HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
MONMOUTH MEDICAL CENTER-SOUTHERN CAMPUS
NJ · Facility ID 310084 · FY2026
Total HAC Score
-0.5546
Percentile
17.3th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.5546. 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 0.091
- CLABSIz -0.947
- CAUTIz 0.381
- SSIz -1.456
- CDIz -0.486
- MRSAz -0.910
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 0.0914 | -0.8171 | -0.1513 | 0.6658 |
| CAUTI | 0.3808 | -0.8378 | -0.2204 | 0.6175 |
| MRSA | -0.9097 | -0.6459 | -0.0321 | 0.6137 |
| CDI | -0.4864 | -0.7172 | -0.1080 | 0.6092 |
| CLABSI | -0.9472 | -0.6311 | -0.0234 | 0.6078 |
| SSI | -1.4565 | -0.5546 | 0.0501 | 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): 13.9th
Hospital score -0.5546. Penalty threshold 0.3792. Distribution of 61 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 11.3th
Hospital score -0.5546. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.5546; 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.