Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

← All audits

Hospital audit

TIDELANDS WACCAMAW COMMUNITY HOSPITAL

SC · Facility ID 420098 · FY2026

Total HAC Score

-0.7546

Percentile

10.8th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.7546

Hospital score -0.7546. 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 -0.093
  • CLABSIz -1.407
  • CAUTIz -1.319
  • SSIz -1.136
  • CDIz 0.207
  • MRSAz -0.780

Fragility

Each reported measure moves the score by 0.1667 points.

Score swing if each reported measure were at its Z floor versus Z cap, holding other measures fixed
MeasureCurrent ZScore @ floorScore @ capAbs swing
PSI-90controls fate-0.0931-0.9863-0.32060.6657
CAUTI-1.3186-0.7546-0.13710.6175
MRSA-0.7801-0.8675-0.25370.6137
CDI0.2067-1.0328-0.42350.6092
CLABSI-1.4065-0.7546-0.14680.6078
SSI-1.1361-0.8080-0.20330.6047

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): 6.9th

Score distributionThreshold 0.3792Hospital -0.7546

Hospital score -0.7546. Penalty threshold 0.3792. Distribution of 51 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 5.4th

Score distributionThreshold 0.3792Hospital -0.7546

Hospital score -0.7546. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.7546; 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.

Scan a hospital system →