HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
OUR LADY OF FATIMA HOSPITAL
RI · Facility ID 410005 · FY2026
Total HAC Score
-0.7720
Percentile
10.1th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.7720. 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 -0.747
- CLABSIz -1.407
- CAUTIz -0.511
- SSIz -0.179
- CDIz -1.462
- MRSAz -0.327
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.7474 | -0.8947 | -0.2290 | 0.6657 |
| CAUTI | -0.5111 | -0.9066 | -0.2892 | 0.6175 |
| MRSA | -0.3266 | -0.9605 | -0.3468 | 0.6137 |
| CDI | -1.4622 | -0.7721 | -0.1628 | 0.6092 |
| CLABSI | -1.4065 | -0.7721 | -0.1643 | 0.6078 |
| SSI | -0.1786 | -0.9850 | -0.3803 | 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 RI (10 scored): 15.0th
Hospital score -0.7720. Penalty threshold 0.3792. Distribution of 10 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 4.9th
Hospital score -0.7720. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.7720; 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.