HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
CENTENNIAL HILLS HOSPITAL MEDICAL CENTER
NV · Facility ID 290054 · FY2026
Total HAC Score
-0.3998
Percentile
26.2th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
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.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.7110 | -0.5285 | 0.1372 | 0.6657 |
| CAUTI | -0.5593 | -0.5264 | 0.0911 | 0.6175 |
| MRSA | -0.2347 | -0.6036 | 0.0102 | 0.6137 |
| CDI | -0.8271 | -0.5057 | 0.1036 | 0.6092 |
| CLABSI | 0.8159 | -0.7702 | -0.1624 | 0.6078 |
| SSI | -0.8826 | -0.4955 | 0.1092 | 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): 18.4th
Hospital score -0.3998. Penalty threshold 0.3792. Distribution of 19 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 20.9th
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.