Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

HCA FLORIDA KENDALL HOSPITAL

FL · Facility ID 100209 · FY2026

Total HAC Score

-0.7271

Percentile

11.8th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.7271

Hospital score -0.7271. 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 -1.001
  • CLABSIz -0.300
  • CAUTIz -1.319
  • SSIz 0.145
  • CDIz -1.319
  • MRSAz -0.569

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-1.0013-0.8074-0.14170.6657
CAUTI-1.3186-0.7271-0.10960.6175
MRSA-0.5691-0.8751-0.26140.6137
CDI-1.3189-0.7510-0.14180.6092
CLABSI-0.2999-0.9115-0.30370.6078
SSI0.1452-0.9940-0.38930.6047

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): 13.6th

Score distributionThreshold 0.3792Hospital -0.7271

Hospital score -0.7271. Penalty threshold 0.3792. Distribution of 165 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 6.0th

Score distributionThreshold 0.3792Hospital -0.7271

Hospital score -0.7271. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.7271; 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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