Hospital rankings
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.
| # | Hospital | Hospital-acquired condition scorelower is better | Net Medicare quality adjustmenthigher is better | Readmissions penaltyhigher is better | Value-based purchasing scorehigher is better | Value-based purchasing adjustmenthigher is better | Compare |
|---|---|---|---|---|---|---|---|
| National average | 0.00 | −0.48% | −0.34% | 31 | +0.13% | ||
| 1 | Black Hills Surgical Hospital LLC | −1.46, 100th percentile | 0.00%, 70th percentile | 0.00%, 89th percentile | — | — | Compare Black Hills Surgical Hospital LLC |
| 2 | Pine Ridge IHS Hospital | −1.46, 99th percentile | −0.06%, 64th percentile | −0.06%, 67th percentile | — | — | Compare Pine Ridge IHS Hospital |
| 3 | Sioux Falls Specialty Hospital | −0.89, 94th percentile | −3.00%, 1st percentile | −3.00%, 0th percentile | — | — | Compare Sioux Falls Specialty Hospital |
| 4 | Sanford Medical Center Aberdeen | −0.86, 93rd percentile | +0.79%, 90th percentile | −0.01%, 77th percentile | 41, 81st percentile | +0.80%, 81st percentile | Compare Sanford Medical Center Aberdeen |
| 5 | Monument Health Spearfish Hospital | −0.78, 91st percentile | +0.32%, 82nd percentile | −0.05%, 69th percentile | 34, 68th percentile | +0.37%, 67th percentile | Compare Monument Health Spearfish Hospital |
| 6 | Avera Heart Hospital Of South Dakota | −0.73, 88th percentile | +0.69%, 89th percentile | 0.00%, 89th percentile | 39, 78th percentile | +0.69%, 78th percentile | Compare Avera Heart Hospital Of South Dakota |
| 7 | Same Day Surgery Center LLC | −0.67, 86th percentile | — | — | — | — | Compare Same Day Surgery Center LLC |
| 8 | Dunes Surgical Hospital | −0.64, 86th percentile | −0.33%, 53rd percentile | −0.33%, 37th percentile | — | — | Compare Dunes Surgical Hospital |
| 9 | Avera St Lukes | −0.38, 73rd percentile | −0.17%, 59th percentile | −0.38%, 33rd percentile | 32, 60th percentile | +0.21%, 60th percentile | Compare Avera St Lukes |
| 10 | Sanford USDMedical Center | −0.25, 64th percentile | −0.15%, 60th percentile | −0.04%, 71st percentile | 27, 43rd percentile | −0.11%, 42nd percentile | Compare Sanford USDMedical Center |
| 11 | Avera Sacred Heart Hospital | −0.13, 56th percentile | −0.16%, 60th percentile | −0.20%, 49th percentile | 30, 50th percentile | +0.04%, 50th percentile | Compare Avera Sacred Heart Hospital |
| 12 | Monument Health Rapid City Hospital | +0.05, 44th percentile | −0.51%, 46th percentile | −0.35%, 35th percentile | 27, 40th percentile | −0.16%, 40th percentile | Compare Monument Health Rapid City Hospital |
| 13 | Avera McKennan Hospital & University Health Center | +0.36, 26th percentile | −0.61%, 43rd percentile | −0.14%, 55th percentile | 22, 25th percentile | −0.47%, 25th percentile | Compare Avera McKennan Hospital & University Health Center |
| 14 | Brookings Health System | +1.07, 5th percentile | +0.44%, 84th percentile | −0.07%, 66th percentile | 51, 94th percentile | +1.51%, 94th percentile | Compare Brookings Health System |
| 15 | Prairie Lakes Healthcare System, Inc | +1.27, 3rd percentile | −1.58%, 14th percentile | −0.03%, 73rd percentile | 21, 20th percentile | −0.55%, 20th percentile | Compare Prairie Lakes Healthcare System, Inc |
| 16 | Avera St Mary's Hospital | +1.67, 2nd percentile | −0.61%, 43rd percentile | −0.03%, 73rd percentile | 35, 70th percentile | +0.42%, 69th percentile | Compare 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..