Acute Care Hospitals · Voluntary non-profit - Private
Avera Mckennan Hospital & University Health Center
- 1325 S Cliff Ave Post Office Box 5045, Sioux Falls, SD 57117
- (605) 322-8000
- Acute Care Hospitals
- Emergency services available 24/7
At a glance
Avera Mckennan Hospital & University Health Center carries a 4-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 18 and worse on 0. For 30-day readmissions, it beats the national rate on 1 measure and trails on 0.
Healthcare-Associated Infections
lower is better · 36 measures reported
Rates of infections patients can acquire while receiving care, such as central-line and catheter-associated infections, MRSA, and C. difficile.
| Measure | Score | Compared to national |
|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit | 0.476 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 1.572 | Same as national |
| Central Line Associated Bloodstream Infection: Number of Device Days | 11221 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 12.163 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 11 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 0.904 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | 0.099 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 0.602 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 11512 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 18.418 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 5 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 0.271 | Better than national |
| SSI - Colon Surgery: Lower Confidence Limit | 0.077 | Better than national |
| SSI - Colon Surgery: Upper Confidence Limit | 0.820 | Better than national |
| SSI - Colon Surgery: Number of Procedures | 363 | Better than national |
| SSI - Colon Surgery: Predicted Cases | 9.963 | Better than national |
| SSI - Colon Surgery: Observed Cases | 3 | Better than national |
| SSI - Colon Surgery | 0.301 | Better than national |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit | 0.026 | Same as national |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit | 2.542 | Same as national |
| SSI - Abdominal Hysterectomy: Number of Procedures | 206 | Same as national |
| SSI - Abdominal Hysterectomy: Predicted Cases | 1.940 | Same as national |
| SSI - Abdominal Hysterectomy: Observed Cases | 1 | Same as national |
| SSI - Abdominal Hysterectomy | 0.515 | Same as national |
| MRSA Bacteremia: Lower Confidence Limit | 0.220 | Same as national |
| MRSA Bacteremia: Upper Confidence Limit | 1.129 | Same as national |
| MRSA Bacteremia: Patient Days | 120741 | Same as national |
| MRSA Bacteremia: Predicted Cases | 11.053 | Same as national |
| MRSA Bacteremia: Observed Cases | 6 | Same as national |
| MRSA Bacteremia | 0.543 | Same as national |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.253 | Better than national |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 0.548 | Better than national |
| Clostridium Difficile (C.Diff): Patient Days | 106361 | Better than national |
| Clostridium Difficile (C.Diff): Predicted Cases | 68.579 | Better than national |
| Clostridium Difficile (C.Diff): Observed Cases | 26 | Better than national |
| Clostridium Difficile (C.Diff) | 0.379 | Better than national |
Complications & Deaths
lower is better · 20 measures reported
Rates of serious complications (like hip/knee replacement problems or accidental cuts during surgery) and 30-day mortality rates for common conditions.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Rate of complications for hip/knee replacement patients | 4.6 | Same as national | 321 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 3.2 | Better than national | 2254 |
| Death rate for heart attack patients | 12.1 | Same as national | 43 |
| Death rate for CABG surgery patients | — | Not available | — |
| Death rate for COPD patients | 9.5 | Same as national | 160 |
| Death rate for heart failure patients | 10.8 | Same as national | 334 |
| Death rate for pneumonia patients | 14.7 | Same as national | 498 |
| Death rate for stroke patients | 13.4 | Same as national | 432 |
| Pressure ulcer rate | 1.04 | Same as national | 8718 |
| Death rate among surgical inpatients with serious treatable complications | 170.45 | Same as national | 158 |
| Iatrogenic pneumothorax rate | 0.14 | Same as national | 10545 |
| In-hospital fall-associated fracture rate | 0.24 | Same as national | 10666 |
| Postoperative hemorrhage or hematoma rate | 2.21 | Same as national | 3115 |
| Postoperative acute kidney injury requiring dialysis rate | 1.08 | Same as national | 1698 |
| Postoperative respiratory failure rate | 8.00 | Same as national | 1683 |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 3.35 | Same as national | 3245 |
| Postoperative sepsis rate | 5.26 | Same as national | 1581 |
| Postoperative wound dehiscence rate | 1.72 | Same as national | 954 |
| Abdominopelvic accidental puncture or laceration rate | 1.13 | Same as national | 2910 |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 1.03 | Same as national | — |
Unplanned Hospital Visits & Readmissions
lower is better · 14 measures reported
How often patients return to the hospital unexpectedly within 30 days of discharge — a marker of care quality and discharge planning.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Hospital return days for heart attack patients | — | Not available | — |
| Hospital return days for heart failure patients | 15.3 | Not available | 366 |
| Hospital return days for pneumonia patients | -30.3 | Not available | 572 |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 14.4 | Same as national | 3986 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 14.5 | Same as national | 4024 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | 9.5 | Same as national | 544 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | 5.5 | Same as national | 544 |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 0.9 | Same as national | 2535 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | — | Not available | — |
| Rate of readmission for CABG | — | Not available | — |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 17.9 | Same as national | 176 |
| Heart failure (HF) 30-Day Readmission Rate | 19.7 | Same as national | 366 |
| Rate of readmission after hip/knee replacement | 5.6 | Same as national | 301 |
| Pneumonia (PN) 30-Day Readmission Rate | 13.6 | Better than national | 572 |
Patient Experience (HCAHPS)
higher is better · 9 measures reported
What patients say about their hospital stay — communication with nurses and doctors, responsiveness, cleanliness, pain management, and whether they would recommend the hospital.
| Measure | Score | Sample |
|---|---|---|
| Nurse communication - star rating | 4 | 721 |
| Doctor communication - star rating | 4 | 721 |
| Communication about medicines - star rating | 3 | 721 |
| Discharge information - star rating | 5 | 721 |
| Cleanliness - star rating | 3 | 721 |
| Quietness - star rating | 4 | 721 |
| Overall hospital rating - star rating | 4 | 721 |
| Recommend hospital - star rating | 4 | 721 |
| Summary star rating | 4 | 721 |
Timely & Effective Care
higher is better (unless a wait time) · 30 measures reported
How consistently hospitals follow recommended care processes — for example, giving heart-attack patients aspirin on arrival, or the average time spent in the emergency department.
| Measure | Score | Sample |
|---|---|---|
| Emergency department volume | high | — |
| Global Malnutrition Composite Score | — | — |
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented | — | — |
| Global Malnutrition Composite Score: Malnutrition Risk Screening | — | — |
| Global Malnutrition Composite Score: Nutrition Assessment | — | — |
| Global Malnutrition Composite Score: Nutritional Care Plan | — | — |
| Hospital Harm - Severe Hyperglycemia | — | — |
| Hospital Harm - Severe Hypoglycemia | — | — |
| Hospital Harm - Opioid Related Adverse Events | — | — |
| Healthcare workers given influenza vaccination | 88 | 9018 |
| Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better | 117 | 413 |
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better | 117 | 389 |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better | 118 | 19 |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better | — | — |
| Left before being seen | 0 | 53764 |
| Head CT results | 73 | 11 |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients | 99 | 1052 |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery | — | — |
| ST-Segment Elevation Myocardial Infarction (STEMI) | — | — |
| Safe Use of Opioids - Concurrent Prescribing | 22 | 5924 |
| Appropriate care for severe sepsis and septic shock | 61 | 146 |
| Septic Shock 3-Hour Bundle | 66 | 47 |
| Septic Shock 6-Hour Bundle | 84 | 25 |
| Severe Sepsis 3-Hour Bundle | 79 | 146 |
| Severe Sepsis 6-Hour Bundle | 94 | 69 |
| Discharged on Antithrombotic Therapy | 94 | 454 |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter | 85 | 102 |
| Antithrombotic Therapy by End of Hospital Day 2 | 95 | 416 |
| Venous Thromboembolism Prophylaxis | — | — |
| Intensive Care Unit Venous Thromboembolism Prophylaxis | — | — |
Maternal Health
lower is better · 4 measures reported
Measures of maternal outcomes and safe delivery practices, including severe complications during childbirth.
| Measure | Score | Sample |
|---|---|---|
| Cesarean Birth | — | — |
| Risk Adjusted Severe Obstetric Complications (All) | — | — |
| Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases) | — | — |
| Maternal Morbidity Structural Measure | Yes | — |
Frequently asked questions
- How is Avera Mckennan Hospital & University Health Center rated?
- Avera Mckennan Hospital & University Health Center has a 4 out of 5 CMS overall star rating as of the latest CMS release.
- Does Avera Mckennan Hospital & University Health Center have emergency services?
- Yes. Avera Mckennan Hospital & University Health Center operates a 24/7 emergency department.
- Where is Avera Mckennan Hospital & University Health Center located?
- Avera Mckennan Hospital & University Health Center is located at 1325 S Cliff Ave Post Office Box 5045, Sioux Falls, SD 57117.
- What type of hospital is Avera Mckennan Hospital & University Health Center?
- Avera Mckennan Hospital & University Health Center is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).
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Data as of 2026-06-14. Source: CMS Provider Data Catalog. This is public data provided for informational purposes only and is not medical advice. See our methodology and editorial policy.