Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

← All audits

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)

Score distributionThreshold 0.3792Hospital -0.4582

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.

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-0.0477-0.6975-0.03180.6658
CAUTI-0.6027-0.57750.03990.6175
MRSA-0.6882-0.58640.02730.6137
CDI-0.2734-0.6564-0.04710.6092
CLABSI-0.1074-0.6747-0.06690.6078
SSI-1.0299-0.52930.07540.6047

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

Score distributionThreshold 0.3792Hospital -0.4582

Hospital score -0.4582. Penalty threshold 0.3792. Distribution of 43 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 17.4th

Score distributionThreshold 0.3792Hospital -0.4582

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.

Scan a hospital system →