Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

COMMUNITY HOSPITAL SOUTH, INC.

IN · Facility ID 150128 · FY2026

Total HAC Score

-0.6203

Percentile

14.9th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.6203

Hospital score -0.6203. 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 -1.166
  • CLABSIz -0.980
  • CAUTIz -0.463
  • SSIz 0.808
  • CDIz -1.005
  • MRSAz -0.916

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-1.1661-0.6732-0.00740.6657
CAUTI-0.4629-0.7629-0.14540.6175
MRSA-0.9160-0.7105-0.09680.6137
CDI-1.0053-0.6964-0.08720.6092
CLABSI-0.9796-0.6915-0.08370.6078
SSI0.8081-0.9977-0.39300.6047

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 IN (80 scored): 15.6th

Score distributionThreshold 0.3792Hospital -0.6203

Hospital score -0.6203. Penalty threshold 0.3792. Distribution of 80 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 9.0th

Score distributionThreshold 0.3792Hospital -0.6203

Hospital score -0.6203. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.6203; 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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