Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

← All audits

Hospital audit

GLENDALE MEM HOSPITAL & HLTH CENTER

CA · Facility ID 050058 · FY2026

Total HAC Score

-0.5249

Percentile

18.8th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.5249

Hospital score -0.5249. 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 -0.850
  • CLABSIz 0.357
  • CAUTIz -0.424
  • SSIz 0.018
  • CDIz -1.342
  • MRSAz -0.908

Fragility

Each reported measure moves the score by 0.1667 points.

Score swing if each reported measure were at its Z floor versus Z cap, holding other measures fixed
MeasureCurrent ZScore @ floorScore @ capAbs swing
PSI-90controls fate-0.8501-0.63040.03530.6657
CAUTI-0.4243-0.6739-0.05640.6175
MRSA-0.9076-0.6165-0.00270.6137
CDI-1.3421-0.54490.06430.6092
CLABSI0.3566-0.8187-0.21090.6078
SSI0.0184-0.7707-0.16600.6047

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): 16.4th

Score distributionThreshold 0.3792Hospital -0.5249

Hospital score -0.5249. Penalty threshold 0.3792. Distribution of 277 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 13.0th

Score distributionThreshold 0.3792Hospital -0.5249

Hospital score -0.5249. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.5249; 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.

Scan a hospital system →