HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
HCA FLORIDA PALMS WEST HOSPITAL
FL · Facility ID 100269 · FY2026
Total HAC Score
-0.4344
Percentile
24.3th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.4344. 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 0.380
- CLABSIz -0.771
- CAUTIz -1.319
- SSIz 0.238
- CDIz -1.307
- MRSAz 0.173
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 0.3800 | -0.7449 | -0.0792 | 0.6658 |
| CAUTI | -1.3186 | -0.4344 | 0.1831 | 0.6175 |
| MRSA | 0.1729 | -0.7061 | -0.0923 | 0.6137 |
| CDI | -1.3073 | -0.4602 | 0.1490 | 0.6092 |
| CLABSI | -0.7709 | -0.5403 | 0.0675 | 0.6078 |
| SSI | 0.2377 | -0.7167 | -0.1120 | 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): 35.5th
Hospital score -0.4344. Penalty threshold 0.3792. Distribution of 165 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 19.1th
Hospital score -0.4344. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.4344; 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.