HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
ROANE MEDICAL CENTER
TN · Facility ID 440031 · FY2026
Total HAC Score
-0.2536
Percentile
35.2th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.2536. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.
Data completeness
Reported on 5 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.
- PSI-90z -0.638
- CLABSIz 0.032
- CAUTIz -0.176
- SSIz 0.644
- CDIz -1.129
- MRSAN/A
Fragility
Each reported measure moves the score by 0.2000 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.6383 | -0.4226 | 0.3763 | 0.7989 |
| CAUTI | -0.1760 | -0.4821 | 0.2589 | 0.7410 |
| CDI | -1.1292 | -0.3202 | 0.4109 | 0.7311 |
| CLABSI | 0.0318 | -0.5413 | 0.1881 | 0.7293 |
| SSI | 0.6437 | -0.6736 | 0.0520 | 0.7256 |
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): 44.5th
Hospital score -0.2536. Penalty threshold 0.3792. Distribution of 73 scored hospitals.
Percentile among hospitals with 5 reported measures (220 scored): 36.6th
Hospital score -0.2536. Penalty threshold 0.3792. Distribution of 220 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.2536; threshold 0.3792).
Reported on 5 of 6 measures; each reported measure moves the equal-weighted score by 0.2000 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.