Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

LEVINDALE HEBREW GERIATRIC CENTER AND HOSPITAL

MD · Facility ID 210064 · FY2026

Total HAC Score

0.4392

Percentile

77.6th

Displayed status

Exempt (Maryland)

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital 0.4392

Hospital score 0.4392. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.

Data completeness

Reported on 3 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.

  • PSI-90N/A
  • CLABSIN/A
  • CAUTIN/A
  • SSIImputedz 2.172
  • CDIz -0.812
  • MRSAz -0.042

Fragility

Each reported measure moves the score by 0.3333 points.

Score swing if each reported measure were at its Z floor versus Z cap, holding other measures fixed
MeasureCurrent ZScore @ floorScore @ capAbs swing
MRSAcontrols fate-0.0424-0.03241.19501.2275
CDI-0.81170.22241.44081.2184
SSI2.1717-0.77020.43921.2094

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.

Imputation exposure

1 reported measure carry footnote 18 (imputed). Compare as-scored vs measured-only mean.

As scored
0.4392
Measured only
-0.4270
  • SSI imputed

Peer context

Percentile within MD (43 scored): 70.9th

Score distributionThreshold 0.3792Hospital 0.4392

Hospital score 0.4392. Penalty threshold 0.3792. Distribution of 43 scored hospitals.

Percentile among hospitals with 3 reported measures (196 scored): 74.2th

Score distributionThreshold 0.3792Hospital 0.4392

Hospital score 0.4392. Penalty threshold 0.3792. Distribution of 196 scored hospitals.

Plain-language verdict

Displayed status is Exempt (Maryland) under the CMS Payment Reduction column.

Reported on 3 of 6 measures; each reported measure moves the equal-weighted score by 0.3333 points.

1 reported measure(s) are imputed (footnote 18). As-scored 0.4392 vs measured-only -0.4270 — both compared to threshold 0.3792 as a mechanics illustration only.

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.

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