HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
L A DOWNTOWN MEDICAL CENTER
CA · Facility ID 050763 · FY2026
Total HAC Score
-0.0475
Percentile
49.7th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.0475. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.
Data completeness
Reported on 4 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.
- PSI-90z -1.099
- CLABSIN/A
- CAUTIz -1.319
- SSIImputedz 2.172
- CDIz 0.056
- MRSAN/A
Fragility
Each reported measure moves the score by 0.2500 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.0988 | -0.1436 | 0.8550 | 0.9986 |
| CAUTI | -1.3186 | -0.0475 | 0.8787 | 0.9262 |
| CDI | 0.0557 | -0.4270 | 0.4869 | 0.9138 |
| SSI | 2.1717 | -0.9546 | -0.0475 | 0.9071 |
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.
Imputation exposure
1 reported measure carry footnote 18 (imputed). Compare as-scored vs measured-only mean.
- As scored
- -0.0475
- Measured only
- -0.7872
- SSI imputed
Peer context
Percentile within CA (277 scored): 47.8th
Hospital score -0.0475. Penalty threshold 0.3792. Distribution of 277 scored hospitals.
Percentile among hospitals with 4 reported measures (139 scored): 47.8th
Hospital score -0.0475. Penalty threshold 0.3792. Distribution of 139 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.0475; threshold 0.3792).
Reported on 4 of 6 measures; each reported measure moves the equal-weighted score by 0.2500 points.
1 reported measure(s) are imputed (footnote 18). As-scored -0.0475 vs measured-only -0.7872 — both compared to threshold 0.3792 as a mechanics illustration only.
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.