HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
THREE CROSSES REGIONAL HOSPITAL LLC
NM · Facility ID 320091 · FY2026
Total HAC Score
-0.2481
Percentile
35.5th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.2481. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.
Data completeness
Reported on 4 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.
- PSI-90z -0.336
- CLABSIz -1.407
- CAUTIz -1.319
- SSIN/A
- CDIz 2.069
- MRSAN/A
Fragility
Each reported measure moves the score by 0.2500 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.3363 | -0.5348 | 0.4638 | 0.9986 |
| CAUTI | -1.3186 | -0.2481 | 0.6782 | 0.9262 |
| CDI | 2.0691 | -1.1309 | -0.2171 | 0.9138 |
| CLABSI | -1.4065 | -0.2481 | 0.6636 | 0.9117 |
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): 32.7th
Hospital score -0.2481. Penalty threshold 0.3792. Distribution of 26 scored hospitals.
Percentile among hospitals with 4 reported measures (139 scored): 35.6th
Hospital score -0.2481. Penalty threshold 0.3792. Distribution of 139 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.2481; threshold 0.3792).
Reported on 4 of 6 measures; each reported measure moves the equal-weighted score by 0.2500 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.