HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
STAFFORD HOSPITAL, LLC
VA · Facility ID 490140 · FY2026
Total HAC Score
-0.0887
Percentile
47.0th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.0887. 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 -0.315
- CLABSIz 1.224
- CAUTIz 0.229
- SSIz -0.734
- CDIz -1.009
- MRSAz 0.072
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.3150 | -0.2834 | 0.3823 | 0.6658 |
| CAUTI | 0.2289 | -0.3466 | 0.2709 | 0.6175 |
| MRSA | 0.0725 | -0.3437 | 0.2701 | 0.6137 |
| CDI | -1.0091 | -0.1642 | 0.4450 | 0.6092 |
| CLABSI | 1.2242 | -0.5271 | 0.0807 | 0.6078 |
| SSI | -0.7336 | -0.2092 | 0.3955 | 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): 66.4th
Hospital score -0.0887. Penalty threshold 0.3792. Distribution of 70 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 44.1th
Hospital score -0.0887. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.0887; 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.