HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
PALESTINE REGIONAL MEDICAL CENTER
TX · Facility ID 450747 · FY2026
Total HAC Score
-0.8306
Percentile
7.7th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.8306. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.
Data completeness
Reported on 4 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.
- PSI-90z 0.397
- CLABSIN/A
- CAUTIz -1.319
- SSIN/A
- CDIz -0.943
- MRSAz -1.457
Fragility
Each reported measure moves the score by 0.2500 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 0.3969 | -1.3007 | -0.3020 | 0.9986 |
| CAUTI | -1.3186 | -0.8306 | 0.0956 | 0.9262 |
| MRSA | -1.4573 | -0.8306 | 0.0900 | 0.9206 |
| CDI | -0.9433 | -0.9603 | -0.0465 | 0.9138 |
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): 12.4th
Hospital score -0.8306. Penalty threshold 0.3792. Distribution of 255 scored hospitals.
Percentile among hospitals with 4 reported measures (139 scored): 7.6th
Hospital score -0.8306. Penalty threshold 0.3792. Distribution of 139 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.8306; threshold 0.3792).
Reported on 4 of 6 measures; each reported measure moves the equal-weighted score by 0.2500 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.