Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

KAISER FOUNDATION HOSPITAL-MORENO VALLEY

CA · Facility ID 050765 · FY2026

Total HAC Score

-0.0302

Percentile

50.9th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.0302

Hospital score -0.0302. 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 -0.172
  • CLABSIz 1.018
  • CAUTIz -0.193
  • SSIz 0.059
  • CDIz -0.424
  • MRSAz -0.469

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-0.1723-0.24870.41700.6657
CAUTI-0.1929-0.21780.39970.6175
MRSA-0.4687-0.19490.41880.6137
CDI-0.4244-0.20310.40610.6092
CLABSI1.0177-0.43420.17360.6078
SSI0.0595-0.28280.32190.6047

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): 48.9th

Score distributionThreshold 0.3792Hospital -0.0302

Hospital score -0.0302. Penalty threshold 0.3792. Distribution of 277 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 49.0th

Score distributionThreshold 0.3792Hospital -0.0302

Hospital score -0.0302. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.0302; 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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