HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
CALIFORNIA PACIFIC MEDICAL CENTER - MISSION BERNAL
CA · Facility ID 050055 · FY2026
Total HAC Score
-0.3667
Percentile
28.1th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.3667. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.
Data completeness
Reported on 6 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.
- PSI-90z -0.824
- CLABSIz -1.407
- CAUTIz 0.340
- SSIz -0.463
- CDIz -0.208
- MRSAz 0.361
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.8242 | -0.4766 | 0.1891 | 0.6658 |
| CAUTI | 0.3398 | -0.6431 | -0.0257 | 0.6175 |
| MRSA | 0.3609 | -0.6698 | -0.0561 | 0.6137 |
| CDI | -0.2076 | -0.5758 | 0.0334 | 0.6092 |
| CLABSI | -1.4065 | -0.3667 | 0.2410 | 0.6078 |
| SSI | -0.4629 | -0.5323 | 0.0723 | 0.6047 |
Swing is a mechanics illustration: replace one reported Z with that measure’s observed floor or cap while holding others fixed. Ranked by absolute swing.
Peer context
Percentile within CA (277 scored): 27.3th
Hospital score -0.3667. Penalty threshold 0.3792. Distribution of 277 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 23.0th
Hospital score -0.3667. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.3667; threshold 0.3792).
Reported on 6 of 6 measures; each reported measure moves the equal-weighted score by 0.1667 points.
Describes scoring mechanics only. Not medical or legal advice. Any “would / would not” language is an illustration against the published threshold, not a CMS prediction.