HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
SELF REGIONAL HEALTHCARE
SC · Facility ID 420071 · FY2026
Total HAC Score
-0.3852
Percentile
27.1th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.3852. 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 -0.056
- CLABSIz -0.509
- CAUTIz -0.340
- SSIz -0.629
- CDIz -0.149
- MRSAz -0.628
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.0563 | -0.6230 | 0.0427 | 0.6658 |
| CAUTI | -0.3399 | -0.5483 | 0.0692 | 0.6175 |
| MRSA | -0.6276 | -0.5235 | 0.0903 | 0.6137 |
| CDI | -0.1495 | -0.6040 | 0.0052 | 0.6092 |
| CLABSI | -0.5087 | -0.5348 | 0.0730 | 0.6078 |
| SSI | -0.6291 | -0.5231 | 0.0816 | 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 SC (51 scored): 30.4th
Hospital score -0.3852. Penalty threshold 0.3792. Distribution of 51 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 21.8th
Hospital score -0.3852. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.3852; 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.