Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

ADVENTHEALTH CASTLE ROCK

CO · Facility ID 060125 · FY2026

Total HAC Score

-0.3618

Percentile

28.4th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.3618

Hospital score -0.3618. 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 -0.386
  • CLABSIz -1.407
  • CAUTIz 0.713
  • SSIz -0.381
  • CDIz -1.222
  • MRSAz 0.511

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-0.3863-0.54460.12110.6657
CAUTI0.7134-0.7005-0.08300.6175
MRSA0.5114-0.6899-0.07620.6137
CDI-1.2221-0.40180.20740.6092
CLABSI-1.4065-0.36180.24600.6078
SSI-0.3807-0.54110.06360.6047

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 CO (49 scored): 31.6th

Score distributionThreshold 0.3792Hospital -0.3618

Hospital score -0.3618. Penalty threshold 0.3792. Distribution of 49 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 23.2th

Score distributionThreshold 0.3792Hospital -0.3618

Hospital score -0.3618. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.3618; 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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