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Hospitals in South Dakota with the lowest hospital-acquired condition score

16 South Dakota hospitals ranked by hospital-acquired condition score in the 2026 Medicare (CMS) data. Leading: Black Hills Surgical Hospital LLC, Pine Ridge IHS Hospital, Sioux Falls Specialty Hospital. Filter by type, ownership and size, choose the measures you care about, and sort by any column.

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16 hospitals ranked in South Dakota by hospital-acquired condition score; 45 more match but have no reported value.

Compare top 4 Download CSV
#HospitalHospital-acquired condition scorelower is betterOverall star ratinghigher is betterPatient survey star ratinghigher is betterHeart attack death ratelower is betterHeart failure death ratelower is betterHospital-wide readmission ratelower is better · 2025 dataSerious complicationslower is betterTime in emergency departmentlower is betterMedicare spending per patientlower is betterTotal beds
National average0.003.311.9%11.1%15.0%1.00162 min1.00
1Black Hills Surgical Hospital LLCRapid City, SD · Acute care−1.46—5——12.6%0.78—0.8726Compare
2Pine Ridge IHS HospitalPine Ridge, SD · Acute care−1.46————15.2%——0.7345Compare
3Sioux Falls Specialty HospitalSioux Falls, SD · Acute care−0.89—5——14.9%0.86—0.9433Compare
4Sanford Medical Center AberdeenAberdeen, SD · Acute care−0.8644—11.5%14.6%0.95120 min0.9148Compare
5Monument Health Spearfish HospitalSpearfish, SD · Acute care−0.7843—10.0%14.2%0.95144 min0.9244Compare
6Avera Heart Hospital Of South DakotaSioux Falls, SD · Acute care−0.735410.9%10.6%13.8%0.93110 min1.0253Compare
7Same Day Surgery Center LLCRapid City, SD · Acute care−0.67————————6Compare
8Dunes Surgical HospitalDakota Dunes, SD · Acute care−0.64—4——15.3%0.90—0.9538Compare
9Avera St LukesAberdeen, SD · Acute care−0.384411.7%11.0%15.2%1.06126 min1.02109Compare
10Sanford USDMedical CenterSioux Falls, SD · Acute care−0.255310.9%11.2%14.5%0.64207 min1.07545Compare
11Avera Sacred Heart HospitalYankton, SD · Acute care−0.1334—16.0%15.4%0.87117 min0.94144Compare
12Monument Health Rapid City HospitalRapid City, SD · Acute care+0.053312.8%9.8%14.5%1.15172 min1.00417Compare
13Avera McKennan Hospital & University Health CenterSioux Falls, SD · Acute care+0.364412.2%12.4%14.4%1.03112 min1.02505Compare
14Brookings Health SystemBrookings, SD · Acute care+1.0744—11.5%13.7%0.9897 min0.9149Compare
15Prairie Lakes Healthcare System, IncWatertown, SD · Acute care+1.273413.5%14.8%15.4%1.31117 min0.9881Compare
16Avera St Mary's HospitalPierre, SD · Acute care+1.6724—14.8%14.3%1.07127 min0.9360Compare

About these rankings

Rankings use the 2026 release of CMS Care Compare data. Hospitals share a rank (“T”) when their values are equal, and only hospitals with a reported value for the sorted measure are ranked. Shading compares each value with every hospital in the country, so it doesn’t change with your filters. Small differences are often not statistically meaningful; use the methodology and glossary for context.

Hospital-acquired condition score
Total score in the Hospital-Acquired Condition Reduction Program, from patient safety events and infections (weighted z-scores; 0 is about average, higher is worse). Medicare cuts payments 1% for the worst-scoring quarter of hospitals..
Overall star rating
CMS overall hospital quality star rating (1-5).
Patient survey star rating
HCAHPS summary star rating (1-5).
Heart attack death rate
30-day death rate for heart attack patients.
Heart failure death rate
30-day death rate for heart failure patients.
Hospital-wide readmission rate
Rate of unplanned readmission within 30 days, all conditions. From 2025 CMS reports the Hybrid Hospital-Wide Readmission measure (claims plus EHR data), which replaced the claims-only measure; values are close but not strictly comparable across the change. CMS suppressed it for 2026.. Latest available: 2025 release.
Serious complications
Patient safety and adverse events composite (PSI 90; 1.0 = national value).
Time in emergency department
Median time patients spent in the emergency department before leaving.
Medicare spending per patient
Medicare spending per beneficiary episode relative to the national median (1.0 = national median).
Total beds
Total beds reported to CMS (Provider of Services file).