HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
ADVENTIST HEALTH BAKERSFIELD
CA · Facility ID 050455 · FY2026
Total HAC Score
-0.4482
Percentile
23.6th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.4482. 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 -1.152
- CLABSIz 0.236
- CAUTIz -0.395
- SSIz -0.610
- CDIz -0.165
- MRSAz -0.603
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.1521 | -0.5035 | 0.1623 | 0.6658 |
| CAUTI | -0.3954 | -0.6021 | 0.0154 | 0.6175 |
| MRSA | -0.6025 | -0.5907 | 0.0230 | 0.6137 |
| CDI | -0.1650 | -0.6644 | -0.0552 | 0.6092 |
| CLABSI | 0.2359 | -0.7220 | -0.1142 | 0.6078 |
| SSI | -0.6103 | -0.5893 | 0.0154 | 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): 23.6th
Hospital score -0.4482. Penalty threshold 0.3792. Distribution of 277 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 18.4th
Hospital score -0.4482. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.4482; 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.