Monument Health Lead-Deadwood Hospital
Deadwood, SD
24/7 ER
Acute Care Hospital
Monument Health Spearfish Hospital
24/7 Emergency Services
Quality measures
Mortality
Same as National AverageMeasures the rate at which patients die within 30 days of hospital admission for specific conditions. A lower mortality rate indicates better outcomes.
Monument Health Spearfish
Worse US Avg Better
Underlying measures: Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate No Different Than the National Rate Hospital score: 4.30 95% interval: 3.40 – 5.40 Sample size: 181 Reporting period: 07/01/2023 – 06/30/2024 CMS measure id: Hybrid_HWM Death rate for heart failure patients No Different Than the National Rate Hospital score: 11.40 95% interval: 7.10 – 17.50 Sample size: 28 Reporting period: 07/01/2021 – 06/30/2024 CMS measure id: MORT_30_HF Death rate for pneumonia patients No Different Than the National Rate Hospital score: 18.20 95% interval: 12.40 – 25.70 Sample size: 56 Reporting period: 07/01/2021 – 06/30/2024 CMS measure id: MORT_30_PN Death rate for CABG surgery patients Not Available Hospital score: — Reporting period: 07/01/2021 – 06/30/2024 CMS measure id: MORT_30_CABG Death rate for COPD patients Number of Cases Too Small Hospital score: — Reporting period: 07/01/2021 – 06/30/2024 CMS measure id: MORT_30_COPD Death rate for heart attack patients Number of Cases Too Small Hospital score: — Reporting period: 07/01/2021 – 06/30/2024 CMS measure id: MORT_30_AMI Death rate for stroke patients Number of Cases Too Small Hospital score: — Reporting period: 07/01/2021 – 06/30/2024 CMS measure id: MORT_30_STK
Safety of Care
Same as National AverageTracks hospital-acquired infections, surgical complications, and other patient safety indicators. Lower rates indicate better safety practices.
Monument Health Spearfish
Worse US Avg Better
Underlying measures: Abdominopelvic accidental puncture or laceration rate No Different Than the National Rate Hospital score: 1.01 95% interval: 0.00 – 2.09 Sample size: 93 Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_15 Iatrogenic pneumothorax rate No Different Than the National Rate Hospital score: 0.21 95% interval: 0.00 – 0.44 Sample size: 594 Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_06 In-hospital fall-associated fracture rate No Different Than the National Rate Hospital score: 0.27 95% interval: 0.05 – 0.48 Sample size: 589 Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_08 Postoperative hemorrhage or hematoma rate No Different Than the National Rate Hospital score: 2.28 95% interval: 0.56 – 3.99 Sample size: 149 Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_09 Perioperative pulmonary embolism or deep vein thrombosis rate No Different Than the National Rate Hospital score: 3.80 95% interval: 1.23 – 6.37 Sample size: 153 Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_12 Postoperative acute kidney injury requiring dialysis rate No Different Than the National Rate Hospital score: 1.64 95% interval: 0.00 – 3.36 Sample size: 83 Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_10 Postoperative respiratory failure rate No Different Than the National Rate Hospital score: 8.45 95% interval: 0.00 – 18.12 Sample size: 82 Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_11 Postoperative sepsis rate No Different Than the National Rate Hospital score: 4.95 95% interval: 0.73 – 9.18 Sample size: 73 Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_13 Pressure ulcer rate No Different Than the National Rate Hospital score: 0.54 95% interval: 0.00 – 1.80 Sample size: 415 Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_03 CMS Medicare PSI 90: Patient safety and adverse events composite No Different Than the National Value Hospital score: 0.95 95% interval: 0.46 – 1.43 Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_90 Postoperative wound dehiscence rate No Different Than the National Rate Hospital score: 1.75 95% interval: 0.22 – 3.28 Sample size: 46 Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_14 Clostridium Difficile (C.Diff) Not Available Hospital score: — SIR Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: HAI_6_SIR Catheter Associated Urinary Tract Infections (ICU + select Wards) Not Available Hospital score: — SIR Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: HAI_2_SIR Central Line Associated Bloodstream Infection (ICU + select Wards) Not Available Hospital score: — SIR Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: HAI_1_SIR Rate of complications for hip/knee replacement patients Number of Cases Too Small Hospital score: — Reporting period: 04/01/2021 – 03/31/2024 CMS measure id: COMP_HIP_KNEE MRSA Bacteremia Not Available Hospital score: — SIR Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: HAI_5_SIR SSI - Abdominal Hysterectomy Not Available Hospital score: — SIR Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: HAI_4_SIR SSI - Colon Surgery Not Available Hospital score: — SIR Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: HAI_3_SIR Death rate among surgical inpatients with serious treatable complications Not Available Hospital score: — Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_04
Readmissions
Same as National AverageMeasures how often patients return to the hospital within 30 days of discharge. Lower readmission rates suggest effective treatment and discharge planning.
Monument Health Spearfish
Worse US Avg Better
Underlying measures: 30-day Readmission, Heart Failure As expected Hospital score: 1.02 Reporting period: 07/01/2021 – 06/30/2024 CMS measure id: READM-30-HF-HRRP 30-day Readmission, Pneumonia As expected Hospital score: 0.99 Reporting period: 07/01/2021 – 06/30/2024 CMS measure id: READM-30-PN-HRRP 30-day Readmission, Bypass Surgery Hospital score: — Reporting period: 07/01/2021 – 06/30/2024 CMS measure id: READM-30-CABG-HRRP 30-day Readmission, COPD Hospital score: — Reporting period: 07/01/2021 – 06/30/2024 CMS measure id: READM-30-COPD-HRRP 30-day Readmission, Heart Attack Hospital score: — Reporting period: 07/01/2021 – 06/30/2024 CMS measure id: READM-30-AMI-HRRP 30-day Readmission, Hip/Knee Replacement Hospital score: — Reporting period: 07/01/2021 – 06/30/2024 CMS measure id: READM-30-HIP-KNEE-HRRP
Patient Experience
Same as National AverageBased on the HCAHPS survey — patient satisfaction with communication, cleanliness, pain management, and discharge information.
Monument Health Spearfish
Worse US Avg Better
Patient survey detail — the questions feeding the Patient Experience domain above expand ↓
CMS computes the Patient Experience domain from the federal HCAHPS survey. Each bar below is one survey question; the percentage is the share of Monument's recent patients who gave the most positive response. HCAHPS percentages aren't directly comparable across all measures — see the methodology page for how CMS weights them.
- Communication with Nurses 77%
- Communication with Doctors 80%
- Hospital Cleanliness 81%
- Hospital Quietness 58%
- Staff Responsiveness N/A
- Discharge Information 88%
- Overall Hospital Rating (9 or 10) 78%
- Would Recommend Hospital 84%
Percentages represent patients who gave the most positive response. Survey conducted by CMS through the HCAHPS program.
Timely & Effective Care
Better than National AverageMeasures how quickly the hospital provides important treatments such as antibiotics for pneumonia or interventions for heart attacks.
Monument Health Spearfish
Worse US Avg Better
Underlying measures: Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients Better than ~75% of hospitals Hospital score: 100.00 % National median: 97.00 % (higher is better)
Sample size: 64 Reporting period: 01/01/2024 – 12/31/2024 CMS measure id: OP_29 Safe Use of Opioids - Concurrent Prescribing Better than ~75% of hospitals Hospital score: 10.00 % National median: 15.00 % (lower is better)
Sample size: 404 Reporting period: 01/01/2024 – 12/31/2024 CMS measure id: SAFE_USE_OF_OPIOIDS Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better Better than ~75% of hospitals Hospital score: 170.00 min National median: 248.00 min (lower is better)
Sample size: 11 Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: OP_18c Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better Better than ~75% of hospitals Hospital score: 228.00 min National median: 294.00 min (lower is better)
Sample size: 28 Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: OP_18d Left before being seen Better than ~75% of hospitals Hospital score: 1.00 % National median: 1.00 % (lower is better)
Sample size: 9,403 Reporting period: 01/01/2024 – 12/31/2024 CMS measure id: OP_22 Hospital Harm - Severe Hyperglycemia Better than ~75% of hospitals Hospital score: 4.00 % National median: 8.00 % (lower is better)
Sample size: 559 Reporting period: 01/01/2024 – 12/31/2024 CMS measure id: HH_HYPER Severe Sepsis 6-Hour Bundle Better than ~75% of hospitals Hospital score: 98.00 % National median: 94.00 % (higher is better)
Sample size: 51 Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: SEV_SEP_6HR Healthcare workers given influenza vaccination Better than ~75% of hospitals Hospital score: 93.00 % National median: 79.00 % (higher is better)
Sample size: 683 Reporting period: 10/01/2024 – 03/31/2025 CMS measure id: IMM_3 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 Near the national median Hospital score: 140.00 min National median: 148.00 min (lower is better)
Sample size: 378 Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: OP_18b 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 Near the national median Hospital score: 144.00 min National median: 154.00 min (lower is better)
Sample size: 416 Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: OP_18a Intensive Care Unit Venous Thromboembolism Prophylaxis Near the national median Hospital score: 96.00 % National median: 97.00 % (higher is better)
Sample size: 50 Reporting period: 01/01/2024 – 12/31/2024 CMS measure id: VTE_2 Appropriate care for severe sepsis and septic shock Near the national median Hospital score: 57.00 % National median: 64.00 % (higher is better)
Sample size: 74 Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: SEP_1 Severe Sepsis 3-Hour Bundle Near the national median Hospital score: 80.00 % National median: 81.00 % (higher is better)
Sample size: 75 Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: SEV_SEP_3HR Venous Thromboembolism Prophylaxis Near the national median Hospital score: 95.00 % National median: 90.00 % (higher is better)
Sample size: 460 Reporting period: 01/01/2024 – 12/31/2024 CMS measure id: VTE_1 Septic Shock 3-Hour Bundle Worse than ~75% of hospitals Hospital score: 40.00 % National median: 72.00 % (higher is better)
Sample size: 25 Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: SEP_SH_3HR
Clinical Staff
Monument Health Spearfish Hospital has 318 CMS-affiliated clinicians on its roster — physicians, advanced practice providers, and other Medicare-enrolled professionals who list this hospital as an affiliated facility.
Top specialties
- Nurse Practitioner 90
- Physician Assistant 41
- Family Practice 36
- Internal Medicine 15
- Certified Registered Nurse Anesthetist (Crna) 15
- Cardiovascular Disease (Cardiology) 10
- Neurology 9
- Orthopedic Surgery 8
Self-reported primary specialty in the CMS Doctors & Clinicians dataset. Many clinicians serve multiple facilities.
Practice characteristics
- Accept Medicare assignment
- 315 (99%)
- Offer telehealth
- 59 (19%)
Bill Medicare directly at the approved rate — patients only owe co-insurance/deductible.
Indicated by the clinician in their CMS profile as routinely providing virtual visits.
Medicare quality scoring (MIPS)
217 of these clinicians have a published Merit-based Incentive Payment System (MIPS) final score. Of those, 175 (81%) score above the national median of 85.5.
MIPS scoring is heavily compressed at the top of the 0–100 range, so individual scores are not a reliable consumer signal. We surface roster-level coverage and the share above the national median instead.
Source: CMS Doctors and Clinicians (Care Compare) national downloadable file and MIPS Performance Year final scores, as of 2026-05-27. Affiliations from the CMS Facility Affiliations dataset. About 16% of small facilities (critical access, rural emergency, freestanding psych, IRF/LTCH) do not appear in the affiliations file and therefore have no panel.
Find a Doctor
Search the 318 clinicians affiliated with Monument Health Spearfish Hospital. Each name links to that clinician's official Medicare Care Compare profile, where you can see their credentials, secondary specialties, group affiliations, and (when applicable) MIPS quality scores.
- Certified Registered Nurse Anesthetist (crna)✓ Medicare
- Hospitalist✓ Medicare
- Hematology/oncology✓ Medicare
- Medical Oncology✓ Medicare
- Gastroenterology✓ Medicare
- Anesthesiology✓ Medicare
- Physician Assistant✓ Medicare
- Urology📡 Telehealth ✓ Medicare
- Nurse Practitioner✓ Medicare
- Nurse Practitioner✓ Medicare
- Allergy/immunology✓ Medicare
- Rheumatology📡 Telehealth ✓ Medicare
- Internal Medicine✓ Medicare
- Nephrology📡 Telehealth ✓ Medicare
- Hematology/oncology✓ Medicare
- Family Practice✓ Medicare
- Hematology/oncology✓ Medicare
- General Surgery✓ Medicare
- Nurse Practitioner📡 Telehealth ✓ Medicare
- Family Practice✓ Medicare
- Cardiac Electrophysiology✓ Medicare
- Neurology✓ Medicare
- Family Practice✓ Medicare
- Critical Care (intensivists)✓ Medicare
- Internal Medicine✓ Medicare
- Family Practice✓ Medicare
- Physician Assistant📡 Telehealth ✓ Medicare
- Qualified Audiologist✓ Medicare
- Family Practice✓ Medicare
- Certified Registered Nurse Anesthetist (crna)✓ Medicare
No clinicians match that search. Try a broader term like "internal medicine" or just a last name.
Roster from CMS Doctors and Clinicians (Care Compare), updated 2026-05-27. A clinician may also practice at other facilities; "affiliated" means this hospital is on their CMS profile, not that they exclusively work here.
Pricing & Costs
This hospital participates in price transparency under the federal Hospital Price Transparency Rule. View 683 published procedures — gross charges, cash prices, and per-payer negotiated rates where available.
Across this hospital's priced procedures:
vs. SD median +0% roughly matches the state median
vs. national median +49% runs 49% above the national median
Median percent difference across the 683 DRGs where this hospital has a comparable published price and the comparison cohort has enough hospitals to compute a stable median.
Facility Information
- Facility type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Emergency services
- Yes — 24/7
Nearby Hospitals
About this data
Quality and ratings data are sourced from the U.S. Centers for Medicare & Medicaid Services (CMS) Hospital Compare program. Star ratings are CMS's own calculation; CareRanks does not modify or re-weight them. Facility-level details (address, beds, ownership, teaching status) come from CMS provider files and the CMS Provider of Services file.
Pricing data, where shown, is drawn from the hospital's own Machine-Readable File (MRF) published under the federal Hospital Price Transparency Rule. See our methodology for the full update cadence and limitations.