Hospital record · FY2026CCN 100176

1Hospital

Palm Beach Gardens Medical Center

2Location

Palm Beach Gardens, FL (Florida’s hospitals on the map and in the table) 33410

Palm Beach County

3Type

Not a teaching hospital · 199 beds · For-profit · Urban

4Care Compare stars

2 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

0.0976

As CMS reports it

6Payment reduction

No cut

CMS’s value: No

7Estimated cut

A cut would have been $470K, likely $358⁠–⁠591K estimate

No cut

from this program

For fiscal year 2026, CMS reports a Total HAC Score of 0.0976 for Palm Beach Gardens Medical Center and a payment reduction decision of No.

A cut would have taken about $470K estimate 1% of about $47.0M, this site’s estimate of what traditional Medicare pays it for inpatient stays in a year. Its score was 0.2823 under 0.3799, the lowest score CMS cut.

Likely range $358–591K

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.

Higher than 58% of the other 2,928 scores CMS published (higher is worse).

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

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

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 PSI 90 down to the national median (0.9623) would lower the score the most: by 0.1272, to −0.0296. Try it in the what-if

Figure 1. Of its 6 measures with a value, this hospital is above the national median on 5; PSI 90 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.
added the most
Patient safety and adverse events composite
Worse than 77% 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 value1.0716

Z-score0.5806

Part of score+0.0968
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
Worse than 56% of the other 2,181 hospitals

CMS value0.633

Z-score0.0619

Part of score+0.0103
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 66% of the other 2,354 hospitals

CMS value0.649

Z-score0.2458

Part of score+0.0410
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 68% of the other 2,269 hospitals

CMS value1.080

Z-score0.3936

Part of score+0.0656
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 59% 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 value0.410

Z-score0.1254

Part of score+0.0209
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
Better than 79% of the other 2,067 hospitals

CMS value0.304

Z-score−0.8219

Part of score−0.1370

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	1.0716	0.9623	0.5806	+0.0968	Worse than 77% of the other 2,808 hospitals
CLABSI	0.633	0.559	0.0619	+0.0103	Worse than 56% of the other 2,181 hospitals
CAUTI	0.649	0.489	0.2458	+0.0410	Worse than 66% of the other 2,354 hospitals
SSI	1.080	0.795	0.3936	+0.0656	Worse than 68% of the other 2,269 hospitals
CDI	0.410	0.346	0.1254	+0.0209	Worse than 59% of the other 2,766 hospitals
MRSA	0.304	0.641	−0.8219	−0.1370	Better than 79% 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.

(0.5806PSI 90+0.0619CLABSI+0.2458CAUTI+0.3936SSI+0.1254CDI−0.8219MRSA)÷6measures=0.0976Total HAC Score

This hospital’s score is 0.2823 below 0.3799, the lowest score CMS marked Yes. (This site recomputes.)

Figure 2. The parts add up to 0.0976, below 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	0.5806	+0.0968	0.0968
CLABSI	0.0619	+0.0103	0.1071
CAUTI	0.2458	+0.0410	0.1481
SSI	0.3936	+0.0656	0.2137
CDI	0.1254	+0.0209	0.2346
MRSA	−0.8219	−0.1370	0.0976
Total HAC Score			0.0976
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, 0.2823 under the lowest score CMS cut, costs it nothing; 0.2823 higher, the cut would have been about $470K by this site’s estimate, the same as at CMS’s highest score, 2.3133.

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	−$469,968
This hospital	0.0976	$0
CMS’s highest score	2.3133	−$469,968

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.

($47,626,608payment−$326,752readmissions−$303,010value-based)×1%the cut=$469,968at stake

$469,968at stake÷3,299traditional Medicare stays=$142per traditional Medicare stay

Figure 4. No HAC cut this year; 1% of the hospital’s whole inpatient payment would have been about $470K by this site’s estimate. The readmissions and value-based adjustments, on the base alone, came to −$327K and −$303K.

Estimated Medicare inpatient payments · FY2026 estimate

What traditional Medicare pays it for inpatient stays
DRG payments at the federal rates the base	$43,566,957
Outliers: unusually costly stays	$544,151
Capital: buildings and equipment	$3,515,500
Total, before the three programs	$47,626,608
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (0.9925 − 1)	−$326,752
Value-based purchasing (HVBP) base × (0.9930 − 1)	−$303,010
After these two	$46,996,846
HAC Reduction Program no cut; 1% would have been $469,968	$0
Net of the three programs likely −$740K to −$507K	−$629,762

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

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)	$43,566,957
Outliers: unusually costly stays	$544,151
Capital: buildings and equipment	$3,515,500
Total, before the three programs	$47,626,608
Readmissions (HRRP) (base × (0.9925 − 1))	−$326,752
Value-based purchasing (HVBP) (base × (0.9930 − 1))	−$303,010
After these two	$46,996,846
HAC Reduction Program (no cut; 1% would have been $469,968)	$0
Net of the three programs (likely −$740K to −$507K)	−$629,762

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	0.0976	same
Payment reduction decision	No	same
Payment cut	0%	same
Estimated HAC cut estimate	$0	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 0.0976 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 $470K 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.

Measure	Highest value that keeps No
PSI 90	up to 1.3135
CLABSI	up to 1.361
CAUTI	up to 1.349
SSI	up to 2.066
CDI	up to 0.846
MRSA	up to 1.112

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 1.0716 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1164

Central line–associated bloodstream infections CLABSI

CLABSI value

CMS 0.633 · median 0.559 · cap 1.572 · each 0.1 = 0.0387

Catheter-associated urinary tract infections CAUTI

CAUTI value

CMS 0.649 · median 0.489 · cap 1.537 · each 0.1 = 0.0402

Surgical site infections after colon surgery or abdominal hysterectomy SSI

SSI value

CMS 1.080 · median 0.795 · cap 2.118 · each 0.1 = 0.0286

Clostridioides difficile (C. diff) infections CDI

CDI value

CMS 0.410 · median 0.346 · cap 0.944 · each 0.1 = 0.0645

MRSA bloodstream infections MRSA

MRSA value

CMS 0.304 · 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. PSI 90 added the most to this hospital’s Total HAC Score of 0.0976 among its measured results: +0.0968.

PSI 90 +0.0968
CLABSI +0.0103
CAUTI +0.0410
SSI +0.0656
CDI +0.0209
MRSA −0.1370

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	0.5806	+0.0968	same
CLABSI	0.0619	+0.0103	same
CAUTI	0.2458	+0.0410	same
SSI	0.3936	+0.0656	same
CDI	0.1254	+0.0209	same
MRSA	−0.8219	−0.1370	same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/100176/

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.

● 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	4.7750	37.6%	not cut
FY2016	3.0000	11.2%	not cut
FY2017	3.4900	19.4%	not cut
FY2018	−0.7210	13.2%	not cut
FY2019	−1.0234	8.3%	not cut
FY2020	−0.9552	7.3%	not cut
FY2021	0.4844	82.0%	cut
FY2022	0.9428	94.3%	cut
FY2023			no decision
FY2024	0.1641	63.8%	not cut
FY2025	0.1452	62.5%	not cut
FY2026	0.0976	58.9%	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 7. 1 of its 5 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).

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Calendar year	CLABSI	CAUTI	SSI, colon	MRSA	C. diff
2017	0.232	0.000	0.000	0.000	0.657
2018	0.000	0.000	0.000	0.000	1.100
2019	2.755	1.085	0.000	2.239	1.163
2021	1.264	0.605	0.000	1.063	0.652
2022	0.355	0.809	0.562	0.726	0.483
2023	0.596	0.758	0.511	0.278	0.395
2024	0.675	0.544	1.648	0.336	0.428

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 Florida, its score is higher than 75% of the other 164 scored there.

In West Palm Beach-Boca Raton-Delray Beach, FL area, its score is higher than 90% of the other 11 scored there.

Figure 8. Its score is above the middle in all 8 groups it belongs to; the share cut runs from 8% (West Palm Beach-Boca Raton-Delray Beach, FL area) to 25% (Not teaching).

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	58%
South region	1,174	263	22%	−0.1056	62%
Florida	165	18	11%	−0.1935	75%
West Palm Beach-Boca Raton-Delray Beach, FL area	12	1	8%	−0.0380	90%
Not teaching	1,563	389	25%	−0.1053	62%
100 to 299 beds	1,193	275	23%	−0.0732	60%
For-profit	651	98	15%	−0.2590	71%
Urban	2,241	510	23%	−0.0574	60%
This hospital				0.0976
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 1 of the 8 nearest hospitals; the closest is 6 miles away.

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

Show table

Hospital	Miles	Score	Decision
St Mary's Medical Center, West Palm Beach, FL	6	0.0775	not cut
Jupiter Medical Center, Jupiter, FL	6	−0.9810	not cut
Good Samaritan Medical Center, West Palm Beach, FL	8	0.0765	not cut
HCA Florida Palms West Hospital, Loxahatchee, FL	14	−0.4344	not cut
Wellington Regional Medical Center, Wellington, FL	15	−0.1679	not cut
HCA Florida JFK Hospital, Atlantis, FL	16	−0.1163	not cut
Bethesda Hospital East, Boynton Beach, FL	23	0.0629	not cut
Delray Medical Center, Delray Beach, FL	27	0.6129	cut

#	Hospital	Miles	Score	Decision	Est. cut ($, modeled)	Measures
1	St Mary's Medical CenterWest Palm Beach, FL	6	0.0775	No cut	$0	Above the national median on 2 of 6 measures
2	Jupiter Medical CenterJupiter, FL	6	−0.9810	No cut	$0	Above the national median on 1 of 6 measures
3	Good Samaritan Medical CenterWest Palm Beach, FL	8	0.0765	No cut	$0	Above the national median on 3 of 6 measures
4	HCA Florida Palms West HospitalLoxahatchee, FL	14	−0.4344	No cut	$0	Above the national median on 3 of 6 measures
5	Wellington Regional Medical CenterWellington, FL	15	−0.1679	No cut	$0	Above the national median on 2 of 6 measures
6	HCA Florida JFK HospitalAtlantis, FL	16	−0.1163	No cut	$0	Above the national median on 3 of 6 measures
7	Bethesda Hospital EastBoynton Beach, FL	23	0.0629	No cut	$0	Above the national median on 4 of 6 measures
8	Delray Medical CenterDelray Beach, FL	27	0.6129	1% cut	$1.1M	Above the national median on 3 of 6 measures

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Cite this page

Paid & Penalized. Palm Beach Gardens Medical Center, Palm Beach Gardens, FL: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/100176/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.