HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
LAKE REGIONAL HEALTH SYSTEM
MO · Facility ID 260186 · FY2026
Total HAC Score
-0.2858
Percentile
33.2th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.2858. 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 -1.026
- CLABSIz -1.407
- CAUTIz -0.034
- SSIz 0.209
- CDIz 0.381
- MRSAz 0.162
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.0265 | -0.3620 | 0.3038 | 0.6657 |
| CAUTI | -0.0338 | -0.4999 | 0.1175 | 0.6175 |
| MRSA | 0.1624 | -0.5558 | 0.0580 | 0.6137 |
| CDI | 0.3809 | -0.5930 | 0.0162 | 0.6092 |
| CLABSI | -1.4065 | -0.2858 | 0.3220 | 0.6078 |
| SSI | 0.2086 | -0.5633 | 0.0414 | 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 MO (62 scored): 29.8th
Hospital score -0.2858. Penalty threshold 0.3792. Distribution of 62 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 29.0th
Hospital score -0.2858. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.2858; 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.