JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Church

Avera St Lukes

4 / 5

At a glance

Avera St Lukes carries a 4-star CMS overall rating — above the national norm.

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.

MeasureScoreCompared to national
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence LimitNot available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence LimitNot available
Central Line Associated Bloodstream Infection: Number of Device Days1217Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.837Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Not available
Central Line Associated Bloodstream Infection (ICU + select Wards)Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitSame as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.620Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2752Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.849Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Same as national
SSI - Colon Surgery: Lower Confidence LimitSame as national
SSI - Colon Surgery: Upper Confidence Limit1.492Same as national
SSI - Colon Surgery: Number of Procedures78Same as national
SSI - Colon Surgery: Predicted Cases2.008Same as national
SSI - Colon Surgery: Observed Cases0Same as national
SSI - Colon Surgery0.000Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures5Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.041Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days12729Not available
MRSA Bacteremia: Predicted Cases0.449Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.590Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit2.414Same as national
Clostridium Difficile (C.Diff): Patient Days12149Same as national
Clostridium Difficile (C.Diff): Predicted Cases6.292Same as national
Clostridium Difficile (C.Diff): Observed Cases8Same as national
Clostridium Difficile (C.Diff)1.271Same as 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.

MeasureScoreCompared to nationalSample
Rate of complications for hip/knee replacement patients4Same as national234
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.4Same as national630
Death rate for heart attack patients11.5Same as national103
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.1Same as national42
Death rate for heart failure patients10.5Same as national177
Death rate for pneumonia patients14.8Same as national164
Death rate for stroke patients14.6Same as national85
Pressure ulcer rate1.05Same as national1814
Death rate among surgical inpatients with serious treatable complications172.14Same as national45
Iatrogenic pneumothorax rate0.25Same as national2382
In-hospital fall-associated fracture rate0.37Same as national2366
Postoperative hemorrhage or hematoma rate2.91Same as national768
Postoperative acute kidney injury requiring dialysis rate1.58Same as national353
Postoperative respiratory failure rate6.17Same as national353
Perioperative pulmonary embolism or deep vein thrombosis rate2.86Same as national797
Postoperative sepsis rate5.78Same as national324
Postoperative wound dehiscence rate1.94Same as national191
Abdominopelvic accidental puncture or laceration rate1.09Same as national478
CMS Medicare PSI 90: Patient safety and adverse events composite1.06Same 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.

MeasureScoreCompared to nationalSample
Hospital return days for heart attack patients50.7Not available96
Hospital return days for heart failure patients-45.5Not available183
Hospital return days for pneumonia patients-17.7Not available165
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.2Same as national972
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Not available
Rate of inpatient admissions for patients receiving outpatient chemotherapy11.5Same as national69
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.9Same as national69
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national648
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.4Same as national96
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.7Same as national47
Heart failure (HF) 30-Day Readmission Rate17.7Same as national183
Rate of readmission after hip/knee replacement5.7Same as national221
Pneumonia (PN) 30-Day Readmission Rate15Same as national165

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.

MeasureScoreSample
Nurse communication - star rating4549
Doctor communication - star rating4549
Communication about medicines - star rating3549
Discharge information - star rating4549
Cleanliness - star rating3549
Quietness - star rating3549
Overall hospital rating - star rating4549
Recommend hospital - star rating4549
Summary star rating4549

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.

MeasureScoreSample
Emergency department volumelow
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 vaccination86982
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 better123404
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 better123386
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better12017
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 seen09586
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing16827
Appropriate care for severe sepsis and septic shock73155
Septic Shock 3-Hour Bundle6662
Septic Shock 6-Hour Bundle8928
Severe Sepsis 3-Hour Bundle92156
Severe Sepsis 6-Hour Bundle9797
Discharged on Antithrombotic Therapy9048
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29237
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.

MeasureScoreSample
Cesarean Birth
Risk Adjusted Severe Obstetric Complications (All)
Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases)
Maternal Morbidity Structural MeasureYes

Frequently asked questions

How is Avera St Lukes rated?
Avera St Lukes has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Avera St Lukes have emergency services?
Yes. Avera St Lukes operates a 24/7 emergency department.
Where is Avera St Lukes located?
Avera St Lukes is located at 305 S State St Post Office Box 4450, Aberdeen, SD 57401.
What type of hospital is Avera St Lukes?
Avera St Lukes is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Church).

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.

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