P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalWiregrass Medical Center×

Hospital record · FY2026CCN 010062

1Hospital

Wiregrass Medical Center

2Location

Geneva, AL (Alabama’s hospitals on the map and in the table) 36340

Geneva County

3Type

67 beds · Government

4Care Compare stars

Not Available

Overall rating, CMS Care Compare data of July 22, 2026
CMS footnote 16: There are too few measures or measure groups reported to calculate a star rating or measure group score.
Open on Care Compare (opens in a new tab)

5Total HAC Score

−0.7687

As CMS reports it

6Payment reduction

No cut
CMS’s value: No

7Estimated cut

No dollar estimate
No usable impact-file row

No cut

No dollar estimate

For fiscal year 2026, CMS reports a Total HAC Score of −0.7687 for Wiregrass Medical Center and a payment reduction decision of No.

CMS’s FY2026 impact file, which this site’s estimate is built from, has no usable row for this hospital.

Its score was at or below CMS’s line, so this program did not cut its Medicare payments for the year. The score compares hospitals with each other; it is not a grade of the quality of care.

CMS cut scores of 0.3799 and above.

Each year CMS cuts the hospitals with the highest quarter of scores, those above the 75th percentile, so the line moves with other hospitals’ scores.

highest 2.3133 1% cut Middle hospital: −0.0453 Middle hospital−0.0453 CMS’s line: 0.3799 and up CMS’s line0.3799 and up This hospital: −0.7687 This hospital −0.7687 highest 2.3133 1% cut Middle hospital: −0.0453 Middle hospital−0.0453 CMS’s line: 0.3799 and up CMS’s line0.3799 and up This hospital: −0.7687 This hospital −0.7687

Higher than 10% of the other 2,928 scores CMS published (higher is worse).

Its record, fiscal years 2015 to 2026 Cut in 1 of 11 years

  1. 15No
  2. 16No
  3. 17No
  4. 18No
  5. 19No
  6. 20No
  7. 21No
  8. 22No
  9. 23—
  10. 24No
  11. 25Cut
  12. 26No

Where the score came from

CMS scored this hospital on 2 of the 6 measures. On every measure a lower value is better. Each row puts the hospital among every hospital with a value: the gray columns are those hospitals, the tall tick is the national median, and the hatched ends score the same as CMS’s floor or cap.

Bringing PSI 90 down to the national median (0.9623) would lower the score the most: by 0.0538, to −0.8225. Try it in the what-if

Figure 1. Of its 2 measures with a value, this hospital is above the national median on 1.
  • This hospital
  • National median
  • Scores the same as CMS’s floor or cap
  1. PSI 90 (what it counts)

    Safety problems such as serious bedsores, falls that break a bone and blood clots after surgery, found by CMS in traditional Medicare claims. A value of 1 matches the national composite value.

    Patient safety and adverse events composite

    Worse than 57% of the other 2,808 hospitals

    estimate

    This site recomputes this measure’s z‑score from CMS’s published value. The recompute can differ from CMS’s z‑score by up to 0.0021. How this site estimates

    CMS value0.9777

    Z-score−0.0752

    Part of score−0.0376

  2. CLABSI (what it counts)

    Bloodstream infections tied to a central line, a tube often placed in a large vein in the neck, chest or groin. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    Central line–associated bloodstream infections

    Not scored on this measure

    CMS footnote 13: Results cannot be calculated for this reporting period.

    CMS footnote 5: Results are not available for this reporting period.

    CMS valueno value published

    Z-scoreno value published

    Part of scoreno value published

  3. CAUTI (what it counts)

    Urinary tract infections that start from a urinary catheter, a tube that drains the bladder. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    Catheter-associated urinary tract infections

    Not scored on this measure

    CMS footnote 13: Results cannot be calculated for this reporting period.

    CMS footnote 5: Results are not available for this reporting period.

    CMS valueno value published

    Z-scoreno value published

    Part of scoreno value published

  4. SSI (what it counts)

    Deep infections at the site of colon surgery or an abdominal hysterectomy, within a month of the operation, pooled into one measure. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    Surgical site infections after colon surgery or abdominal hysterectomy

    Not scored on this measure

    CMS footnote 13: Results cannot be calculated for this reporting period.

    CMS footnote 5: Results are not available for this reporting period.

    CMS valueno value published

    Z-scoreno value published

    Part of scoreno value published

  5. CDI (what it counts)

    C. diff infections, which cause diarrhea and inflammation of the colon, found by a lab test and starting in the hospital. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    Clostridioides difficile (C. diff) infections

    Better than 91% of the other 2,766 hospitals

    estimate

    This site recomputes this measure’s z‑score from CMS’s published value. The recompute can differ from CMS’s z‑score by up to 0.0071. How this site estimates

    CMS value0.000

    Z-score−1.4622

    Part of score−0.7311

  6. MRSA (what it counts)

    Bloodstream infections with MRSA, a germ that resists several antibiotics, found by a lab test and starting in the hospital. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    MRSA bloodstream infections

    Not scored on this measure

    CMS footnote 13: Results cannot be calculated for this reporting period.

    CMS footnote 5: Results are not available for this reporting period.

    CMS valueno value published

    Z-scoreno value published

    Part of scoreno value published

Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 900.97770.9623−0.0752−0.0376Worse than 57% of the other 2,808 hospitals
CLABSIno value published0.559no value publishedno value publishedNot scored on this measure
CAUTIno value published0.489no value publishedno value publishedNot scored on this measure
SSIno value published0.795no value publishedno value publishedNot scored on this measure
CDI0.0000.346−1.4622−0.7311Better than 91% of the other 2,766 hospitals
MRSAno value published0.641no value publishedno value publishedNot scored on this measure

How the parts add up

CMS adds the z‑scores and divides by the number of measures scored, so each measure counts the same. Each bar below is one z‑score divided by 2; a bar right of zero raised the score and one left of zero lowered it.

(−0.0752PSI 90−1.4622CDI)÷2measures=−0.7687Total HAC Score

Added from the rounded z‑scores CMS published, the parts make −0.7687; CMS reports −0.7687. The small difference is rounding.

This hospital’s score is 1.1486 below 0.3799, the lowest score CMS marked Yes. (This site recomputes.)

Figure 2. The parts add up to −0.7687, below CMS’s line.
1% cut PSI 90: z‑score −0.0752 divided by 2 = −0.0376PSI 90−0.0376 CDI: z‑score −1.4622 divided by 2 = −0.7311CDI−0.7311 Total HAC Score: −0.7687Score−0.7687 CMS’s line: between 0.3792 and 0.3799 CMS’s line −0.8−0.6−0.4−0.20.00.20.4 1% cut PSI 90: z‑score −0.0752 divided by 2 = −0.0376PSI 90−0.0376 CDI: z‑score −1.4622 divided by 2 = −0.7311CDI−0.7311 Total HAC Score: −0.7687Score−0.7687 CMS’s line: between 0.3792 and 0.3799 CMS’s line −0.8−0.6−0.4−0.20.00.20.4

This site recomputes · Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
MeasureZ-scorePart of the scoreRunning total
PSI 90−0.0752−0.0376−0.0376
CDI−1.4622−0.7311−0.7687
Total HAC Score−0.7687
CMS’s line0.37920.3799

What if a measure were different?

Change a measure’s value to see how this site recomputes the Total HAC Score and the payment reduction decision, starting from CMS’s values.

The what-if needs JavaScript. Without it, the values below stay as they are.

Show table
CMS reportsHypothetical
Total HAC Score−0.7687same
Payment reduction decisionNosame
Payment cut0%same

CMS’s line: between 0.3792 and 0.3799

The faint ticks are CMS’s line in earlier years under the same formula, from about 0.300 (FY2022) to about 0.375 (FY2024). The line moves every year, so a hospital can cross it without changing anything.

CMS reports a Total HAC Score of −0.7687 and a payment reduction decision of No.

A what-if shows the formula’s arithmetic, not what a hospital could realistically change or how. CMS’s real result also depends on other hospitals.

How much cushion?

From CMS’s values, one measure at a time, with every other measure held at CMS’s value.

MeasureHighest value that keeps No
PSI 90up to 1.3064
CDIup to 0.592

Each measure weighs 1 ÷ 2 of the score.

Measure values

SIR 1.0 = as many infections as predicted · Lower is better

On each track the tick is the national median; shaded values score the same as the floor or cap, as this site fits them to CMS’s values.

CMS 0.9777 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.3491

CMS 0.000 · median 0.346 · cap 0.944 · each 0.1 = 0.1936

Have your NHSN predicted counts? (optional, stays in your browser)

Stays in your browser; never sent.

Figure 3. Each bar is one measure’s part of this hospital’s Total HAC Score of −0.7687: its z‑score divided by 2, the number of measures scored.
  • PSI 90 −0.0376
  • CDI −0.7311

A measure adds its z‑score divided by 2, the number of measures scored. Bars right of the center line raise the score. Hatched: assigned by CMS.

This site recomputes · Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
MeasureZ-scorePart of the scoreHypothetical
PSI 90−0.0752−0.0376same
CDI−1.4622−0.7311same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/010062/

Among hospitals with a Yes or No payment decision, CMS cut those with a published Total HAC Score of 0.3799 or higher and none at 0.3792 or lower. Maryland’s hospitals are scored but not subject to the reduction.

Held fixed: every other hospital’s results, CMS’s line, and each measure’s mean, spread, floor and cap as this site fits them to CMS’s published values.

Year by year

Where this hospital’s score fell among every hospital’s, each year CMS published one. A score near the top is among the highest; the shaded band is where CMS cut. Places compare across years even where CMS changed how it builds the score.

Figure 4. CMS cut this hospital in 1 of the 11 years it made a decision.
highest middle lowest z‑scoresequal weights no scores FY2015: score 5.3000, higher than 47% of scores; not cutFY2016: score 6.0000, higher than 56% of scores; not cutFY2017: score 3.4500, higher than 18% of scores; not cutFY2018: score −1.7503, higher than 0% of scores; not cutFY2019: score −1.7191, higher than 0% of scores; not cutFY2020: score −0.4363, higher than 22% of scores; not cutFY2021: score −0.0815, higher than 45% of scores; not cutFY2022: score −0.9372, higher than 4% of scores; not cutFY2024: score −0.7685, higher than 9% of scores; not cutFY2025: score 0.9926, higher than 93% of scores; cutFY2026: score −0.7687, higher than 10% of scores; not cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 5.3000, higher than 47% of scores; not cutFY2016: score 6.0000, higher than 56% of scores; not cutFY2017: score 3.4500, higher than 18% of scores; not cutFY2018: score −1.7503, higher than 0% of scores; not cutFY2019: score −1.7191, higher than 0% of scores; not cutFY2020: score −0.4363, higher than 22% of scores; not cutFY2021: score −0.0815, higher than 45% of scores; not cutFY2022: score −0.9372, higher than 4% of scores; not cutFY2024: score −0.7685, higher than 9% of scores; not cutFY2025: score 0.9926, higher than 93% of scores; cutFY2026: score −0.7687, higher than 10% of scores; not cut 151617181920212223242526

● Red: a year CMS cut it ○ Hollow: a year it didn’t

This site recomputes · Source: CMS, HACRP hospital files for fiscal years 2015 to 2026 (Provider Data Catalog, its archives and, for the oldest years, the Internet Archive’s copies), and CMS’s cut lists for FY2015 and FY2016.

Show table
Fiscal yearTotal HAC ScoreHigher than this share of scoresPayment reduction
FY20155.300047.5%not cut
FY20166.000056.2%not cut
FY20173.450018.7%not cut
FY2018−1.75030.2%not cut
FY2019−1.71910.4%not cut
FY2020−0.436322.9%not cut
FY2021−0.081545.3%not cut
FY2022−0.93724.8%not cut
FY2023no decision
FY2024−0.76859.5%not cut
FY20250.992693.8%cut
FY2026−0.768710.2%not cut

Its infections, year by year

This hospital’s infection rate against prediction for each calendar year Care Compare published one, on each measure with at least two years of results (black), over the nation’s middle hospital (gray). Below the dashed line at one, fewer infections than predicted. Each year is measured against the same fixed baseline, not against other hospitals, so unlike the score they can all improve at once.

Figure 5. 0 of its 1 infection measures ended lower than they started.
C. diff 0.00 → 0.00 1as predicted 0 ’18’21’24 Nation’s middle C. diff, 2017: 0.000C. diff, 2018: 1.380C. diff, 2019: 0.000C. diff, 2021: 0.000C. diff, 2022: 0.000C. diff, 2023: 0.000C. diff, 2024: 0.000 C. diff 0.00 → 0.00 1as predicted 0 ’18’20’22’24 Nation’s middle C. diff, 2017: 0.000C. diff, 2018: 1.380C. diff, 2019: 0.000C. diff, 2021: 0.000C. diff, 2022: 0.000C. diff, 2023: 0.000C. diff, 2024: 0.000

Source: CMS Care Compare, healthcare-associated infections by hospital, calendar years 2017 to 2024 (Provider Data Catalog archives; the oldest year through the Internet Archive’s copy).

Show table
Calendar yearC. diff
20170.000
20181.380
20190.000
20210.000
20220.000
20230.000
20240.000

Among hospitals like it

Each row is a group this hospital belongs to, drawn from every hospital in it with a payment decision. Red columns are hospitals past CMS’s line, the ones CMS cut; the short tick is the group’s middle score.

In Alabama, its score is higher than 22% of the other 67 scored there.

Figure 6. Its score is below the middle in all 5 groups it belongs to; the share cut runs from 22% (South region) to 43% (Alabama).
All hospitals: CMS cut 718 of 2,886 (25%); middle score −0.0453All hospitals 2,886 hospitals25% cut South region: CMS cut 263 of 1,174 (22%); middle score −0.1056South region 1,174 hospitals22% cut Alabama: CMS cut 29 of 68 (43%); middle score 0.2561Alabama 68 hospitals43% cut Fewer than 100 beds: CMS cut 225 of 805 (28%); middle score −0.1154Fewer than 100 beds 805 hospitals28% cut Government: CMS cut 140 of 401 (35%); middle score 0.1602Government 401 hospitals35% cut CMS’s line: between 0.3792 and 0.3799 CMS’s line −1012 This hospital: −0.7687 This hospital −0.7687 All hospitals: CMS cut 718 of 2,886 (25%); middle score −0.0453All hospitals2,886 hospitals25% cut South region: CMS cut 263 of 1,174 (22%); middle score −0.1056South region1,174 hospitals22% cut Alabama: CMS cut 29 of 68 (43%); middle score 0.2561Alabama68 hospitals43% cut Fewer than 100 beds: CMS cut 225 of 805 (28%); middle score −0.1154Fewer than 100 beds805 hospitals28% cut Government: CMS cut 140 of 401 (35%); middle score 0.1602Government401 hospitals35% cut CMS’s line: between 0.3792 and 0.3799 CMS’s line −1.5−1.0−0.50.00.51.01.52.0 This hospital: −0.7687 This hospital −0.7687

Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
GroupWith a decisionHospitals cutShare cutMiddle scoreHospital higher than
All hospitals2,88671825%−0.045310%
South region1,17426322%−0.105613%
Alabama682943%0.256122%
Fewer than 100 beds80522528%−0.115418%
Government40114035%0.16028%
This hospital−0.7687
CMS’s line0.37920.3799

The nearest hospitals

The 8 closest hospitals with a Total HAC Score, in a straight line. The squares are each hospital’s measures in order: filled, above the national median; open, at or below it; hatched, assigned by CMS; blank, not scored.

Figure 7. CMS cut 3 of the 8 nearest hospitals; the closest is 18 miles away.
5 mi10 mi25 mi8. North Okaloosa Medical Center, Crestview: score 0.1588, not cut, 45 miles87. Jackson Hospital, Marianna: score 1.4701, cut, 42 miles76. Andalusia Health, Andalusia: score −0.8060, not cut, 39 miles65. Southeast Health Medical Center, Dothan: score −0.3384, not cut, 33 miles54. Dale Medical Center, Ozark: score 0.7116, cut, 31 miles43. Flowers Hospital, Dothan: score −1.2276, not cut, 29 miles32. Mizell Memorial Hospital, Opp: score 0.8821, cut, 27 miles21. Medical Center Enterprise, Enterprise: score −1.2251, not cut, 18 miles1This hospital: Wiregrass Medical Center

Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
HospitalMilesScoreDecision
Medical Center Enterprise, Enterprise, AL18−1.2251not cut
Mizell Memorial Hospital, Opp, AL270.8821cut
Flowers Hospital, Dothan, AL29−1.2276not cut
Dale Medical Center, Ozark, AL310.7116cut
Southeast Health Medical Center, Dothan, AL33−0.3384not cut
Andalusia Health, Andalusia, AL39−0.8060not cut
Jackson Hospital, Marianna, FL421.4701cut
North Okaloosa Medical Center, Crestview, FL450.1588not cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1Medical Center EnterpriseEnterprise, AL18−1.2251No cut$0Above the national median on 0 of 5 measures
2Mizell Memorial HospitalOpp, AL270.88211% cut$30KAbove the national median on 3 of 3 measures
3Flowers HospitalDothan, AL29−1.2276No cut$0Above the national median on 0 of 6 measures
4Dale Medical CenterOzark, AL310.71161% cut$23KAbove the national median on 2 of 2 measures
5Southeast Health Medical CenterDothan, AL33−0.3384No cut$0Above the national median on 2 of 6 measures
6Andalusia HealthAndalusia, AL39−0.8060No cut$0Above the national median on 0 of 3 measures
7Jackson HospitalMarianna, FL421.47011% cut$92KAbove the national median on 5 of 5 measures
8North Okaloosa Medical CenterCrestview, FL450.1588No cut$0Above the national median on 4 of 6 measures

Download all hospitals’ data (CSV) · Data dictionary · CMS’s dataset page

CMS’s footnotes on this page

13
Results cannot be calculated for this reporting period.
5
Results are not available for this reporting period.

How the program works, and how to find another hospital

A penalty reflects how CMS’s formula scored relative performance; it is not a verdict on the quality of care.

Cite this page

Paid & Penalized. Wiregrass Medical Center, Geneva, AL: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/010062/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.