Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

← All audits

Hospital audit

MERCY HEALTH-ST RITA'S MEDICAL CENTER

OH · Facility ID 360066 · FY2026

Total HAC Score

-0.1108

Percentile

45.2th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.1108

Hospital score -0.1108. 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 -0.761
  • CLABSIz -0.029
  • CAUTIz 0.051
  • SSIz 1.380
  • CDIz -0.750
  • MRSAz -0.556

Fragility

Each reported measure moves the score by 0.1667 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 fate-0.7609-0.23120.43450.6657
CAUTI0.0506-0.33900.27850.6175
MRSA-0.5565-0.26090.35280.6137
CDI-0.7497-0.22950.37970.6092
CLABSI-0.0285-0.34040.26730.6078
SSI1.3803-0.58360.02110.6047

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 OH (114 scored): 38.2th

Score distributionThreshold 0.3792Hospital -0.1108

Hospital score -0.1108. Penalty threshold 0.3792. Distribution of 114 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 42.5th

Score distributionThreshold 0.3792Hospital -0.1108

Hospital score -0.1108. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.1108; 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.

Scan a hospital system →