facebook tracking South Dakota hospital infection and safety ratings: 17 hospitals compared

South Dakota hospital infection and safety ratings

How 17 South Dakota hospitals compare with the national benchmark on six infections patients can catch in the hospital, and on serious complications, according to Medicare (CMS). South Dakota ranks #7 of 50 states on our infection index.

Infections Oct 2024 – Sep 2025 17 hospitals Ranked #7 of 50
Infection rank #7 of 50 Among the 10 lowest · all states
Infection index 0.83 −0.17 vs U.S. U.S. = 1.00
Worse on 1+ infection 0 of 11 0% of reporting hospitals; U.S. 5%
Serious complications 0 worse 1 better than national (CMS PSI 90)

South Dakota results by infection

The South Dakota ratio adds up the infections reported by the state's hospitals and divides by the number CMS predicts; below 1.00 means fewer than predicted. Compare it with the U.S. ratio: CMS's predictions come from a fixed baseline period and infections have fallen since, so most ratios are now below 1.00. Counts show how many South Dakota hospitals CMS rated better than, no different from or worse than national.

InfectionSouth Dakota ratioU.S. ratioBetterNo differentWorse
Central line infectionsCentral line-associated bloodstream infections (CLABSI) 0.46 0.58 2 1 0
Catheter UTIsCatheter-associated urinary tract infections (CAUTI) 0.38 0.47 1 4 0
Colon surgery infectionsSurgical site infections after colon surgery 0.43 0.83 1 4 0
Hysterectomy infectionsSurgical site infections after abdominal hysterectomy 0.72 1.02 0 2 0
MRSAMRSA bloodstream infections 0.63 0.68 0 3 0
C. diffC. diff intestinal infections 0.41 0.34 3 8 0

– means too few predicted infections to calculate a reliable ratio.

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All 17 South Dakota hospitals with safety results

Listed from fewest problems to most: hospitals worse on no infection come first, then by how many infections they were better on. Most hospitals are no different from the national benchmark.

Showing all 17 hospitals

South Dakota hospitals: CMS infection and serious-complication results compared with national, Oct 2024 – Sep 2025
Hospital Infections Results Serious complications
Avera McKennan Hospital & University Health CenterSioux Falls 3 better · 0 worse Complications: same as national Acute care Central line infections: no different from national. Catheter UTIs: better than national. Colon surgery infections: better than national. Hysterectomy infections: no different from national. MRSA: no different from national. C. diff: better than national. 3 better · 0 worse of 6 compared Same as national
Rapid City Regional HospitalRapid City 2 better · 0 worse Complications: same as national Acute care Central line infections: better than national. Catheter UTIs: no different from national. Colon surgery infections: no different from national. Hysterectomy infections: not reported. MRSA: no different from national. C. diff: better than national. 2 better · 0 worse of 5 compared Same as national
Sanford Usd Medical CenterSioux Falls 2 better · 0 worse Complications: better than national Acute care Central line infections: better than national. Catheter UTIs: no different from national. Colon surgery infections: no different from national. Hysterectomy infections: no different from national. MRSA: no different from national. C. diff: better than national. 2 better · 0 worse of 6 compared Better than national
Avera Heart Hospital of South Dakota LLCSioux Falls 0 better · 0 worse Complications: same as national Acute care Central line infections: not reported. Catheter UTIs: not reported. Colon surgery infections: not reported. Hysterectomy infections: not reported. MRSA: not reported. C. diff: no different from national. 0 better · 0 worse of 1 compared Same as national
Avera Sacred Heart HospitalYankton 0 better · 0 worse Complications: same as national Acute care Central line infections: not reported. Catheter UTIs: no different from national. Colon surgery infections: not reported. Hysterectomy infections: not reported. MRSA: not reported. C. diff: no different from national. 0 better · 0 worse of 2 compared Same as national
Avera St LukesAberdeen 0 better · 0 worse Complications: same as national Acute care Central line infections: not reported. Catheter UTIs: no different from national. Colon surgery infections: no different from national. Hysterectomy infections: not reported. MRSA: not reported. C. diff: no different from national. 0 better · 0 worse of 3 compared Same as national
Black Hills Surgical Hospital LLPRapid City Complications: same as national Acute care Central line infections: not reported. Catheter UTIs: not reported. Colon surgery infections: not reported. Hysterectomy infections: not reported. MRSA: not reported. C. diff: not reported. No infection comparisons Same as national
Brookings HospitalBrookings 0 better · 0 worse Complications: same as national Acute care Central line infections: not reported. Catheter UTIs: not reported. Colon surgery infections: not reported. Hysterectomy infections: not reported. MRSA: not reported. C. diff: no different from national. 0 better · 0 worse of 1 compared Same as national
Dunes Surgical HospitalNorth Sioux City Complications: same as national Acute care Central line infections: not reported. Catheter UTIs: not reported. Colon surgery infections: not reported. Hysterectomy infections: not reported. MRSA: not reported. C. diff: not reported. No infection comparisons Same as national
Prairie Lakes Hosp & Care CtrWatertown 0 better · 0 worse Complications: same as national Acute care Central line infections: not reported. Catheter UTIs: not reported. Colon surgery infections: no different from national. Hysterectomy infections: not reported. MRSA: not reported. C. diff: no different from national. 0 better · 0 worse of 2 compared Same as national
Sanford Medical Center AberdeenAberdeen 0 better · 0 worse Complications: same as national Acute care Central line infections: not reported. Catheter UTIs: not reported. Colon surgery infections: not reported. Hysterectomy infections: not reported. MRSA: not reported. C. diff: no different from national. 0 better · 0 worse of 1 compared Same as national
Sioux Falls Surgical Hospital LLPSioux Falls Complications: same as national Acute care Central line infections: not reported. Catheter UTIs: not reported. Colon surgery infections: not reported. Hysterectomy infections: not reported. MRSA: not reported. C. diff: not reported. No infection comparisons Same as national
Sioux Falls VA Medical CenterSioux Falls Complications: same as national VA Central line infections: not reported. Catheter UTIs: not reported. Colon surgery infections: not reported. Hysterectomy infections: not reported. MRSA: not reported. C. diff: not reported. No infection comparisons Same as national
Spearfish Regional HospitalSpearfish Complications: same as national Acute care Central line infections: not reported. Catheter UTIs: not reported. Colon surgery infections: not reported. Hysterectomy infections: not reported. MRSA: not reported. C. diff: not reported. No infection comparisons Same as national
St Mary's Healthcare CenterPierre 0 better · 0 worse Complications: same as national Acute care Central line infections: not reported. Catheter UTIs: not reported. Colon surgery infections: not reported. Hysterectomy infections: not reported. MRSA: not reported. C. diff: no different from national. 0 better · 0 worse of 1 compared Same as national
Sturgis Regional HospitalSturgis 0 better · 0 worse Critical Access Central line infections: not reported. Catheter UTIs: not reported. Colon surgery infections: not reported. Hysterectomy infections: not reported. MRSA: not reported. C. diff: no different from national. 0 better · 0 worse of 1 compared Not compared
VA Black Hills Healthcare SystemFort Meade Complications: same as national VA Central line infections: not reported. Catheter UTIs: not reported. Colon surgery infections: not reported. Hysterectomy infections: not reported. MRSA: not reported. C. diff: not reported. No infection comparisons Same as national
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How South Dakota compares with its neighbors

RankStateInfection indexWorse on 1+ infectionComplications worse
#4 Nebraska 0.81 0% (0 of 24) 0
#5 North Dakota 0.82 0% (0 of 10) 0
#7 South Dakota 0.83 0% (0 of 11) 0
#10 Wyoming 0.88 0% (0 of 8) 0
#22 Iowa 1.01 0% (0 of 36) 5
#23 Minnesota 1.02 0% (0 of 62) 0
#36 Montana 1.11 8% (1 of 13) 3

Infection index: 1.00 is the U.S. level; lower is better (0.90 means about 10% fewer infections than U.S. hospitals overall, relative to what CMS predicts).

Questions about South Dakota hospital safety

Which South Dakota hospitals are better than national on infections?

3 South Dakota hospitals were better than national on at least one infection and worse on none, led by Avera McKennan Hospital & University Health Center (Sioux Falls), Rapid City Regional Hospital (Rapid City), Sanford Usd Medical Center (Sioux Falls).

How does South Dakota compare with other states on hospital infections?

South Dakota ranks #7 of 50 states on HospitalsInEachState.com's infection index (lower is better), at 0.83. Averaged across the infections with enough data, its hospitals reported about 17% fewer infections than U.S. hospitals overall, relative to what CMS predicts. 0 of 11 reporting hospitals (0%) were worse than national on at least one infection, compared with 5% nationwide.

What if my hospital is worse than national on an infection?

A "worse" result means CMS found the hospital reported significantly more of that infection than predicted during the measurement period. It covers one type of infection over a past period and does not mean every patient is at higher risk. If you have a planned procedure, ask your doctor or the hospital what it is doing about the result and how it applies to your care. In an emergency, go to the nearest emergency room or call 911.

Why isn't my hospital listed?

Only hospitals with at least one CMS infection comparison or a serious-complications result are listed. Hospitals with too few procedures or patient days, such as many small rural, critical access and specialty hospitals, often have no comparison. A missing result is not a bad sign. Every hospital still has its own page in the South Dakota hospital directory.

Use this data

You're welcome to use these results with a link to this page.

Source: CMS Care Compare, Healthcare-Associated Infections (Oct 2024 – Sep 2025) and Complications and Deaths (Jul 2022 – Jun 2024) files. "Better", "no different" and "worse" are CMS's own statistical comparisons with the national benchmark. The state ratios and infection index are HospitalsInEachState.com's calculation from the same data, not CMS ratings. Each facility is counted once by its CMS Certification Number. Updated automatically when CMS publishes new data.

Infection and complication results are one part of hospital quality and do 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.