Lakes Regional Healthcare was recently rated as a five-star hospital for the third year in a row by the Centers for Medicare and Medicaid Services’ web site. CMS’ Care Compare program reports on quality measures for more than 4,000 hospitals nationwide. Roughly 13 percent of hospitals in the country were rated five stars, and Lakes Regional Healthcare was the only hospital in the western half of Iowa, and it was one of five Avera-affiliated hospitals to receive a five-star rating.