HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER
MD · Facility ID 210057 · FY2026
Total HAC Score
-0.4582
Percentile
22.8th
Displayed status
Exempt (Maryland)From CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.4582. 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 -0.048
- CLABSIz -0.107
- CAUTIz -0.603
- SSIz -1.030
- CDIz -0.273
- MRSAz -0.688
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.0477 | -0.6975 | -0.0318 | 0.6658 |
| CAUTI | -0.6027 | -0.5775 | 0.0399 | 0.6175 |
| MRSA | -0.6882 | -0.5864 | 0.0273 | 0.6137 |
| CDI | -0.2734 | -0.6564 | -0.0471 | 0.6092 |
| CLABSI | -0.1074 | -0.6747 | -0.0669 | 0.6078 |
| SSI | -1.0299 | -0.5293 | 0.0754 | 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): 12.8th
Hospital score -0.4582. Penalty threshold 0.3792. Distribution of 43 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 17.4th
Hospital score -0.4582. 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.