HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
REGIONAL MEDICAL CENTER OF SAN JOSE
CA · Facility ID 050125 · FY2026
Total HAC Score
-0.2588
Percentile
34.9th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.2588. 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 -0.016
- CLABSIz -0.230
- CAUTIz -0.542
- SSIz 0.263
- CDIz -1.079
- MRSAz 0.052
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.0161 | -0.5033 | 0.1624 | 0.6657 |
| CAUTI | -0.5424 | -0.3881 | 0.2294 | 0.6175 |
| MRSA | 0.0516 | -0.5102 | 0.1035 | 0.6137 |
| CDI | -1.0788 | -0.3227 | 0.2866 | 0.6092 |
| CLABSI | -0.2303 | -0.4548 | 0.1530 | 0.6078 |
| SSI | 0.2634 | -0.5454 | 0.0593 | 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): 34.1th
Hospital score -0.2588. Penalty threshold 0.3792. Distribution of 277 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 31.1th
Hospital score -0.2588. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.2588; 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.