HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE
NC · Facility ID 340002 · FY2026
Total HAC Score
-0.4110
Percentile
25.5th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.4110. 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 -1.483
- CLABSIz 0.285
- CAUTIz -0.648
- SSIz -0.316
- CDIz -0.355
- MRSAz 0.052
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.4834 | -0.4110 | 0.2547 | 0.6657 |
| CAUTI | -0.6485 | -0.5227 | 0.0948 | 0.6175 |
| MRSA | 0.0516 | -0.6625 | -0.0488 | 0.6137 |
| CDI | -0.3548 | -0.5956 | 0.0136 | 0.6092 |
| CLABSI | 0.2846 | -0.6929 | -0.0851 | 0.6078 |
| SSI | -0.3156 | -0.6012 | 0.0035 | 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 NC (79 scored): 17.1th
Hospital score -0.4110. Penalty threshold 0.3792. Distribution of 79 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 20.1th
Hospital score -0.4110. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.4110; 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.