facebook tracking Best Hospitals in South Dakota (2026): 18 Ranked by CMS Stars

Best hospitals in South Dakota, ranked by CMS star rating

Ranked by Medicare's overall hospital star rating (CMS, October 2026 release). Stars summarize quality measures; they are not patient reviews.

According to HospitalsInEachState.com's analysis of the October 2026 CMS release, South Dakota's 18 rated hospitals average 3.89 Medicare stars, against a US average of 3.21, ranking #3 of 50 states in the HospitalsInEachState.com State Hospital Quality Rankings. 13 hold 4 or 5 stars (5 with 5) and 2 are rated 1 or 2 stars.

CMS data published October 202618 rated hospitalsRanked #3 of 50
State rank #3 of 50 In the top 10 · all states
Average rating 3.89 stars +0.67 vs U.S. U.S. is 3.21
Rated 4–5 stars 72% 13 of 18 hospitals
Rated 1–2 stars 11% 2 of 18 hospitals

Top 5 hospitals in South Dakota by CMS stars

#HospitalCityCMS stars
1 Avera Heart Hospital Sioux Falls
2 Avera St Benedict Health Center - CAH Parkston
3 Sanford Usd Medical Center Sioux Falls
4 Sioux Falls VA Medical Center Sioux Falls
5 VA Black Hills Healthcare System Fort Meade

How South Dakota hospitals are rated

Number of rated hospitals at each star level. Pick a level to filter the list below.

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All 18 rated hospitals in South Dakota

Sorted from the highest CMS overall rating to the lowest. 43 other South Dakota hospitals in our directory have no CMS rating, usually because they report too few measures.

Showing all 18 hospitals

South Dakota hospitals by CMS overall star rating, October 2026
Hospital CMS rating City Type
Avera Heart HospitalSioux Falls Acute care Sioux Falls Acute care
Avera St Benedict Health Center - CAHParkston Critical Access Parkston Critical Access
Sanford Usd Medical CenterSioux Falls Acute care Sioux Falls Acute care
Sioux Falls VA Medical CenterSioux Falls VA Sioux Falls VA
VA Black Hills Healthcare SystemFort Meade VA Fort Meade VA
Avera McKennan Hospital & University Health CenterSioux Falls Acute care Sioux Falls Acute care
Avera Queen of PeaceMitchell Critical Access Mitchell Critical Access
Avera St LukesAberdeen Acute care Aberdeen Acute care
Brookings HospitalBrookings Acute care Brookings Acute care
Community Memorial Hospital - Critical Access HospitalRedfield Critical Access Redfield Critical Access
Coteau Des Prairies Health Care SystemSisseton Critical Access Sisseton Critical Access
Sanford Medical Center AberdeenAberdeen Acute care Aberdeen Acute care
Spearfish Regional HospitalSpearfish Acute care Spearfish Acute care
Avera Sacred Heart HospitalYankton Acute care Yankton Acute care
Prairie Lakes HospitalWatertown Acute care Watertown Acute care
Rapid City Regional HospitalRapid City Acute care Rapid City Acute care
Huron Regional Medical CenterHuron Critical Access Huron Critical Access
St Marys HospitalPierre Acute care Pierre Acute care

Latest national report: 79% of Utah's rated hospitals have 4 or 5 CMS stars; 14% of Mississippi's do (Nov 13, 2026)

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How South Dakota compares with its neighbors

RankStateAvg starsRated 4–5 ★5 ★ / 1 ★
#3 South Dakota 3.89 72% 5 / 0
#5 Minnesota 3.77 63% 13 / 1
#10 Nebraska 3.50 64% 0 / 0
#15 Wyoming 3.38 44% 2 / 0
#21 North Dakota 3.25 44% 2 / 1
#22 Montana 3.25 40% 4 / 1
#24 Iowa 3.24 45% 7 / 2

Questions about South Dakota hospital ratings

What are the best-rated hospitals in South Dakota?

5 South Dakota hospitals have the top 5-star CMS rating: Avera Heart Hospital (Sioux Falls), Avera St Benedict Health Center - CAH (Parkston), Sanford Usd Medical Center (Sioux Falls), Sioux Falls VA Medical Center (Sioux Falls), VA Black Hills Healthcare System (Fort Meade).

How does South Dakota rank for hospital quality?

South Dakota ranks #3 of 50 states. Its 18 rated hospitals average 3.89 stars, against a U.S. average of 3.21. 72% are rated 4 or 5 stars and 11% are rated 1 or 2 stars.

How many South Dakota hospitals have a 1-star rating?

None. No rated South Dakota hospital has the lowest 1-star rating.

Why isn't my hospital on this list?

Only hospitals with a CMS overall star rating are listed. 43 other South Dakota hospitals in our directory have no rating, usually because they report too few measures. That is common for small rural, critical access and specialty hospitals. Every hospital still has its own page in the South Dakota hospital directory.

Cite this data

Journalists, researchers and site owners are welcome to quote and chart these figures. They are free to use under CC BY 4.0: please credit HospitalsInEachState.com and link to this page.

Figures as of the October 2026 CMS release Updated automatically when CMS publishes new data Permanent link: hospitalsineachstate.com/hospital-ratings/south-dakota/

Download the data (CSV) See how all 50 states rank

Source: CMS Care Compare, Hospital General Information, published October 2026. Each facility is counted once by its CMS Certification Number. Updated automatically when CMS publishes new data.

A star rating summarizes many measures and does not capture every service. Talk to your doctor about which hospital is right for your care. About the data. Not affiliated with CMS. For a medical emergency, call 911.