HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
WENTWORTH-DOUGLASS HOSPITAL
NH · Facility ID 300018 · FY2026
Total HAC Score
-0.3456
Percentile
29.3th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.3456. 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 -1.483
- CLABSIz -0.697
- CAUTIz 1.369
- SSIz -1.232
- CDIz -0.235
- MRSAz 0.204
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.4834 | -0.3456 | 0.3202 | 0.6658 |
| CAUTI | 1.3691 | -0.7935 | -0.1761 | 0.6175 |
| MRSA | 0.2042 | -0.6225 | -0.0088 | 0.6137 |
| CDI | -0.2347 | -0.5502 | 0.0590 | 0.6092 |
| CLABSI | -0.6966 | -0.4639 | 0.1439 | 0.6078 |
| SSI | -1.2321 | -0.3830 | 0.2217 | 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 NH (13 scored): 19.2th
Hospital score -0.3456. Penalty threshold 0.3792. Distribution of 13 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 24.3th
Hospital score -0.3456. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.3456; 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.