HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
PALOMAR HEALTH DOWNTOWN CAMPUS
CA · Facility ID 050115 · FY2026
Total HAC Score
-0.0878
Percentile
47.0th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.0878. 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 -0.278
- CLABSIz 0.220
- CAUTIz 0.766
- SSIz -0.158
- CDIz -0.026
- MRSAz -1.052
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.2777 | -0.2888 | 0.3770 | 0.6657 |
| CAUTI | 0.7665 | -0.4353 | 0.1821 | 0.6175 |
| MRSA | -1.0518 | -0.1554 | 0.4583 | 0.6137 |
| CDI | -0.0256 | -0.3273 | 0.2820 | 0.6092 |
| CLABSI | 0.2197 | -0.3589 | 0.2489 | 0.6078 |
| SSI | -0.1580 | -0.3042 | 0.3005 | 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): 44.8th
Hospital score -0.0878. Penalty threshold 0.3792. Distribution of 277 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 44.2th
Hospital score -0.0878. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.0878; 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.