P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalSSM St Clare Health Center Estimated FY2026 net: −$179K×

Hospital record · FY2026CCN 260081

1Hospital

SSM St Clare Health Center

2Location

Fenton, MO (Missouri’s hospitals on the map and in the table) 63026

St. Louis County

3Type

Not a teaching hospital · 180 beds · Nonprofit · Urban · Rural referral center

4Care Compare stars

4 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

0.3141

As CMS reports it

6Payment reduction

No cut
CMS’s value: No

7Estimated cut

$0
A cut would have been $276K, likely $210⁠–⁠347K estimate

No cut

$0

from this program

For fiscal year 2026, CMS reports a Total HAC Score of 0.3141 for SSM St Clare Health Center and a payment reduction decision of No.

A cut would have taken about $276K estimate 1% of about $27.6M, this site’s estimate of what traditional Medicare pays it for inpatient stays in a year. Its score was 0.0658 under 0.3799, the lowest score CMS cut.

Likely range $210–347K

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.

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: 0.3141 This hospital 0.3141 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: 0.3141 This hospital 0.3141

Higher than 71% of the other 2,928 scores CMS published (higher is worse).

Its record, fiscal years 2015 to 2026 Cut in 3 of 11 years

  1. 15No
  2. 16No
  3. 17No
  4. 18Cut
  5. 19No
  6. 20No
  7. 21No
  8. 22No
  9. 23—
  10. 24Cut
  11. 25Cut
  12. 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 MRSA down to the national median (0.641) would lower the score the most: by 0.3730, to −0.0589. Try it in the what-if

Figure 1. Of its 6 measures with a value, this hospital is above the national median on 4; MRSA 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 81% 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 value1.0987

    Z-score0.7695

    Part of score+0.1283

  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 71% of the other 2,181 hospitals

    CMS value0.810

    Z-score0.4725

    Part of score+0.0788

  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 80% of the other 2,354 hospitals

    CMS value0.186

    Z-score−0.8703

    Part of score−0.1450

  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 66% of the other 2,269 hospitals

    CMS value1.037

    Z-score0.3199

    Part of score+0.0533

  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 81% 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 value0.138

    Z-score−0.9278

    Part of score−0.1546

  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.

    added the most

    MRSA bloodstream infections

    Worse than 94% of the other 2,067 hospitals

    CMS value1.712

    Z-score2.1206

    Part of score+0.3534

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

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 901.09870.96230.7695+0.1283Worse than 81% of the other 2,808 hospitals
CLABSI0.8100.5590.4725+0.0788Worse than 71% of the other 2,181 hospitals
CAUTI0.1860.489−0.8703−0.1450Better than 80% of the other 2,354 hospitals
SSI1.0370.7950.3199+0.0533Worse than 66% of the other 2,269 hospitals
CDI0.1380.346−0.9278−0.1546Better than 81% of the other 2,766 hospitals
MRSA1.7120.6412.1206+0.3534Worse than 94% 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.

(0.7695PSI 90+0.4725CLABSI−0.8703CAUTI+0.3199SSI−0.9278CDI+2.1206MRSA)÷6measures=0.3141Total HAC Score

This hospital’s score is 0.0658 below 0.3799, the lowest score CMS marked Yes. (This site recomputes.)

Figure 2. The parts add up to 0.3141, below CMS’s line.
1% cut PSI 90: z‑score 0.7695 divided by 6 = +0.1283PSI 90+0.1283 CLABSI: z‑score 0.4725 divided by 6 = +0.0788CLABSI+0.0788 CAUTI: z‑score −0.8703 divided by 6 = −0.1450CAUTI−0.1450 SSI: z‑score 0.3199 divided by 6 = +0.0533SSI+0.0533 CDI: z‑score −0.9278 divided by 6 = −0.1546CDI−0.1546 MRSA: z‑score 2.1206 divided by 6 = +0.3534MRSA+0.3534 Total HAC Score: 0.3141Score0.3141 CMS’s line: between 0.3792 and 0.3799 CMS’s line −0.10.00.10.20.30.4 1% cut PSI 90: z‑score 0.7695 divided by 6 = +0.1283PSI 90+0.1283 CLABSI: z‑score 0.4725 divided by 6 = +0.0788CLABSI+0.0788 CAUTI: z‑score −0.8703 divided by 6 = −0.1450CAUTI−0.1450 SSI: z‑score 0.3199 divided by 6 = +0.0533SSI+0.0533 CDI: z‑score −0.9278 divided by 6 = −0.1546CDI−0.1546 MRSA: z‑score 2.1206 divided by 6 = +0.3534MRSA+0.3534 Total HAC Score: 0.3141Score0.3141 CMS’s line: between 0.3792 and 0.3799 CMS’s line −0.10.00.10.20.30.4

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 900.7695+0.12830.1283
CLABSI0.4725+0.07880.2071
CAUTI−0.8703−0.14500.0621
SSI0.3199+0.05330.1154
CDI−0.9278−0.1546−0.0392
MRSA2.1206+0.35340.3142
Total HAC Score0.3141
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, 0.0658 under the lowest score CMS cut, costs it nothing; 0.0658 higher, the cut would have been about $276K 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 $276K at any score from 0.3799 $0at any score up to 0.3792 $276K at any score from 0.3799 −1012 CMS’s highest score: 2.3133 CMS’s highest score 2.3133 This hospital: 0.3141 This hospital 0.3141 CMS’s line $0 at any score up to 0.3792 $276K at any score from 0.3799 $0at any score up to 0.3792 $276Kat 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: 0.3141 This hospital 0.3141

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−$275,780
This hospital0.3141$0
CMS’s highest score2.3133−$275,780

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.

($27,757,167payment−$86,461readmissions−$92,695value-based)×1%the cut=$275,780at stake

$275,780at stake÷2,170traditional Medicare stays=$127per traditional Medicare stay

Figure 4. No HAC cut this year; 1% of the hospital’s whole inpatient payment would have been about $276K by this site’s estimate. The readmissions and value-based adjustments, on the base alone, came to −$86K and −$93K.

Estimated Medicare inpatient payments · FY2026 estimate

What traditional Medicare pays it for inpatient stays
DRG payments at the federal rates the base $23,367,746
Many low-income patients (disproportionate share) $187,176
Outliers: unusually costly stays $3,271
Capital: buildings and equipment $1,869,609
Uncompensated care $2,329,365
Total, before the three programs $27,757,167
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (0.9963 − 1) −$86,461
Value-based purchasing (HVBP) base × (0.9960 − 1) −$92,695
After these two $27,578,011
HAC Reduction Program no cut; 1% would have been $275,780 $0
Net of the three programs likely −$211K to −$144K −$179,156

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)$23,367,746
Many low-income patients (disproportionate share)$187,176
Outliers: unusually costly stays$3,271
Capital: buildings and equipment$1,869,609
Uncompensated care$2,329,365
Total, before the three programs$27,757,167
Readmissions (HRRP) (base × (0.9963 − 1))−$86,461
Value-based purchasing (HVBP) (base × (0.9960 − 1))−$92,695
After these two$27,578,011
HAC Reduction Program (no cut; 1% would have been $275,780)$0
Net of the three programs (likely −$211K to −$144K)−$179,156

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 Score0.3141same
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 0.3141 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 $276K 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
PSI 90up to 1.1545
CLABSIup to 0.978
CAUTIup to 0.348
SSIup to 1.264
CDIup to 0.238
MRSAany value: every MRSA value past the cap (1.762) scores the same

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 1.0987 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1164

CMS 0.810 · median 0.559 · cap 1.572 · each 0.1 = 0.0387

CMS 0.186 · median 0.489 · cap 1.537 · each 0.1 = 0.0402

CMS 1.037 · median 0.795 · cap 2.118 · each 0.1 = 0.0286

CMS 0.138 · median 0.346 · cap 0.944 · each 0.1 = 0.0645

CMS 1.712 · median 0.641 · cap 1.762 · each 0.1 = 0.0348

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Figure 5. MRSA added the most to this hospital’s Total HAC Score of 0.3141 among its measured results: +0.3534.
  • PSI 90 +0.1283
  • CLABSI +0.0788
  • CAUTI −0.1450
  • SSI +0.0533
  • CDI −0.1546
  • MRSA +0.3534

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 900.7695+0.1283same
CLABSI0.4725+0.0788same
CAUTI−0.8703−0.1450same
SSI0.3199+0.0533same
CDI−0.9278−0.1546same
MRSA2.1206+0.3534same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/260081/

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 3 of the 11 years it made a decision.
highest middle lowest z‑scoresequal weights no scores FY2015: score 4.7000, higher than 36% of scores; not cutFY2016: score 3.7500, higher than 19% of scores; not cutFY2017: score 6.0600, higher than 65% of scores; not cutFY2018: score 0.6959, higher than 88% of scores; cutFY2019: score 0.107, higher than 61% of scores; not cutFY2020: score 0.0025, higher than 52% of scores; not cutFY2021: score −0.2584, higher than 33% of scores; not cutFY2022: score −0.6362, higher than 14% of scores; not cutFY2024: score 0.6796, higher than 85% of scores; cutFY2025: score 0.5230, higher than 82% of scores; cutFY2026: score 0.3141, higher than 71% of scores; not cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 4.7000, higher than 36% of scores; not cutFY2016: score 3.7500, higher than 19% of scores; not cutFY2017: score 6.0600, higher than 65% of scores; not cutFY2018: score 0.6959, higher than 88% of scores; cutFY2019: score 0.107, higher than 61% of scores; not cutFY2020: score 0.0025, higher than 52% of scores; not cutFY2021: score −0.2584, higher than 33% of scores; not cutFY2022: score −0.6362, higher than 14% of scores; not cutFY2024: score 0.6796, higher than 85% of scores; cutFY2025: score 0.5230, higher than 82% of scores; cutFY2026: score 0.3141, higher than 71% 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
FY20154.700036.7%not cut
FY20163.750019.6%not cut
FY20176.060065.0%not cut
FY20180.695988.2%cut
FY20190.10761.2%not cut
FY20200.002552.8%not cut
FY2021−0.258433.7%not cut
FY2022−0.636214.3%not cut
FY2023no decision
FY20240.679685.9%cut
FY20250.523082.2%cut
FY20260.314171.4%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. 2 of its 5 infection measures ended lower than they started.
CLABSI 0.32 → 0.42 1as predicted 0 ’18’21’24 Nation’s middle CLABSI, 2017: 0.323CLABSI, 2018: 0.000CLABSI, 2019: 0.251CLABSI, 2021: 0.628CLABSI, 2022: 2.764CLABSI, 2023: 1.162CLABSI, 2024: 0.424 CAUTI 1.07 → 0.00 1 0 ’18’21’24 CAUTI, 2017: 1.074CAUTI, 2018: 0.614CAUTI, 2019: 0.246CAUTI, 2021: 1.214CAUTI, 2022: 1.970CAUTI, 2023: 0.357CAUTI, 2024: 0.000 SSI, colon 0.49 → 1.17 1 0 ’18’21’24 SSI, colon, 2017: 0.491SSI, colon, 2018: 0.000SSI, colon, 2019: 0.000SSI, colon, 2021: 0.991SSI, colon, 2022: 0.858SSI, colon, 2023: 0.560SSI, colon, 2024: 1.172 MRSA 0.45 → 2.36 1 0 ’18’21’24 MRSA, 2017: 0.454MRSA, 2018: 1.213MRSA, 2019: 0.564MRSA, 2021: 1.073MRSA, 2022: 1.456MRSA, 2023: 1.175MRSA, 2024: 2.360 C. diff 0.42 → 0.07 1 0 ’18’21’24 C. diff, 2017: 0.423C. diff, 2018: 0.862C. diff, 2019: 0.558C. diff, 2021: 0.573C. diff, 2022: 0.401C. diff, 2023: 0.202C. diff, 2024: 0.071 CLABSI 0.32 → 0.42 1as predicted 0 ’18’20’22’24 Nation’s middle CLABSI, 2017: 0.323CLABSI, 2018: 0.000CLABSI, 2019: 0.251CLABSI, 2021: 0.628CLABSI, 2022: 2.764CLABSI, 2023: 1.162CLABSI, 2024: 0.424 CAUTI 1.07 → 0.00 1 0 ’18’20’22’24 CAUTI, 2017: 1.074CAUTI, 2018: 0.614CAUTI, 2019: 0.246CAUTI, 2021: 1.214CAUTI, 2022: 1.970CAUTI, 2023: 0.357CAUTI, 2024: 0.000 SSI, colon 0.49 → 1.17 1 0 ’18’20’22’24 SSI, colon, 2017: 0.491SSI, colon, 2018: 0.000SSI, colon, 2019: 0.000SSI, colon, 2021: 0.991SSI, colon, 2022: 0.858SSI, colon, 2023: 0.560SSI, colon, 2024: 1.172 MRSA 0.45 → 2.36 1 0 ’18’20’22’24 MRSA, 2017: 0.454MRSA, 2018: 1.213MRSA, 2019: 0.564MRSA, 2021: 1.073MRSA, 2022: 1.456MRSA, 2023: 1.175MRSA, 2024: 2.360 C. diff 0.42 → 0.07 1 0 ’18’20’22’24 C. diff, 2017: 0.423C. diff, 2018: 0.862C. diff, 2019: 0.558C. diff, 2021: 0.573C. diff, 2022: 0.401C. diff, 2023: 0.202C. diff, 2024: 0.071

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
20170.3231.0740.4910.4540.423
20180.0000.6140.0001.2130.862
20190.2510.2460.0000.5640.558
20210.6281.2140.9911.0730.573
20222.7641.9700.8581.4560.401
20231.1620.3570.5601.1750.202
20240.4240.0001.1722.3600.071

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 Missouri, its score is higher than 80% of the other 61 scored there.

In St. Louis, MO-IL area, its score is higher than 80% of the other 26 scored there.

Figure 8. Its score is above the middle in all 8 groups it belongs to; the share cut runs from 11% (St. Louis, MO-IL area) to 26% (Nonprofit).
All hospitals: CMS cut 718 of 2,886 (25%); middle score −0.0453All hospitals 2,886 hospitals25% cut Midwest region: CMS cut 174 of 683 (25%); middle score −0.0268Midwest region 683 hospitals25% cut Missouri: CMS cut 9 of 62 (15%); middle score 0.0016Missouri 62 hospitals15% cut St. Louis, MO-IL area: CMS cut 3 of 27 (11%); middle score −0.1591St. Louis, MO-IL area 27 hospitals11% cut Not teaching: CMS cut 389 of 1,563 (25%); middle score −0.1053Not teaching 1,563 hospitals25% cut 100 to 299 beds: CMS cut 275 of 1,193 (23%); middle score −0.0732100 to 299 beds 1,193 hospitals23% 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: 0.3141 This hospital 0.3141 All hospitals: CMS cut 718 of 2,886 (25%); middle score −0.0453All hospitals2,886 hospitals25% cut Midwest region: CMS cut 174 of 683 (25%); middle score −0.0268Midwest region683 hospitals25% cut Missouri: CMS cut 9 of 62 (15%); middle score 0.0016Missouri62 hospitals15% cut St. Louis, MO-IL area: CMS cut 3 of 27 (11%); middle score −0.1591St. Louis, MO-IL area27 hospitals11% cut Not teaching: CMS cut 389 of 1,563 (25%); middle score −0.1053Not teaching1,563 hospitals25% cut 100 to 299 beds: CMS cut 275 of 1,193 (23%); middle score −0.0732100 to 299 beds1,193 hospitals23% 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: 0.3141 This hospital 0.3141

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%−0.045371%
Midwest region68317425%−0.026870%
Missouri62915%0.001680%
St. Louis, MO-IL area27311%−0.159180%
Not teaching1,56338925%−0.105372%
100 to 299 beds1,19327523%−0.073272%
Nonprofit1,83047826%−0.013470%
Urban2,24151023%−0.057473%
This hospital0.3141
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 1 of the 8 nearest hospitals; the closest is 4 miles away.
5 mi10 mi8. Barnes Jewish Hospital, Saint Louis: score 0.5249, cut, 13 miles87. SSM Health St Mary's Hospital - St Louis, Saint Louis: score −0.0729, not cut, 12 miles76. Barnes-Jewish West County Hospital, Creve Coeur: score −0.6126, not cut, 10 miles65. Mercy Hospital St Louis, Saint Louis: score −0.3496, not cut, 9 miles54. St Lukes Hospital, Chesterfield: score −0.1933, not cut, 9 miles43. Missouri Baptist Medical Center, Saint Louis: score −0.2793, not cut, 8 miles32. Mercy Hospital South, Saint Louis: score −0.1816, not cut, 5 miles21. St Luke's Des Peres Hospital, Saint Louis: score −0.5786, not cut, 4 miles1This hospital: SSM St Clare Health Center

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

Show table
HospitalMilesScoreDecision
St Luke's Des Peres Hospital, Saint Louis, MO4−0.5786not cut
Mercy Hospital South, Saint Louis, MO5−0.1816not cut
Missouri Baptist Medical Center, Saint Louis, MO8−0.2793not cut
St Lukes Hospital, Chesterfield, MO9−0.1933not cut
Mercy Hospital St Louis, Saint Louis, MO9−0.3496not cut
Barnes-Jewish West County Hospital, Creve Coeur, MO10−0.6126not cut
SSM Health St Mary's Hospital - St Louis, Saint Louis, MO12−0.0729not cut
Barnes Jewish Hospital, Saint Louis, MO130.5249cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1St Luke's Des Peres HospitalSaint Louis, MO4−0.5786No cut$0Above the national median on 2 of 4 measures
2Mercy Hospital SouthSaint Louis, MO5−0.1816No cut$0Above the national median on 3 of 6 measures
3Missouri Baptist Medical CenterSaint Louis, MO8−0.2793No cut$0Above the national median on 3 of 6 measures
4St Lukes HospitalChesterfield, MO9−0.1933No cut$0Above the national median on 1 of 6 measures
5Mercy Hospital St LouisSaint Louis, MO9−0.3496No cut$0Above the national median on 1 of 6 measures
6Barnes-Jewish West County HospitalCreve Coeur, MO10−0.6126No cut$0Above the national median on 1 of 5 measures
7SSM Health St Mary's Hospital - St LouisSaint Louis, MO12−0.0729No cut$0Above the national median on 3 of 6 measures
8Barnes Jewish HospitalSaint Louis, MO130.52491% cut$4.0MAbove the national median on 6 of 6 measures

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

How the program works, and how to find another hospital

A penalty reflects how CMS’s formula scored relative performance; it is not a verdict on the quality of care.

Cite this page

Paid & Penalized. SSM St Clare Health Center, Fenton, MO: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/260081/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.