Hospital record · FY2026CCN 050342

1Hospital

Pioneers Memorial Healthcare District

2Location

Brawley, CA (California’s hospitals on the map and in the table) 92227

Imperial County

3Type

Not a teaching hospital · 99 beds · Government · Urban

4Care Compare stars

3 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

1.4007

As CMS reports it

6Payment reduction

1% cut

CMS’s value: Yes

7Estimated cut

$156K estimate

Likely $119⁠–⁠197K; about $158 per traditional Medicare stay

Cut 1%

$156K

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

For fiscal year 2026, CMS reports a Total HAC Score of 1.4007 for Pioneers Memorial Healthcare District and a payment reduction decision of Yes.

That is 1% of about $15.6M, this site’s estimate of what traditional Medicare pays it for inpatient stays in a year: about $158 per traditional Medicare stay.

Likely range $119–197K

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.

Higher than 97% of the other 2,928 scores CMS published (higher is worse).

Its record, fiscal years 2015 to 2026 Cut in 6 of 11 years

15No
16No
17No
18Cut
19Cut
20Cut
21No
22No
23—
24Cut
25Cut
26Cut

Where the score came from

CMS scored this hospital on all 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 CLABSI down to the national median (0.559) would lower the score the most: by 0.3917, to 1.0090. Try it in the what-if

Figure 1. Of its 6 measures with a value, this hospital is above the national median on 6; CLABSI added the most to its score.

This hospital
National median
Scores the same as CMS’s floor or cap

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 86% 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 value1.1586

Z-score1.1877

Part of score+0.1980
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.
added the most
Central line–associated bloodstream infections
Worse than 96% of the other 2,181 hospitals

CMS value1.699

Z-score2.2402

Part of score+0.3734
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
Worse than 82% of the other 2,354 hospitals

CMS value0.892

Z-score0.8316

Part of score+0.1386
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
Worse than 97% of the other 2,269 hospitals

CMS value2.521

Z-score2.1717

Part of score+0.3620
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
Worse than 77% 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 value0.550

Z-score0.6675

Part of score+0.1113
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
Worse than 87% of the other 2,067 hospitals

CMS value1.322

Z-score1.3056

Part of score+0.2176

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

Show table

Measure	CMS value	National median	Z-score	Part of the score	Among hospitals
PSI 90	1.1586	0.9623	1.1877	+0.1980	Worse than 86% of the other 2,808 hospitals
CLABSI	1.699	0.559	2.2402	+0.3734	Worse than 96% of the other 2,181 hospitals
CAUTI	0.892	0.489	0.8316	+0.1386	Worse than 82% of the other 2,354 hospitals
SSI	2.521	0.795	2.1717	+0.3620	Worse than 97% of the other 2,269 hospitals
CDI	0.550	0.346	0.6675	+0.1113	Worse than 77% of the other 2,766 hospitals
MRSA	1.322	0.641	1.3056	+0.2176	Worse than 87% of the other 2,067 hospitals

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 6; a bar right of zero raised the score and one left of zero lowered it.

(1.1877PSI 90+2.2402CLABSI+0.8316CAUTI+2.1717SSI+0.6675CDI+1.3056MRSA)÷6measures=1.4007Total HAC Score

This hospital’s score is 1.0215 above 0.3792, the highest score CMS marked No. (This site recomputes.)

Figure 2. The parts add up to 1.4007, above CMS’s line.

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

Show table

Measure	Z-score	Part of the score	Running total
PSI 90	1.1877	+0.1980	0.1980
CLABSI	2.2402	+0.3734	0.5714
CAUTI	0.8316	+0.1386	0.7100
SSI	2.1717	+0.3620	1.0720
CDI	0.6675	+0.1113	1.1833
MRSA	1.3056	+0.2176	1.4009
Total HAC Score			1.4007
CMS’s line		0.3792	0.3799

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, 1.0215 over the highest score CMS didn’t cut, costs it about $156K by this site’s estimate, and at CMS’s highest score, 2.3133, the cut would be the same.

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

Score	Total HAC Score	Estimated HAC cut (whole dollars)
Any score up to 0.3792	0.3792	$0
Any score from 0.3799	0.3799	−$156,348
This hospital	1.4007	−$156,348
CMS’s highest score	2.3133	−$156,348

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.

($15,576,709payment−$4,988readmissions+$63,048value-based)×1%the cut=$156,348HAC cut

$156,348HAC cut÷987traditional Medicare stays=$158per traditional Medicare stay

Figure 4. This site estimates the HAC cut at $156K: 1% of the hospital’s whole inpatient payment, taken last. The readmissions and value-based adjustments, on the base alone, came to −$5K and +$63K.

Estimated Medicare inpatient payments · FY2026 estimate

What traditional Medicare pays it for inpatient stays
DRG payments at the federal rates the base	$12,471,123
Many low-income patients (disproportionate share)	$1,124,272
Outliers: unusually costly stays	$197,293
Capital: buildings and equipment	$1,082,126
Uncompensated care	$701,895
Total, before the three programs	$15,576,709
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (0.9996 − 1)	−$4,988
Value-based purchasing (HVBP) base × (1.0051 − 1)	+$63,048
After these two	$15,634,769
HAC Reduction Program 1% of everything above; likely $119⁠–⁠197K	−$156,348
Net of the three programs likely −$116K to −$79K	−$98,288

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.

Show table

Line	Amount (whole dollars)
DRG payments at the federal rates (the base)	$12,471,123
Many low-income patients (disproportionate share)	$1,124,272
Outliers: unusually costly stays	$197,293
Capital: buildings and equipment	$1,082,126
Uncompensated care	$701,895
Total, before the three programs	$15,576,709
Readmissions (HRRP) (base × (0.9996 − 1))	−$4,988
Value-based purchasing (HVBP) (base × (1.0051 − 1))	+$63,048
After these two	$15,634,769
HAC Reduction Program (1% of everything above; likely $119–197K)	−$156,348
Net of the three programs (likely −$116K to −$79K)	−$98,288

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 reports	Hypothetical
Total HAC Score	1.4007	same
Payment reduction decision	Yes	same
Payment cut	1%	same
Estimated HAC cut estimate	$156K	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 1.4007 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 $156K, 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.

Measure	Value that would read No
PSI 90	not possible with this measure alone
CLABSI	not possible with this measure alone
CAUTI	not possible with this measure alone
SSI	not possible with this measure alone
CDI	not possible with this measure alone
MRSA	not possible with this measure alone

Each measure weighs 1 ÷ 6 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.

Patient safety and adverse events composite PSI 90

PSI 90 value

CMS 1.1586 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1164

Central line–associated bloodstream infections CLABSI

CLABSI value

CMS 1.699 · median 0.559 · cap 1.572 · each 0.1 = 0.0387

Catheter-associated urinary tract infections CAUTI

CAUTI value

CMS 0.892 · median 0.489 · cap 1.537 · each 0.1 = 0.0402

Surgical site infections after colon surgery or abdominal hysterectomy SSI

SSI value

CMS 2.521 · median 0.795 · cap 2.118 · each 0.1 = 0.0286

Clostridioides difficile (C. diff) infections CDI

CDI value

CMS 0.550 · median 0.346 · cap 0.944 · each 0.1 = 0.0645

MRSA bloodstream infections MRSA

MRSA value

CMS 1.322 · median 0.641 · cap 1.762 · each 0.1 = 0.0348

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

Stays in your browser; never sent.

Optional: your NHSN predicted infections for CLABSI, January 1, 2023 to December 31, 2024

Optional: your NHSN predicted infections for CAUTI, January 1, 2023 to December 31, 2024

Optional: your NHSN predicted infections for SSI, January 1, 2023 to December 31, 2024

Optional: your NHSN predicted infections for CDI, January 1, 2023 to December 31, 2024

Optional: your NHSN predicted infections for MRSA, January 1, 2023 to December 31, 2024

Figure 5. CLABSI added the most to this hospital’s Total HAC Score of 1.4007 among its measured results: +0.3734.

PSI 90 +0.1980
CLABSI +0.3734
CAUTI +0.1386
SSI +0.3620
CDI +0.1113
MRSA +0.2176

A measure adds its z‑score divided by 6, 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

Measure	Z-score	Part of the score	Hypothetical
PSI 90	1.1877	+0.1980	same
CLABSI	2.2402	+0.3734	same
CAUTI	0.8316	+0.1386	same
SSI	2.1717	+0.3620	same
CDI	0.6675	+0.1113	same
MRSA	1.3056	+0.2176	same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/050342/

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 3 years in a row.

Figure 6. CMS cut this hospital in 6 of the 11 years it made a decision.

● 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 year	Total HAC Score	Higher than this share of scores	Payment reduction
FY2015	5.3000	47.5%	not cut
FY2016	5.0000	38.0%	not cut
FY2017	6.0875	65.7%	not cut
FY2018	0.9079	92.4%	cut
FY2019	0.9179	93.2%	cut
FY2020	0.6354	87.2%	cut
FY2021	0.2685	71.2%	not cut
FY2022	0.1064	63.5%	not cut
FY2023			no decision
FY2024	0.8539	90.2%	cut
FY2025	0.5483	83.3%	cut
FY2026	1.4007	97.6%	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 3 infection measures ended lower than they started.

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 year	CLABSI	CAUTI	C. diff
2017	0.861	1.237	1.027
2018	0.945	0.810	0.833
2019	0.929	0.000	1.104
2021	4.970	0.860	0.594
2022	3.885	0.376	0.915
2023		0.411	1.080
2024		1.464	0.000

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 California, its score is higher than 97% 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).

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

Show table

Group	With a decision	Hospitals cut	Share cut	Middle score	Hospital higher than
All hospitals	2,886	718	25%	−0.0453	97%
West region	593	157	26%	−0.0302	97%
California	277	76	27%	−0.0217	97%
Not teaching	1,563	389	25%	−0.1053	96%
Fewer than 100 beds	805	225	28%	−0.1154	93%
Government	401	140	35%	0.1602	94%
Urban	2,241	510	23%	−0.0574	98%
This hospital				1.4007
CMS’s line				0.3792	0.3799

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 2 of the 8 nearest hospitals; the closest is 12 miles away.

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

Show table

Hospital	Miles	Score	Decision
El Centro Regional Medical Center, El Centro, CA	12	0.5567	cut
Yuma Regional Medical Center, Yuma, AZ	57	0.1542	not cut
Exceptional Community Hospital Yuma, Yuma, AZ	63	2.1717	cut
John F Kennedy Memorial Hospital, Indio, CA	65	−0.9917	not cut
Eisenhower Medical Center, Rancho Mirage, CA	75	−0.4630	not cut
Desert Regional Medical Center, Palm Springs, CA	83	−0.2634	not cut
Grossmont Hospital, La Mesa, CA	85	0.0755	not cut
Palomar Medical Center Poway, Poway, CA	87	0.2072	not cut

#	Hospital	Miles	Score	Decision	Est. cut ($, modeled)	Measures
1	El Centro Regional Medical CenterEl Centro, CA	12	0.5567	1% cut	$189K	Above the national median on 4 of 6 measures
2	Yuma Regional Medical CenterYuma, AZ	57	0.1542	No cut	$0	Above the national median on 4 of 6 measures
3	Exceptional Community Hospital YumaYuma, AZ	63	2.1717	1% cut	$13K	Above the national median on 1 of 1 measures
4	John F Kennedy Memorial HospitalIndio, CA	65	−0.9917	No cut	$0	Above the national median on 0 of 6 measures
5	Eisenhower Medical CenterRancho Mirage, CA	75	−0.4630	No cut	$0	Above the national median on 2 of 6 measures
6	Desert Regional Medical CenterPalm Springs, CA	83	−0.2634	No cut	$0	Above the national median on 3 of 6 measures
7	Grossmont HospitalLa Mesa, CA	85	0.0755	No cut	$0	Above the national median on 2 of 6 measures
8	Palomar Medical Center PowayPoway, CA	87	0.2072	No cut	$0	Above the national median on 3 of 6 measures

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

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. Pioneers Memorial Healthcare District, Brawley, CA: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/050342/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.