HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
TRISTAR HENDERSONVILLE MEDICAL CENTER
TN · Facility ID 440194 · FY2026
Total HAC Score
-0.8045
Percentile
8.5th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.8045. 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 -1.078
- CLABSIz -0.708
- CAUTIz -0.542
- SSIz -1.456
- CDIz -1.102
- MRSAz 0.060
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.0780 | -0.8721 | -0.2064 | 0.6657 |
| CAUTI | -0.5424 | -0.9339 | -0.3164 | 0.6175 |
| MRSA | 0.0600 | -1.0574 | -0.4437 | 0.6137 |
| CDI | -1.1021 | -0.8646 | -0.2553 | 0.6092 |
| CLABSI | -0.7082 | -0.9209 | -0.3131 | 0.6078 |
| SSI | -1.4565 | -0.8045 | -0.1998 | 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): 15.8th
Hospital score -0.8045. Penalty threshold 0.3792. Distribution of 73 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 4.5th
Hospital score -0.8045. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.8045; 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.