Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

CENTENNIAL HILLS HOSPITAL MEDICAL CENTER

NV · Facility ID 290054 · FY2026

Total HAC Score

-0.3998

Percentile

26.2th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.3998

Hospital score -0.3998. 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 -0.711
  • CLABSIz 0.816
  • CAUTIz -0.559
  • SSIz -0.883
  • CDIz -0.827
  • MRSAz -0.235

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 fate-0.7110-0.52850.13720.6657
CAUTI-0.5593-0.52640.09110.6175
MRSA-0.2347-0.60360.01020.6137
CDI-0.8271-0.50570.10360.6092
CLABSI0.8159-0.7702-0.16240.6078
SSI-0.8826-0.49550.10920.6047

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): 18.4th

Score distributionThreshold 0.3792Hospital -0.3998

Hospital score -0.3998. Penalty threshold 0.3792. Distribution of 19 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 20.9th

Score distributionThreshold 0.3792Hospital -0.3998

Hospital score -0.3998. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.3998; 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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