Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

SPRING VALLEY HOSPITAL MEDICAL CENTER

NV · Facility ID 290046 · FY2026

Total HAC Score

-0.3557

Percentile

28.7th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.3557

Hospital score -0.3557. 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 0.294
  • CLABSIz -0.082
  • CAUTIz -0.853
  • SSIz -0.679
  • CDIz -1.129
  • MRSAz 0.315

Fragility

Each reported measure moves the score by 0.1667 points.

Score swing if each reported measure were at its Z floor versus Z cap, holding other measures fixed
MeasureCurrent ZScore @ floorScore @ capAbs swing
PSI-90controls fate0.2942-0.65200.01380.6657
CAUTI-0.8534-0.43320.18430.6175
MRSA0.3150-0.6511-0.03730.6137
CDI-1.1292-0.41120.19800.6092
CLABSI-0.0819-0.57650.03130.6078
SSI-0.6788-0.48530.11940.6047

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): 34.2th

Score distributionThreshold 0.3792Hospital -0.3557

Hospital score -0.3557. Penalty threshold 0.3792. Distribution of 19 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 23.6th

Score distributionThreshold 0.3792Hospital -0.3557

Hospital score -0.3557. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.3557; 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.

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