South Dakota Hospital Rankings & Safety Report

zReports Research Institute · Updated September 2026

Bythe zReports Healthcare Research Team · zReports Research Institute Data sourcezReports Consumer Intelligence Database™ v2026.09 Facilities analyzed61 Government sourcesthe state's licensing authority Last updatedSeptember 2026 MethodologyConsumer Z Score™ · Database v2026.09

South Dakota has 61 active licensed hospitals on the state's public file. zReports analyzed CMS Hospital Compare general information and quality data to produce a records layer grade for every one, the government's own verdicts, mapped through one fixed rule. No facility can pay to change a score, and the grade is free.

Key findings

61active licensed hospitals across 52 South Dakota cities appear on the state's public file.
96.7%hold an A or B records layer grade.
85.5is the statewide average records layer score across all graded hospitals.
Sioux Fallshas the most licensed hospitals in the state (6).

Key statistics

StatisticValue
Active licensed hospitals61
Cities covered52
Statewide average records layer score85.5
Grade A facilities56 (91.8%)
Grade B facilities3 (4.9%)
Grade C facilities2 (3.3%)
Facilities with a clean record (no deficiencies on file)61 (100%)
Serious (high severity) findings on the record0
Moderate findings on the record0
Critical Access Hospital39
General Acute Care Hospital20
Children'S Hospital1
Psychiatric Hospital1

By city

Sioux Falls (6)Rapid City (3)Yankton (2)Aberdeen (2)Watertown (1)Brookings (1)Pierre (1)Fort Meade (1)Spearfish (1)Rosebud (1)Dakota Dunes (1)Pine Ridge (1)Scotland (1)Madison (1)Faulkton (1)Gettysburg (1)Armour (1)Platte (1)Clear Lake (1)Eureka (1)Burke (1)Flandreau (1)Webster (1)Britton (1)Freeman (1)Martin (1)Wagner (1)Redfield (1)Bowdle (1)Philip (1)Deadwood (1)Sturgis (1)Hot Springs (1)Custer (1)Wessington Springs (1)Mobridge (1)Milbank (1)Tyndall (1)Viborg (1)Chamberlain (1)Parkston (1)Dell Rapids (1)De Smet (1)Canton (1)Winner (1)Huron (1)Vermillion (1)Miller (1)Gregory (1)Sisseton (1)Mitchell (1)Eagle Butte (1)

Statewide top 25

#1 Sanford Usd Medical Center Sioux Falls · A

#2 Va Black Hills Healthcare System Fort Meade · A

#3 Sioux Falls Va Medical Center Sioux Falls · A

#4 Avera Heart Hospital Of South Dakota Sioux Falls · A

#5 Avera St Benedict Health Center - Cah Parkston · A

#6 Brookings Health System Brookings · A-

#7 Avera St Lukes Aberdeen · A-

#8 Avera Mckennan Hospital & University Health Center Sioux Falls · A-

#9 Monument Health Spearfish Hospital Spearfish · A-

#10 Sanford Medical Center Aberdeen Aberdeen · A-

#11 Community Memorial Hospital Redfield · A-

#12 Coteau Des Prairies Health Care System Sisseton · A-

#13 Avera Queen Of Peace Mitchell · A-

#14 Phs Indian Hospital At Rosebud Rosebud · A-

#15 Dunes Surgical Hospital Dakota Dunes · A-

#16 Sioux Falls Specialty Hospital Sioux Falls · A-

#17 Black Hills Surgical Hospital LLC Rapid City · A-

#18 Same Day Surgery Center LLC Rapid City · A-

#19 Pine Ridge Ihs Hospital Pine Ridge · A-

#20 Landmann Jungman Memorial Hospital Corporation Scotland · A-

#21 Madison Regional Health System Madison · A-

#22 Faulkton Area Medical Center Faulkton · A-

#23 Avera Missouri River Health Center Gettysburg · A-

#24 Douglas County Memorial Hospital-Cah Armour · A-

#25 Platte Health Center Platte · A-

Don't see a name? Search it. Every hospital has an answer.

Methodology

The free grade on this page contains zero zReports judgment: it maps the state's own published licensing and enforcement verdicts through one fixed rule, applied identically to every hospital in America. Where the record and public reputation diverge, a highly reviewed facility with serious findings on file, the paid Consumer Intelligence Report™ surfaces it through the composite Consumer Z Score™ and our published ten point methodology. Facilities are never contacted and cannot pay to change a score. Read the full methodology →

About hospital licensing in South Dakota

Hospitals in South Dakota are overseen by the state's licensing authority, whose certification, inspection, and quality-reporting data is published on the public record. This page is computed from CMS Hospital Compare general information and quality data, the government’s own filings, not reviews or advertising.

Frequently asked questions

How many hospitals are there in South Dakota?

South Dakota has 61 active licensed hospitals on the state's public file, across 52 cities. Every one has a free records layer grade on zReports.

Which South Dakota city has the most hospitals?

Sioux Falls, with 6 licensed hospitals, followed by Rapid City (3) and Yankton (2).

How are South Dakota hospital grades calculated?

The free records layer grade contains zero zReports judgment. It maps the government's own published verdicts, CMS Hospital Compare general information and quality data, through one fixed rule, applied identically to every hospital in the country. The paid Consumer Intelligence Report™ adds the composite Consumer Z Score™, which audits the record against public reputation through our published ten point methodology.

Why can a facility with 5-star reviews have a low grade?

Reviews and records are different surfaces. Reviews reflect what visitors chose to write, and can be managed by the business. Inspection and enforcement records are filed by the state, are mandatory, and cannot be edited by the facility. When the two diverge, the record is the surface worth checking. That divergence is exactly what zReports was built to surface.

How often are these rankings updated?

Rankings refresh whenever South Dakota republishes its licensing data; facility pages carry the records-verified date for each provider. This page was generated from the current file as of September 2026.

Can a facility pay to change its score?

No. Facilities are never contacted, never notified, and cannot pay to be listed, delisted, or re-scored. zReports has no business relationship with any facility it grades, independence is the product.

Data Provenance

This report was generated from the zReports Consumer Records Database™, a continuously updated database that normalizes official government licensing, inspection, enforcement, ownership, and safety records across multiple federal and state agencies. Every statistic in this report is traceable to its originating public record. Facilities cannot pay to alter scores, rankings, or findings.

Data source: zReports Consumer Intelligence Database™ v2026.09 · Built from: CMS Provider Data Catalog · HHS OIG Exclusions List (LEIE) · Public consumer review signals (audited, never trusted, in the composite Consumer Z Score™) · Proprietary Consumer Z Score™ methodology · Updated: September 2026

Cite this report

APA, zReports Research Institute. (2026). South Dakota Hospital Rankings & Safety Report (v2026.09). zReports.org. https://zreports.org/rankings/hospital/sd

MLA, zReports Research Institute. “South Dakota Hospital Rankings & Safety Report.” zReports.org, v2026.09, September 2026, zreports.org/rankings/hospital/sd.

Plain, South Dakota Hospital Rankings & Safety Report, zReports Research Institute, v2026.09, updated September 2026, zreports.org/rankings/hospital/sd

Related research

Hospitals in all states → Sioux Falls rankings →Rapid City rankings →Yankton rankings → zReports Data Blog → How the Consumer Z Score™ works →