Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

REYNOLDS MEMORIAL HOSPITAL

WV · Facility ID 510013 · FY2026

Total HAC Score

-0.8863

Percentile

6.1th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.8863

Hospital score -0.8863. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.

Data completeness

Reported on 5 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.

  • PSI-90z -0.302
  • CLABSIz -1.407
  • CAUTIz -0.140
  • SSIN/A
  • CDIz -1.125
  • MRSAz -1.457

Fragility

Each reported measure moves the score by 0.2000 points.

Score swing if each reported measure were at its Z floor versus Z cap, holding other measures fixed
MeasureCurrent ZScore @ floorScore @ capAbs swing
PSI-90controls fate-0.3024-1.1225-0.32360.7989
CAUTI-0.1399-1.1220-0.38100.7410
MRSA-1.4573-0.8863-0.14980.7365
CDI-1.1253-0.9537-0.22260.7311
CLABSI-1.4065-0.8863-0.15690.7293

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 WV (23 scored): 2.2th

Score distributionThreshold 0.3792Hospital -0.8863

Hospital score -0.8863. Penalty threshold 0.3792. Distribution of 23 scored hospitals.

Percentile among hospitals with 5 reported measures (220 scored): 8.9th

Score distributionThreshold 0.3792Hospital -0.8863

Hospital score -0.8863. Penalty threshold 0.3792. Distribution of 220 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.8863; threshold 0.3792).

Reported on 5 of 6 measures; each reported measure moves the equal-weighted score by 0.2000 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.

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