Hospitals in South Dakota: ratings, owners and penalties for 61 hospitals

Name: Hospitals in South Dakota
Creator: SpecStream
License: https://creativecommons.org/licenses/by/4.0/

South Dakota has 61 hospitals in the CMS hospital files, 54 of them with emergency services. The average overall rating is 3.9 of 5 and none is rated one star. In fiscal year 2026, 3 of them faced a 1% Medicare payment reduction under the Hospital-Acquired Condition Reduction Program, and 12 had an excess readmission ratio above 1.0 on at least one condition tracked by the Hospital Readmissions Reduction Program.

SpecStream is the live web data engine for teams and agents. It reads the CMS hospital files and the Medicare ownership file, and this page is that reading, joined on the CMS Certification Number. Ask for the hospitals you track by state, owner, system or rating, and each new penalty or rating change arrives in your sheet, CRM, Slack or agent as CMS publishes it.

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Hospitals: 61
Average overall rating: 3.9 of 5
One star hospitals: 0
Five star hospitals: 5
With emergency services: 54
HAC payment reductions, fiscal year 2026: 3 of 17 in the program
With excess readmissions: 12

Hospitals by penalties and rating

Hospitals with a HAC payment reduction first, then by most conditions with excess readmissions, then by lowest star rating. Each row links to the page and its Medicare Care Compare record.

Hospital	City	Type	Stars	Emergency	HAC payment cut	Excess readmission conditions	Source
Avera St Mary's Hospital	Pierre	Acute Care Hospitals	2	Yes	Yes	1	medicare.gov
Prairie Lakes Healthcare System, Inc	Watertown	Acute Care Hospitals	3	Yes	Yes	1	medicare.gov
Brookings Health System	Brookings	Acute Care Hospitals	4	Yes	Yes	1	medicare.gov
Avera Sacred Heart Hospital	Yankton	Acute Care Hospitals	3	Yes	No	3	medicare.gov
Monument Health Rapid City Hospital	Rapid City	Acute Care Hospitals	3	Yes	No	2	medicare.gov
Avera St Lukes	Aberdeen	Acute Care Hospitals	4	Yes	No	2	medicare.gov
Sanford Usd Medical Center	Sioux Falls	Acute Care Hospitals	5	Yes	No	2	medicare.gov
Avera McKennan Hospital & University Health Center	Sioux Falls	Acute Care Hospitals	4	Yes	No	1	medicare.gov
Monument Health Spearfish Hospital	Spearfish	Acute Care Hospitals	4	Yes	No	1	medicare.gov
Dunes Surgical Hospital	Dakota Dunes	Acute Care Hospitals	Not listed	No	No	1	medicare.gov
Pine Ridge Ihs Hospital	Pine Ridge	Acute Care Hospitals	Not listed	Yes	No	1	medicare.gov
Sioux Falls Specialty Hospital	Sioux Falls	Acute Care Hospitals	Not listed	No	No	1	medicare.gov
Huron Regional Medical Center	Huron	Critical Access Hospitals	2	Yes	Not in program	Not listed	medicare.gov
Avera Queen of Peace	Mitchell	Critical Access Hospitals	4	Yes	Not in program	Not listed	medicare.gov
Community Memorial Hospital	Redfield	Critical Access Hospitals	4	Yes	Not in program	Not listed	medicare.gov
Coteau Des Prairies Health Care System	Sisseton	Critical Access Hospitals	4	Yes	Not in program	Not listed	medicare.gov
Sanford Medical Center Aberdeen	Aberdeen	Acute Care Hospitals	4	Yes	No	0	medicare.gov
Avera Heart Hospital of South Dakota	Sioux Falls	Acute Care Hospitals	5	Yes	No	0	medicare.gov
Avera St Benedict Health Center, Cah	Parkston	Critical Access Hospitals	5	No	Not in program	Not listed	medicare.gov
Sioux Falls VA Medical Center	Sioux Falls	Acute Care, Veterans Administration	5	Yes	Not in program	Not listed	medicare.gov
VA Black Hills Healthcare System	Fort Meade	Acute Care, Veterans Administration	5	Yes	Not in program	Not listed	medicare.gov
Avera De Smet Memorial Hospital, Cah	De Smet	Critical Access Hospitals	Not listed	Yes	Not in program	Not listed	medicare.gov
Avera Dells Area Hospital, Cah	Dell Rapids	Critical Access Hospitals	Not listed	Yes	Not in program	Not listed	medicare.gov
Avera Flandreau Hospital, Cah	Flandreau	Critical Access Hospitals	Not listed	Yes	Not in program	Not listed	medicare.gov
Avera Gregory Hospital	Gregory	Critical Access Hospitals	Not listed	Yes	Not in program	Not listed	medicare.gov
Avera Hand County Memorial Hospital and Clinic	Miller	Critical Access Hospitals	Not listed	Yes	Not in program	Not listed	medicare.gov
Avera Missouri River Health Center	Gettysburg	Critical Access Hospitals	Not listed	Yes	Not in program	Not listed	medicare.gov
Avera Weskota Memorial Medical Center, Cah	Wessington Springs	Critical Access Hospitals	Not listed	Yes	Not in program	Not listed	medicare.gov
Bennett County Hospital and Nursing Home, Cah	Martin	Critical Access Hospitals	Not listed	Yes	Not in program	Not listed	medicare.gov
Black Hills Surgical Hospital LLC	Rapid City	Acute Care Hospitals	Not listed	No	No	0	medicare.gov
Bowdle Hospital, Cah	Bowdle	Critical Access Hospitals	Not listed	Yes	Not in program	Not listed	medicare.gov
Community Memorial Hospital	Burke	Critical Access Hospitals	Not listed	Yes	Not in program	Not listed	medicare.gov
Douglas County Memorial Hospital-Cah	Armour	Critical Access Hospitals	Not listed	Yes	Not in program	Not listed	medicare.gov
Eagle Butte Indian Health Service Hospital	Eagle Butte	Critical Access Hospitals	Not listed	Yes	Not in program	Not listed	medicare.gov
Eureka Community Health Services, Cah	Eureka	Critical Access Hospitals	Not listed	Yes	Not in program	Not listed	medicare.gov
Fall River Hospital, Cah	Hot Springs	Critical Access Hospitals	Not listed	Yes	Not in program	Not listed	medicare.gov
Faulkton Area Medical Center	Faulkton	Critical Access Hospitals	Not listed	Yes	Not in program	Not listed	medicare.gov
Freeman Medical Center, Cah	Freeman	Critical Access Hospitals	Not listed	Yes	Not in program	Not listed	medicare.gov
Hans P Peterson Memorial Hospital, Cah	Philip	Critical Access Hospitals	Not listed	Yes	Not in program	Not listed	medicare.gov
Landmann Jungman Memorial Hospital Corporation	Scotland	Rural Emergency Hospital	Not listed	Yes	Not in program	Not listed	medicare.gov
Lifescape	Sioux Falls	Childrens	Not listed	No	Not in program	Not listed	medicare.gov
Madison Regional Health System	Madison	Critical Access Hospitals	Not listed	Yes	Not in program	Not listed	medicare.gov
Marshall County Healthcare Center, Cah	Britton	Critical Access Hospitals	Not listed	Yes	Not in program	Not listed	medicare.gov
Milbank Area Hospital/Avera Health	Milbank	Critical Access Hospitals	Not listed	Yes	Not in program	Not listed	medicare.gov
Mobridge Regional Hospital, Cah	Mobridge	Critical Access Hospitals	Not listed	Yes	Not in program	Not listed	medicare.gov
Monument Health Custer Hospital	Custer	Critical Access Hospitals	Not listed	Yes	Not in program	Not listed	medicare.gov
Monument Health Lead-Deadwood Hospital	Deadwood	Critical Access Hospitals	Not listed	Yes	Not in program	Not listed	medicare.gov
Monument Health Sturgis Hospital	Sturgis	Critical Access Hospitals	Not listed	Yes	Not in program	Not listed	medicare.gov
PHS Indian Hospital at Rosebud	Rosebud	Acute Care Hospitals	Not listed	Yes	No	Not listed	medicare.gov
Pioneer Memorial Hospital, Cah	Viborg	Critical Access Hospitals	Not listed	Yes	Not in program	Not listed	medicare.gov
Platte Health Center	Platte	Critical Access Hospitals	Not listed	Yes	Not in program	Not listed	medicare.gov
Same Day Surgery Center LLC	Rapid City	Acute Care Hospitals	Not listed	No	No	Not listed	medicare.gov
Sanford Canton-Inwood Medical Center, Cah	Canton	Critical Access Hospitals	Not listed	Yes	Not in program	Not listed	medicare.gov
Sanford Chamberlain Medical Center	Chamberlain	Critical Access Hospitals	Not listed	Yes	Not in program	Not listed	medicare.gov
Sanford Clear Lake Medical Center	Clear Lake	Critical Access Hospitals	Not listed	Yes	Not in program	Not listed	medicare.gov
Sanford Hospital Webster, Cah	Webster	Critical Access Hospitals	Not listed	Yes	Not in program	Not listed	medicare.gov
Sanford Vermillion Medical Center	Vermillion	Critical Access Hospitals	Not listed	Yes	Not in program	Not listed	medicare.gov
South Dakota Human Services Center	Yankton	Psychiatric	Not listed	No	Not in program	Not listed	medicare.gov
St Michael's Hospital, Cah	Tyndall	Critical Access Hospitals	Not listed	Yes	Not in program	Not listed	medicare.gov
Wagner Community Memorial Hospital, Cah	Wagner	Critical Access Hospitals	Not listed	Yes	Not in program	Not listed	medicare.gov
Winner Regional Healthcare Center, Cah	Winner	Critical Access Hospitals	Not listed	Yes	Not in program	Not listed	medicare.gov

Star ratings

Overall rating	Hospitals
5 of 5	5
4 of 5	8
3 of 5	3
2 of 5	2
Not rated	43

Owners and managers with the most hospitals in South Dakota

Organization	Hospitals	Average stars	HAC payment cuts	With excess readmissions
Avera Health	14	3.7	1	4
Sanford	8	4.5	0	1
Sanford Health	7	4.5	0	1
Monument Health Inc	5	3.5	0	2
HCN Surgery Center Holdings Inc	1	Not listed	0	1
Houston Northwest Partners LTD	1	Not listed	0	1
Tenet Healthcare Corporation	1	Not listed	0	1
United Surgical Partners Holdings Inc	1	Not listed	0	1
United Surgical Partners International Inc	1	Not listed	0	1
Usp Domestic Holdings Inc	1	Not listed	0	1
Uspi Group Holdings Inc	1	Not listed	0	1
Uspi Holding Company Inc	1	Not listed	0	1
Uspi Holdings Inc	1	Not listed	0	1
VHS San Antonio Partners LLC	1	Not listed	0	1

Updated November 7, 2026. Read from CMS Provider Data Catalog and data.cms.gov, hospitals. Open data from the Centers for Medicare & Medicaid Services (US government work). Ratings and program results are as CMS lists them on the date shown and CMS refreshes them on its own schedule. The CMS files are joined on the CMS Certification Number. CMS gives each owner organization an ID, and an owner page groups hospitals on that ID. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.