HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
FORT SANDERS REGIONAL MEDICAL CENTER
TN · Facility ID 440125 · FY2026
Total HAC Score
-0.6629
Percentile
13.8th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.6629. 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 -1.483
- CLABSIz -0.279
- CAUTIz -0.082
- SSIz -0.915
- CDIz -1.075
- MRSAz -0.143
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.4834 | -0.6629 | 0.0028 | 0.6658 |
| CAUTI | -0.0820 | -0.8690 | -0.2515 | 0.6175 |
| MRSA | -0.1427 | -0.8820 | -0.2683 | 0.6137 |
| CDI | -1.0750 | -0.7274 | -0.1182 | 0.6092 |
| CLABSI | -0.2791 | -0.8508 | -0.2430 | 0.6078 |
| SSI | -0.9152 | -0.7531 | -0.1484 | 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): 18.5th
Hospital score -0.6629. Penalty threshold 0.3792. Distribution of 73 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 7.9th
Hospital score -0.6629. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.6629; 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.