HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
MELROSEWAKEFIELD HEALTHCARE
MA · Facility ID 220070 · FY2026
Total HAC Score
-0.1710
Percentile
41.1th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.1710. 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 2.511
- CLABSIz -0.915
- CAUTIz -0.721
- SSIz -0.730
- CDIz -0.076
- MRSAz -1.096
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 2.5111 | -0.8368 | -0.1711 | 0.6657 |
| CAUTI | -0.7208 | -0.2707 | 0.3468 | 0.6175 |
| MRSA | -1.0957 | -0.2313 | 0.3824 | 0.6137 |
| CDI | -0.0760 | -0.4021 | 0.2071 | 0.6092 |
| CLABSI | -0.9147 | -0.2530 | 0.3548 | 0.6078 |
| SSI | -0.7302 | -0.2921 | 0.3126 | 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 MA (52 scored): 29.8th
Hospital score -0.1710. Penalty threshold 0.3792. Distribution of 52 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 38.0th
Hospital score -0.1710. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.1710; 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.