JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Avera St Mary's Hospital

2 / 5

At a glance

Avera St Mary's Hospital carries a 2-star CMS overall rating — below 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 Days288Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.201Not 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 LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days620Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.357Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards)Not available
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures10Not available
SSI - Colon Surgery: Predicted Cases0.271Not available
SSI - Colon Surgery: Observed Cases0Not available
SSI - Colon SurgeryNot available
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 Cases0.056Not 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 Days7298Not available
MRSA Bacteremia: Predicted Cases0.217Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence LimitSame as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.337Same as national
Clostridium Difficile (C.Diff): Patient Days6548Same as national
Clostridium Difficile (C.Diff): Predicted Cases2.240Same as national
Clostridium Difficile (C.Diff): Observed Cases0Same as national
Clostridium Difficile (C.Diff)0.000Same 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 patients4.5Same as national90
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.1Same as national262
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.8Same as national36
Death rate for heart failure patients17.3Worse than national48
Death rate for pneumonia patients20Same as national111
Death rate for stroke patients13.1Same as national37
Pressure ulcer rate0.46Same as national761
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.20Same as national1030
In-hospital fall-associated fracture rate0.26Same as national997
Postoperative hemorrhage or hematoma rate2.27Same as national233
Postoperative acute kidney injury requiring dialysis rate1.66Same as national105
Postoperative respiratory failure rate11.41Same as national105
Perioperative pulmonary embolism or deep vein thrombosis rate3.15Same as national247
Postoperative sepsis rate7.77Same as national93
Postoperative wound dehiscence rate1.74Same as national43
Abdominopelvic accidental puncture or laceration rate1.02Same as national121
CMS Medicare PSI 90: Patient safety and adverse events composite1.07Same 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 patientsNot available
Hospital return days for heart failure patients10.5Not available50
Hospital return days for pneumonia patients-25.7Not available109
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.3Same as national366
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.4Same as national934
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.5Same as national126
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.5Same as national126
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national393
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.7Same as national35
Heart failure (HF) 30-Day Readmission Rate19.8Same as national50
Rate of readmission after hip/knee replacement4.1Same as national86
Pneumonia (PN) 30-Day Readmission Rate15.2Same as national109

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 rating5248
Doctor communication - star rating3248
Communication about medicines - star rating3248
Discharge information - star rating4248
Cleanliness - star rating4248
Quietness - star rating4248
Overall hospital rating - star rating4248
Recommend hospital - star rating3248
Summary star rating4248

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 vaccination84633
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 better1337576
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 better1296811
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better152457
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better279329
Left before being seen18559
Head CT results5014
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients99270
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)0
Safe Use of Opioids - Concurrent Prescribing17370
Appropriate care for severe sepsis and septic shock81151
Septic Shock 3-Hour Bundle8944
Septic Shock 6-Hour Bundle9330
Severe Sepsis 3-Hour Bundle91151
Severe Sepsis 6-Hour Bundle9376
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
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 Mary's Hospital rated?
Avera St Mary's Hospital has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Avera St Mary's Hospital have emergency services?
Yes. Avera St Mary's Hospital operates a 24/7 emergency department.
Where is Avera St Mary's Hospital located?
Avera St Mary's Hospital is located at 801 E Sioux, Pierre, SD 57501.
What type of hospital is Avera St Mary's Hospital?
Avera St Mary's Hospital is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).

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.

Report an issue with this page