P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalSaint Rose Dominican Hospitals - Siena Campus Estimated FY2026 net: −$1.1M×

Hospital record · FY2026CCN 290045

1Hospital

Saint Rose Dominican Hospitals - Siena Campus

2Location

Henderson, NV (Nevada’s hospitals on the map and in the table) 89052

Clark County

3Type

Minor teaching · 326 beds · Nonprofit · Urban · Rural referral center

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

0.0913

As CMS reports it

6Payment reduction

No cut
CMS’s value: No

7Estimated cut

$0
A cut would have been $819K, likely $667⁠–⁠890K estimate

No cut

$0

from this program

For fiscal year 2026, CMS reports a Total HAC Score of 0.0913 for Saint Rose Dominican Hospitals - Siena Campus and a payment reduction decision of No.

A cut would have taken about $819K estimate 1% of about $81.9M, 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. Its score was 0.2886 under 0.3799, the lowest score CMS cut.

Likely range $667–890K

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: 0.0913 This hospital 0.0913 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: 0.0913 This hospital 0.0913

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

Its record, fiscal years 2015 to 2026 Cut in 4 of 11 years

  1. 15Cut
  2. 16Cut
  3. 17No
  4. 18No
  5. 19No
  6. 20No
  7. 21Cut
  8. 22Cut
  9. 23—
  10. 24No
  11. 25No
  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 SSI down to the national median (0.795) would lower the score the most: by 0.1899, to −0.0986. 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 68% 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 value1.0188

    Z-score0.2120

    Part of score+0.0353

  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 66% of the other 2,181 hospitals

    CMS value0.741

    Z-score0.3125

    Part of score+0.0521

  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 56% of the other 2,354 hospitals

    CMS value0.431

    Z-score−0.2797

    Part of score−0.0466

  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 83% of the other 2,269 hospitals

    CMS value1.460

    Z-score1.0445

    Part of score+0.1741

  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 53% 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 value0.372

    Z-score−0.0218

    Part of score−0.0036

  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 75% of the other 2,067 hospitals

    CMS value0.353

    Z-score−0.7195

    Part of score−0.1199

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

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 901.01880.96230.2120+0.0353Worse than 68% of the other 2,808 hospitals
CLABSI0.7410.5590.3125+0.0521Worse than 66% of the other 2,181 hospitals
CAUTI0.4310.489−0.2797−0.0466Better than 56% of the other 2,354 hospitals
SSI1.4600.7951.0445+0.1741Worse than 83% of the other 2,269 hospitals
CDI0.3720.346−0.0218−0.0036Worse than 53% of the other 2,766 hospitals
MRSA0.3530.641−0.7195−0.1199Better than 75% 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.

(0.2120PSI 90+0.3125CLABSI−0.2797CAUTI+1.0445SSI−0.0218CDI−0.7195MRSA)÷6measures=0.0913Total HAC Score

This hospital’s score is 0.2886 below 0.3799, the lowest score CMS marked Yes. (This site recomputes.)

Figure 2. The parts add up to 0.0913, below CMS’s line.
1% cut PSI 90: z‑score 0.2120 divided by 6 = +0.0353PSI 90+0.0353 CLABSI: z‑score 0.3125 divided by 6 = +0.0521CLABSI+0.0521 CAUTI: z‑score −0.2797 divided by 6 = −0.0466CAUTI−0.0466 SSI: z‑score 1.0445 divided by 6 = +0.1741SSI+0.1741 CDI: z‑score −0.0218 divided by 6 = −0.0036CDI−0.0036 MRSA: z‑score −0.7195 divided by 6 = −0.1199MRSA−0.1199 Total HAC Score: 0.0913Score0.0913 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.10.20.30.4 1% cut PSI 90: z‑score 0.2120 divided by 6 = +0.0353PSI 90+0.0353 CLABSI: z‑score 0.3125 divided by 6 = +0.0521CLABSI+0.0521 CAUTI: z‑score −0.2797 divided by 6 = −0.0466CAUTI−0.0466 SSI: z‑score 1.0445 divided by 6 = +0.1741SSI+0.1741 CDI: z‑score −0.0218 divided by 6 = −0.0036CDI−0.0036 MRSA: z‑score −0.7195 divided by 6 = −0.1199MRSA−0.1199 Total HAC Score: 0.0913Score0.0913 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.10.20.30.4

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 900.2120+0.03530.0353
CLABSI0.3125+0.05210.0874
CAUTI−0.2797−0.04660.0408
SSI1.0445+0.17410.2149
CDI−0.0218−0.00360.2113
MRSA−0.7195−0.11990.0914
Total HAC Score0.0913
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, 0.2886 under the lowest score CMS cut, costs it nothing; 0.2886 higher, the cut would have been about $819K 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 $819K at any score from 0.3799 $0at any score up to 0.3792 $819K at any score from 0.3799 −1012 CMS’s highest score: 2.3133 CMS’s highest score 2.3133 This hospital: 0.0913 This hospital 0.0913 CMS’s line $0 at any score up to 0.3792 $819K at any score from 0.3799 $0at any score up to 0.3792 $819Kat 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: 0.0913 This hospital 0.0913

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−$819,388
This hospital0.0913$0
CMS’s highest score2.3133−$819,388

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.

($80,656,502payment+$2,339,311teaching, MA stays−$504,337readmissions−$552,707value-based)×1%the cut=$819,388at stake

$819,388at stake÷4,890traditional Medicare stays=$168per traditional Medicare stay

Figure 4. No HAC cut this year; 1% of the hospital’s whole inpatient payment would have been about $819K by this site’s estimate. The readmissions and value-based adjustments, on the base alone, came to −$504K and −$553K.

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 $67,244,926
Teaching (indirect medical education) $1,857,977
Teaching on Medicare Advantage stays $2,339,311
Many low-income patients (disproportionate share) $1,061,797
Outliers: unusually costly stays $1,096,092
Capital: buildings and equipment $5,546,859
Uncompensated care $3,848,851
Total, before the three programs $82,995,813
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (0.9925 − 1) −$504,337
Value-based purchasing (HVBP) base × (0.9918 − 1) −$552,707
After these two $81,938,769
HAC Reduction Program no cut; 1% would have been $819,388 $0
Net of the three programs likely −$1.2M to −$914K −$1,057,044

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)$67,244,926
Teaching (indirect medical education)$1,857,977
Teaching on Medicare Advantage stays$2,339,311
Many low-income patients (disproportionate share)$1,061,797
Outliers: unusually costly stays$1,096,092
Capital: buildings and equipment$5,546,859
Uncompensated care$3,848,851
Total, before the three programs$82,995,813
Readmissions (HRRP) (base × (0.9925 − 1))−$504,337
Value-based purchasing (HVBP) (base × (0.9918 − 1))−$552,707
After these two$81,938,769
HAC Reduction Program (no cut; 1% would have been $819,388)$0
Net of the three programs (likely −$1.2M to −$914K)−$1,057,044

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 Score0.0913same
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 0.0913 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 $819K 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 1.2661
CLABSIup to 1.485
CAUTIup to 1.147
SSIany value: every SSI value past the cap (2.118) scores the same
CDIup to 0.818
MRSAup to 1.179

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 1.0188 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1164

CMS 0.741 · median 0.559 · cap 1.572 · each 0.1 = 0.0387

CMS 0.431 · median 0.489 · cap 1.537 · each 0.1 = 0.0402

CMS 1.460 · median 0.795 · cap 2.118 · each 0.1 = 0.0286

CMS 0.372 · median 0.346 · cap 0.944 · each 0.1 = 0.0645

CMS 0.353 · 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 0.0913 among its measured results: +0.1741.
  • PSI 90 +0.0353
  • CLABSI +0.0521
  • CAUTI −0.0466
  • SSI +0.1741
  • CDI −0.0036
  • MRSA −0.1199

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 900.2120+0.0353same
CLABSI0.3125+0.0521same
CAUTI−0.2797−0.0466same
SSI1.0445+0.1741same
CDI−0.0218−0.0036same
MRSA−0.7195−0.1199same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/290045/

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 4 of the 11 years it made a decision.
highest middle lowest z‑scoresequal weights no scores FY2015: score 7.0250, higher than 78% of scores; cutFY2016: score 7.2500, higher than 81% of scores; cutFY2017: score 6.2600, higher than 68% of scores; not cutFY2018: score 0.0448, higher than 56% of scores; not cutFY2019: score 0.2002, higher than 66% of scores; not cutFY2020: score 0.0710, higher than 58% of scores; not cutFY2021: score 0.6615, higher than 89% of scores; cutFY2022: score 1.0023, higher than 95% of scores; cutFY2024: score −0.0289, higher than 50% of scores; not cutFY2025: score 0.1078, higher than 60% of scores; not cutFY2026: score 0.0913, higher than 58% of scores; not cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 7.0250, higher than 78% of scores; cutFY2016: score 7.2500, higher than 81% of scores; cutFY2017: score 6.2600, higher than 68% of scores; not cutFY2018: score 0.0448, higher than 56% of scores; not cutFY2019: score 0.2002, higher than 66% of scores; not cutFY2020: score 0.0710, higher than 58% of scores; not cutFY2021: score 0.6615, higher than 89% of scores; cutFY2022: score 1.0023, higher than 95% of scores; cutFY2024: score −0.0289, higher than 50% of scores; not cutFY2025: score 0.1078, higher than 60% of scores; not cutFY2026: score 0.0913, higher than 58% of scores; not cut 151617181920212223242526

● Red: a year CMS cut it ○ Hollow: a year it didn’t

This site recomputes · Source: CMS, HACRP hospital files for fiscal years 2015 to 2026 (Provider Data Catalog, its archives and, for the oldest years, the Internet Archive’s copies), and CMS’s cut lists for FY2015 and FY2016.

Show table
Fiscal yearTotal HAC ScoreHigher than this share of scoresPayment reduction
FY20157.025078.1%cut
FY20167.250081.2%cut
FY20176.260068.8%not cut
FY20180.044856.5%not cut
FY20190.200266.5%not cut
FY20200.071058.1%not cut
FY20210.661589.5%cut
FY20221.002395.4%cut
FY2023no decision
FY2024−0.028950.8%not cut
FY20250.107860.2%not cut
FY20260.091358.5%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 0.50 → 0.70 1as predicted 0 ’18’21’24 Nation’s middle CLABSI, 2017: 0.504CLABSI, 2018: 0.529CLABSI, 2019: 0.815CLABSI, 2021: 1.312CLABSI, 2022: 0.576CLABSI, 2023: 0.782CLABSI, 2024: 0.701 CAUTI 0.79 → 0.22 1 0 ’18’21’24 CAUTI, 2017: 0.791CAUTI, 2018: 1.130CAUTI, 2019: 1.011CAUTI, 2021: 1.201CAUTI, 2022: 0.800CAUTI, 2023: 0.635CAUTI, 2024: 0.220 SSI, colon 0.75 → 1.69 1 0 ’18’21’24 SSI, colon, 2017: 0.752SSI, colon, 2018: 1.108SSI, colon, 2019: 2.513SSI, colon, 2021: 1.227SSI, colon, 2022: 1.044SSI, colon, 2023: 1.522SSI, colon, 2024: 1.693 MRSA 0.21 → 0.25 1 0 ’18’21’24 MRSA, 2017: 0.215MRSA, 2018: 0.000MRSA, 2019: 0.726MRSA, 2021: 0.540MRSA, 2022: 0.392MRSA, 2023: 0.496MRSA, 2024: 0.247 C. diff 0.78 → 0.28 1 0 ’18’21’24 C. diff, 2017: 0.776C. diff, 2018: 0.672C. diff, 2019: 0.816C. diff, 2021: 0.430C. diff, 2022: 0.339C. diff, 2023: 0.474C. diff, 2024: 0.280 CLABSI 0.50 → 0.70 1as predicted 0 ’18’20’22’24 Nation’s middle CLABSI, 2017: 0.504CLABSI, 2018: 0.529CLABSI, 2019: 0.815CLABSI, 2021: 1.312CLABSI, 2022: 0.576CLABSI, 2023: 0.782CLABSI, 2024: 0.701 CAUTI 0.79 → 0.22 1 0 ’18’20’22’24 CAUTI, 2017: 0.791CAUTI, 2018: 1.130CAUTI, 2019: 1.011CAUTI, 2021: 1.201CAUTI, 2022: 0.800CAUTI, 2023: 0.635CAUTI, 2024: 0.220 SSI, colon 0.75 → 1.69 1 0 ’18’20’22’24 SSI, colon, 2017: 0.752SSI, colon, 2018: 1.108SSI, colon, 2019: 2.513SSI, colon, 2021: 1.227SSI, colon, 2022: 1.044SSI, colon, 2023: 1.522SSI, colon, 2024: 1.693 MRSA 0.21 → 0.25 1 0 ’18’20’22’24 MRSA, 2017: 0.215MRSA, 2018: 0.000MRSA, 2019: 0.726MRSA, 2021: 0.540MRSA, 2022: 0.392MRSA, 2023: 0.496MRSA, 2024: 0.247 C. diff 0.78 → 0.28 1 0 ’18’20’22’24 C. diff, 2017: 0.776C. diff, 2018: 0.672C. diff, 2019: 0.816C. diff, 2021: 0.430C. diff, 2022: 0.339C. diff, 2023: 0.474C. diff, 2024: 0.280

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
20170.5040.7910.7520.2150.776
20180.5291.1301.1080.0000.672
20190.8151.0112.5130.7260.816
20211.3121.2011.2270.5400.430
20220.5760.8001.0440.3920.339
20230.7820.6351.5220.4960.474
20240.7010.2201.6930.2470.280

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 Nevada, its score is higher than 72% of the other 18 scored there.

In Las Vegas-Henderson-North Las Vegas, NV 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% (Las Vegas-Henderson-North Las Vegas, NV area) to 26% (West region).
All hospitals: CMS cut 718 of 2,886 (25%); middle score −0.0453All hospitals 2,886 hospitals25% cut West region: CMS cut 157 of 593 (26%); middle score −0.0302West region 593 hospitals26% cut Nevada: CMS cut 4 of 19 (21%); middle score −0.1906Nevada 19 hospitals21% cut Las Vegas-Henderson-North Las Vegas, NV area: CMS cut 1 of 12 (8%); middle score −0.3103Las Vegas-Henderson-North Las Vegas, NV area12 hospitals8% cut Minor teaching: CMS cut 181 of 873 (21%); middle score −0.0567Minor teaching 873 hospitals21% 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: 0.0913 This hospital 0.0913 All hospitals: CMS cut 718 of 2,886 (25%); middle score −0.0453All hospitals2,886 hospitals25% cut West region: CMS cut 157 of 593 (26%); middle score −0.0302West region593 hospitals26% cut Nevada: CMS cut 4 of 19 (21%); middle score −0.1906Nevada19 hospitals21% cut Las Vegas-Henderson-North Las Vegas, NV area: CMS cut 1 of 12 (8%); middle score −0.3103Las Vegas-Henderson-North Las Vegas, NV area12 hospitals8% cut Minor teaching: CMS cut 181 of 873 (21%); middle score −0.0567Minor teaching873 hospitals21% 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: 0.0913 This hospital 0.0913

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%−0.045358%
West region59315726%−0.030258%
Nevada19421%−0.190672%
Las Vegas-Henderson-North Las Vegas, NV area1218%−0.310390%
Minor teaching87318121%−0.056760%
300 to 499 beds52311322%−0.038460%
Nonprofit1,83047826%−0.013456%
Urban2,24151023%−0.057460%
This hospital0.0913
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 6 miles away.
5 mi10 mi8. Valley Hospital Medical Center, Las Vegas: score −0.6954, not cut, 11 miles87. Southern Hills Hospital and Medical Center, Las Vegas: score −0.1203, not cut, 11 miles76. University Medical Center, Las Vegas: score 0.6591, cut, 11 miles65. Saint Rose Dominican Hospitals - San Martin Campus, Las Vegas: score 0.0080, not cut, 9 miles54. Spring Valley Hospital Medical Center, Las Vegas: score −0.3557, not cut, 9 miles43. Sunrise Hospital and Medical Center, Las Vegas: score −0.1906, not cut, 9 miles32. Harmon Hospital, Las Vegas: score 1.2562, cut, 7 miles21. Henderson Hospital, Henderson: score −0.7950, not cut, 6 miles1This hospital: Saint Rose Dominican Hospitals - Siena Campus

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

Show table
HospitalMilesScoreDecision
Henderson Hospital, Henderson, NV6−0.7950not cut
Harmon Hospital, Las Vegas, NV71.2562cut
Sunrise Hospital and Medical Center, Las Vegas, NV9−0.1906not cut
Spring Valley Hospital Medical Center, Las Vegas, NV9−0.3557not cut
Saint Rose Dominican Hospitals - San Martin Campus, Las Vegas, NV90.0080not cut
University Medical Center, Las Vegas, NV110.6591cut
Southern Hills Hospital and Medical Center, Las Vegas, NV11−0.1203not cut
Valley Hospital Medical Center, Las Vegas, NV11−0.6954not cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1Henderson HospitalHenderson, NV6−0.7950No cut$0Above the national median on 0 of 6 measures
2Harmon HospitalLas Vegas, NV71.25621% cutno estimateAbove the national median on 3 of 4 measures
3Sunrise Hospital and Medical CenterLas Vegas, NV9−0.1906No cut$0Above the national median on 3 of 6 measures
4Spring Valley Hospital Medical CenterLas Vegas, NV9−0.3557No cut$0Above the national median on 3 of 6 measures
5Saint Rose Dominican Hospitals - San Martin CampusLas Vegas, NV90.0080No cut$0Above the national median on 2 of 6 measures
6University Medical CenterLas Vegas, NV110.65911% cut$825KAbove the national median on 6 of 6 measures
7Southern Hills Hospital and Medical CenterLas Vegas, NV11−0.1203No cut$0Above the national median on 3 of 6 measures
8Valley Hospital Medical CenterLas Vegas, NV11−0.6954No cut$0Above the national median on 1 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. Saint Rose Dominican Hospitals - Siena Campus, Henderson, NV: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/290045/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.