HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
TRISTAR STONECREST MEDICAL CENTER
TN · Facility ID 440227 · FY2026
Total HAC Score
-1.0607
Percentile
3.4th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -1.0607. 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 -1.300
- CLABSIz -1.407
- CAUTIz -1.319
- SSIz -0.881
- CDIz -0.812
- MRSAz -0.646
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.3000 | -1.0913 | -0.4255 | 0.6658 |
| CAUTI | -1.3186 | -1.0607 | -0.4432 | 0.6175 |
| MRSA | -0.6464 | -1.1958 | -0.5821 | 0.6137 |
| CDI | -0.8117 | -1.1691 | -0.5599 | 0.6092 |
| CLABSI | -1.4065 | -1.0607 | -0.4529 | 0.6078 |
| SSI | -0.8809 | -1.1566 | -0.5519 | 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): 8.9th
Hospital score -1.0607. Penalty threshold 0.3792. Distribution of 73 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 1.2th
Hospital score -1.0607. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -1.0607; 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.