Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

CHINO VALLEY MEDICAL CENTER

CA · Facility ID 050586 · FY2026

Total HAC Score

-0.4497

Percentile

23.4th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.4497

Hospital score -0.4497. 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 -0.741
  • CLABSIz 0.039
  • CAUTIz -1.319
  • SSIz -1.456
  • CDIz -0.819
  • MRSAz 1.598

Fragility

Each reported measure moves the score by 0.1667 points.

Score swing if each reported measure were at its Z floor versus Z cap, holding other measures fixed
MeasureCurrent ZScore @ floorScore @ capAbs swing
PSI-90controls fate-0.7405-0.57350.09220.6657
CAUTI-1.3186-0.44970.16780.6175
MRSA1.5981-0.9589-0.34520.6137
CDI-0.8194-0.55680.05240.6092
CLABSI0.0387-0.6906-0.08280.6078
SSI-1.4565-0.44970.15500.6047

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): 22.9th

Score distributionThreshold 0.3792Hospital -0.4497

Hospital score -0.4497. Penalty threshold 0.3792. Distribution of 277 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 18.2th

Score distributionThreshold 0.3792Hospital -0.4497

Hospital score -0.4497. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.4497; 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.

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