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Best Hospitals in North Dakota, Graded A–F

All 17 graded Medicare-certified hospitals in North Dakota, scored from CMS Care Compare — overall rating, mortality, safety of care and readmissions — against North Dakota hospitals of the same type. Grades are computed, never edited, and every input is shown on the hospital page.

CMS data as of Sep 2026 · graded Sep 11, 2026
Grade distribution — North Dakota
A3
B3
C5
D4
F2
Highest graded
Fargo · CMS overall rating 4 of 5 — above median...See grade
17 hospitalsgraded in North Dakota · 3 earned an A
Highest in North Dakota 1

Sanford Medical Center Fargo - Fargo, ND · Acute care hospital · voluntary non-profit - private CMS Care Compare · data as of Sep 2026

  • CMS overall rating 4 of 5 — above median among North Dakota acute care hospitals
  • Mortality: 1 measure better than the national rate, 0 worse, of 8
  • Safety: 4 measures better than the national rate, 0 worse, of 7
AScore 84 · ExcellentSee Full Grade
(701) 234-2000 Fargo, CASS County Emergency dept. Birthing-Friendly
2

Chi Mercy Health - Valley City, ND · Critical access hospital · voluntary non-profit - church CMS Care Compare · data as of Sep 2026

  • CMS overall rating 5 of 5 — top 10% among North Dakota critical access hospitals
  • Mortality: 0 measures better than the national rate, 0 worse, of 3
  • Readmission: 1 measure better than the national rate, 0 worse, of 4
AScore 77 · ExcellentSee Full Grade
(701) 845-6400 Valley City, BARNES County Emergency dept.
3

Sanford Medical Center Bismarck - Bismarck, ND · Acute care hospital · voluntary non-profit - private CMS Care Compare · data as of Sep 2026

  • CMS overall rating 4 of 5 — above median among North Dakota acute care hospitals
  • Mortality: 1 measure better than the national rate, 0 worse, of 8
  • Safety: 2 measures better than the national rate, 0 worse, of 6
AScore 73 · ExcellentSee Full Grade
(701) 323-6000 Bismarck, BURLEIGH County Emergency dept. Birthing-Friendly
4

West River Regional Medical Center - Hettinger, ND · Critical access hospital · voluntary non-profit - private CMS Care Compare · data as of Sep 2026

  • CMS overall rating 4 of 5 — top quarter among North Dakota critical access hospitals
  • Mortality: 0 measures better than the national rate, 0 worse, of 4
  • Readmission: 1 measure better than the national rate, 0 worse, of 4
BScore 71 · GoodSee Full Grade
(701) 567-4561 Hettinger, ADAMS County Emergency dept. Birthing-Friendly
5

Jamestown Regional Medical Center - Jamestown, ND · Critical access hospital · voluntary non-profit - private CMS Care Compare · data as of Sep 2026

  • CMS overall rating 4 of 5 — top quarter among North Dakota critical access hospitals
  • Mortality: 0 measures better than the national rate, 0 worse, of 4
  • Safety: 0 measures better than the national rate, 0 worse, of 1
BScore 66 · GoodSee Full Grade
(701) 252-1050 Jamestown, STUTSMAN County Emergency dept. Birthing-Friendly
6

Mckenzie County Healthcare Systems Inc - Watford City, ND · Critical access hospital · voluntary non-profit - private CMS Care Compare · data as of Sep 2026

  • Mortality: 0 measures better than the national rate, 0 worse, of 1
  • Safety: 0 measures better than the national rate, 0 worse, of 1
  • Readmission: 1 measure better than the national rate, 0 worse, of 3
BScore 63 · GoodSee Full Grade
(701) 842-3000 Watford City, MCKENZIE County Emergency dept.
7

Chi St Alexius Health Dickinson - Dickinson, ND · Critical access hospital · voluntary non-profit - church CMS Care Compare · data as of Sep 2026

  • CMS overall rating 2 of 5 — below median among North Dakota critical access hospitals
  • Mortality: 0 measures better than the national rate, 0 worse, of 3
  • Safety: 0 measures better than the national rate, 0 worse, of 1
CScore 57 · AverageSee Full Grade
(701) 456-4000 Dickinson, STARK County Emergency dept. Birthing-Friendly
8

Fargo Va Medical Center - Fargo, ND · Acute care hospital · veterans health administration CMS Care Compare · data as of Sep 2026

  • CMS overall rating 5 of 5 — top 10% among North Dakota acute care hospitals
  • Mortality: 1 measure better than the national rate, 0 worse, of 3
  • Safety: 0 measures better than the national rate, 0 worse, of 2
CScore 52 · AverageSee Full Grade
(701) 232-3241 Fargo, CASS County Emergency dept.
9

Chi St Alexius Health Williston - Williston, ND · Critical access hospital · voluntary non-profit - church CMS Care Compare · data as of Sep 2026

  • CMS overall rating 3 of 5 — above median among North Dakota critical access hospitals
  • Mortality: 0 measures better than the national rate, 0 worse, of 4
  • Safety: 0 measures better than the national rate, 0 worse, of 1
CScore 51 · AverageSee Full Grade
(701) 774-7400 Williston, WILLIAMS County Emergency dept. Birthing-Friendly
10

Chi St Alexius Health - Bismarck, ND · Acute care hospital · voluntary non-profit - church CMS Care Compare · data as of Sep 2026

  • CMS overall rating 4 of 5 — above median among North Dakota acute care hospitals
  • Mortality: 0 measures better than the national rate, 0 worse, of 8
  • Safety: 0 measures better than the national rate, 0 worse, of 7
CScore 46 · AverageSee Full Grade
(701) 530-7000 Bismarck, BURLEIGH County Emergency dept. Birthing-Friendly
11

Altru Hospital - Grand Forks, ND · Acute care hospital · government - local CMS Care Compare · data as of Sep 2026

  • CMS overall rating 3 of 5 — below median among North Dakota acute care hospitals
  • Mortality: 0 measures better than the national rate, 0 worse, of 8
  • Safety: 1 measure better than the national rate, 0 worse, of 7
CScore 42 · AverageSee Full Grade
(701) 780-5000 Grand Forks, GRAND FORKS County Emergency dept. Birthing-Friendly
12

Trinity Hospitals - Minot, ND · Acute care hospital · voluntary non-profit - private CMS Care Compare · data as of Sep 2026

  • CMS overall rating 3 of 5 — below median among North Dakota acute care hospitals
  • Mortality: 0 measures better than the national rate, 0 worse, of 8
  • Safety: 2 measures better than the national rate, 0 worse, of 6
DScore 41 · Below averageSee Full Grade
(701) 857-5000 Minot, WARD County Emergency dept. Birthing-Friendly
13

P H S Indian Hosp At Belcourt-Quentin N Burdick - Belcourt, ND · Acute care hospital · government - federal CMS Care Compare · data as of Sep 2026

  • CMS overall rating 3 of 5 — below median among North Dakota acute care hospitals
  • Mortality: 0 measures better than the national rate, 0 worse, of 3
  • Readmission: 1 measure better than the national rate, 0 worse, of 3
DScore 31 · Below averageSee Full Grade
(701) 477-6111 Belcourt, ROLETTE County Emergency dept.
14

Chi St Alexius Health Devils Lake - Devils Lake, ND · Critical access hospital · voluntary non-profit - private CMS Care Compare · data as of Sep 2026

  • CMS overall rating 2 of 5 — below median among North Dakota critical access hospitals
  • Mortality: 0 measures better than the national rate, 0 worse, of 4
  • Readmission: 0 measures better than the national rate, 1 worse, of 5
DScore 31 · Below averageSee Full Grade
(701) 662-2131 Devils Lake, RAMSEY County Emergency dept. Birthing-Friendly
15

Heart Of America Medical Center - Rugby, ND · Critical access hospital · voluntary non-profit - private CMS Care Compare · data as of Sep 2026

  • CMS overall rating 2 of 5 — below median among North Dakota critical access hospitals
  • Mortality: 0 measures better than the national rate, 0 worse, of 3
  • Readmission: 0 measures better than the national rate, 1 worse, of 3
DScore 31 · Below averageSee Full Grade
(701) 776-5261 Rugby, PIERCE County Emergency dept.
16

Essentia Health - Fargo, ND · Acute care hospital · voluntary non-profit - private CMS Care Compare · data as of Sep 2026

  • CMS overall rating 3 of 5 — below median among North Dakota acute care hospitals
  • Mortality: 0 measures better than the national rate, 0 worse, of 8
  • Safety: 1 measure better than the national rate, 0 worse, of 7
FScore 26 · PoorSee Full Grade
(701) 364-8000 Fargo, CASS County Emergency dept. Birthing-Friendly
17

Smp Health St Aloisius - Harvey, ND · Critical access hospital · voluntary non-profit - private CMS Care Compare · data as of Sep 2026

  • CMS overall rating 1 of 5 — bottom quarter among North Dakota critical access hospitals
  • Mortality: 0 measures better than the national rate, 0 worse, of 3
  • Readmission: 0 measures better than the national rate, 2 worse, of 4
FScore 19 · PoorSee Full Grade
(701) 324-4651 Harvey, WELLS County Emergency dept.

How we grade hospitals

What data goes into a grade?
CMS Care Compare Hospital General Information: CMS overall rating (25), Mortality (25), Safety of care (25), Readmission (25). Each metric is percentile-ranked against North Dakota hospitals of the same type; A ≥ 72, B ≥ 58, C ≥ 42, D ≥ 28, F below. Hospitals with fewer than three of the four metrics are shown as "Not graded".
Why is a well-known hospital graded C?
The grade measures outcomes CMS reports — death rates, complications, infections, readmissions — not reputation, research or specialist rankings. A large teaching hospital that treats the sickest patients can score average on these measures. Use the grade as one input, alongside the specialists you need.
Can a hospital pay to improve its grade?
No. Grades are computed from public data and have no editable field. Nothing on this page is sponsored.