P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalKing's Daughters' Medical Center Estimated FY2026 net: −$1.0M×

Hospital record · FY2026CCN 180009

1Hospital

King's Daughters' Medical Center

2Location

Ashland, KY (Kentucky’s hospitals on the map and in the table) 41101

Boyd County

3Type

Not a teaching hospital · 455 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

0.5316

As CMS reports it

6Payment reduction

1% cut
CMS’s value: Yes

7Estimated cut

$564K estimate
Likely $459⁠–⁠613K; about $133 per traditional Medicare stay

Cut 1%

$564K

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

For fiscal year 2026, CMS reports a Total HAC Score of 0.5316 for King's Daughters' Medical Center and a payment reduction decision of Yes.

That is 1% of about $56.4M, 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 $133 per traditional Medicare stay.

Likely range $459–613K

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: 0.5316 This hospital 0.5316 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: 0.5316 This hospital 0.5316

Higher than 81% 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 PSI 90 down to the national median (0.9623) would lower the score the most: by 0.2007, to 0.3309. 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 6; PSI 90 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.

    added the most

    Patient safety and adverse events composite

    Worse than 84% 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 value1.1348

    Z-score1.0214

    Part of score+0.1702

  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 73% of the other 2,181 hospitals

    CMS value0.835

    Z-score0.5305

    Part of score+0.0884

  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

    Worse than 66% of the other 2,354 hospitals

    CMS value0.648

    Z-score0.2434

    Part of score+0.0406

  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

    Worse than 80% of the other 2,269 hospitals

    CMS value1.342

    Z-score0.8424

    Part of score+0.1404

  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 69% 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 value0.483

    Z-score0.4080

    Part of score+0.0680

  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

    Worse than 61% of the other 2,067 hospitals

    CMS value0.766

    Z-score0.1436

    Part of score+0.0239

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

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 901.13480.96231.0214+0.1702Worse than 84% of the other 2,808 hospitals
CLABSI0.8350.5590.5305+0.0884Worse than 73% of the other 2,181 hospitals
CAUTI0.6480.4890.2434+0.0406Worse than 66% of the other 2,354 hospitals
SSI1.3420.7950.8424+0.1404Worse than 80% of the other 2,269 hospitals
CDI0.4830.3460.4080+0.0680Worse than 69% of the other 2,766 hospitals
MRSA0.7660.6410.1436+0.0239Worse than 61% 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.

(1.0214PSI 90+0.5305CLABSI+0.2434CAUTI+0.8424SSI+0.4080CDI+0.1436MRSA)÷6measures=0.5316Total HAC Score

This hospital’s score is 0.1524 above 0.3792, the highest score CMS marked No. (This site recomputes.)

Figure 2. The parts add up to 0.5316, above CMS’s line.
1% cut PSI 90: z‑score 1.0214 divided by 6 = +0.1702PSI 90+0.1702 CLABSI: z‑score 0.5305 divided by 6 = +0.0884CLABSI+0.0884 CAUTI: z‑score 0.2434 divided by 6 = +0.0406CAUTI+0.0406 SSI: z‑score 0.8424 divided by 6 = +0.1404SSI+0.1404 CDI: z‑score 0.4080 divided by 6 = +0.0680CDI+0.0680 MRSA: z‑score 0.1436 divided by 6 = +0.0239MRSA+0.0239 Total HAC Score: 0.5316Score0.5316 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 1.0214 divided by 6 = +0.1702PSI 90+0.1702 CLABSI: z‑score 0.5305 divided by 6 = +0.0884CLABSI+0.0884 CAUTI: z‑score 0.2434 divided by 6 = +0.0406CAUTI+0.0406 SSI: z‑score 0.8424 divided by 6 = +0.1404SSI+0.1404 CDI: z‑score 0.4080 divided by 6 = +0.0680CDI+0.0680 MRSA: z‑score 0.1436 divided by 6 = +0.0239MRSA+0.0239 Total HAC Score: 0.5316Score0.5316 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 901.0214+0.17020.1702
CLABSI0.5305+0.08840.2586
CAUTI0.2434+0.04060.2992
SSI0.8424+0.14040.4396
CDI0.4080+0.06800.5076
MRSA0.1436+0.02390.5315
Total HAC Score0.5316
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, 0.1524 over the highest score CMS didn’t cut, costs it about $564K 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 $564K at any score from 0.3799 $0at any score up to 0.3792 $564K at any score from 0.3799 −1012 CMS’s highest score: 2.3133 This hospital: 0.5316 This hospital 0.5316 CMS’s line $0 at any score up to 0.3792 $564K at any score from 0.3799 $0at any score up to 0.3792 $564Kat 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: 0.5316 This hospital 0.5316

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−$563,800
This hospital0.5316−$563,800
CMS’s highest score2.3133−$563,800

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.

($56,741,763payment+$95,469teaching, MA stays−$255,746readmissions−$201,477value-based)×1%the cut=$563,800HAC cut

$563,800HAC cut÷4,234traditional Medicare stays=$133per traditional Medicare stay

Figure 4. This site estimates the HAC cut at $564K: 1% of the hospital’s whole inpatient payment, taken last. The readmissions and value-based adjustments, on the base alone, came to −$256K and −$201K.

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 $47,360,461
Teaching (indirect medical education) $142,081
Teaching on Medicare Advantage stays $95,469
Many low-income patients (disproportionate share) $2,234,467
Outliers: unusually costly stays $632,262
Capital: buildings and equipment $3,981,422
Uncompensated care $2,391,070
Total, before the three programs $56,837,232
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (0.9946 − 1) −$255,746
Value-based purchasing (HVBP) base × (0.9957 − 1) −$201,477
After these two $56,380,009
HAC Reduction Program 1% of everything above; likely $459⁠–⁠613K −$563,800
Net of the three programs likely −$1.1M to −$883K −$1,021,023

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)$47,360,461
Teaching (indirect medical education)$142,081
Teaching on Medicare Advantage stays$95,469
Many low-income patients (disproportionate share)$2,234,467
Outliers: unusually costly stays$632,262
Capital: buildings and equipment$3,981,422
Uncompensated care$2,391,070
Total, before the three programs$56,837,232
Readmissions (HRRP) (base × (0.9946 − 1))−$255,746
Value-based purchasing (HVBP) (base × (0.9957 − 1))−$201,477
After these two$56,380,009
HAC Reduction Program (1% of everything above; likely $459–613K)−$563,800
Net of the three programs (likely −$1.1M to −$883K)−$1,021,023

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 Score0.5316same
Payment reduction decisionYessame
Payment cut1%same
Estimated HAC cut estimate$564Ksame

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 0.5316 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 $564K, 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 901.0037 or lower
CLABSI0.440 or lower
CAUTI0.268 or lower
SSI0.808 or lower
CDI0.246 or lower
MRSA0.328 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 1.1348 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1164

CMS 0.835 · median 0.559 · cap 1.572 · each 0.1 = 0.0387

CMS 0.648 · median 0.489 · cap 1.537 · each 0.1 = 0.0402

CMS 1.342 · median 0.795 · cap 2.118 · each 0.1 = 0.0286

CMS 0.483 · median 0.346 · cap 0.944 · each 0.1 = 0.0645

CMS 0.766 · median 0.641 · cap 1.762 · each 0.1 = 0.0348

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Figure 5. PSI 90 added the most to this hospital’s Total HAC Score of 0.5316 among its measured results: +0.1702.
  • PSI 90 +0.1702
  • CLABSI +0.0884
  • CAUTI +0.0406
  • SSI +0.1404
  • CDI +0.0680
  • MRSA +0.0239

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 901.0214+0.1702same
CLABSI0.5305+0.0884same
CAUTI0.2434+0.0406same
SSI0.8424+0.1404same
CDI0.4080+0.0680same
MRSA0.1436+0.0239same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/180009/

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 2.3500, higher than 8% of scores; not cutFY2016: score 4.5000, higher than 30% of scores; not cutFY2017: score 6.2500, higher than 68% of scores; not cutFY2018: score 0.1967, higher than 66% of scores; not cutFY2019: score −0.0155, higher than 50% of scores; not cutFY2020: score −0.0637, higher than 47% of scores; not cutFY2021: score 0.0120, higher than 53% of scores; not cutFY2022: score −0.0747, higher than 46% of scores; not cutFY2024: score −0.2157, higher than 37% of scores; not cutFY2025: score 0.2126, higher than 66% of scores; not cutFY2026: score 0.5316, higher than 81% of scores; cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 2.3500, higher than 8% of scores; not cutFY2016: score 4.5000, higher than 30% of scores; not cutFY2017: score 6.2500, higher than 68% of scores; not cutFY2018: score 0.1967, higher than 66% of scores; not cutFY2019: score −0.0155, higher than 50% of scores; not cutFY2020: score −0.0637, higher than 47% of scores; not cutFY2021: score 0.0120, higher than 53% of scores; not cutFY2022: score −0.0747, higher than 46% of scores; not cutFY2024: score −0.2157, higher than 37% of scores; not cutFY2025: score 0.2126, higher than 66% of scores; not cutFY2026: score 0.5316, higher than 81% 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
FY20152.35008.4%not cut
FY20164.500030.4%not cut
FY20176.250068.4%not cut
FY20180.196766.3%not cut
FY2019−0.015550.8%not cut
FY2020−0.063747.0%not cut
FY20210.012053.3%not cut
FY2022−0.074746.5%not cut
FY2023no decision
FY2024−0.215737.1%not cut
FY20250.212666.3%not cut
FY20260.531681.5%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. 4 of its 6 infection measures ended lower than they started.
CLABSI 0.24 → 0.86 1as predicted 0 ’18’21’24 Nation’s middle CLABSI, 2017: 0.245CLABSI, 2018: 0.961CLABSI, 2019: 1.007CLABSI, 2021: 1.557CLABSI, 2022: 0.934CLABSI, 2023: 0.802CLABSI, 2024: 0.864 CAUTI 0.29 → 0.76 1 0 ’18’21’24 CAUTI, 2017: 0.288CAUTI, 2018: 0.471CAUTI, 2019: 0.309CAUTI, 2021: 0.399CAUTI, 2022: 0.476CAUTI, 2023: 0.555CAUTI, 2024: 0.760 SSI, colon 1.26 → 0.93 1 0 ’18’21’24 SSI, colon, 2017: 1.262SSI, colon, 2018: 1.337SSI, colon, 2019: 0.973SSI, colon, 2021: 0.226SSI, colon, 2022: 0.791SSI, colon, 2023: 1.561SSI, colon, 2024: 0.928 SSI, hysterectomy 1.59 → 0.63 1 0 ’18’21’24 SSI, hysterectomy, 2017: 1.592SSI, hysterectomy, 2018: 0.486SSI, hysterectomy, 2019: 0.542SSI, hysterectomy, 2021: 0.632 MRSA 0.86 → 0.76 1 0 ’18’21’24 MRSA, 2017: 0.856MRSA, 2018: 1.121MRSA, 2019: 0.779MRSA, 2021: 0.952MRSA, 2022: 0.588MRSA, 2023: 0.771MRSA, 2024: 0.761 C. diff 0.81 → 0.33 1 0 ’18’21’24 C. diff, 2017: 0.814C. diff, 2018: 0.906C. diff, 2019: 0.665C. diff, 2021: 0.479C. diff, 2022: 0.697C. diff, 2023: 0.622C. diff, 2024: 0.327 CLABSI 0.24 → 0.86 1as predicted 0 ’18’20’22’24 Nation’s middle CLABSI, 2017: 0.245CLABSI, 2018: 0.961CLABSI, 2019: 1.007CLABSI, 2021: 1.557CLABSI, 2022: 0.934CLABSI, 2023: 0.802CLABSI, 2024: 0.864 CAUTI 0.29 → 0.76 1 0 ’18’20’22’24 CAUTI, 2017: 0.288CAUTI, 2018: 0.471CAUTI, 2019: 0.309CAUTI, 2021: 0.399CAUTI, 2022: 0.476CAUTI, 2023: 0.555CAUTI, 2024: 0.760 SSI, colon 1.26 → 0.93 1 0 ’18’20’22’24 SSI, colon, 2017: 1.262SSI, colon, 2018: 1.337SSI, colon, 2019: 0.973SSI, colon, 2021: 0.226SSI, colon, 2022: 0.791SSI, colon, 2023: 1.561SSI, colon, 2024: 0.928 SSI, hysterectomy 1.59 → 0.63 1 0 ’18’20’22’24 SSI, hysterectomy, 2017: 1.592SSI, hysterectomy, 2018: 0.486SSI, hysterectomy, 2019: 0.542SSI, hysterectomy, 2021: 0.632 MRSA 0.86 → 0.76 1 0 ’18’20’22’24 MRSA, 2017: 0.856MRSA, 2018: 1.121MRSA, 2019: 0.779MRSA, 2021: 0.952MRSA, 2022: 0.588MRSA, 2023: 0.771MRSA, 2024: 0.761 C. diff 0.81 → 0.33 1 0 ’18’20’22’24 C. diff, 2017: 0.814C. diff, 2018: 0.906C. diff, 2019: 0.665C. diff, 2021: 0.479C. diff, 2022: 0.697C. diff, 2023: 0.622C. diff, 2024: 0.327

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, colonSSI, hysterectomyMRSAC. diff
20170.2450.2881.2621.5920.8560.814
20180.9610.4711.3370.4861.1210.906
20191.0070.3090.9730.5420.7790.665
20211.5570.3990.2260.6320.9520.479
20220.9340.4760.7910.5880.697
20230.8020.5551.5610.7710.622
20240.8640.7600.9280.7610.327

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 Kentucky, its score is higher than 76% of the other 55 scored there.

Figure 8. Its score is above the middle in all 7 groups it belongs to; the share cut runs from 22% (300 to 499 beds) to 38% (Kentucky).
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 Kentucky: CMS cut 21 of 56 (38%); middle score 0.1861Kentucky 56 hospitals38% cut Not teaching: CMS cut 389 of 1,563 (25%); middle score −0.1053Not teaching 1,563 hospitals25% cut 300 to 499 beds: CMS cut 113 of 523 (22%); middle score −0.0384300 to 499 beds 523 hospitals22% 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: 0.5316 This hospital 0.5316 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 Kentucky: CMS cut 21 of 56 (38%); middle score 0.1861Kentucky56 hospitals38% cut Not teaching: CMS cut 389 of 1,563 (25%); middle score −0.1053Not teaching1,563 hospitals25% cut 300 to 499 beds: CMS cut 113 of 523 (22%); middle score −0.0384300 to 499 beds523 hospitals22% 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: 0.5316 This hospital 0.5316

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%−0.045381%
South region1,17426322%−0.105682%
Kentucky562138%0.186176%
Not teaching1,56338925%−0.105380%
300 to 499 beds52311322%−0.038486%
Nonprofit1,83047826%−0.013480%
Urban2,24151023%−0.057483%
This hospital0.5316
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 12 miles away.
5 mi10 mi25 mi8. Paintsville ARH Hospital, Paintsville: score −0.8061, not cut, 46 miles87. Rivers Health, Point Pleasant: score 0.1878, not cut, 39 miles76. Holzer Medical Center, Gallipolis: score 0.5814, cut, 34 miles65. Kings Daughters Medical Center Ohio, Portsmouth: score 0.0093, not cut, 27 miles54. Southern Ohio Medical Center, Portsmouth: score −0.4924, not cut, 27 miles43. Three Rivers Medical Center, Louisa: score −0.6938, not cut, 26 miles32. St Marys Medical Center, Huntington: score 0.7445, cut, 13 miles21. Cabell Huntington Hospital, Inc, Huntington: score 0.2526, not cut, 12 miles1This hospital: King's Daughters' Medical Center

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

Show table
HospitalMilesScoreDecision
Cabell Huntington Hospital, Inc, Huntington, WV120.2526not cut
St Marys Medical Center, Huntington, WV130.7445cut
Three Rivers Medical Center, Louisa, KY26−0.6938not cut
Southern Ohio Medical Center, Portsmouth, OH27−0.4924not cut
Kings Daughters Medical Center Ohio, Portsmouth, OH270.0093not cut
Holzer Medical Center, Gallipolis, OH340.5814cut
Rivers Health, Point Pleasant, WV390.1878not cut
Paintsville ARH Hospital, Paintsville, KY46−0.8061not cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1Cabell Huntington Hospital, IncHuntington, WV120.2526No cut$0Above the national median on 5 of 6 measures
2St Marys Medical CenterHuntington, WV130.74451% cut$633KAbove the national median on 4 of 6 measures
3Three Rivers Medical CenterLouisa, KY26−0.6938No cut$0Above the national median on 0 of 3 measures
4Southern Ohio Medical CenterPortsmouth, OH27−0.4924No cut$0Above the national median on 1 of 6 measures
5Kings Daughters Medical Center OhioPortsmouth, OH270.0093No cut$0Above the national median on 1 of 1 measures
6Holzer Medical CenterGallipolis, OH340.58141% cut$111KAbove the national median on 4 of 6 measures
7Rivers HealthPoint Pleasant, WV390.1878No cut$0Above the national median on 3 of 4 measures
8Paintsville ARH HospitalPaintsville, KY46−0.8061No cut$0Above the national median on 1 of 2 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. King's Daughters' Medical Center, Ashland, KY: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/180009/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.