HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
SAINT AGNES HOSPITAL
MD · Facility ID 210011 · FY2026
Total HAC Score
-0.0138
Percentile
51.9th
Displayed status
Exempt (Maryland)From CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.0138. 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 -0.098
- CLABSIz 1.055
- CAUTIz -0.986
- SSIz -1.102
- CDIz 0.021
- MRSAz 1.028
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.0981 | -0.2447 | 0.4211 | 0.6658 |
| CAUTI | -0.9860 | -0.0692 | 0.5482 | 0.6175 |
| MRSA | 1.0276 | -0.4280 | 0.1858 | 0.6137 |
| CDI | 0.0208 | -0.2610 | 0.3482 | 0.6092 |
| CLABSI | 1.0548 | -0.4240 | 0.1838 | 0.6078 |
| SSI | -1.1019 | -0.0729 | 0.5318 | 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 MD (43 scored): 52.3th
Hospital score -0.0138. Penalty threshold 0.3792. Distribution of 43 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 49.9th
Hospital score -0.0138. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
Displayed status is Exempt (Maryland) under the CMS Payment Reduction column.
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.