P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalLaguna Honda Hospital & Rehabilitation Center Estimated FY2026 net: −$16K×

Hospital record · FY2026CCN 050668

1Hospital

Laguna Honda Hospital & Rehabilitation Center

2Location

San Francisco, CA (California’s hospitals on the map and in the table) 94116

San Francisco County

3Type

Not a teaching hospital · 11 beds · Government · Urban

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

−1.4622

As CMS reports it

6Payment reduction

No cut
CMS’s value: No

7Estimated cut

$0
A cut would have been $17K, likely $13⁠–⁠21K estimate

No cut

$0

from this program

For fiscal year 2026, CMS reports a Total HAC Score of −1.4622 for Laguna Honda Hospital & Rehabilitation Center and a payment reduction decision of No.

A cut would have taken about $17K estimate 1% of about $1.7M, this site’s estimate of what traditional Medicare pays it for inpatient stays in a year. Its score was 1.8421 under 0.3799, the lowest score CMS cut.

Likely range $13–21K

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: −1.4622 This hospital −1.4622 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: −1.4622 This hospital −1.4622

Higher than 0% of the other 2,928 scores CMS published (higher is worse).

Its record, fiscal years 2015 to 2026 Cut in 2 of 11 years

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

In FY2016 and FY2017, CMS reports a payment reduction decision for this hospital but no Total HAC Score.

CMS scored this hospital on a single measure, so that measure alone set its Total HAC Score.

Where the score came from

CMS scored this hospital on 1 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.

None of the measures CMS scored it on is above the national median, so no single measure at the median would lower its score.

Figure 1. This hospital has a published value for one measure, CDI, and it is at or below the national median.
  • 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

    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

  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−1.4622

  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 90no value published0.9623no value publishedno value publishedNot scored on this measure
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
CDI0.0000.346−1.4622−1.4622Better 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 1; a bar right of zero raised the score and one left of zero lowered it.

(−1.4622CDI)÷1measures=−1.4622Total HAC Score

Added from the rounded z‑scores CMS published, the parts make −1.4622; CMS reports −1.4622. The small difference is rounding.

This hospital’s score is 1.8421 below 0.3799, the lowest score CMS marked Yes. (This site recomputes.)

Figure 2. The parts add up to −1.4622, below CMS’s line.
1% cut CDI: z‑score −1.4622 divided by 1 = −1.4622CDI−1.4622 Total HAC Score: −1.4622Score−1.4622 CMS’s line: between 0.3792 and 0.3799 CMS’s line −1.5−1.0−0.50.00.5 1% cut CDI: z‑score −1.4622 divided by 1 = −1.4622CDI−1.4622 Total HAC Score: −1.4622Score−1.4622 CMS’s line: between 0.3792 and 0.3799 CMS’s line −1.5−1.0−0.50.00.5

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

Show table
MeasureZ-scorePart of the scoreRunning total
CDI−1.4622−1.4622−1.4622
Total HAC Score−1.4622
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, 1.8421 under the lowest score CMS cut, costs it nothing; 1.8421 higher, the cut would have been about $17K by this site’s estimate, the same as at CMS’s highest score, 2.3133.
CMS’s line $0 at any score up to 0.3792 $17K at any score from 0.3799 $0at any score up to 0.3792 $17K at any score from 0.3799 −1012 CMS’s highest score: 2.3133 CMS’s highest score 2.3133 This hospital: −1.4622 This hospital −1.4622 CMS’s line $0 at any score up to 0.3792 $17K at any score from 0.3799 $0at any score up to 0.3792 $17Kat 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: −1.4622 This hospital −1.4622

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−$17,198
This hospital−1.4622$0
CMS’s highest score2.3133−$17,198

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.

($1,735,788payment−$16,006readmissions+$0value-based)×1%the cut=$17,198at stake

$17,198at stake÷99traditional Medicare stays=$174per traditional Medicare stay

Figure 4. No HAC cut this year; 1% of the hospital’s whole inpatient payment would have been about $17K by this site’s estimate. The readmissions and value-based adjustments, on the base alone, came to −$16K and $0.

Estimated Medicare inpatient payments · FY2026 estimate

What traditional Medicare pays it for inpatient stays
DRG payments at the federal rates the base $1,203,438
Many low-income patients (disproportionate share) $36,103
Outliers: unusually costly stays $7,774
Capital: buildings and equipment $95,103
Uncompensated care $393,370
Total, before the three programs $1,735,788
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (0.9867 − 1) −$16,006
Value-based purchasing (HVBP) not in CMS’s value-based factors: no adjustment $0
After these two $1,719,782
HAC Reduction Program no cut; 1% would have been $17,198 $0
Net of the three programs likely −$20K to −$12K −$16,006

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)$1,203,438
Many low-income patients (disproportionate share)$36,103
Outliers: unusually costly stays$7,774
Capital: buildings and equipment$95,103
Uncompensated care$393,370
Total, before the three programs$1,735,788
Readmissions (HRRP) (base × (0.9867 − 1))−$16,006
Value-based purchasing (HVBP) (not in CMS’s value-based factors: no adjustment)$0
After these two$1,719,782
HAC Reduction Program (no cut; 1% would have been $17,198)$0
Net of the three programs (likely −$20K to −$12K)−$16,006

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 Score−1.4622same
Payment reduction decisionNosame
Payment cut0%same
Estimated HAC cut estimate$0same

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 −1.4622 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?

Staying at or under CMS’s line keeps about $17K out of this program’s cut, this site estimates: a score a hair over would cost all of it.

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

MeasureHighest value that keeps No
CDIup to 0.475

Each measure weighs 1 ÷ 1 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 0.000 · median 0.346 · cap 0.944 · each 0.1 = 0.3872

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

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Figure 5. Each bar is one measure’s part of this hospital’s Total HAC Score of −1.4622: its z‑score divided by 1, the number of measures scored.
  • CDI −1.4622

A measure adds its z‑score divided by 1, 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
CDI−1.4622−1.4622same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/050668/

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 2 of the 11 years it made a decision.
highest middle lowest z‑scoresequal weights no scores FY2015: score 7.0000, higher than 73% of scores; not cutFY2018: score 0.0075, higher than 53% of scores; not cutFY2019: score 0.0641, higher than 57% of scores; not cutFY2020: score 0.0776, higher than 58% of scores; not cutFY2021: score 0.1078, higher than 61% of scores; not cutFY2022: score 0.1004, higher than 62% of scores; not cutFY2024: score 2.1665, higher than 98% of scores; cutFY2025: score 0.5311, higher than 82% of scores; cutFY2026: score −1.4622, higher than 0% of scores; not cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 7.0000, higher than 73% of scores; not cutFY2018: score 0.0075, higher than 53% of scores; not cutFY2019: score 0.0641, higher than 57% of scores; not cutFY2020: score 0.0776, higher than 58% of scores; not cutFY2021: score 0.1078, higher than 61% of scores; not cutFY2022: score 0.1004, higher than 62% of scores; not cutFY2024: score 2.1665, higher than 98% of scores; cutFY2025: score 0.5311, higher than 82% of scores; cutFY2026: score −1.4622, higher than 0% 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
FY20157.000073.6%not cut
FY2016N/Anot cut, with no score published
FY2017N/Anot cut, with no score published
FY20180.007553.2%not cut
FY20190.064157.6%not cut
FY20200.077658.7%not cut
FY20210.107861.8%not cut
FY20220.100462.7%not cut
FY2023no decision
FY20242.166598.5%cut
FY20250.531182.7%cut
FY2026−1.46220.1%not cut

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 0% of the other 276 scored there.

In San Francisco-San Mateo-Redwood City, CA area, its score is higher than 0% of the other 15 scored there.

Figure 7. Its score is below the middle in all 8 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 San Francisco-San Mateo-Redwood City, CA area: CMS cut 4 of 16 (25%); middle score −0.0847San Francisco-San Mateo-Redwood City, CA area16 hospitals25% cut Not teaching: CMS cut 389 of 1,563 (25%); middle score −0.1053Not teaching 1,563 hospitals25% 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 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: −1.4622 This hospital −1.4622 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 San Francisco-San Mateo-Redwood City, CA area: CMS cut 4 of 16 (25%); middle score −0.0847San Francisco-San Mateo-Redwood City, CA area16 hospitals25% cut Not teaching: CMS cut 389 of 1,563 (25%); middle score −0.1053Not teaching1,563 hospitals25% 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 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: −1.4622 This hospital −1.4622

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%−0.04530%
West region59315726%−0.03020%
California2777627%−0.02170%
San Francisco-San Mateo-Redwood City, CA area16425%−0.08470%
Not teaching1,56338925%−0.10530%
Fewer than 100 beds80522528%−0.11540%
Government40114035%0.16020%
Urban2,24151023%−0.05740%
This hospital−1.4622
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 8. CMS cut 3 of the 8 nearest hospitals; the closest is about a mile away.
8. Kaiser Foundation Hospital - South San Francisco, South San Francisco: score −0.4636, not cut, 3 miles87. California Pacific Medical Center- Van Ness Campus, San Francisco: score 0.0340, not cut, 3 miles76. Zuckerberg San Francisco General Hosp & Trauma Ctr, San Francisco: score 0.4979, cut, 3 miles65. Kaiser Foundation Hospital - San Francisco, San Francisco: score 0.4438, cut, 3 miles54. California Pacific Medical Center - Mission Bernal, San Francisco: score −0.3667, not cut, 2 miles43. California Pacific Medical Ctr-Davies Campus Hosp, San Francisco: score 0.4281, cut, 2 miles32. UCSF Health St. Mary's Hospital, San Francisco: score −0.2017, not cut, 2 miles21. UCSF Medical Center, San Francisco: score 0.2558, not cut, about a mile1This hospital: Laguna Honda Hospital & Rehabilitation Center

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

Show table
HospitalMilesScoreDecision
UCSF Medical Center, San Francisco, CA10.2558not cut
UCSF Health St. Mary's Hospital, San Francisco, CA2−0.2017not cut
California Pacific Medical Ctr-Davies Campus Hosp, San Francisco, CA20.4281cut
California Pacific Medical Center - Mission Bernal, San Francisco, CA2−0.3667not cut
Kaiser Foundation Hospital - San Francisco, San Francisco, CA30.4438cut
Zuckerberg San Francisco General Hosp & Trauma Ctr, San Francisco, CA30.4979cut
California Pacific Medical Center- Van Ness Campus, San Francisco, CA30.0340not cut
Kaiser Foundation Hospital - South San Francisco, South San Francisco, CA3−0.4636not cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1UCSF Medical CenterSan Francisco, CA10.2558No cut$0Above the national median on 5 of 6 measures
2UCSF Health St. Mary's HospitalSan Francisco, CA2−0.2017No cut$0Above the national median on 1 of 6 measures
3California Pacific Medical Ctr-Davies Campus HospSan Francisco, CA20.42811% cut$207KAbove the national median on 4 of 5 measures
4California Pacific Medical Center - Mission BernalSan Francisco, CA2−0.3667No cut$0Above the national median on 2 of 6 measures
5Kaiser Foundation Hospital - San FranciscoSan Francisco, CA30.44381% cut$279KAbove the national median on 4 of 6 measures
6Zuckerberg San Francisco General Hosp & Trauma CtrSan Francisco, CA30.49791% cut$1.1MAbove the national median on 4 of 6 measures
7California Pacific Medical Center- Van Ness CampusSan Francisco, CA30.0340No cut$0Above the national median on 4 of 6 measures
8Kaiser Foundation Hospital - South San FranciscoSouth San Francisco, CA3−0.4636No cut$0Above the national median on 3 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. Laguna Honda Hospital & Rehabilitation Center, San Francisco, CA: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/050668/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.