HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
HCA HOUSTON HEALTHCARE KINGWOOD
TX · Facility ID 450775 · FY2026
Total HAC Score
-0.5959
Percentile
15.7th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.5959. 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 -0.476
- CLABSIz -0.472
- CAUTIz -0.882
- SSIz -0.324
- CDIz -1.222
- MRSAz -0.199
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.4760 | -0.7638 | -0.0980 | 0.6658 |
| CAUTI | -0.8823 | -0.6686 | -0.0511 | 0.6175 |
| MRSA | -0.1991 | -0.8056 | -0.1918 | 0.6137 |
| CDI | -1.2221 | -0.6359 | -0.0267 | 0.6092 |
| CLABSI | -0.4716 | -0.7517 | -0.1439 | 0.6078 |
| SSI | -0.3242 | -0.7846 | -0.1799 | 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): 24.9th
Hospital score -0.5959. Penalty threshold 0.3792. Distribution of 255 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 9.7th
Hospital score -0.5959. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.5959; 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.