HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
TENNOVA HEALTHCARE-JEFFERSON MEMORIAL HOSPITAL
TN · Facility ID 440056 · FY2026
Total HAC Score
-0.3378
Percentile
29.8th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.3378. 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 1.587
- CLABSIN/A
- CAUTIz 0.422
- SSIz -1.456
- CDIz -0.784
- MRSAz -1.457
Fragility
Each reported measure moves the score by 0.2000 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 1.5873 | -0.9520 | -0.1531 | 0.7989 |
| CAUTI | 0.4218 | -0.6859 | 0.0551 | 0.7410 |
| MRSA | -1.4573 | -0.3378 | 0.3986 | 0.7365 |
| CDI | -0.7845 | -0.4734 | 0.2577 | 0.7311 |
| SSI | -1.4565 | -0.3378 | 0.3878 | 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): 33.6th
Hospital score -0.3378. Penalty threshold 0.3792. Distribution of 73 scored hospitals.
Percentile among hospitals with 5 reported measures (220 scored): 34.8th
Hospital score -0.3378. Penalty threshold 0.3792. Distribution of 220 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.3378; 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.