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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
Hospital rankings, page 1 of 1. Columns can be sorted.
#HospitalHospital-acquired condition scorelower is betterNet Medicare quality adjustmenthigher is betterReadmissions penaltyhigher is betterValue-based purchasing scorehigher is betterValue-based purchasing adjustmenthigher is betterCompare
National average0.00−0.48%−0.34%31+0.13%
1Black Hills Surgical Hospital LLCRapid City, SD · Acute care−1.46, 100th percentile0.00%, 70th percentile0.00%, 89th percentile——Compare Black Hills Surgical Hospital LLC
2Pine Ridge IHS HospitalPine Ridge, SD · Acute care−1.46, 99th percentile−0.06%, 64th percentile−0.06%, 67th percentile——Compare Pine Ridge IHS Hospital
3Sioux Falls Specialty HospitalSioux Falls, SD · Acute care−0.89, 94th percentile−3.00%, 1st percentile−3.00%, 0th percentile——Compare Sioux Falls Specialty Hospital
4Sanford Medical Center AberdeenAberdeen, SD · Acute care−0.86, 93rd percentile+0.79%, 90th percentile−0.01%, 77th percentile41, 81st percentile+0.80%, 81st percentileCompare Sanford Medical Center Aberdeen
5Monument Health Spearfish HospitalSpearfish, SD · Acute care−0.78, 91st percentile+0.32%, 82nd percentile−0.05%, 69th percentile34, 68th percentile+0.37%, 67th percentileCompare Monument Health Spearfish Hospital
6Avera Heart Hospital Of South DakotaSioux Falls, SD · Acute care−0.73, 88th percentile+0.69%, 89th percentile0.00%, 89th percentile39, 78th percentile+0.69%, 78th percentileCompare Avera Heart Hospital Of South Dakota
7Same Day Surgery Center LLCRapid City, SD · Acute care−0.67, 86th percentile————Compare Same Day Surgery Center LLC
8Dunes Surgical HospitalDakota Dunes, SD · Acute care−0.64, 86th percentile−0.33%, 53rd percentile−0.33%, 37th percentile——Compare Dunes Surgical Hospital
9Avera St LukesAberdeen, SD · Acute care−0.38, 73rd percentile−0.17%, 59th percentile−0.38%, 33rd percentile32, 60th percentile+0.21%, 60th percentileCompare Avera St Lukes
10Sanford USDMedical CenterSioux Falls, SD · Acute care−0.25, 64th percentile−0.15%, 60th percentile−0.04%, 71st percentile27, 43rd percentile−0.11%, 42nd percentileCompare Sanford USDMedical Center
11Avera Sacred Heart HospitalYankton, SD · Acute care−0.13, 56th percentile−0.16%, 60th percentile−0.20%, 49th percentile30, 50th percentile+0.04%, 50th percentileCompare Avera Sacred Heart Hospital
12Monument Health Rapid City HospitalRapid City, SD · Acute care+0.05, 44th percentile−0.51%, 46th percentile−0.35%, 35th percentile27, 40th percentile−0.16%, 40th percentileCompare Monument Health Rapid City Hospital
13Avera McKennan Hospital & University Health CenterSioux Falls, SD · Acute care+0.36, 26th percentile−0.61%, 43rd percentile−0.14%, 55th percentile22, 25th percentile−0.47%, 25th percentileCompare Avera McKennan Hospital & University Health Center
14Brookings Health SystemBrookings, SD · Acute care+1.07, 5th percentile+0.44%, 84th percentile−0.07%, 66th percentile51, 94th percentile+1.51%, 94th percentileCompare Brookings Health System
15Prairie Lakes Healthcare System, IncWatertown, SD · Acute care+1.27, 3rd percentile−1.58%, 14th percentile−0.03%, 73rd percentile21, 20th percentile−0.55%, 20th percentileCompare Prairie Lakes Healthcare System, Inc
16Avera St Mary's HospitalPierre, SD · Acute care+1.67, 2nd percentile−0.61%, 43rd percentile−0.03%, 73rd percentile35, 70th percentile+0.42%, 69th percentileCompare Avera St Mary's Hospital

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..
Net Medicare quality adjustment
Approximate combined change to the hospital's Medicare inpatient payments from the three pay-for-performance programs, added together: the readmissions penalty, the value-based purchasing bonus or penalty, and the 1% cut for hospital-acquired conditions. Inpatient prospective payment system hospitals only; Maryland hospitals are exempt..
Readmissions penalty
Change to Medicare payments under the Hospital Readmissions Reduction Program, which cuts payments (by up to 3%) to hospitals with more readmissions than expected. 0% means no penalty..
Value-based purchasing score
Hospital Value-Based Purchasing Total Performance Score (0-100), from outcomes, safety, patient experience and efficiency. It sets a Medicare bonus or penalty..
Value-based purchasing adjustment
Change to Medicare payments under Hospital Value-Based Purchasing: a bonus (positive) or penalty (negative, up to 2%) based on the Total Performance Score..