HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
LANDMARK MEDICAL CENTER
RI · Facility ID 410011 · FY2026
Total HAC Score
-0.0401
Percentile
50.3th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.0401. 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 -0.550
- CLABSIz 1.027
- CAUTIz -0.791
- SSIz -0.634
- CDIz 0.335
- MRSAz 0.373
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.5505 | -0.1956 | 0.4702 | 0.6657 |
| CAUTI | -0.7907 | -0.1280 | 0.4894 | 0.6175 |
| MRSA | 0.3735 | -0.3452 | 0.2685 | 0.6137 |
| CDI | 0.3345 | -0.3395 | 0.2697 | 0.6092 |
| CLABSI | 1.0270 | -0.4456 | 0.1621 | 0.6078 |
| SSI | -0.6342 | -0.1771 | 0.4276 | 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): 75.0th
Hospital score -0.0401. Penalty threshold 0.3792. Distribution of 10 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 48.2th
Hospital score -0.0401. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.0401; 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.