HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
NORTHERN NEVADA MEDICAL CENTER
NV · Facility ID 290032 · FY2026
Total HAC Score
-0.3903
Percentile
26.8th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.3903. 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 -0.151
- CLABSIz -1.407
- CAUTIz -0.513
- SSIz -0.782
- CDIz 0.598
- MRSAz -0.086
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.1515 | -0.6123 | 0.0535 | 0.6658 |
| CAUTI | -0.5135 | -0.5244 | 0.0930 | 0.6175 |
| MRSA | -0.0863 | -0.6188 | -0.0050 | 0.6137 |
| CDI | 0.5978 | -0.7336 | -0.1244 | 0.6092 |
| CLABSI | -1.4065 | -0.3903 | 0.2175 | 0.6078 |
| SSI | -0.7816 | -0.5027 | 0.1019 | 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): 23.7th
Hospital score -0.3903. Penalty threshold 0.3792. Distribution of 19 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 21.5th
Hospital score -0.3903. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.3903; 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.