HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
ST LUKE'S WARREN HOSPITAL
NJ · Facility ID 310060 · FY2026
Total HAC Score
-0.1917
Percentile
39.4th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.1917. 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 -0.433
- CLABSIz -0.590
- CAUTIz -0.793
- SSIz 1.920
- CDIz -0.808
- MRSAz -0.446
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.4333 | -0.3667 | 0.2991 | 0.6657 |
| CAUTI | -0.7931 | -0.2792 | 0.3382 | 0.6175 |
| MRSA | -0.4458 | -0.3603 | 0.2535 | 0.6137 |
| CDI | -0.8078 | -0.3007 | 0.3085 | 0.6092 |
| CLABSI | -0.5899 | -0.3278 | 0.2800 | 0.6078 |
| SSI | 1.9199 | -0.7544 | -0.1497 | 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): 48.4th
Hospital score -0.1917. Penalty threshold 0.3792. Distribution of 61 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 36.3th
Hospital score -0.1917. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.1917; 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.