HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
SAN JUAN REGIONAL MEDICAL CENTER INC
NM · Facility ID 320005 · FY2026
Total HAC Score
0.0730
Percentile
57.5th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score 0.0730. 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 -0.904
- CLABSIz 0.811
- CAUTIz 0.398
- SSIz 1.048
- CDIz 0.002
- MRSAz -0.916
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.9042 | -0.0235 | 0.6422 | 0.6657 |
| CAUTI | 0.3977 | -0.2130 | 0.4044 | 0.6175 |
| MRSA | -0.9160 | -0.0172 | 0.5965 | 0.6137 |
| CDI | 0.0015 | -0.1709 | 0.4383 | 0.6092 |
| CLABSI | 0.8112 | -0.2966 | 0.3112 | 0.6078 |
| SSI | 1.0479 | -0.3444 | 0.2603 | 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 NM (26 scored): 51.9th
Hospital score 0.0730. Penalty threshold 0.3792. Distribution of 26 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 56.0th
Hospital score 0.0730. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score 0.0730; 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.