HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
NAZARETH HOSPITAL
PA · Facility ID 390204 · FY2026
Total HAC Score
-0.1744
Percentile
40.8th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.1744. 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 -0.739
- CLABSIz -0.692
- CAUTIz 0.248
- SSIz -1.456
- CDIz 0.609
- MRSAz 0.984
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.7393 | -0.2984 | 0.3673 | 0.6658 |
| CAUTI | 0.2482 | -0.4355 | 0.1819 | 0.6175 |
| MRSA | 0.9837 | -0.5812 | 0.0325 | 0.6137 |
| CDI | 0.6094 | -0.5197 | 0.0895 | 0.6092 |
| CLABSI | -0.6920 | -0.2935 | 0.3143 | 0.6078 |
| SSI | -1.4565 | -0.1744 | 0.4303 | 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 PA (130 scored): 29.6th
Hospital score -0.1744. Penalty threshold 0.3792. Distribution of 130 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 37.9th
Hospital score -0.1744. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.1744; 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.