Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

← All audits

Hospital audit

STURDY MEMORIAL HOSPITAL

MA · Facility ID 220008 · FY2026

Total HAC Score

-0.7003

Percentile

12.8th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.7003

Hospital score -0.7003. 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 -0.177
  • CLABSIz -0.745
  • CAUTIz 0.419
  • SSIz -1.456
  • CDIz -0.784
  • MRSAz -1.457

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-0.1773-0.9179-0.25220.6658
CAUTI0.4194-0.9899-0.37240.6175
MRSA-1.4573-0.7002-0.08650.6137
CDI-0.7845-0.8132-0.20400.6092
CLABSI-0.7453-0.8104-0.20270.6078
SSI-1.4565-0.7002-0.09550.6047

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 MA (52 scored): 1.0th

Score distributionThreshold 0.3792Hospital -0.7003

Hospital score -0.7003. Penalty threshold 0.3792. Distribution of 52 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 6.9th

Score distributionThreshold 0.3792Hospital -0.7003

Hospital score -0.7003. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.7003; threshold 0.3792).

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 →