Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

ADVENTHEALTH HENDERSONVILLE

NC · Facility ID 340023 · FY2026

Total HAC Score

0.1073

Percentile

59.6th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital 0.1073

Hospital score 0.1073. 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 0.216
  • CLABSIN/A
  • CAUTIz 0.263
  • SSIz 0.414
  • CDIz -0.467
  • MRSAz 0.110

Fragility

Each reported measure moves the score by 0.2000 points.

Score swing if each reported measure were at its Z floor versus Z cap, holding other measures fixed
MeasureCurrent ZScore @ floorScore @ capAbs swing
PSI-90controls fate0.2165-0.23270.56620.7989
CAUTI0.2627-0.20900.53200.7410
MRSA0.1102-0.20620.53030.7365
CDI-0.4670-0.09170.63930.7311
SSI0.4141-0.26680.45880.7256

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 NC (79 scored): 55.1th

Score distributionThreshold 0.3792Hospital 0.1073

Hospital score 0.1073. Penalty threshold 0.3792. Distribution of 79 scored hospitals.

Percentile among hospitals with 5 reported measures (220 scored): 55.2th

Score distributionThreshold 0.3792Hospital 0.1073

Hospital score 0.1073. Penalty threshold 0.3792. Distribution of 220 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score 0.1073; 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.

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