HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
PALMDALE REGIONAL MEDICAL CENTER
CA · Facility ID 050204 · FY2026
Total HAC Score
-0.5354
Percentile
18.2th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.5354. 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 -0.841
- CLABSIz -0.434
- CAUTIz -0.157
- SSIz -0.350
- CDIz -0.421
- MRSAz -1.010
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.8408 | -0.6425 | 0.0232 | 0.6657 |
| CAUTI | -0.1567 | -0.7291 | -0.1116 | 0.6175 |
| MRSA | -1.0100 | -0.6100 | 0.0038 | 0.6137 |
| CDI | -0.4206 | -0.7090 | -0.0998 | 0.6092 |
| CLABSI | -0.4345 | -0.6974 | -0.0896 | 0.6078 |
| SSI | -0.3499 | -0.7199 | -0.1152 | 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): 15.7th
Hospital score -0.5354. Penalty threshold 0.3792. Distribution of 277 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 12.3th
Hospital score -0.5354. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.5354; 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.