HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
CUMBERLAND MEDICAL CENTER
TN · Facility ID 440009 · FY2026
Total HAC Score
-0.3539
Percentile
28.8th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.3539. 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 -0.868
- CLABSIz -0.249
- CAUTIz -0.774
- SSIz -1.456
- CDIz -1.001
- MRSAz 2.225
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.8682 | -0.4565 | 0.2093 | 0.6657 |
| CAUTI | -0.7738 | -0.4447 | 0.1727 | 0.6175 |
| MRSA | 2.2251 | -0.9677 | -0.3539 | 0.6137 |
| CDI | -1.0014 | -0.4307 | 0.1785 | 0.6092 |
| CLABSI | -0.2489 | -0.5469 | 0.0609 | 0.6078 |
| SSI | -1.4565 | -0.3539 | 0.2507 | 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 TN (73 scored): 32.2th
Hospital score -0.3539. Penalty threshold 0.3792. Distribution of 73 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 23.7th
Hospital score -0.3539. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.3539; 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.