HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
ST BERNARDINE MEDICAL CENTER
CA · Facility ID 050129 · FY2026
Total HAC Score
-0.4108
Percentile
25.5th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.4108. 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 0.292
- CLABSIz -1.223
- CAUTIz -0.781
- SSIz -0.586
- CDIz -0.343
- MRSAz 0.177
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 0.2919 | -0.7067 | -0.0409 | 0.6657 |
| CAUTI | -0.7811 | -0.5004 | 0.1171 | 0.6175 |
| MRSA | 0.1770 | -0.6832 | -0.0695 | 0.6137 |
| CDI | -0.3431 | -0.5973 | 0.0119 | 0.6092 |
| CLABSI | -1.2232 | -0.4414 | 0.1664 | 0.6078 |
| SSI | -0.5863 | -0.5558 | 0.0489 | 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): 24.7th
Hospital score -0.4108. Penalty threshold 0.3792. Distribution of 277 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 20.1th
Hospital score -0.4108. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.4108; 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.