Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
Five Counties Nursing Home
LEMMON, SD · 38 certified beds · Last Life Safety survey May 7, 2026
CMS Certification Number 435090 · first certified September 1995
Ownership
Independently operated (no chain recorded by CMS) · Non profit - Corporation
No change of ownership on CMS record since January 1, 2016, when the records begin.
Position within SD
14 citations — more than 99% of the 96 certified nursing homes in SD. Compared within SD rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated
The latest survey found 2 citations; the earlier surveys in the window averaged 6. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
The window opens July 2027 — about 10 months from now. This facility’s last Life Safety survey was May 2026. Facilities in SD are typically surveyed 15–16 months after the last one (median 16), measured over 136 consecutive surveys in the last two years of CMS records.
A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured
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Emergency preparedness
3 of the 14 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index
Physical environment (health survey)
3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 14 Life Safety citations above. The Physical Environment Index
How that compares
Compared with the median facility in SD, and nationally. Surveyors differ markedly between states, so the SD figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 14 |
| Median facility in SD | 3 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| December 6, 2023 | 7 |
| March 12, 2025 | 5 |
| May 7, 2026 | 2 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. | 3 | 2026-05-07 |
| K-0225 | Have stairways and smokeproof enclosures used as exits that meet safety requirements. | 3 | 2026-05-07 |
| K-0351 | Install an approved automatic sprinkler system. | 1 | 2023-12-06 |
| K-0293 | Have properly located and lighted "Exit" signs. | 1 | 2025-03-12 |
| K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | 1 | 2025-03-12 |
| E-0006 | Conduct risk assessment and an All-Hazards approach. | 1 | 2023-12-06 |
| K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | 1 | 2025-03-12 |
| E-0036 | Establish emergency prep training and testing. | 1 | 2023-12-06 |
What the citations cover
- Egress Deficiencies 5
- Smoke Deficiencies 5
- Emergency Preparedness Deficiencies 3
- Gas, Vacuum, and Electrical Systems Deficiencies 1
| Category | Citations |
|---|---|
| Egress Deficiencies | 5 |
| Smoke Deficiencies | 5 |
| Emergency Preparedness Deficiencies | 3 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
May 7, 2026 — 2 citations
March 12, 2025 — 5 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Deficient, Provider has date of correction (April 26, 2025) |
| K-0225 | Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety Evaluation Survey (April 26, 2025) |
| K-0293 | Have properly located and lighted "Exit" signs. | Deficient, Provider has date of correction (April 26, 2025) |
| K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Deficient, Provider has date of correction (April 26, 2025) |
| K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety Evaluation Survey (April 26, 2025) |
December 6, 2023 — 7 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0006 | Conduct risk assessment and an All-Hazards approach. | Deficient, Provider has date of correction (January 20, 2024) |
| E-0036 | Establish emergency prep training and testing. | Deficient, Provider has date of correction (January 20, 2024) |
| E-0039 | Conduct testing and exercise requirements. | Deficient, Provider has date of correction (January 20, 2024) |
| K-0225 | Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety Evaluation Survey (January 22, 2024) |
| K-0351 | Install an approved automatic sprinkler system. | Deficient, Provider has date of correction (January 4, 2024) |
| K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety Evaluation Survey (January 22, 2024) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (January 18, 2024) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.