HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
SOUTHWELL MEDICAL, A CAMPUS OF TRMC
GA · Facility ID 110101 · FY2026
Total HAC Score
0.0049
Percentile
53.0th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score 0.0049. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.
Data completeness
Reported on 1 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.
- PSI-90z 0.005
- CLABSIN/A
- CAUTIN/A
- SSIN/A
- CDIN/A
- MRSAN/A
Fragility
Each reported measure moves the score by 1.0000 points (leverage 1.0 — maximal fragility).
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 0.0049 | -1.4834 | 2.5111 | 3.9945 |
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): 42.1th
Hospital score 0.0049. Penalty threshold 0.3792. Distribution of 89 scored hospitals.
Percentile among hospitals with 1 reported measure (182 scored): 64.0th
Hospital score 0.0049. Penalty threshold 0.3792. Distribution of 182 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score 0.0049; threshold 0.3792).
Fragility is maximal: only one measure is reported, so each reported measure moves the score by 1.0000 points (leverage 1.0).
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.