facebook tracking Avera Desmet Memorial Hospital - CAH, De Smet, SD: ER Visit 2h 3m

Avera Desmet Memorial Hospital - CAH, De Smet, SD

306 Prairie Ave SW, De Smet, SD 57231Kingsbury County

Critical access hospital 6 beds (Medicare cost report FY2025) Emergency room

Independent directory · data from CMS, not from this hospital

Avera Desmet Memorial Hospital - CAH is a non-profit critical access hospital in De Smet, South Dakota, with an emergency department. According to HospitalsInEachState.com's analysis of the October 2026 CMS release, patients treated and sent home spend a median of 2 hr 3 min in its emergency department, 9 min longer than the average across South Dakota hospitals (1 hr 54 min). Avera Desmet Memorial Hospital - CAH is in network for at least one 2027 Marketplace plan from 2 insurers in South Dakota, according to the insurers' network files loaded November 4, 2026.

Median ER visit 2 hr 3 min treated & sent home +9 min vs SD hospitals' avg
Medicare star ratingNot ratedReason below
Beds6Medicare cost report FY2025

CMS did not publish an overall star rating for this hospital; hospitals that report too few quality measures are not rated.

Source: CMS Care Compare, October 2026 releaseER figures are medians, not live waitsAbout the data

Visiting Avera Desmet Memorial Hospital - CAH

Address 306 Prairie Ave SW
De Smet, SD 57231
County: Kingsbury
Directions Apple Maps Call (605) 854-6100
Emergency room Yes. For patients treated and sent home, the median ER visit here lasts 2 hr 3 min (average across SD hospitals: 1 hr 54 min). Medicare's median time in the ER for patients treated and sent home; not a live wait. ER times across SD
What to bring
  • Photo ID and your insurance, Medicare or Medicaid card
  • A list of your medicines, doses and allergies
  • Your doctor's name and phone number
  • A phone charger
Visiting hours and parking vary: call ahead.

Official links: Website for Avera Desmet Memorial Hospital - CAH (opens the hospital's site)

Quick answers about Avera Desmet Memorial Hospital - CAH

How long is the ER wait at Avera Desmet Memorial Hospital - CAH?

CMS doesn't publish live wait times. Over the 12 months CMS reported, patients treated and sent home spent a median of 2 hr 3 min in the Avera Desmet Memorial Hospital - CAH emergency room (the average across South Dakota hospitals is 1 hr 54 min). For tonight's wait, check the hospital's website (opens the hospital's own site) or call (605) 854-6100. In an emergency, call 911.

What is the phone number for Avera Desmet Memorial Hospital - CAH?

The main phone number for Avera Desmet Memorial Hospital - CAH is (605) 854-6100, from Medicare's hospital records.

Call (605) 854-6100
What is the address of Avera Desmet Memorial Hospital - CAH?

Avera Desmet Memorial Hospital - CAH is at 306 Prairie Ave SW, De Smet, SD 57231.

Directions (opens Google Maps)
Does Avera Desmet Memorial Hospital - CAH have an emergency room?

Yes. Avera Desmet Memorial Hospital - CAH has an emergency department, according to Medicare data.

Quality and performance

Centers for Medicare & Medicaid Services · data as of October 2026

Patients treated and sent home from the emergency department at Avera Desmet Memorial Hospital - CAH spend a median of 2 hours 3 minutes there. That is 9 minutes longer than the average across South Dakota hospitals (1 hour 54 minutes).

Type Critical access
Ownership Non-profit

Source: CMS Hospital General Information and Timely & Effective Care. Wait times are a median over a past 12-month reporting period, not live data. Not affiliated with CMS or with Avera Desmet Memorial Hospital - CAH. For a medical emergency, call 911.

Compare ER waits across South Dakota · Other Critical Access hospitals in South Dakota · How we source this data · Something wrong on this page? Tell us

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Infections, complications and deaths

Centers for Medicare & Medicaid Services · compared with hospitals nationwide

Death rates within 30 days

Patients treated forThis hospitalU.S.
Hospital-wide, all conditions 4.2% 3.9%

Risk-adjusted rates. CMS has not published a statistical better/worse comparison for these death rates in the current release, so small differences from the U.S. rate may be chance.

"Better" or "worse" means CMS found the difference from the national benchmark statistically significant; most hospitals are "no different". Infection results compare the infections a hospital reported with the number predicted for a hospital of its size and type (a ratio below 1 means fewer than predicted). Death and complication rates are risk-adjusted for how sick patients were. Each death rate counts deaths within 30 days of a hospital stay, pooled over one to three years of Medicare patients depending on the measure. About the data.

What insurance does Avera Desmet Memorial Hospital - CAH accept?

Original Medicare: Medicare-certified, so it can bill Original Medicare (Medicare number 431332). Medicare Advantage plans have their own networks, which this section does not cover.

2027 Marketplace plans in South Dakota that list this hospital

Marketplace insurers whose 2027 plan networks in South Dakota list Avera Desmet Memorial Hospital - CAH, most plans in network first
InsurerPlans in networkNetworkNetwork tier
Avera Health Plans 30 of 30 plans CONNECTPLUS, DIRECTCONNECT Connectplus
Wellmark Blue Cross Blue Shield 14 of 14 plans BLUERX-ESSENTIALS Bluerx-Essentials

2027 plan year, individual Marketplace (ACA) plans only.Health insurance in South Dakota

Plans that include this hospital: Wellmark Bronze HDHP EPO HSA Qualified, Wellmark Bronze Traditional EPO, Wellmark Gold Traditional EPO, Wellmark Silver Traditional EPO, Wellmark Standard Bronze EPO, Wellmark Standard Gold EPO Compare plans

Adults in South Dakota qualify for Medicaid up to 133% of the poverty line. Ask the hospital which South Dakota Medicaid plans it takes.

Is Avera Desmet Memorial Hospital - CAH in your plan?

For HealthCare.gov Marketplace plans (2027). Enter your ZIP code, then pick your insurer and plan. We only use your ZIP code to find plans; we don't save it.

Live from HealthCare.gov's Marketplace provider data, as reported by insurers. Networks change: confirm with your insurer before you get care. Not affiliated with HealthCare.gov or CMS.

What insurance does Avera Desmet Memorial Hospital - CAH accept?

In the 2027 HealthCare.gov Marketplace plan data (insurer network files loaded November 4, 2026), Avera Desmet Memorial Hospital - CAH is in network for 2 Marketplace insurers in South Dakota: Avera Health Plans (30 of 30 plans) and Wellmark Blue Cross Blue Shield (14 of 14 plans). This covers Marketplace (ACA) plans only, not Medicare Advantage, Medicaid or employer plans. Networks differ from plan to plan and can change, so confirm with the insurer before you get care.

Does Avera Desmet Memorial Hospital - CAH take Medicare?

Avera Desmet Memorial Hospital - CAH is a Medicare-certified hospital (CMS Certification Number 431332), according to CMS hospital data. Medicare Advantage plans have their own networks, which this page does not cover; check with your plan before you get care.

Does Avera Desmet Memorial Hospital - CAH accept Avera Health Plans?

Avera Desmet Memorial Hospital - CAH is in network for 30 of 30 plans that Avera Health Plans sells on the South Dakota Marketplace in 2027, according to Avera Health Plans's network file loaded November 4, 2026. Networks differ from plan to plan and can change, so confirm with the insurer before you get care.

Does Avera Desmet Memorial Hospital - CAH accept Wellmark Blue Cross Blue Shield?

Avera Desmet Memorial Hospital - CAH is in network for 14 of 14 plans that Wellmark Blue Cross Blue Shield sells on the South Dakota Marketplace in 2027, according to Wellmark Blue Cross Blue Shield's network file loaded November 4, 2026. Networks differ from plan to plan and can change, so confirm with the insurer before you get care.

Source: the insurers' 2027 machine-readable provider files listed in the CMS Marketplace public use files, loaded November 4, 2026, matched to hospitals by NPI from CMS Hospital Enrollments. How we match networks to hospitals Networks change; confirm with your insurer before you go.

Readmissions and return visits

Centers for Medicare & Medicaid Services · Medicare patients · Jul 2024 – Jun 2025

Back in the hospital within 30 days

After a stay forThis hospitalU.S.CMS comparison
All conditions (hospital-wide)Medicare patients back in any hospital within 30 days of leaving. 15.8% 16.2% Not compared

Readmission rates count Medicare patients who were admitted to any acute-care hospital within 30 days of leaving this one, adjusted for how sick they were. "Better" or "worse" means CMS found the difference from the national rate statistically significant; most hospitals are "no different". Return-day and outpatient-surgery measures compare the hospital with what CMS expected for its own patients. The Readmissions Reduction Program ratios are shown as CMS publishes them; whether a hospital's payments are reduced depends on how its ratios compare with similar hospitals, so a ratio above 1.00 alone doesn't mean a penalty. About the data.

Timely and effective care

Centers for Medicare & Medicaid Services · all patients unless noted · Jan 2025 – Dec 2025

MeasureThis hospitalU.S.
Typical time in the ER before going homeMedian minutes from arrival to leaving, for ER patients sent home (not counting mental health patients or transfers). Lower is better. 767 patients. 123 min 162 min
Typical ER time for mental health patients sent homeMedian minutes from arrival to leaving. Lower is better. 15 patients. 150 min 257 min
Typical ER time for patients transferred to another facilityMedian minutes from arrival to leaving. Lower is better. 106 patients. 205 min 287 min
Health care workers vaccinated against fluHigher is better. 62 patients. 95% 77%

CMS publishes these process-of-care measures without a better/worse verdict, so the U.S. figure is shown for context; small differences, or results based on few patients, may not mean much. About the data.

Care after a stay at Avera Desmet Memorial Hospital - CAH

Medicare-certified providers near this hospital, with their CMS ratings. A hospital discharge planner can make the referral.

Skilled nursing facilities nearby

Skilled nursing ratings and inspections at Nursing Homes In Each State

Source: CMS Care Compare. Distances are approximate.

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Doctors at Avera Desmet Memorial Hospital - CAH

10 Medicare-enrolled doctors and other clinicians list this hospital as an affiliation, across 7 specialties.

See all 10 clinicians
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Size and finances

Medicare cost report · fiscal year ending Jun 2025

Beds
6
Reported to Medicare, FY2025
Employees
36
Full-time equivalent
Discharges
59
Inpatient stays a year
Patient revenue
$9.1 million
Net of discounts
Operating margin
12.3%
On patient care
Charity care
$77,000
1.0% of expenses
Bad debt
$273,000
Unpaid patient bills

As reported by the hospital to CMS; not audited. Operating margin is income from patient care divided by net patient revenue and leaves out investment income and donations. Compare South Dakota hospital finances.

Who owns Avera Desmet Memorial Hospital - CAH

Medicare enrollment and ownership records (PECOS)

Medicare lists the hospital's legal name as Avera Queen of Peace, a non-profit organization, incorporated 1908.

Avera Health Operational or managerial control · since 2000 Non-profit
Avera Health Owns 5% or more directly · 100% · since 2000 Non-profit

29 doctors and other clinicians list Avera Desmet Memorial Hospital - CAH as a hospital affiliation in Medicare's clinician directory.

Organizations with 5% or more ownership (directly or through other companies), partnership interests or operational control, as the hospital reported them to Medicare. Records can lag behind recent sales. Individuals are not listed. Who owns America's hospitals.

Non-profit finances

IRS Form 990 · tax year ending Jun 2023 · Avera Queen of Peace (EIN 46-0224604)

Revenue
$133.5 million
Expenses
$129.0 million
Surplus
$4.5 million
3.3% of revenue
Officer pay
$1.7 million
Compensation of current officers, directors and key employees

As filed with the IRS by Avera Queen of Peace, which also files for 2 other hospitals listed here, so the figures cover more than this hospital. Matched by name and address, so check the filing to confirm it's the right organization. See the full Form 990 filings · Non-profit hospital finances.

The area around Avera Desmet Memorial Hospital - CAH

HRSA shortage designations and BLS pay data

Primary care: Kingsbury is a federally designated health professional shortage area. Highest shortage score 15.

Mental health: Kingsbury is a federally designated health professional shortage area. Highest shortage score 19.

Nurse pay: registered nurses in South Dakota earn a median $78,060 a year. Healthcare salaries in South Dakota.

Shortage areas are designated by the Health Resources and Services Administration where there are too few primary care, mental health or dental providers for the population; scores run from 0 to 25 for primary and mental health care and 0 to 26 for dental care, higher meaning greater need. South Dakota shortage areas

Healthcare pay in South Dakota

Registered nurses across South Dakota (all employers) earned a median of $78,060 a year (BLS, May 2025).Registered Nurse (RN) salary in South DakotaNurse Practitioner salary in South DakotaRespiratory Therapist salary in South DakotaHealthcare salaries in South Dakota

Cite this data

Writing about Avera Desmet Memorial Hospital - CAH? You're welcome to quote 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/hospitals/south-dakota/de-smet/avera-desmet-memorial-hospital--cah/306-prairie-ave-sw/

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