Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

LAKEWOOD RANCH MEDICAL CENTER

FL · Facility ID 100299 · FY2026

Total HAC Score

-0.5559

Percentile

17.3th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.5559

Hospital score -0.5559. 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 -1.088
  • CLABSIz -0.029
  • CAUTIz -0.928
  • SSIz -0.787
  • CDIz -0.533
  • MRSAz 0.029

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-1.0878-0.62180.04390.6657
CAUTI-0.9281-0.6210-0.00350.6175
MRSA0.0286-0.8036-0.18980.6137
CDI-0.5329-0.7108-0.10160.6092
CLABSI-0.0285-0.7856-0.17780.6078
SSI-0.7867-0.6675-0.06280.6047

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): 19.7th

Score distributionThreshold 0.3792Hospital -0.5559

Hospital score -0.5559. Penalty threshold 0.3792. Distribution of 165 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 11.2th

Score distributionThreshold 0.3792Hospital -0.5559

Hospital score -0.5559. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.5559; 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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