HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL
CA · Facility ID 050701 · FY2026
Total HAC Score
-0.1624
Percentile
41.7th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.1624. 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 1.502
- CLABSIz -1.407
- CAUTIz 0.176
- SSIz -0.634
- CDIz 0.033
- MRSAz -0.644
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 1.5025 | -0.6600 | 0.0057 | 0.6658 |
| CAUTI | 0.1759 | -0.4114 | 0.2060 | 0.6175 |
| MRSA | -0.6443 | -0.2979 | 0.3159 | 0.6137 |
| CDI | 0.0325 | -0.4115 | 0.1977 | 0.6092 |
| CLABSI | -1.4065 | -0.1624 | 0.4454 | 0.6078 |
| SSI | -0.6342 | -0.2994 | 0.3053 | 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): 39.5th
Hospital score -0.1624. Penalty threshold 0.3792. Distribution of 277 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 38.7th
Hospital score -0.1624. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.1624; 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.