HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
SPOTSYLVANIA REGIONAL MEDICAL CENTER
VA · Facility ID 490141 · FY2026
Total HAC Score
-0.3377
Percentile
29.8th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.3377. 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 -1.053
- CLABSIz -0.743
- CAUTIz -1.319
- SSIz 0.125
- CDIz -1.261
- MRSAz 2.225
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.0532 | -0.4093 | 0.2564 | 0.6657 |
| CAUTI | -1.3186 | -0.3376 | 0.2798 | 0.6175 |
| MRSA | 2.2251 | -0.9514 | -0.3376 | 0.6137 |
| CDI | -1.2608 | -0.3712 | 0.2380 | 0.6092 |
| CLABSI | -0.7430 | -0.4482 | 0.1596 | 0.6078 |
| SSI | 0.1246 | -0.6012 | 0.0035 | 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): 42.1th
Hospital score -0.3377. Penalty threshold 0.3792. Distribution of 70 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 24.8th
Hospital score -0.3377. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.3377; 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.