HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
LAKE CUMBERLAND REGIONAL HOSPITAL
KY · Facility ID 180132 · FY2026
Total HAC Score
-0.2727
Percentile
34.0th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.2727. 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 -0.837
- CLABSIz -1.079
- CAUTIz -0.839
- SSIz 1.269
- CDIz -0.622
- MRSAz 0.472
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.8368 | -0.3805 | 0.2853 | 0.6658 |
| CAUTI | -0.8389 | -0.3527 | 0.2648 | 0.6175 |
| MRSA | 0.4717 | -0.5942 | 0.0195 | 0.6137 |
| CDI | -0.6219 | -0.4128 | 0.1964 | 0.6092 |
| CLABSI | -1.0794 | -0.3272 | 0.2805 | 0.6078 |
| SSI | 1.2689 | -0.7270 | -0.1223 | 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 KY (56 scored): 24.1th
Hospital score -0.2727. Penalty threshold 0.3792. Distribution of 56 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 30.0th
Hospital score -0.2727. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.2727; 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.