover: —

Inspections

Last standard inspection: May 7, 2026
Health deficiencies (last cycle): 4.0 (state 6.9 · U.S. 9.3)
From complaints: 0
Citations on record (3 years): 37 health · 14 fire safety · includes actual harm

Date	Citation	Severity	Status
2026-05-07	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2026-06-05
2026-05-07	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-06-05
2026-05-07	Allow residents to self-administer drugs if determined clinically appropriate. F0554 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-06-05
2026-05-07	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-06-05
2025-05-15	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-05-27
2025-04-09	Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection	G Actual harm	Corrected 2025-05-02
2025-04-09	Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies · complaint inspection	G Actual harm	Corrected 2025-05-02
2025-04-09	Ensure 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. F0761 · Pharmacy Service Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2025-05-02
2025-04-09	Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-05-27
2025-04-09	Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-05-27
2025-03-12	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2025-04-26
2025-03-12	Have 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. F0727 · Nursing and Physician Services Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2025-04-26
2025-03-12	Post nurse staffing information every day. F0732 · Nursing and Physician Services Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2025-04-26
2025-03-12	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2025-05-27
2025-03-12	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2025-04-26
2025-03-12	Administer the facility in a manner that enables it to use its resources effectively and efficiently. F0835 · Administration Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2025-04-26
2025-03-12	Establish 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. F0837 · Administration Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2025-04-26
2025-03-12	Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. F0847 · Administration Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2025-05-07
2025-03-12	Provide a neutral and fair arbitration process and agree to arbitrator and venue. F0848 · Administration Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2025-05-07
2025-03-12	Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. F0851 · Administration Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2025-04-26
2025-03-12	Have a plan that describes the process for conducting QAPI and QAA activities. F0865 · Administration Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2025-04-26
2025-03-12	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582 · Resident Rights Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-04-26
2025-03-12	Keep residents' personal and medical records private and confidential. F0583 · Resident Rights Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-04-26
2025-03-12	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-04-26
2025-03-12	Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-04-26
2025-03-12	Provide care or services that was trauma informed and/or culturally competent. F0699 · Quality of Life and Care Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-04-26
2025-03-12	Try 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. F0700 · Quality of Life and Care Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-05-08
2025-03-12	Ensure 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. F0761 · Pharmacy Service Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-04-26
2025-03-12	Regularly 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. F0909 · Environmental Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-04-26
2025-03-12	Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-05-27
2025-03-12	Implement 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. F0758 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-04-26
2025-01-22	Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2025-02-07
2023-12-06	Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2024-01-20
2023-12-06	Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. F0678 · Quality of Life and Care Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2024-01-20
2023-12-06	Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2024-01-20
2023-12-06	Notify 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. F0625 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-01-20
2023-12-06	Implement 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. F0758 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-01-20

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

1 penalty in the last three years, including $20,703 in fines.

Date	Type	Amount
2025-03-12	Fine	$20,703

Ownership & management

Name	Role	Since
Stroschein, Chad (individual)	Corporate Director · NOT APPLICABLE
Stroschein, Chad (individual)	W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Five Counties Nursing Home?

Five Counties Nursing Home has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.9-star average in South Dakota.

How many beds does Five Counties Nursing Home have?

It has 38 certified beds and cares for about 35 residents per day.

Has Five Counties Nursing Home been fined?

Yes. CMS lists 1 penalty totaling $20,703 in the last three years.

What is the phone number of Five Counties Nursing Home?

(605) 374-3871. The facility is located at 405 6TH Avenue West, Lemmon, SD 57638.

Contact & location

Facility details