USCareCheck

CMS certification 430077

Monument Health Rapid City Hospital

353 Fairmont Blvd, Rapid City, SD 57701

Acute Care Hospitals Emergency services Birthing-friendly

Monument Health Rapid City Hospital has a CMS overall rating of 3 out of 5 stars. 66% of patients who answered CMS's national survey would definitely recommend it, against a US average of 71%. Of the 26 death, complication, infection and readmission measures CMS could compare, it does better than the nation on 3 and worse on 1. Emergency patients spend a median of 2 h 52 min in its emergency department before leaving (US median 2 h 42 min).

Every figure on this page is published by CMS; we arrange and explain it, and score nothing ourselves.

CMS overall rating 3/5 CMS summary of quality measures
Would definitely recommend 66% US average 71%
Patient survey rating 3/5 1,948 completed surveys
Compared with the nation 1 worse 3 better of 26 measures CMS could compare

What patients said

Answers from patients who stayed here, collected by CMS in the national HCAHPS survey: 1,948 completed surveys, 14% response rate, Oct 2024 – Sep 2025.

Would definitely recommend the hospital
66%
SD 77% · US 71% · 3 of 5 stars
Rated the hospital 9 or 10 out of 10
65%
SD 77% · US 72% · 3 of 5 stars
Nurses always communicated well
71%
SD 83% · US 80% · 3 of 5 stars
Doctors always communicated well
74%
SD 85% · US 80% · 2 of 5 stars
Staff always explained new medicines
53%
SD 68% · US 62% · 2 of 5 stars
Given information about recovering at home
86%
SD 88% · US 86% · 3 of 5 stars
Room was always clean
72%
SD 77% · US 74% · 4 of 5 stars
Always quiet at night
47%
SD 70% · US 60% · 3 of 5 stars

This hospital South Dakota average US average

Emergency department

How long emergency patients spent here and how some time-critical care went, from CMS's timely and effective care measures, Oct 2024 – Sep 2025. CMS classes this emergency department's patient volume as high; busier departments tend to have longer times, so the national median for departments of the same volume is shown too. These are medians over a year of visits, not a live wait time.

Measure This hospital SD US
Median time in the emergency department before leaving Lower is better · 367 visits sampled · US median for EDs of the same volume: 3 h 22 min 2 h 52 min 1 h 55 min 2 h 42 min
Median time for psychiatric and mental health patients Lower is better · 29 visits sampled 3 h 12 min 2 h 27 min 4 h 17 min
Left before being seen Lower is better · 53,433 patients 1% 1% 2%
Severe sepsis and septic shock: all recommended care given Higher is better · 1,028 patients 65% 67% 65%

How Monument Health Rapid City Hospital compares with nearby hospitals

The closest hospitals of the same kind that CMS rates or surveys - the same city first, then the same county and ZIP area. Every figure is CMS's: the overall star rating, the share of patients who would definitely recommend the hospital, the median time emergency patients spent before leaving, and how many death, complication, infection and readmission measures CMS found better or worse than the national rate.

Hospital CMS stars Would recommend ER median time Vs the nation
Monument Health Rapid City HospitalThis hospital3/566%2 h 52 min3 better 1 worse
Black Hills Surgical Hospital LLCSame cityNot rated88%—3 better
Monument Health Custer HospitalSame ZIP area · CusterNot rated79%2 h 12 minNo different
Monument Health Lead-Deadwood HospitalSame ZIP area · DeadwoodNot rated62%1 h 30 minNo different
VA Black Hills Healthcare SystemSame ZIP area · Fort Meade5/579%—No different
Fall River Hospital - CahSame ZIP area · Hot SpringsNot rated69%1 h 38 minNo different

Hospitals differ in size and in how sick their patients are. CMS adjusts its outcome measures for that, but a star or a percentage is a starting point for questions, not a verdict. All hospitals in Rapid City.

Deaths

How many patients died within 30 days of admission, adjusted by CMS for how sick they were. Lower is better. Data from Jul 2022 – Jun 2025.

Measure CMS comparison This hospital National
All patients, hospital-wide 3,806 cases Too few cases 3.2% 3.9%
Heart attack 389 cases Too few cases 12.8% 11.9%
Heart failure 498 cases Too few cases 9.8% 11.1%
Pneumonia 567 cases Too few cases 12.3% 15.2%
Stroke 415 cases Too few cases 13.4% 11.9%
COPD 180 cases Too few cases 11.8% 8.6%
Heart bypass surgery (CABG) 123 cases Too few cases 2.8% 2.4%

Complications

How often patients had serious complications, most of them after surgery, adjusted for how sick they were. Lower is better. Data from Jul 2022 – Jun 2024.

1 worse than the nation 11 no different
Measure CMS comparison This hospital National
Serious complications, combined measure No different 1.15 likely 0.89 – 1.41 1
After hip or knee replacement 38 cases Too few cases 4.5% 4.1%
Deaths after a serious but treatable surgical complication 161 cases No different 182.8 per 1,000 likely 144.33 per 1,000 – 221.26 per 1,000 173.3 per 1,000
Pressure ulcers (bed sores) 7,355 cases Worse 1.19 per 1,000 likely 0.65 per 1,000 – 1.73 per 1,000 0.63 per 1,000
Collapsed lung caused by a procedure 8,658 cases No different 0.17 per 1,000 likely 0 per 1,000 – 0.35 per 1,000 0.21 per 1,000
Broken bones from falls in the hospital 8,889 cases No different 0.23 per 1,000 likely 0.04 per 1,000 – 0.41 per 1,000 0.27 per 1,000
Bleeding or hematoma after surgery 2,533 cases No different 2.59 per 1,000 likely 1.3 per 1,000 – 3.88 per 1,000 2.34 per 1,000
Kidney injury needing dialysis after surgery 889 cases No different 1.04 per 1,000 likely 0 per 1,000 – 2.4 per 1,000 1.67 per 1,000
Breathing failure after surgery 898 cases No different 9.2 per 1,000 likely 3.86 per 1,000 – 14.54 per 1,000 9.42 per 1,000
Blood clots in the lungs or legs after surgery 2,725 cases No different 3.26 per 1,000 likely 1.53 per 1,000 – 4.98 per 1,000 3.52 per 1,000
Sepsis after surgery 880 cases No different 6.25 per 1,000 likely 3.14 per 1,000 – 9.36 per 1,000 5.27 per 1,000
Surgical wound splitting open 554 cases No different 1.51 per 1,000 likely 0.09 per 1,000 – 2.93 per 1,000 1.77 per 1,000
Accidental cut or tear during abdominal surgery 1,907 cases No different 1.44 per 1,000 likely 0.56 per 1,000 – 2.31 per 1,000 1.06 per 1,000

Infections caught in the hospital

Standardized infection ratio: 1.0 means as many infections as CMS predicted for a hospital like this one. Lower is better. Data from Oct 2024 – Sep 2025.

2 better than the nation 3 no different
Measure CMS comparison This hospital National
Bloodstream infections from central lines (CLABSI) Better 0.3 likely 0.05 – 0.99 1
Urinary tract infections from catheters (CAUTI) No different 0.61 likely 0.27 – 1.2 1
Surgical site infections after colon surgery No different 0.57 likely 0.14 – 1.55 1
MRSA bloodstream infections No different 0.71 likely 0.26 – 1.58 1
C. diff intestinal infections Better 0.48 likely 0.31 – 0.72 1

1 more measure had too few cases here to report.

Readmissions and return visits

How often patients had to come back to a hospital after going home. Lower is better. Data from Jul 2023 – Jun 2025.

4 no different
Measure CMS comparison This hospital National
Readmitted after a heart attack 461 cases Too few cases 13.4% 14.4%
Readmitted after heart failure 584 cases Too few cases 19.2% 21.3%
Readmitted after pneumonia 681 cases Too few cases 16.2% 17.3%
Readmitted after COPD 229 cases Too few cases 19.3% 20%
Readmitted after heart bypass surgery 120 cases Too few cases 12.2% 11%
Readmitted after hip or knee replacement 43 cases Too few cases 6% 5.8%
Days back in hospital after a heart attack 419 cases Too few cases 11.5 days per 100 —
Days back in hospital after heart failure 551 cases Too few cases -26.5 days per 100 —
Days back in hospital after pneumonia 606 cases Too few cases 3.2 days per 100 —
Unplanned visits after an outpatient colonoscopy 607 cases No different 14.1 per 1,000 likely 10.8 per 1,000 – 18.5 per 1,000 13 per 1,000
Hospital admissions during outpatient chemotherapy 630 cases No different 9.3 per 100 likely 7.4 per 100 – 11.6 per 100 10.7 per 100
ER visits during outpatient chemotherapy 630 cases No different 5 per 100 likely 3.8 per 100 – 6.6 per 100 5.4 per 100
Unplanned visits after outpatient surgery 1,054 cases No different 0.9 likely 0.7 – 1.2 —

1 more measure had too few cases here to report.

Clinicians registered at this address

402 clinicians give this hospital's street address as their practice location in NPPES, the federal provider registry. The same address can take in offices and clinics in the building, and a listing does not prove admitting privileges or current employment.

Specialty Clinicians
Nurse Anesthetist, Certified Registered 66
Physical Therapist 35
Occupational Therapist 32
Nurse Practitioner 26
Emergency Medicine 23
Internal Medicine 21
Physician Assistant 20
Anesthesiology 17
Dietitian, Registered 17
Speech-Language Pathologist 16
Family 15
Pharmacist 13

First 12 alphabetically

Money from drug and device companies

Drug and device makers have to report what they pay teaching hospitals to CMS's Open Payments program. At many teaching hospitals most of it is research funding, or royalties for inventions the hospital licensed to a company. A payment on its own does not show a conflict of interest.

2025 total $1.2M general $47,232 · research $1.2M
All years, 2019–2025 $6.3M 1,679 reported payments
Studies funded, 2025 23 27 companies paid in total
  • 2019 $1.1M
  • 2020 $950,146
  • 2021 $548,847
  • 2022 $1.1M
  • 2023 $661,810
  • 2024 $657,742
  • 2025 $1.2M

General payments Research payments

What the 2025 general payments were for

Type of payment Amount Payments
Space rental and facility fees $20,184 34
Speaking, teaching and other services $18,800 4
Medical devices and supplies on long-term loan $7,118 3
Grants $1,100 1
Debt forgiveness $30 1

Largest paying companies, 2025

Company Amount Payments
Janssen Research & Development, LLC $400,718 36
Amgen Inc. $399,597 5
Eli Lilly and Company $180,400 5
Ionis Pharmaceuticals, Inc. $54,332 51
AstraZeneca Pharmaceuticals LP $53,125 3
Pfizer INC. $31,500 6
Medtronic, Inc. $25,267 8
Sterilmed, Inc. $14,200 1

Largest research studies funded here, 2025

Study Amount
A Study of Milvexian in Participants After a Recent Acute Coronary Syndrome (LIBREXIA-ACS) Janssen Research & Development, LLC $242,064
A PHASE 3, RANDOMIZED, DOUBLE-BLIND, PLACEBO-CONTROLLED STUDY TO INVESTIGATE THE EFFECT OF LEPODISIRAN ON THE REDUCTION OF MAJOR ADVERSE CARDIOVASCUL… Eli Lilly and Company · NCT06292013 $156,760
A Phase 3, Randomized, Double-Blind, Double-Dummy, Parallel Group, Active Controlled Study to Evaluate the Efficacy and Safety of Milvexian, an Oral … Janssen Research & Development, LLC $138,194
A Double-blind, Randomized, Placebo-controlled, Multicenter Study Assessing the Impact of Olpasiran on Major Cardiovascular Events in Participants Wi… Amgen Inc. $135,592
A Phase 3 Randomized, Double-blind, Placebo-controlled Study to Evaluate the Impact of Maridebart Cafraglutide on Cardiovascular Outcomes in Particip… Amgen Inc. $102,474
A Double-blind, Randomized, Placebo-controlled, Multicenter Study to Evaluate the Impact of Evolocumab on Major Cardiovascular Events in Patients at … Amgen Inc. $92,431
A Phase 3 Randomized, Double-blind, Placebo-controlled Study to Evaluate the Efficacy and Safety of Maridebart Cafraglutide on Mortality and Morbidit… Amgen Inc. $67,508
IS354CS6 Ionis Pharmaceuticals, Inc. $31,002

Amounts are as the paying companies reported them to CMS; Open Payments data retrieved 13 Sep 2026. Full record on CMS Open Payments.

How to read this page

  • Everything here is published by CMS on Care Compare. We arrange it and explain it; the star ratings and the better / worse verdicts are CMS's, not ours.
  • “No different” is the most common result on most measures at most hospitals. CMS only calls a result better or worse when the difference from the national rate is statistically clear.
  • Death, complication and readmission rates are adjusted by CMS for how sick patients were, so hospitals that treat sicker patients can be compared fairly.
  • Infection results are ratios: 1.0 means as many infections as CMS predicted for a hospital like this one, below 1.0 is fewer.
  • These are hospital-wide results. They do not rate an individual doctor, nurse or department, and they are not medical advice.

CMS Care Compare data retrieved 4 Oct 2026, refreshed weekly. Where this data comes from and how we handle it · Report an error

Common questions about Monument Health Rapid City Hospital

Is Monument Health Rapid City Hospital a good hospital?

Monument Health Rapid City Hospital has a CMS overall rating of 3 out of 5 stars. Of the 26 death, complication, infection and readmission measures CMS could compare, it does better than the nation on 3 and worse on 1. These are hospital-wide results published by CMS; they do not rate individual doctors or departments.

Would patients recommend Monument Health Rapid City Hospital?

66% of patients who answered CMS's national survey would definitely recommend it, against a US average of 71%. The figure comes from 1,948 completed HCAHPS surveys.

How long is the wait in the Monument Health Rapid City Hospital emergency room?

Emergency patients spend a median of 2 h 52 min in its emergency department before leaving (US median 2 h 42 min). Among US emergency departments with high patient volume, like this one, the median is 3 h 22 min. 1% of emergency patients left before being seen (US 2%). These are medians over a year of visits, not a live wait time.

Does Monument Health Rapid City Hospital receive money from drug and device companies?

Drug and device makers reported $1.2M in payments to Monument Health Rapid City Hospital for 2025, most of it research funding, under the federal Open Payments program. A payment on its own does not show a conflict of interest.