HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
MERCY SAN JUAN MEDICAL CENTER
CA · Facility ID 050516 · FY2026
Total HAC Score
-0.6809
Percentile
13.3th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.6809. 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 -1.483
- CLABSIz -0.511
- CAUTIz -0.287
- SSIz -0.528
- CDIz -1.001
- MRSAz -0.274
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.4834 | -0.6809 | -0.0151 | 0.6657 |
| CAUTI | -0.2869 | -0.8528 | -0.2353 | 0.6175 |
| MRSA | -0.2744 | -0.8780 | -0.2643 | 0.6137 |
| CDI | -1.0014 | -0.7577 | -0.1484 | 0.6092 |
| CLABSI | -0.5110 | -0.8301 | -0.2223 | 0.6078 |
| SSI | -0.5280 | -0.8356 | -0.2309 | 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): 11.0th
Hospital score -0.6809. Penalty threshold 0.3792. Distribution of 277 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 7.4th
Hospital score -0.6809. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.6809; 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.