HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
TRISTAR CENTENNIAL MEDICAL CENTER
TN · Facility ID 440161 · FY2026
Total HAC Score
-0.7388
Percentile
11.4th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.7388. 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 -1.291
- CLABSIz -0.346
- CAUTIz -0.894
- SSIz -0.826
- CDIz -0.951
- MRSAz -0.124
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.2908 | -0.7708 | -0.1051 | 0.6658 |
| CAUTI | -0.8944 | -0.8094 | -0.1920 | 0.6175 |
| MRSA | -0.1239 | -0.9610 | -0.3472 | 0.6137 |
| CDI | -0.9510 | -0.8239 | -0.2147 | 0.6092 |
| CLABSI | -0.3463 | -0.9154 | -0.3077 | 0.6078 |
| SSI | -0.8261 | -0.8438 | -0.2391 | 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): 17.1th
Hospital score -0.7388. Penalty threshold 0.3792. Distribution of 73 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 5.6th
Hospital score -0.7388. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.7388; 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.