HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
KELL WEST REGIONAL HOSPITAL
TX · Facility ID 450827 · FY2026
Total HAC Score
-0.8933
Percentile
5.8th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.8933. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.
Data completeness
Reported on 1 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.
- PSI-90z -0.893
- CLABSIN/A
- CAUTIN/A
- SSIN/A
- CDIN/A
- MRSAN/A
Fragility
Each reported measure moves the score by 1.0000 points (leverage 1.0 — maximal fragility).
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.8933 | -1.4834 | 2.5111 | 3.9945 |
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): 9.6th
Hospital score -0.8933. Penalty threshold 0.3792. Distribution of 255 scored hospitals.
Percentile among hospitals with 1 reported measure (182 scored): 23.4th
Hospital score -0.8933. Penalty threshold 0.3792. Distribution of 182 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.8933; threshold 0.3792).
Fragility is maximal: only one measure is reported, so each reported measure moves the score by 1.0000 points (leverage 1.0).
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.