HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
LONESOME PINE HOSPITAL
VA · Facility ID 490114 · FY2026
Total HAC Score
-0.1887
Percentile
39.8th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.1887. 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 0.806
- CLABSIz 0.176
- CAUTIz -1.319
- SSIz 1.343
- CDIz -0.680
- MRSAz -1.457
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 0.8056 | -0.5702 | 0.0956 | 0.6657 |
| CAUTI | -1.3186 | -0.1887 | 0.4288 | 0.6175 |
| MRSA | -1.4573 | -0.1887 | 0.4250 | 0.6137 |
| CDI | -0.6800 | -0.3191 | 0.2902 | 0.6092 |
| CLABSI | 0.1756 | -0.4524 | 0.1554 | 0.6078 |
| SSI | 1.3426 | -0.6552 | -0.0505 | 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 VA (70 scored): 56.4th
Hospital score -0.1887. Penalty threshold 0.3792. Distribution of 70 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 36.7th
Hospital score -0.1887. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.1887; 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.