HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
ROXBOROUGH MEMORIAL HOSPITAL
PA · Facility ID 390304 · FY2026
Total HAC Score
-0.0704
Percentile
48.4th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.0704. 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 -0.414
- CLABSIz 0.530
- CAUTIz 0.128
- SSIN/A
- CDIz 0.861
- MRSAz -1.457
Fragility
Each reported measure moves the score by 0.2000 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.4138 | -0.2843 | 0.5146 | 0.7989 |
| CAUTI | 0.1277 | -0.3596 | 0.3814 | 0.7410 |
| MRSA | -1.4573 | -0.0704 | 0.6661 | 0.7365 |
| CDI | 0.8611 | -0.5350 | 0.1960 | 0.7311 |
| CLABSI | 0.5305 | -0.4578 | 0.2716 | 0.7293 |
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): 35.0th
Hospital score -0.0704. Penalty threshold 0.3792. Distribution of 130 scored hospitals.
Percentile among hospitals with 5 reported measures (220 scored): 48.0th
Hospital score -0.0704. Penalty threshold 0.3792. Distribution of 220 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.0704; 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.