P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalWellstar Douglas Medical Center Estimated FY2026 net: −$197K×

Hospital record · FY2026CCN 110184

1Hospital

Wellstar Douglas Medical Center

2Location

Douglasville, GA (Georgia’s hospitals on the map and in the table) 30134

Douglas County

3Type

Minor teaching · 20 beds · Nonprofit · 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

0.4274

As CMS reports it

6Payment reduction

1% cut
CMS’s value: Yes

7Estimated cut

$222K estimate
Likely $170⁠–⁠280K; about $174 per traditional Medicare stay

Cut 1%

$222K

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

For fiscal year 2026, CMS reports a Total HAC Score of 0.4274 for Wellstar Douglas Medical Center and a payment reduction decision of Yes.

That is 1% of about $22.2M, this site’s estimate of what traditional Medicare pays it for inpatient stays in a year plus the teaching payments Medicare makes on its Medicare Advantage patients’ stays: about $174 per traditional Medicare stay.

Likely range $170–280K

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 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: 0.4274 This hospital 0.4274 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: 0.4274 This hospital 0.4274

Higher than 76% 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. 25No
  12. 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 SSI down to the national median (0.795) would lower the score the most: by 0.3777, to 0.0497. That change alone would put the score under CMS’s line. Try it in the what-if

Figure 1. Of its 6 measures with a value, this hospital is above the national median on 4; SSI 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 67% 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 value1.0101

    Z-score0.1510

    Part of score+0.0252

  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

    Worse than 86% of the other 2,181 hospitals

    CMS value1.096

    Z-score1.1360

    Part of score+0.1893

  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

    Better than 66% of the other 2,354 hospitals

    CMS value0.337

    Z-score−0.5063

    Part of score−0.0844

  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.

    added the most

    Surgical site infections after colon surgery or abdominal hysterectomy

    Worse than 99% of the other 2,269 hospitals

    CMS value3.200

    Z-score2.1717

    Part of score+0.3620

  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

    Worse than 68% 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 value0.474

    Z-score0.3732

    Part of score+0.0622

  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

    Better than 77% of the other 2,067 hospitals

    CMS value0.333

    Z-score−0.7613

    Part of score−0.1269

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

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 901.01010.96230.1510+0.0252Worse than 67% of the other 2,808 hospitals
CLABSI1.0960.5591.1360+0.1893Worse than 86% of the other 2,181 hospitals
CAUTI0.3370.489−0.5063−0.0844Better than 66% of the other 2,354 hospitals
SSI3.2000.7952.1717+0.3620Worse than 99% of the other 2,269 hospitals
CDI0.4740.3460.3732+0.0622Worse than 68% of the other 2,766 hospitals
MRSA0.3330.641−0.7613−0.1269Better than 77% 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.

(0.1510PSI 90+1.1360CLABSI−0.5063CAUTI+2.1717SSI+0.3732CDI−0.7613MRSA)÷6measures=0.4274Total HAC Score

This hospital’s score is 0.0482 above 0.3792, the highest score CMS marked No. (This site recomputes.)

Figure 2. The parts add up to 0.4274, above CMS’s line.
1% cut PSI 90: z‑score 0.1510 divided by 6 = +0.0252PSI 90+0.0252 CLABSI: z‑score 1.1360 divided by 6 = +0.1893CLABSI+0.1893 CAUTI: z‑score −0.5063 divided by 6 = −0.0844CAUTI−0.0844 SSI: z‑score 2.1717 divided by 6 = +0.3620SSI+0.3620 CDI: z‑score 0.3732 divided by 6 = +0.0622CDI+0.0622 MRSA: z‑score −0.7613 divided by 6 = −0.1269MRSA−0.1269 Total HAC Score: 0.4274Score0.4274 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.10.20.30.40.50.6 1% cut PSI 90: z‑score 0.1510 divided by 6 = +0.0252PSI 90+0.0252 CLABSI: z‑score 1.1360 divided by 6 = +0.1893CLABSI+0.1893 CAUTI: z‑score −0.5063 divided by 6 = −0.0844CAUTI−0.0844 SSI: z‑score 2.1717 divided by 6 = +0.3620SSI+0.3620 CDI: z‑score 0.3732 divided by 6 = +0.0622CDI+0.0622 MRSA: z‑score −0.7613 divided by 6 = −0.1269MRSA−0.1269 Total HAC Score: 0.4274Score0.4274 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.10.20.30.40.50.6

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 900.1510+0.02520.0252
CLABSI1.1360+0.18930.2145
CAUTI−0.5063−0.08440.1301
SSI2.1717+0.36200.4921
CDI0.3732+0.06220.5543
MRSA−0.7613−0.12690.4274
Total HAC Score0.4274
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, and of the teaching payments Medicare makes on its Medicare Advantage stays; 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, 0.0482 over the highest score CMS didn’t cut, costs it about $222K 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 $222K at any score from 0.3799 $0at any score up to 0.3792 $222K at any score from 0.3799 −1012 CMS’s highest score: 2.3133 This hospital: 0.4274 This hospital 0.4274 CMS’s line $0 at any score up to 0.3792 $222K at any score from 0.3799 $0at any score up to 0.3792 $222Kat 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: 0.4274 This hospital 0.4274

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−$222,479
This hospital0.4274−$222,479
CMS’s highest score2.3133−$222,479

The money, line by line

This site estimates what traditional Medicare pays the hospital for a year of inpatient stays, and the teaching payments Medicare makes on its Medicare Advantage patients’ 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.

($21,828,247payment+$394,151teaching, MA stays−$1,375readmissions+$26,852value-based)×1%the cut=$222,479HAC cut

$222,479HAC cut÷1,275traditional Medicare stays=$174per traditional Medicare stay

Figure 4. This site estimates the HAC cut at $222K: 1% of the hospital’s whole inpatient payment, taken last. The readmissions and value-based adjustments, on the base alone, came to −$1K and +$27K.

Estimated Medicare inpatient payments · FY2026 estimate

What traditional Medicare pays it for inpatient stays, and for teaching on Medicare Advantage stays
DRG payments at the federal rates the base $13,754,057
Teaching (indirect medical education) $453,609
Teaching on Medicare Advantage stays $394,151
Many low-income patients (disproportionate share) $348,528
Outliers: unusually costly stays $862,517
Capital: buildings and equipment $1,172,322
Uncompensated care $5,237,214
Total, before the three programs $22,222,398
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (0.9999 − 1) −$1,375
Value-based purchasing (HVBP) base × (1.0020 − 1) +$26,852
After these two $22,247,875
HAC Reduction Program 1% of everything above; likely $170⁠–⁠280K −$222,479
Net of the three programs likely −$232K to −$159K −$197,002

Not paid to this hospital: a Medicare-dependent hospital add-on, 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)$13,754,057
Teaching (indirect medical education)$453,609
Teaching on Medicare Advantage stays$394,151
Many low-income patients (disproportionate share)$348,528
Outliers: unusually costly stays$862,517
Capital: buildings and equipment$1,172,322
Uncompensated care$5,237,214
Total, before the three programs$22,222,398
Readmissions (HRRP) (base × (0.9999 − 1))−$1,375
Value-based purchasing (HVBP) (base × (1.0020 − 1))+$26,852
After these two$22,247,875
HAC Reduction Program (1% of everything above; likely $170–280K)−$222,479
Net of the three programs (likely −$232K to −$159K)−$197,002

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 Score0.4274same
Payment reduction decisionYessame
Payment cut1%same
Estimated HAC cut estimate$222Ksame

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 0.4274 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 $222K, 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 900.9686 or lower
CLABSI0.971 or lower
CAUTI0.216 or lower
SSI1.949 or lower
CDI0.399 or lower
MRSA0.194 or lower

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.

CMS 1.0101 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1164

CMS 1.096 · median 0.559 · cap 1.572 · each 0.1 = 0.0387

CMS 0.337 · median 0.489 · cap 1.537 · each 0.1 = 0.0402

CMS 3.200 · median 0.795 · cap 2.118 · each 0.1 = 0.0286

CMS 0.474 · median 0.346 · cap 0.944 · each 0.1 = 0.0645

CMS 0.333 · median 0.641 · cap 1.762 · each 0.1 = 0.0348

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Figure 5. SSI added the most to this hospital’s Total HAC Score of 0.4274 among its measured results: +0.3620.
  • PSI 90 +0.0252
  • CLABSI +0.1893
  • CAUTI −0.0844
  • SSI +0.3620
  • CDI +0.0622
  • MRSA −0.1269

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
MeasureZ-scorePart of the scoreHypothetical
PSI 900.1510+0.0252same
CLABSI1.1360+0.1893same
CAUTI−0.5063−0.0844same
SSI2.1717+0.3620same
CDI0.3732+0.0622same
MRSA−0.7613−0.1269same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/110184/

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 6. CMS cut this hospital in 1 of the 11 years it made a decision.
highest middle lowest z‑scoresequal weights no scores FY2015: score 6.0500, higher than 60% of scores; not cutFY2016: score 6.0000, higher than 56% of scores; not cutFY2017: score 6.4900, higher than 74% of scores; not cutFY2018: score −0.3952, higher than 25% of scores; not cutFY2019: score −0.3912, higher than 25% of scores; not cutFY2020: score −0.0703, higher than 46% of scores; not cutFY2021: score 0.0037, higher than 52% of scores; not cutFY2022: score 0.0833, higher than 60% of scores; not cutFY2024: score −0.0626, higher than 47% of scores; not cutFY2025: score −0.2218, higher than 36% of scores; not cutFY2026: score 0.4274, higher than 76% of scores; cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 6.0500, higher than 60% of scores; not cutFY2016: score 6.0000, higher than 56% of scores; not cutFY2017: score 6.4900, higher than 74% of scores; not cutFY2018: score −0.3952, higher than 25% of scores; not cutFY2019: score −0.3912, higher than 25% of scores; not cutFY2020: score −0.0703, higher than 46% of scores; not cutFY2021: score 0.0037, higher than 52% of scores; not cutFY2022: score 0.0833, higher than 60% of scores; not cutFY2024: score −0.0626, higher than 47% of scores; not cutFY2025: score −0.2218, higher than 36% of scores; not cutFY2026: score 0.4274, higher than 76% 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
FY20156.050060.8%not cut
FY20166.000056.2%not cut
FY20176.490074.5%not cut
FY2018−0.395225.7%not cut
FY2019−0.391225.9%not cut
FY2020−0.070346.4%not cut
FY20210.003752.6%not cut
FY20220.083360.9%not cut
FY2023no decision
FY2024−0.062647.9%not cut
FY2025−0.221836.5%not cut
FY20260.427476.9%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. 0 of its 5 infection measures ended lower than they started.
CLABSI 1.23 → 1.66 1as predicted 0 ’18’21’24 Nation’s middle CLABSI, 2017: 1.228CLABSI, 2018: 1.262CLABSI, 2019: 1.022CLABSI, 2021: 1.929CLABSI, 2022: 1.189CLABSI, 2023: 0.575CLABSI, 2024: 1.661 CAUTI 0.29 → 0.44 1 0 ’18’21’24 CAUTI, 2017: 0.294CAUTI, 2018: 0.953CAUTI, 2019: 1.778CAUTI, 2021: 0.672CAUTI, 2022: 1.014CAUTI, 2023: 0.228CAUTI, 2024: 0.443 SSI, colon 2.04 → 5.39 1 0 ’18’21’24 SSI, colon, 2017: 2.042SSI, colon, 2018: 0.894SSI, colon, 2019: 1.507SSI, colon, 2021: 1.781SSI, colon, 2022: 0.448SSI, colon, 2023: 1.048SSI, colon, 2024: 5.395 MRSA 0.00 → 0.74 1 0 ’18’21’24 MRSA, 2017: 0.000MRSA, 2018: 1.506MRSA, 2019: 0.000MRSA, 2021: 1.305MRSA, 2022: 1.175MRSA, 2023: 0.000MRSA, 2024: 0.739 C. diff 0.10 → 0.35 1 0 ’18’21’24 C. diff, 2017: 0.105C. diff, 2018: 0.000C. diff, 2019: 0.170C. diff, 2021: 0.000C. diff, 2022: 0.384C. diff, 2023: 0.600C. diff, 2024: 0.346 CLABSI 1.23 → 1.66 1as predicted 0 ’18’20’22’24 Nation’s middle CLABSI, 2017: 1.228CLABSI, 2018: 1.262CLABSI, 2019: 1.022CLABSI, 2021: 1.929CLABSI, 2022: 1.189CLABSI, 2023: 0.575CLABSI, 2024: 1.661 CAUTI 0.29 → 0.44 1 0 ’18’20’22’24 CAUTI, 2017: 0.294CAUTI, 2018: 0.953CAUTI, 2019: 1.778CAUTI, 2021: 0.672CAUTI, 2022: 1.014CAUTI, 2023: 0.228CAUTI, 2024: 0.443 SSI, colon 2.04 → 5.39 1 0 ’18’20’22’24 SSI, colon, 2017: 2.042SSI, colon, 2018: 0.894SSI, colon, 2019: 1.507SSI, colon, 2021: 1.781SSI, colon, 2022: 0.448SSI, colon, 2023: 1.048SSI, colon, 2024: 5.395 MRSA 0.00 → 0.74 1 0 ’18’20’22’24 MRSA, 2017: 0.000MRSA, 2018: 1.506MRSA, 2019: 0.000MRSA, 2021: 1.305MRSA, 2022: 1.175MRSA, 2023: 0.000MRSA, 2024: 0.739 C. diff 0.10 → 0.35 1 0 ’18’20’22’24 C. diff, 2017: 0.105C. diff, 2018: 0.000C. diff, 2019: 0.170C. diff, 2021: 0.000C. diff, 2022: 0.384C. diff, 2023: 0.600C. diff, 2024: 0.346

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 yearCLABSICAUTISSI, colonMRSAC. diff
20171.2280.2942.0420.0000.105
20181.2620.9530.8941.5060.000
20191.0221.7781.5070.0000.170
20211.9290.6721.7811.3050.000
20221.1891.0140.4481.1750.384
20230.5750.2281.0480.0000.600
20241.6610.4435.3950.7390.346

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 Georgia, its score is higher than 72% of the other 88 scored there.

In Atlanta-Sandy Springs-Roswell, GA area, its score is higher than 71% of the other 28 scored there.

Figure 8. Its score is above the middle in all 8 groups it belongs to; the share cut runs from 21% (Minor teaching) to 38% (Atlanta-Sandy Springs-Roswell, GA area).
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 Georgia: CMS cut 27 of 89 (30%); middle score 0.0932Georgia 89 hospitals30% cut Atlanta-Sandy Springs-Roswell, GA area: CMS cut 11 of 29 (38%); middle score 0.1550Atlanta-Sandy Springs-Roswell, GA area29 hospitals38% cut Minor teaching: CMS cut 181 of 873 (21%); middle score −0.0567Minor teaching 873 hospitals21% cut Fewer than 100 beds: CMS cut 225 of 805 (28%); middle score −0.1154Fewer than 100 beds 805 hospitals28% cut Nonprofit: CMS cut 478 of 1,830 (26%); middle score −0.0134Nonprofit 1,830 hospitals26% 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: 0.4274 This hospital 0.4274 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 Georgia: CMS cut 27 of 89 (30%); middle score 0.0932Georgia89 hospitals30% cut Atlanta-Sandy Springs-Roswell, GA area: CMS cut 11 of 29 (38%); middle score 0.1550Atlanta-Sandy Springs-Roswell, GA area29 hospitals38% cut Minor teaching: CMS cut 181 of 873 (21%); middle score −0.0567Minor teaching873 hospitals21% cut Fewer than 100 beds: CMS cut 225 of 805 (28%); middle score −0.1154Fewer than 100 beds805 hospitals28% cut Nonprofit: CMS cut 478 of 1,830 (26%); middle score −0.0134Nonprofit1,830 hospitals26% 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: 0.4274 This hospital 0.4274

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%−0.045376%
South region1,17426322%−0.105678%
Georgia892730%0.093272%
Atlanta-Sandy Springs-Roswell, GA area291138%0.155071%
Minor teaching87318121%−0.056780%
Fewer than 100 beds80522528%−0.115472%
Nonprofit1,83047826%−0.013475%
Urban2,24151023%−0.057479%
This hospital0.4274
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 2 of the 8 nearest hospitals; the closest is 11 miles away.
5 mi10 mi8. Southeastern Regional Medical Center, Inc, Newnan: score 0.1550, not cut, 22 miles87. Grady Memorial Hospital, Atlanta: score 0.4513, cut, 20 miles76. Emory University Hospital Midtown, Atlanta: score 0.7132, cut, 20 miles65. Piedmont Hospital, Inc, Atlanta: score −0.3183, not cut, 20 miles54. Wellstar Kennestone Regional Medical Center, Marietta: score −0.0488, not cut, 19 miles43. Wellstar Paulding Medical Center, Hiram: score −0.0620, not cut, 12 miles32. Wellstar Cobb Medical Center, Austell: score 0.1440, not cut, 11 miles21. Tanner Medical Center Villa Rica, Villa Rica: score −0.5838, not cut, 11 miles1This hospital: Wellstar Douglas Medical Center

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

Show table
HospitalMilesScoreDecision
Tanner Medical Center Villa Rica, Villa Rica, GA11−0.5838not cut
Wellstar Cobb Medical Center, Austell, GA110.1440not cut
Wellstar Paulding Medical Center, Hiram, GA12−0.0620not cut
Wellstar Kennestone Regional Medical Center, Marietta, GA19−0.0488not cut
Piedmont Hospital, Inc, Atlanta, GA20−0.3183not cut
Emory University Hospital Midtown, Atlanta, GA200.7132cut
Grady Memorial Hospital, Atlanta, GA200.4513cut
Southeastern Regional Medical Center, Inc, Newnan, GA220.1550not cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1Tanner Medical Center Villa RicaVilla Rica, GA11−0.5838No cut$0Above the national median on 1 of 5 measures
2Wellstar Cobb Medical CenterAustell, GA110.1440No cut$0Above the national median on 5 of 6 measures
3Wellstar Paulding Medical CenterHiram, GA12−0.0620No cut$0Above the national median on 3 of 6 measures
4Wellstar Kennestone Regional Medical CenterMarietta, GA19−0.0488No cut$0Above the national median on 4 of 6 measures
5Piedmont Hospital, IncAtlanta, GA20−0.3183No cut$0Above the national median on 3 of 6 measures
6Emory University Hospital MidtownAtlanta, GA200.71321% cut$881KAbove the national median on 4 of 6 measures
7Grady Memorial HospitalAtlanta, GA200.45131% cut$1.6MAbove the national median on 4 of 6 measures
8Southeastern Regional Medical Center, IncNewnan, GA220.1550No cut$0Above the national median on 2 of 3 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. Wellstar Douglas Medical Center, Douglasville, GA: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/110184/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.