HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
SPRING VALLEY HOSPITAL MEDICAL CENTER
NV · Facility ID 290046 · FY2026
Total HAC Score
-0.3557
Percentile
28.7th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
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.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 0.2942 | -0.6520 | 0.0138 | 0.6657 |
| CAUTI | -0.8534 | -0.4332 | 0.1843 | 0.6175 |
| MRSA | 0.3150 | -0.6511 | -0.0373 | 0.6137 |
| CDI | -1.1292 | -0.4112 | 0.1980 | 0.6092 |
| CLABSI | -0.0819 | -0.5765 | 0.0313 | 0.6078 |
| SSI | -0.6788 | -0.4853 | 0.1194 | 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): 34.2th
Hospital score -0.3557. Penalty threshold 0.3792. Distribution of 19 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 23.6th
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.