Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

COMMUNITY HOSPITAL, LLC

OK · Facility ID 370203 · FY2026

Total HAC Score

-0.3934

Percentile

26.6th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.3934

Hospital score -0.3934. 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 -0.463
  • CLABSIN/A
  • CAUTIz 0.827
  • SSIz -0.475
  • CDIz -1.462
  • MRSAN/A

Fragility

Each reported measure moves the score by 0.2500 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-0.4634-0.64840.35020.9986
CAUTI0.8267-0.9298-0.00360.9262
CDI-1.4622-0.39340.52040.9138
SSI-0.4749-0.63880.26820.9070

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 OK (68 scored): 33.1th

Score distributionThreshold 0.3792Hospital -0.3934

Hospital score -0.3934. Penalty threshold 0.3792. Distribution of 68 scored hospitals.

Percentile among hospitals with 4 reported measures (139 scored): 28.4th

Score distributionThreshold 0.3792Hospital -0.3934

Hospital score -0.3934. Penalty threshold 0.3792. Distribution of 139 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.3934; 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.

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