HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
VALLEY HOSPITAL MEDICAL CENTER
NV · Facility ID 290021 · FY2026
Total HAC Score
-0.6954
Percentile
12.9th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.6954. 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 -0.705
- CLABSIz -1.293
- CAUTIz -0.846
- SSIz -0.194
- CDIz -1.257
- MRSAz 0.123
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.7052 | -0.8251 | -0.1593 | 0.6657 |
| CAUTI | -0.8462 | -0.7741 | -0.1566 | 0.6175 |
| MRSA | 0.1227 | -0.9587 | -0.3450 | 0.6137 |
| CDI | -1.2569 | -0.7296 | -0.1204 | 0.6092 |
| CLABSI | -1.2928 | -0.7144 | -0.1066 | 0.6078 |
| SSI | -0.1940 | -0.9058 | -0.3011 | 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 NV (19 scored): 13.2th
Hospital score -0.6954. Penalty threshold 0.3792. Distribution of 19 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 7.0th
Hospital score -0.6954. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.6954; 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.