HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
ST MARY'S GENERAL HOSPITAL
NJ · Facility ID 310006 · FY2026
Total HAC Score
-0.5603
Percentile
17.1th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.5603. 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 -1.041
- CLABSIz 0.672
- CAUTIz -0.716
- SSIz -0.833
- CDIz -0.885
- MRSAz -0.559
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.0410 | -0.6340 | 0.0317 | 0.6657 |
| CAUTI | -0.7160 | -0.6607 | -0.0432 | 0.6175 |
| MRSA | -0.5586 | -0.7101 | -0.0963 | 0.6137 |
| CDI | -0.8852 | -0.6564 | -0.0472 | 0.6092 |
| CLABSI | 0.6720 | -0.9067 | -0.2989 | 0.6078 |
| SSI | -0.8329 | -0.6642 | -0.0595 | 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 NJ (61 scored): 12.3th
Hospital score -0.5603. Penalty threshold 0.3792. Distribution of 61 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 11.1th
Hospital score -0.5603. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.5603; 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.