HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
KNAPP MEDICAL CENTER
TX · Facility ID 450128 · FY2026
Total HAC Score
-0.1451
Percentile
43.0th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.1451. 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 -0.840
- CLABSIz 1.447
- CAUTIz 0.325
- SSIz -0.944
- CDIz -0.095
- MRSAz -0.763
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.8398 | -0.2524 | 0.4134 | 0.6658 |
| CAUTI | 0.3254 | -0.4191 | 0.1984 | 0.6175 |
| MRSA | -0.7634 | -0.2607 | 0.3530 | 0.6137 |
| CDI | -0.0953 | -0.3729 | 0.2363 | 0.6092 |
| CLABSI | 1.4469 | -0.6207 | -0.0129 | 0.6078 |
| SSI | -0.9443 | -0.2304 | 0.3743 | 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 TX (255 scored): 58.2th
Hospital score -0.1451. Penalty threshold 0.3792. Distribution of 255 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 40.1th
Hospital score -0.1451. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.1451; 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.