State

South Dakota

CMS cut 3 of the 16 hospitals in South Dakota with a payment decision for fiscal year 2026: 18.8%, against 24.9% nationally.

South Dakota · FY2026Compared with the nation

1Hospitals cut

Of 16 with a payment decision

2Share cut

18.8%

−6.1 pts vs the nation (24.9%)

3Rank

37th of 50

Share cut, highest first, among the states and DC

4Median score

−0.5089

Nation: −0.0453

5Scored on all 6

Of 16 scored (25%; nation 66%)

6Scored without data

Hospitals CMS gave its worst score on a measure

7Estimated dollars

$262K estimate

0.1% of the nation’s $306M, this site’s estimate

Likely range $188–294K

8Per traditional Medicare stay

The nation: $47

19% cut

Every hospital in the nation with a payment decision, lowest score to highest, each as tall as its score (above the rule, worse than average); the solid hairlines are South Dakota’s, red where CMS cut.

On the map

Each dot is a hospital in CMS’s file: red, cut; ringed, not cut; gray, no decision. Pick one to open its page.

Figure 1. South Dakota: 3 cut of 16 with a payment decision.

Cut
Not cut
Not subject (Maryland) or no score

Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table

Hospital	City	Total HAC Score	Payment reduction
Avera Heart Hospital of South Dakota	Sioux Falls	−0.7320	No
Avera McKennan Hospital & University Health Center	Sioux Falls	0.3618	No
Avera Sacred Heart Hospital	Yankton	−0.1311	No
Avera St Lukes	Aberdeen	−0.3820	No
Avera St Mary's Hospital	Pierre	1.6685	Yes
Black Hills Surgical Hospital LLC	Rapid City	−1.4649	No
Brookings Health System	Brookings	1.0713	Yes
Dunes Surgical Hospital	Dakota Dunes	−0.6357	No
Monument Health Rapid City Hospital	Rapid City	0.0475	No
Monument Health Spearfish Hospital	Spearfish	−0.7816	No
PHS Indian Hospital at Rosebud	Rosebud	N/A	No
Pine Ridge IHS Hospital	Pine Ridge	−1.4622	No
Prairie Lakes Healthcare System, Inc	Watertown	1.2749	Yes
Same Day Surgery Center LLC	Rapid City	−0.6651	No
Sanford Medical Center Aberdeen	Aberdeen	−0.8636	No
Sanford USD Medical Center	Sioux Falls	−0.2461	No
Sioux Falls Specialty Hospital	Sioux Falls	−0.8906	No

Its scores against the nation’s

The columns are this place’s hospitals; the outline is every hospital in the nation. Both are shares of their own hospitals, so a small place and the nation compare.

Figure 2. 18.8% of hospitals here scored past CMS’s line, against 24.9% nationally; the middle score here is −0.5089, and nationally −0.0453.

Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table

Score from	to	Here	Nation
−1.6	−1.4	2	40
−1.4	−1.2	0	17
−1.2	−1.0	0	51
−1.0	−0.8	2	126
−0.8	−0.6	4	204
−0.6	−0.4	0	290
−0.4	−0.2	2	357
−0.2	0.0	1	407
0.0	0.2	1	343
0.2	0.4	1	333
0.4	0.6	0	237
0.6	0.8	0	173
0.8	1.0	0	116
1.0	1.2	1	91
1.2	1.4	1	30
1.4	1.6	0	21
1.6	1.8	1	10
1.8	2.0	0	3
2.0	2.2	0	13
2.2	2.4	0	24

Measure by measure

For each measure, the share of this place’s hospitals with a value worse than the national median. Half would be ordinary; a stem to the right of the line is a measure where more hospitals here did worse.

Figure 3. Worst against the nation on CAUTI (86% of its hospitals above the national median); best on MRSA (0%).

Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table

Measure	Hospitals with a value	Half
PSI 90	14	43%
CLABSI	5	20%
CAUTI	7	86%
SSI	9	33%
CDI	13	62%
MRSA	4	0%

South Dakota across the line

The nation’s hospitals within 0.05 of CMS’s line that this site estimates, South Dakota’s in full ink: scores a hair apart, money all or nothing.

Figure 4. Of the nation’s 141 hospitals within 0.05 of CMS’s line that this site estimates, South Dakota has 1 hospital not cut, where a cut would have been about $1.1M.

3 more within 0.05 have no estimate, and Maryland’s 2 are exempt.

Estimate · Source: this site’s arithmetic on CMS’s FY2026 IPPS final rule files (the impact file, the rate tables and the value-based factors), its FY2026 HRRP supplemental file and HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table

Side of the line	Hospitals	Estimated cut, taken or not (whole dollars)
Under the line: not cut	82	$52,846,861
Over the line: cut	59	$29,847,503

South Dakota, year by year

Every hospital in South Dakota with a payment decision in any year, one sliver each, one row per fiscal year; red where CMS cut it. At the right of each row: the share of South Dakota’s hospitals cut that year, then the nation’s.

Figure 5. South Dakota’s share cut was above the nation’s in 1 of the 11 years CMS cut anyone; 13 of its 23 hospitals have been cut at least once.

Source: CMS, HACRP hospital files for fiscal years 2015 to 2026 (Provider Data Catalog, its archives and, for the oldest years, the Internet Archive’s copies), and CMS’s cut lists for FY2015 and FY2016.

Show table

Fiscal year	Hospitals with a decision	Cut	Share cut	Nation
FY2015	21	3	14.3%	21.9%
FY2016	19	2	10.5%	23.4%
FY2017	20	4	20.0%	24.0%
FY2018	20	4	20.0%	23.6%
FY2019	19	3	15.8%	25.0%
FY2020	18	3	16.7%	25.0%
FY2021	18	3	16.7%	24.9%
FY2022	18	3	16.7%	25.0%
FY2023	0	0
FY2024	16	4	25.0%	24.9%
FY2025	16	3	18.8%	24.8%
FY2026	16	3	18.8%	24.9%

Its metro areas

Hospitals CMS cut, of those with a payment decision, and the middle score, by place.

Place	With a decision	Hospitals cut	Share cut	Median score	Est. cut ($, modeled)
Rapid City, SD	3	0	0.0%	−0.6651	$0
Sioux City, IA-NE-SD	3	2	66.7%	0.6377	$594K
Sioux Falls, SD-MN	4	0	0.0%	−0.4891	$0
Outside any metro area	8	3	37.5%	−0.2566	$262K

Every hospital in South Dakota

The sortable table of this place’s hospitals needs JavaScript; the CSV file holds every hospital’s values.

Sorted by state, then name. Sort by any column or search by name, city or CCN.

Name, city or CCN contains

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Every hospital in CMS’s file in South Dakota, with its Total HAC Score and payment reduction decision as CMS reports them

Download all hospitals’ data (CSV) · Data dictionary · CMS’s dataset page

Back to the national picture

A penalty reflects how CMS’s formula scored relative performance; it is not a verdict on the quality of care.

Cite this page

Paid & Penalized. South Dakota: hospital-acquired conditions, FY2026. https://paidandpenalized.org/hacrp/state/sd/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.