HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
NICHOLAS H NOYES MEMORIAL HOSPITAL
NY · Facility ID 330238 · FY2026
Total HAC Score
-0.2310
Percentile
36.6th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.2310. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.
Data completeness
Reported on 5 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.
- PSI-90z -0.399
- CLABSIz -0.080
- CAUTIz -1.319
- SSIz 0.292
- CDIz 0.350
- MRSAN/A
Fragility
Each reported measure moves the score by 0.2000 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.3994 | -0.4478 | 0.3511 | 0.7989 |
| CAUTI | -1.3186 | -0.2310 | 0.5100 | 0.7410 |
| CDI | 0.3500 | -0.5935 | 0.1376 | 0.7311 |
| CLABSI | -0.0796 | -0.4964 | 0.2329 | 0.7293 |
| SSI | 0.2925 | -0.5808 | 0.1448 | 0.7256 |
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 NY (126 scored): 25.8th
Hospital score -0.2310. Penalty threshold 0.3792. Distribution of 126 scored hospitals.
Percentile among hospitals with 5 reported measures (220 scored): 38.0th
Hospital score -0.2310. Penalty threshold 0.3792. Distribution of 220 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.2310; threshold 0.3792).
Reported on 5 of 6 measures; each reported measure moves the equal-weighted score by 0.2000 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.