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Hospital rankings

Hospitals in South Dakota with the lowest serious complications

16 South Dakota hospitals ranked by serious complications in the 2026 Medicare (CMS) data. Leading: Sanford USDMedical Center, Black Hills Surgical Hospital LLC, 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 serious complications; 45 more match but have no reported value.

Compare top 4 Download CSV
Hospital rankings, page 1 of 1. Columns can be sorted.
#HospitalSerious complicationslower is betterCentral line bloodstream infectionslower is betterCatheter-associated urinary tract infectionslower is betterSurgical site infections (colon)lower is betterSurgical site infections (hysterectomy)lower is betterMRSA bloodstream infectionslower is betterC. diff infectionslower is betterCompare
National average1.001.001.001.001.001.001.00
1Sanford USDMedical CenterSioux Falls, SD · Acute care0.64, 100th percentile0.26, 69th percentile0.52, 38th percentile0.60, 58th percentile0.82, 50th percentile0.55, 55th percentile0.35, 40th percentileCompare Sanford USDMedical Center
2Black Hills Surgical Hospital LLCRapid City, SD · Acute care0.78, 95th percentile——————Compare Black Hills Surgical Hospital LLC
3Sioux Falls Specialty HospitalSioux Falls, SD · Acute care0.86, 83rd percentile——————Compare Sioux Falls Specialty Hospital
4Avera Sacred Heart HospitalYankton, SD · Acute care0.87, 81st percentile—0.00, 88th percentile———0.67, 14th percentileCompare Avera Sacred Heart Hospital
5Dunes Surgical HospitalDakota Dunes, SD · Acute care0.90, 73rd percentile——————Compare Dunes Surgical Hospital
6Avera Heart Hospital Of South DakotaSioux Falls, SD · Acute care0.93, 63rd percentile—————0.24, 57th percentileCompare Avera Heart Hospital Of South Dakota
T7Monument Health Spearfish HospitalSpearfish, SD · Acute care0.95, 55th percentile——————Compare Monument Health Spearfish Hospital
T7Sanford Medical Center AberdeenAberdeen, SD · Acute care0.95, 55th percentile—————0.00, 90th percentileCompare Sanford Medical Center Aberdeen
9VA Black Hills Healthcare SystemFort Meade, SD · Veterans Affairs0.96, 51st percentile——————Compare VA Black Hills Healthcare System
10Brookings Health SystemBrookings, SD · Acute care0.98, 41st percentile—————0.00, 90th percentileCompare Brookings Health System
11Sioux Falls VA Medical CenterSioux Falls, SD · Veterans Affairs1.00, 35th percentile——————Compare Sioux Falls VA Medical Center
12Avera McKennan Hospital & University Health CenterSioux Falls, SD · Acute care1.03, 29th percentile0.78, 27th percentile0.23, 65th percentile0.37, 72nd percentile0.53, 70th percentile0.66, 45th percentile0.32, 44th percentileCompare Avera McKennan Hospital & University Health Center
13Avera St LukesAberdeen, SD · Acute care1.06, 25th percentile—0.00, 88th percentile0.00, 91st percentile——1.10, 4th percentileCompare Avera St Lukes
14Avera St Mary's HospitalPierre, SD · Acute care1.07, 23rd percentile—————0.00, 90th percentileCompare Avera St Mary's Hospital
15Monument Health Rapid City HospitalRapid City, SD · Acute care1.15, 14th percentile0.30, 66th percentile0.61, 31st percentile0.57, 59th percentile—0.71, 40th percentile0.48, 26th percentileCompare Monument Health Rapid City Hospital
16Prairie Lakes Healthcare System, IncWatertown, SD · Acute care1.31, 6th percentile——0.00, 91st percentile——0.79, 10th percentileCompare Prairie Lakes Healthcare System, Inc

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.

Serious complications
Patient safety and adverse events composite (PSI 90; 1.0 = national value).
Central line bloodstream infections
Central line-associated bloodstream infections (CLABSI) in ICUs and select wards (standardized infection ratio; 1.0 = national baseline).
Catheter-associated urinary tract infections
Catheter-associated urinary tract infections (CAUTI) in ICUs and select wards (standardized infection ratio; 1.0 = national baseline).
Surgical site infections (colon)
Surgical site infections from colon surgery (standardized infection ratio; 1.0 = national baseline).
Surgical site infections (hysterectomy)
Surgical site infections from abdominal hysterectomy (standardized infection ratio; 1.0 = national baseline).
MRSA bloodstream infections
Methicillin-resistant Staphylococcus aureus (MRSA) blood laboratory-identified events (standardized infection ratio; 1.0 = national baseline).
C. diff infections
Clostridium difficile (C. diff) intestinal infections (standardized infection ratio; 1.0 = national baseline).