Complications & Deaths Measures
20
CMS-tracked
South Dakota · Acute Care
Monument Health Spearfish Hospital
According to PlainHospital's CMS star-rating ranking (CMS Hospital Compare overall stars), Monument Health Spearfish Hospital ranks #898 of 3182 rated US hospitals by overall star rating (highest = #1).
- 4★
- CMS overall rating
- #898 of 3182
- Corpus placement
- 20
- Quality measures
- 6
- Infection types
Data currency: Hospital quality, safety, and patient-experience measures from the CMS Care Compare program (published quarterly), last refreshed May 2026. See our methodology for source dates. Spot a figure that looks wrong? Report a correction.
1440 N Main St, Spearfish, SD 57783 · Lawrence County · (605) 644-4000
The verdict
According to PlainHospital's CMS star-rating ranking (CMS Hospital Compare overall stars), Monument Health Spearfish Hospital ranks #898 of 3182 rated US hospitals by overall star rating (highest = #1). Overall CMS stars: 4/5 (above the 3.2-star national average).
- 4 / 5
- CMS overall star rating
- #898 of 3182
- rated-hospital corpus placement
- 0
- measures better than national of 9 compared
- Yes
- emergency department on site
Since the last CMS release
CMS published no overall star rating for this hospital in its May 2026 release; it is rated 4 of 5 as of August 2026.
CMS replaces its file at each release rather than publishing a changelog, so this comparison exists only because the earlier release is kept on file. See what changed nationally.
Where Monument Health Spearfish Hospital sits among rated US hospitals
4 Top 42% higher than 58% of 3,182 rated hospitals
Each bar is a band; taller bars hold more rated hospitals. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Hospital Compare, overall hospital rating · 2026-08-14
Monument Health Spearfish Hospital vs. South Dakota and the nation
- Monument Health Spea…
Monument Health Spearfish Hospital
4 stars
- South Dakota avg
South Dakota state average
3.9 stars
- US avg
National average
3.2 stars
What this shows At 4 stars, Monument Health Spearfish Hospital rates above the South Dakota average of 3.9 and above the national average of 3.2.
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Emergency Services
Yes
Birthing Friendly
N/A
Patient Experience
17
HCAHPS domains
Infection Types
6
CDC NHSN
CMS Overall Star Rating 80.0%
4 of 5 stars
Quality profile vs. the national benchmark
Mortality 3 measures
Safety of care 1 measure
Readmission 5 measures
Better than national Same as national Worse than national
Quality Measures
| Measure | Score | vs. National |
|---|---|---|
| Abdominopelvic accidental puncture or laceration rate | 1.01 | Same as National |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 0.95 | Same as National |
| Death rate among surgical inpatients with serious treatable complications | N/A | Not Available |
| Death rate for CABG surgery patients | N/A | Not Available |
| Death rate for COPD patients | N/A | Number of Cases Too Small |
| Death rate for heart attack patients | N/A | Number of Cases Too Small |
| Death rate for heart failure patients | 11.4 | Same as National |
| Death rate for pneumonia patients | 18.2 | Same as National |
| Death rate for stroke patients | N/A | Number of Cases Too Small |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 4.3 | Same as National |
| Iatrogenic pneumothorax rate | 0.21 | Same as National |
| In-hospital fall-associated fracture rate | 0.27 | Same as National |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 3.8 | Same as National |
| Postoperative acute kidney injury requiring dialysis rate | 1.64 | Same as National |
| Postoperative hemorrhage or hematoma rate | 2.28 | Same as National |
Patient Experience (HCAHPS)
Experience profile vs. the national average
Source: CMS Hospital Compare, HCAHPS patient survey star ratings.
| Survey Question | Star Rating |
|---|---|
| Cleanliness - linear mean score | N/A |
| Cleanliness - star rating | 4 |
| Communication about medicines - linear mean score | N/A |
| Communication about medicines - star rating | 4 |
| Discharge information - linear mean score | N/A |
| Discharge information - star rating | 4 |
| Doctor communication - linear mean score | N/A |
| Doctor communication - star rating | 4 |
| Nurse communication - linear mean score | N/A |
| Nurse communication - star rating | 4 |
| Overall hospital rating - linear mean score | N/A |
| Overall hospital rating - star rating | 4 |
| Quietness - linear mean score | N/A |
| Quietness - star rating | 4 |
| Recommend hospital - linear mean score | N/A |
| Recommend hospital - star rating | 5 |
| Summary star rating | 4 |
Safety & Infections
| Measure | Score | vs. National |
|---|---|---|
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | N/A | Not Available |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | N/A | Not Available |
| Clostridium Difficile (C.Diff) | N/A | Not Available |
| MRSA Bacteremia | N/A | Not Available |
| SSI - Abdominal Hysterectomy | N/A | Not Available |
| SSI - Colon Surgery | N/A | Not Available |
Staffing & Spending
Unplanned Visits & Readmissions
| Measure | Score | vs. National |
|---|---|---|
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | N/A | Number of Cases Too Small |
| Heart failure (HF) 30-Day Readmission Rate | 20 | Same as National |
| Hospital return days for heart attack patients | N/A | Number of Cases Too Small |
| Hospital return days for heart failure patients | 75.6 | More Days Than Average per 100 Discharges |
| Hospital return days for pneumonia patients | -7.6 | Average Days per 100 Discharges |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 14.2 | Same as National |
| Pneumonia (PN) 30-Day Readmission Rate | 15.7 | Same as National |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | N/A | Number of Cases Too Small |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | N/A | Number of Cases Too Small |
| Rate of readmission after hip/knee replacement | N/A | Number of Cases Too Small |
| Rate of readmission for CABG | N/A | Not Available |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | N/A | Number of Cases Too Small |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 11.4 | Same as National |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 1 | Same as National |
Medicare Spending
| Measure | Score |
|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary) | 0.92 |
Maternal Health
| Measure | Score |
|---|---|
| Cesarean Birth | N/A |
| Maternal Morbidity Structural Measure | N/A |
| Risk Adjusted Severe Obstetric Complications (All) | N/A |
| Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases) | N/A |
Nearby Hospitals in South Dakota
Other Medicare-certified hospitals in South Dakota.
Avera de Smet Memorial Hospital - Cah
De Smet, SD
No rating Critical Access Hospitals
Avera Dells Area Hospital - Cah
Dell Rapids, SD
No rating Critical Access Hospitals
Avera Flandreau Hospital - Cah
Flandreau, SD
No rating Critical Access Hospitals
Avera Gregory Hospital
Gregory, SD
No rating Critical Access Hospitals
Avera Hand County Memorial Hospital and Clinic
Miller, SD
No rating Critical Access Hospitals
Avera Heart Hospital of South Dakota
Sioux Falls, SD
5/5
Acute Care Hospitals
Compare Monument Health Spearfish Hospital vs Avera de Smet Memorial Hospital - Cah →
Hospital Quality Guides
Frequently Asked Questions
How does Monument Health Spearfish Hospital compare to other hospitals on CMS star rating?
According to PlainHospital's CMS star-rating ranking, Monument Health Spearfish Hospital ranks #898 of 3182 rated US hospitals by overall star rating (highest = #1). That ordinal matches our top-rated hospital listing (star_rating DESC). See /methodology#corpus-placement for the exact sort basis.
What is the CMS star rating for Monument Health Spearfish Hospital?
Monument Health Spearfish Hospital has an overall CMS star rating of 4 out of 5, above the 3.2-star national average.
How does Monument Health Spearfish Hospital perform on quality measures?
0 of 9 compared mortality, safety, and readmission measures rate better than the national average at Monument Health Spearfish Hospital; 1 rate worse.
What do patients say about Monument Health Spearfish Hospital?
Monument Health Spearfish Hospital reports 17 HCAHPS patient-experience domain scores. Star ratings range from 4 to 5 out of 5.
What are the infection rates at Monument Health Spearfish Hospital?
Monument Health Spearfish Hospital tracks 6 healthcare-associated infection types (CDC NHSN). 0 are better than the national benchmark, 0 are worse, and 0 are at the national average.
Does Monument Health Spearfish Hospital have emergency services?
Yes, Monument Health Spearfish Hospital provides emergency services.
What type of hospital is Monument Health Spearfish Hospital?
Monument Health Spearfish Hospital is a Acute Care Hospitals facility with Voluntary non-profit - Private ownership, located in Spearfish, SD.
How much does Medicare spend at Monument Health Spearfish Hospital?
1 Medicare spending category is on file for Monument Health Spearfish Hospital, per episode vs. the national median.
Does Monument Health Spearfish Hospital offer maternal health services?
Yes, Monument Health Spearfish Hospital reports 4 maternal health measures.
Data Sources
Source: Centers for Medicare & Medicaid Services (CMS) Hospital Compare. Last refreshed from CMS: . About PlainHospital
Read our methodology & full data source list
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