HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
CHRISTUS SANTA ROSA HOSPITAL-SAN MARCOS
TX · Facility ID 450272 · FY2026
Total HAC Score
-0.3907
Percentile
26.8th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.3907. 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 -0.918
- CLABSIz -0.015
- CAUTIz 0.014
- SSIz -1.456
- CDIz -0.235
- MRSAz 0.265
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.9179 | -0.4850 | 0.1807 | 0.6658 |
| CAUTI | 0.0144 | -0.6129 | 0.0046 | 0.6175 |
| MRSA | 0.2648 | -0.6778 | -0.0640 | 0.6137 |
| CDI | -0.2347 | -0.5953 | 0.0139 | 0.6092 |
| CLABSI | -0.0146 | -0.6227 | -0.0149 | 0.6078 |
| SSI | -1.4565 | -0.3907 | 0.2139 | 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): 39.8th
Hospital score -0.3907. Penalty threshold 0.3792. Distribution of 255 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 21.4th
Hospital score -0.3907. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.3907; 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.