HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
EXETER HOSPITAL INC
NH · Facility ID 300023 · FY2026
Total HAC Score
-0.2266
Percentile
37.1th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.2266. 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 0.073
- CLABSIz -1.407
- CAUTIz 2.386
- SSIz -0.980
- CDIz 0.025
- MRSAz -1.457
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 0.0734 | -0.4861 | 0.1797 | 0.6657 |
| CAUTI | 2.3863 | -0.8441 | -0.2266 | 0.6175 |
| MRSA | -1.4573 | -0.2266 | 0.3871 | 0.6137 |
| CDI | 0.0247 | -0.4744 | 0.1348 | 0.6092 |
| CLABSI | -1.4065 | -0.2266 | 0.3812 | 0.6078 |
| SSI | -0.9803 | -0.3060 | 0.2987 | 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): 34.6th
Hospital score -0.2266. Penalty threshold 0.3792. Distribution of 13 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 33.3th
Hospital score -0.2266. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.2266; 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.