P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalOak Valley Hospital District Estimated FY2026 net: −$26K×

Hospital record · FY2026CCN 050067

1Hospital

Oak Valley Hospital District

2Location

Oakdale, CA (California’s hospitals on the map and in the table) 95361

Stanislaus County

3Type

Not a teaching hospital · 144 beds · Government · Urban

4Care Compare stars

1 of 5 stars

Overall rating, CMS Care Compare data of July 22, 2026
Open on Care Compare (opens in a new tab)

5Total HAC Score

1.0591

As CMS reports it

6Payment reduction

1% cut
CMS’s value: Yes

7Estimated cut

$23K estimate
Likely $17⁠–⁠29K; about $133 per traditional Medicare stay

Cut 1%

$23K

cut from its FY2026 Medicare inpatient payments, this site estimates estimate

For fiscal year 2026, CMS reports a Total HAC Score of 1.0591 for Oak Valley Hospital District and a payment reduction decision of Yes.

That is 1% of about $2.3M, this site’s estimate of what traditional Medicare pays it for inpatient stays in a year: about $133 per traditional Medicare stay.

Likely range $17–29K

Its score was above CMS’s line, so CMS cut its Medicare inpatient payments by 1% 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.

lowest −1.4728 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: 1.0591 This hospital 1.0591 lowest −1.4728 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: 1.0591 This hospital 1.0591

Higher than 94% of the other 2,928 scores CMS published (higher is worse).

Its record, fiscal years 2015 to 2026 Cut in 3 of 11 years

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

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 CDI down to the national median (0.346) would lower the score the most: by 1.1577, to −0.0986. That change alone would put the score under CMS’s line. Try it in the what-if

Figure 1. Of its 2 measures with a value, this hospital is above the national median on 2; CDI added the most to its score.
  • 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−0.0749

    Part of score−0.0375

  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.

    added the most

    Clostridioides difficile (C. diff) infections

    Worse than 98% 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 value1.285

    Z-score2.1931

    Part of score+1.0966

  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 900.97770.9623−0.0749−0.0375Worse 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
CDI1.2850.3462.1931+1.0966Worse than 98% 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.

(−0.0749PSI 90+2.1931CDI)÷2measures=1.0591Total HAC Score

This hospital’s score is 0.6799 above 0.3792, the highest score CMS marked No. (This site recomputes.)

Figure 2. The parts add up to 1.0591, above CMS’s line.
1% cut PSI 90: z‑score −0.0749 divided by 2 = −0.0375PSI 90−0.0375 CDI: z‑score 2.1931 divided by 2 = +1.0966CDI+1.0966 Total HAC Score: 1.0591Score1.0591 CMS’s line: between 0.3792 and 0.3799 CMS’s line −0.20.00.20.40.60.81.01.2 1% cut PSI 90: z‑score −0.0749 divided by 2 = −0.0375PSI 90−0.0375 CDI: z‑score 2.1931 divided by 2 = +1.0966CDI+1.0966 Total HAC Score: 1.0591Score1.0591 CMS’s line: between 0.3792 and 0.3799 CMS’s line −0.20.00.20.40.60.81.01.2

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 90−0.0749−0.0375−0.0375
CDI2.1931+1.09661.0591
Total HAC Score1.0591
CMS’s line0.37920.3799

The money is a cliff

This program’s cut doesn’t grow with the score. Over CMS’s line, CMS cuts 1% of what traditional Medicare pays a hospital for inpatient stays that year; at or under the line, this program cuts nothing.

The chart draws what the cut would be for this hospital at any Total HAC Score, from this site’s estimate of its payments, with its own score marked.

Figure 3. The cut is a cliff, not a slope: this hospital’s score, 0.6799 over the highest score CMS didn’t cut, costs it about $23K by this site’s estimate, and at CMS’s highest score, 2.3133, the cut would be the same.
CMS’s line $0 at any score up to 0.3792 $23K at any score from 0.3799 $0at any score up to 0.3792 $23K at any score from 0.3799 −1012 CMS’s highest score: 2.3133 This hospital: 1.0591 This hospital 1.0591 CMS’s line $0 at any score up to 0.3792 $23K at any score from 0.3799 $0at any score up to 0.3792 $23Kat any score from 0.3799 −1.0−0.50.00.51.01.52.0 CMS’s highest score: 2.3133 CMS’s highest score 2.3133 This hospital: 1.0591 This hospital 1.0591

Under the axis, every Total HAC Score CMS published: 306 of the 2,929 scored within 0.1 of CMS’s line, on one side or the other.

Estimate · Source: this site’s arithmetic on CMS’s FY2026 IPPS final rule files (the impact file, the rate tables and the value-based factors), its FY2026 HRRP supplemental file and HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
ScoreTotal HAC ScoreEstimated HAC cut (whole dollars)
Any score up to 0.37920.3792$0
Any score from 0.37990.3799−$23,263
This hospital1.0591−$23,263
CMS’s highest score2.3133−$23,263

The money, line by line

This site estimates what traditional Medicare pays the hospital for a year of inpatient stays, from CMS’s FY2026 payment files, then applies Medicare’s three hospital quality programs: the readmissions and value-based adjustments to the base payment, and the HAC cut last, as the law sets.

The readmissions and value-based programs adjust only the base payment: the DRG rates times the hospital’s cases, and a Medicare-dependent hospital’s add-on. The HAC cut comes last and takes 1% of everything left, teaching, low-income-patient, outlier, capital and uncompensated care payments included.

($2,329,305payment−$3,026readmissions+$0value-based)×1%the cut=$23,263HAC cut

$23,263HAC cut÷175traditional Medicare stays=$133per traditional Medicare stay

Figure 4. This site estimates the HAC cut at $23K: 1% of the hospital’s whole inpatient payment, taken last. The readmissions and value-based adjustments, on the base alone, came to −$3K and $0.

Estimated Medicare inpatient payments · FY2026 estimate

What traditional Medicare pays it for inpatient stays
DRG payments at the federal rates the base $1,780,162
Many low-income patients (disproportionate share) $53,405
Outliers: unusually costly stays $6,693
Capital: buildings and equipment $141,954
Uncompensated care $347,091
Total, before the three programs $2,329,305
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (0.9983 − 1) −$3,026
Value-based purchasing (HVBP) not in CMS’s value-based factors: no adjustment $0
After these two $2,326,279
HAC Reduction Program 1% of everything above; likely $17⁠–⁠29K −$23,263
Net of the three programs likely −$34K to −$19K −$26,289

Not paid to this hospital: a Medicare-dependent hospital add-on, teaching payments, a sole community hospital rate difference, and a low-volume adjustment.

Whole dollars, so every line adds up; the estimate is not that precise. Each likely range spans the middle 80% of the misses this site’s estimate made for similar hospitals (or for a wider group, where there were too few) when it was checked against their FY2024 cost reports: one year’s check, not a promise of how often a hospital’s actual figure lands inside.

Estimate · Source: this site’s arithmetic on CMS’s FY2026 IPPS final rule files (the impact file, the rate tables and the value-based factors), its FY2026 HRRP supplemental file and HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
LineAmount (whole dollars)
DRG payments at the federal rates (the base)$1,780,162
Many low-income patients (disproportionate share)$53,405
Outliers: unusually costly stays$6,693
Capital: buildings and equipment$141,954
Uncompensated care$347,091
Total, before the three programs$2,329,305
Readmissions (HRRP) (base × (0.9983 − 1))−$3,026
Value-based purchasing (HVBP) (not in CMS’s value-based factors: no adjustment)$0
After these two$2,326,279
HAC Reduction Program (1% of everything above; likely $17–29K)−$23,263
Net of the three programs (likely −$34K to −$19K)−$26,289

What if a measure were different?

Change a measure’s value to see how this site recomputes the Total HAC Score, the payment reduction decision and, by its estimate, the money, starting from CMS’s values. The money doesn’t slide with the score: it drops off a cliff at CMS’s line.

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

Show table
CMS reportsHypothetical
Total HAC Score1.0591same
Payment reduction decisionYessame
Payment cut1%same
Estimated HAC cut estimate$23Ksame

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 1.0591 and a payment reduction decision of Yes.

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.

What would it take?

Getting under CMS’s line would keep about $23K, this site estimates: the whole cut, however far under the score lands.

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

MeasureValue that would read No
PSI 900.7828 or lower
CDI0.592 or lower

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 1.285 · 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 5. CDI added the most to this hospital’s Total HAC Score of 1.0591 among its measured results: +1.0966.
  • PSI 90 −0.0375
  • CDI +1.0966

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 90−0.0749−0.0375same
CDI2.1931+1.0966same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/050067/

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.

Its longest run: cut 2 years in a row.

Figure 6. CMS cut this hospital in 3 of the 11 years it made a decision.
highest middle lowest z‑scoresequal weights no scores FY2015: score 4.0000, higher than 25% of scores; not cutFY2016: score 6.0000, higher than 56% of scores; not cutFY2017: score 2.0500, higher than 8% of scores; not cutFY2018: score −1.6891, higher than 1% of scores; not cutFY2019: score −1.149, higher than 6% of scores; not cutFY2020: score 0.7994, higher than 91% of scores; cutFY2021: score 0.5906, higher than 86% of scores; cutFY2022: score −0.8638, higher than 7% of scores; not cutFY2024: score −0.0908, higher than 45% of scores; not cutFY2025: score 0.3294, higher than 73% of scores; not cutFY2026: score 1.0591, higher than 94% of scores; cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 4.0000, higher than 25% of scores; not cutFY2016: score 6.0000, higher than 56% of scores; not cutFY2017: score 2.0500, higher than 8% of scores; not cutFY2018: score −1.6891, higher than 1% of scores; not cutFY2019: score −1.149, higher than 6% of scores; not cutFY2020: score 0.7994, higher than 91% of scores; cutFY2021: score 0.5906, higher than 86% of scores; cutFY2022: score −0.8638, higher than 7% of scores; not cutFY2024: score −0.0908, higher than 45% of scores; not cutFY2025: score 0.3294, higher than 73% of scores; not cutFY2026: score 1.0591, higher than 94% of scores; 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
FY20154.000025.0%not cut
FY20166.000056.2%not cut
FY20172.05008.2%not cut
FY2018−1.68911.0%not cut
FY2019−1.1496.8%not cut
FY20200.799491.8%cut
FY20210.590686.6%cut
FY2022−0.86387.2%not cut
FY2023no decision
FY2024−0.090845.7%not cut
FY20250.329473.2%not cut
FY20261.059194.9%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 7. 1 of its 1 infection measures ended lower than they started.
C. diff 0.58 → 0.00 1as predicted 0 ’18’21’24 Nation’s middle C. diff, 2017: 0.584C. diff, 2018: 2.175C. diff, 2019: 0.000 C. diff 0.58 → 0.00 1as predicted 0 ’18’20’22’24 Nation’s middle C. diff, 2017: 0.584C. diff, 2018: 2.175C. diff, 2019: 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
20170.584
20182.175
20190.000
2021
2022
2023
2024

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 California, its score is higher than 93% of the other 276 scored there.

Figure 8. Its score is above the middle in all 7 groups it belongs to; the share cut runs from 23% (Urban) to 35% (Government).
All hospitals: CMS cut 718 of 2,886 (25%); middle score −0.0453All hospitals 2,886 hospitals25% cut West region: CMS cut 157 of 593 (26%); middle score −0.0302West region 593 hospitals26% cut California: CMS cut 76 of 277 (27%); middle score −0.0217California 277 hospitals27% cut Not teaching: CMS cut 389 of 1,563 (25%); middle score −0.1053Not teaching 1,563 hospitals25% cut 100 to 299 beds: CMS cut 275 of 1,193 (23%); middle score −0.0732100 to 299 beds 1,193 hospitals23% cut Government: CMS cut 140 of 401 (35%); middle score 0.1602Government 401 hospitals35% cut Urban: CMS cut 510 of 2,241 (23%); middle score −0.0574Urban 2,241 hospitals23% cut CMS’s line: between 0.3792 and 0.3799 CMS’s line −1012 This hospital: 1.0591 This hospital 1.0591 All hospitals: CMS cut 718 of 2,886 (25%); middle score −0.0453All hospitals2,886 hospitals25% cut West region: CMS cut 157 of 593 (26%); middle score −0.0302West region593 hospitals26% cut California: CMS cut 76 of 277 (27%); middle score −0.0217California277 hospitals27% cut Not teaching: CMS cut 389 of 1,563 (25%); middle score −0.1053Not teaching1,563 hospitals25% cut 100 to 299 beds: CMS cut 275 of 1,193 (23%); middle score −0.0732100 to 299 beds1,193 hospitals23% cut Government: CMS cut 140 of 401 (35%); middle score 0.1602Government401 hospitals35% cut Urban: CMS cut 510 of 2,241 (23%); middle score −0.0574Urban2,241 hospitals23% 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: 1.0591 This hospital 1.0591

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%−0.045394%
West region59315726%−0.030293%
California2777627%−0.021793%
Not teaching1,56338925%−0.105393%
100 to 299 beds1,19327523%−0.073296%
Government40114035%0.160288%
Urban2,24151023%−0.057496%
This hospital1.0591
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 9. CMS cut 1 of the 8 nearest hospitals; the closest is 8 miles away.
5 mi10 mi25 mi8. St Joseph's Medical Center of Stockton, Stockton: score 0.3746, not cut, 28 miles87. San Joaquin General Hospital, French Camp: score 0.2186, not cut, 25 miles76. Kaiser Foundation Hospital Manteca, Manteca: score −0.2814, not cut, 21 miles65. Doctors Hospital of Manteca, Manteca: score 0.7677, cut, 19 miles54. Emanuel Medical Center, Turlock: score −0.4847, not cut, 17 miles43. Doctors Medical Center, Modesto: score 0.2392, not cut, 10 miles32. Memorial Medical Center, Modesto: score −0.1466, not cut, 9 miles21. Stanislaus Surgical Hospital, Modesto: score −0.1162, not cut, 8 miles1This hospital: Oak Valley Hospital District

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

Show table
HospitalMilesScoreDecision
Stanislaus Surgical Hospital, Modesto, CA8−0.1162not cut
Memorial Medical Center, Modesto, CA9−0.1466not cut
Doctors Medical Center, Modesto, CA100.2392not cut
Emanuel Medical Center, Turlock, CA17−0.4847not cut
Doctors Hospital of Manteca, Manteca, CA190.7677cut
Kaiser Foundation Hospital Manteca, Manteca, CA21−0.2814not cut
San Joaquin General Hospital, French Camp, CA250.2186not cut
St Joseph's Medical Center of Stockton, Stockton, CA280.3746not cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1Stanislaus Surgical HospitalModesto, CA8−0.1162No cut$0Above the national median on 1 of 1 measures
2Memorial Medical CenterModesto, CA9−0.1466No cut$0Above the national median on 2 of 6 measures
3Doctors Medical CenterModesto, CA100.2392No cut$0Above the national median on 3 of 6 measures
4Emanuel Medical CenterTurlock, CA17−0.4847No cut$0Above the national median on 2 of 6 measures
5Doctors Hospital of MantecaManteca, CA190.76771% cut$115KAbove the national median on 4 of 5 measures
6Kaiser Foundation Hospital MantecaManteca, CA21−0.2814No cut$0Above the national median on 1 of 6 measures
7San Joaquin General HospitalFrench Camp, CA250.2186No cut$0Above the national median on 3 of 6 measures
8St Joseph's Medical Center of StocktonStockton, CA280.3746No cut$0Above the national median on 5 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. Oak Valley Hospital District, Oakdale, CA: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/050067/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.