HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
COREWELL HEALTH WATERVLIET HOSPITAL
MI · Facility ID 230078 · FY2026
Total HAC Score
2.2091
Percentile
99.8th
Displayed status
Payment reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score 2.2091. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.
Data completeness
Reported on 2 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
- SSIN/A
- CDIz 2.193
- MRSAz 2.225
Fragility
Each reported measure moves the score by 0.5000 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| MRSAcontrols fate | 2.2251 | 0.3679 | 2.2091 | 1.8412 |
| CDI | 2.1931 | 0.3814 | 2.2091 | 1.8276 |
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 MI (88 scored): 98.3th
Hospital score 2.2091. Penalty threshold 0.3792. Distribution of 88 scored hospitals.
Percentile among hospitals with 2 reported measures (252 scored): 99.0th
Hospital score 2.2091. Penalty threshold 0.3792. Distribution of 252 scored hospitals.
Plain-language verdict
As scored, the CMS file lists payment reduction Yes (Total HAC Score 2.2091; threshold 0.3792).
Reported on 2 of 6 measures; each reported measure moves the equal-weighted score by 0.5000 points.
This penalty rests on thin reported data (≤2 measures), so a single measure shift can move status relative to the threshold in a what-if sense — not a CMS prediction.
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.