HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
HCA FLORIDA CITRUS HOSPITAL
FL · Facility ID 100023 · FY2026
Total HAC Score
-0.1082
Percentile
45.4th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.1082. 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 -0.863
- CLABSIz 0.507
- CAUTIz -0.251
- SSIz 1.081
- CDIz -1.160
- MRSAz 0.037
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.8629 | -0.2116 | 0.4542 | 0.6657 |
| CAUTI | -0.2508 | -0.2861 | 0.3313 | 0.6175 |
| MRSA | 0.0370 | -0.3572 | 0.2565 | 0.6137 |
| CDI | -1.1601 | -0.1585 | 0.4507 | 0.6092 |
| CLABSI | 0.5073 | -0.4271 | 0.1807 | 0.6078 |
| SSI | 1.0805 | -0.5310 | 0.0737 | 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): 59.1th
Hospital score -0.1082. Penalty threshold 0.3792. Distribution of 165 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 42.8th
Hospital score -0.1082. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.1082; 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.