Avera Heart Hospital of South Dakota is one of 19 hospitals out of approximately 4,000 nationwide to achieve a double five-star rating.

The Centers for Medicare & Medicaid Services, the federal agency that administers the two programs, assigns two major star ratings: a summary star rating based on patient surveys and an overall hospital-quality star rating, which incorporates outcomes measures as well as patient-experience scores.

Currently, 188 hospitals have a five-star rating based on surveys, and 83 have a five-star rating based on the overall quality score.

Nineteen hospitals, including Avera Heart Hospital, have both.

Here is the complete list of double five-star hospitals.

• Arkansas Surgical Hospital (North Little Rock)
• Avera Heart Hospital of South Dakota (Sioux Falls)
• GHS Patewood Memorial Hospital (Greenville, S.C.)
• Goleta Valley Cottage Hospital (Santa Barbara, Calif.)
• Hill Country Memorial Hospital (Fredericksburg, Texas)
• Iowa Specialty Hospital-Belmond
• Marion Regional Medical Center (Hamilton, Ala.)
• Mayo Clinic Hospital (Phoenix)
• Memorial Hospital and Health Care Center (Jasper, Ind.)
• Nebraska Orthopaedic Hospital (Omaha)
• Northside Medical Center (Columbus, Ga.)
• Oklahoma Heart Hospital (Oklahoma City)
• Sauk Prairie Hospital (Prairie du Sac, Wis.)
• South County Hospital (Wakefield, R.I.)
• St. Joseph Mercy Chelsea (Mich.)
• Surgical Hospital at Southwoods (Youngstown, Ohio)
• Texas Orthopedic Hospital (Houston)
• Texas Spine and Joint Hospital (Tyler)
• UHHS Memorial Hospital of Geneva (Ohio)