HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
LEXINGTON MEDICAL CENTER
SC · Facility ID 420073 · FY2026
Total HAC Score
-0.5967
Percentile
15.6th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.5967. 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 -0.758
- CLABSIz -0.794
- CAUTIz -0.193
- SSIz -0.812
- CDIz -0.370
- MRSAz -0.653
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.7581 | -0.7176 | -0.0519 | 0.6657 |
| CAUTI | -0.1929 | -0.7843 | -0.1669 | 0.6175 |
| MRSA | -0.6527 | -0.7308 | -0.1171 | 0.6137 |
| CDI | -0.3702 | -0.7787 | -0.1695 | 0.6092 |
| CLABSI | -0.7941 | -0.6988 | -0.0910 | 0.6078 |
| SSI | -0.8124 | -0.7041 | -0.0994 | 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): 20.6th
Hospital score -0.5967. Penalty threshold 0.3792. Distribution of 51 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 9.7th
Hospital score -0.5967. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.5967; 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.