HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
LAKEVIEW MEMORIAL HOSPITAL
MN · Facility ID 240066 · FY2026
Total HAC Score
-0.4454
Percentile
23.7th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.4454. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.
Data completeness
Reported on 5 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.
- PSI-90z -0.412
- CLABSIz -1.407
- CAUTIz -0.391
- SSIz -0.593
- CDIz 0.575
- MRSAN/A
Fragility
Each reported measure moves the score by 0.2000 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.4116 | -0.6598 | 0.1391 | 0.7989 |
| CAUTI | -0.3906 | -0.6311 | 0.1099 | 0.7410 |
| CDI | 0.5745 | -0.8528 | -0.1217 | 0.7311 |
| CLABSI | -1.4065 | -0.4455 | 0.2839 | 0.7293 |
| SSI | -0.5931 | -0.6181 | 0.1075 | 0.7256 |
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 MN (45 scored): 10.0th
Hospital score -0.4454. Penalty threshold 0.3792. Distribution of 45 scored hospitals.
Percentile among hospitals with 5 reported measures (220 scored): 27.5th
Hospital score -0.4454. Penalty threshold 0.3792. Distribution of 220 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.4454; threshold 0.3792).
Reported on 5 of 6 measures; each reported measure moves the equal-weighted score by 0.2000 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.