HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
HOLMES REGIONAL MEDICAL CENTER
FL · Facility ID 100019 · FY2026
Total HAC Score
-0.4633
Percentile
22.4th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.4633. 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 -0.924
- CLABSIz -0.639
- CAUTIz -0.984
- SSIz -0.165
- CDIz -0.750
- MRSAz 0.681
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.9239 | -0.5566 | 0.1092 | 0.6657 |
| CAUTI | -0.9836 | -0.5192 | 0.0983 | 0.6175 |
| MRSA | 0.6807 | -0.8197 | -0.2059 | 0.6137 |
| CDI | -0.7497 | -0.5821 | 0.0271 | 0.6092 |
| CLABSI | -0.6386 | -0.5913 | 0.0165 | 0.6078 |
| SSI | -0.1649 | -0.6786 | -0.0739 | 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 FL (165 scored): 30.6th
Hospital score -0.4633. Penalty threshold 0.3792. Distribution of 165 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 17.1th
Hospital score -0.4633. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.4633; 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.