Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

← All audits

Hospital audit

PIEDMONT CARTERSVILLE MEDICAL CENTER

GA · Facility ID 110030 · FY2026

Total HAC Score

-0.5605

Percentile

17.1th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.5605

Hospital score -0.5605. 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 -0.811
  • CLABSIz -0.437
  • CAUTIz -0.282
  • SSIz -0.538
  • CDIz -1.207
  • MRSAz -0.088

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-0.8110-0.6726-0.00690.6658
CAUTI-0.2821-0.7333-0.11580.6175
MRSA-0.0884-0.7887-0.17500.6137
CDI-1.2066-0.60310.00610.6092
CLABSI-0.4368-0.7222-0.11440.6078
SSI-0.5383-0.7136-0.10890.6047

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 GA (89 scored): 17.4th

Score distributionThreshold 0.3792Hospital -0.5605

Hospital score -0.5605. Penalty threshold 0.3792. Distribution of 89 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 11.1th

Score distributionThreshold 0.3792Hospital -0.5605

Hospital score -0.5605. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.5605; 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.

Scan a hospital system →