Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

← All audits

Hospital audit

MEDSTAR GOOD SAMARITAN HOSPITAL

MD · Facility ID 210056 · FY2026

Total HAC Score

-0.2260

Percentile

37.2th

Displayed status

Exempt (Maryland)

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.2260

Hospital score -0.2260. 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 0.393
  • CLABSIz -1.128
  • CAUTIz -0.022
  • SSIz -1.456
  • CDIz 0.760
  • MRSAz 0.098

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 fate0.3926-0.53860.12710.6658
CAUTI-0.0218-0.44210.17540.6175
MRSA0.0976-0.48510.12860.6137
CDI0.7604-0.59640.01280.6092
CLABSI-1.1281-0.27240.33540.6078
SSI-1.4565-0.22600.37870.6047

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): 31.4th

Score distributionThreshold 0.3792Hospital -0.2260

Hospital score -0.2260. Penalty threshold 0.3792. Distribution of 43 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 33.5th

Score distributionThreshold 0.3792Hospital -0.2260

Hospital score -0.2260. 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.

Scan a hospital system →