P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalHelen Hayes Hospital×

Hospital record · FY2026CCN 330405

1Hospital

Helen Hayes Hospital

2Location

West Haverstraw, NY (New York’s hospitals on the map and in the table) 10993

Rockland County

3Type

130 beds · Government

4Care Compare stars

Not Available

Overall rating, CMS Care Compare data of July 22, 2026
CMS footnote 16: There are too few measures or measure groups reported to calculate a star rating or measure group score.
Open on Care Compare (opens in a new tab)

5Total HAC Score

−1.3186

As CMS reports it

6Payment reduction

No cut
CMS’s value: No

7Estimated cut

No dollar estimate
No usable impact-file row

No cut

No dollar estimate

For fiscal year 2026, CMS reports a Total HAC Score of −1.3186 for Helen Hayes Hospital and a payment reduction decision of No.

CMS’s FY2026 impact file, which this site’s estimate is built from, has no usable row for this hospital.

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.

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: −1.3186 This hospital −1.3186 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: −1.3186 This hospital −1.3186

Higher than 1% of the other 2,928 scores CMS published (higher is worse).

Its record, fiscal years 2015 to 2026 Never cut in 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. 26No

In FY2021, FY2022, FY2024, and FY2025, CMS reports a payment reduction decision for this hospital but no Total HAC Score.

CMS scored this hospital on a single measure, so that measure alone set its Total HAC Score.

Where the score came from

CMS scored this hospital on 1 of the 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.

None of the measures CMS scored it on is above the national median, so no single measure at the median would lower its score.

Figure 1. This hospital has a published value for one measure, CAUTI, and it is at or below the national median.
  • 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

    Not scored on this measure

    CMS footnote 13: Results cannot be calculated for this reporting period.

    CMS footnote 5: Results are not available for this reporting period.

    CMS valueno value published

    Z-scoreno value published

    Part of scoreno value published

  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

    Not scored on this measure

    CMS footnote 13: Results cannot be calculated for this reporting period.

    CMS footnote 5: Results are not available for this reporting period.

    CMS valueno value published

    Z-scoreno value published

    Part of scoreno value published

  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 85% of the other 2,354 hospitals

    CMS value0.000

    Z-score−1.3186

    Part of score−1.3186

  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

    Not scored on this measure

    CMS footnote 12: This measure does not apply to this hospital for this reporting period.

    CMS footnote 5: Results are not available for this reporting period.

    CMS valueno value published

    Z-scoreno value published

    Part of scoreno value published

  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

    Not scored on this measure

    CMS footnote 13: Results cannot be calculated for this reporting period.

    CMS footnote 5: Results are not available for this reporting period.

    CMS valueno value published

    Z-scoreno value published

    Part of scoreno value published

  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

    Not scored on this measure

    CMS footnote 13: Results cannot be calculated for this reporting period.

    CMS footnote 5: Results are not available for this reporting period.

    CMS valueno value published

    Z-scoreno value published

    Part of scoreno value published

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

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 90no value published0.9623no value publishedno value publishedNot scored on this measure
CLABSIno value published0.559no value publishedno value publishedNot scored on this measure
CAUTI0.0000.489−1.3186−1.3186Better than 85% of the other 2,354 hospitals
SSIno value published0.795no value publishedno value publishedNot scored on this measure
CDIno value published0.346no value publishedno value publishedNot scored on this measure
MRSAno value published0.641no value publishedno value publishedNot scored on this measure

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 1; a bar right of zero raised the score and one left of zero lowered it.

(−1.3186CAUTI)÷1measures=−1.3186Total HAC Score

Added from the rounded z‑scores CMS published, the parts make −1.3186; CMS reports −1.3186. The small difference is rounding.

This hospital’s score is 1.6985 below 0.3799, the lowest score CMS marked Yes. (This site recomputes.)

Figure 2. The parts add up to −1.3186, below CMS’s line.
1% cut CAUTI: z‑score −1.3186 divided by 1 = −1.3186CAUTI−1.3186 Total HAC Score: −1.3186Score−1.3186 CMS’s line: between 0.3792 and 0.3799 CMS’s line −1.5−1.0−0.50.00.5 1% cut CAUTI: z‑score −1.3186 divided by 1 = −1.3186CAUTI−1.3186 Total HAC Score: −1.3186Score−1.3186 CMS’s line: between 0.3792 and 0.3799 CMS’s line −1.5−1.0−0.50.00.5

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

Show table
MeasureZ-scorePart of the scoreRunning total
CAUTI−1.3186−1.3186−1.3186
Total HAC Score−1.3186
CMS’s line0.37920.3799

What if a measure were different?

Change a measure’s value to see how this site recomputes the Total HAC Score and the payment reduction decision, starting from CMS’s values.

The what-if needs JavaScript. Without it, the values below stay as they are.

Show table
CMS reportsHypothetical
Total HAC Score−1.3186same
Payment reduction decisionNosame
Payment cut0%same

CMS’s line: between 0.3792 and 0.3799

The faint ticks are CMS’s line in earlier years under the same formula, from about 0.300 (FY2022) to about 0.375 (FY2024). The line moves every year, so a hospital can cross it without changing anything.

CMS reports a Total HAC Score of −1.3186 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?

From CMS’s values, one measure at a time, with every other measure held at CMS’s value.

MeasureHighest value that keeps No
CAUTIup to 0.704

Each measure weighs 1 ÷ 1 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 0.000 · median 0.489 · cap 1.537 · each 0.1 = 0.2411

Have your NHSN predicted counts? (optional, stays in your browser)

Stays in your browser; never sent.

Figure 3. Each bar is one measure’s part of this hospital’s Total HAC Score of −1.3186: its z‑score divided by 1, the number of measures scored.
  • CAUTI −1.3186

A measure adds its z‑score divided by 1, 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
CAUTI−1.3186−1.3186same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/330405/

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 4. CMS made a decision on this hospital in 11 years and never cut it.
highest middle lowest z‑scoresequal weights no scores FY2015: score 6.0000, higher than 55% of scores; not cutFY2016: score 6.0000, higher than 56% of scores; not cutFY2017: score 4.3000, higher than 30% of scores; not cutFY2018: score −0.0082, higher than 51% of scores; not cutFY2019: score −0.0084, higher than 51% of scores; not cutFY2020: score 0.0869, higher than 59% of scores; not cutFY2026: score −1.3186, higher than 1% of scores; not cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 6.0000, higher than 55% of scores; not cutFY2016: score 6.0000, higher than 56% of scores; not cutFY2017: score 4.3000, higher than 30% of scores; not cutFY2018: score −0.0082, higher than 51% of scores; not cutFY2019: score −0.0084, higher than 51% of scores; not cutFY2020: score 0.0869, higher than 59% of scores; not cutFY2026: score −1.3186, higher than 1% 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
FY20156.000055.9%not cut
FY20166.000056.2%not cut
FY20174.300030.7%not cut
FY2018−0.008251.0%not cut
FY2019−0.008451.4%not cut
FY20200.086959.5%not cut
FY2021N/Anot cut, with no score published
FY2022N/Anot cut, with no score published
FY2023no decision
FY2024N/Anot cut, with no score published
FY2025N/Anot cut, with no score published
FY2026−1.31861.5%not cut

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 New York, its score is higher than 0% of the other 125 scored there.

Figure 5. Its score is below the middle in all 5 groups it belongs to; the share cut runs from 23% (100 to 299 beds) to 36% (New York).
All hospitals: CMS cut 718 of 2,886 (25%); middle score −0.0453All hospitals 2,886 hospitals25% cut Northeast region: CMS cut 124 of 436 (28%); middle score 0.0478Northeast region 436 hospitals28% cut New York: CMS cut 45 of 126 (36%); middle score 0.1614New York 126 hospitals36% cut 100 to 299 beds: CMS cut 275 of 1,193 (23%); middle score −0.0732100 to 299 beds 1,193 hospitals23% cut Government: CMS cut 140 of 401 (35%); middle score 0.1602Government 401 hospitals35% cut CMS’s line: between 0.3792 and 0.3799 CMS’s line −1012 This hospital: −1.3186 This hospital −1.3186 All hospitals: CMS cut 718 of 2,886 (25%); middle score −0.0453All hospitals2,886 hospitals25% cut Northeast region: CMS cut 124 of 436 (28%); middle score 0.0478Northeast region436 hospitals28% cut New York: CMS cut 45 of 126 (36%); middle score 0.1614New York126 hospitals36% cut 100 to 299 beds: CMS cut 275 of 1,193 (23%); middle score −0.0732100 to 299 beds1,193 hospitals23% cut Government: CMS cut 140 of 401 (35%); middle score 0.1602Government401 hospitals35% 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: −1.3186 This hospital −1.3186

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%−0.04531%
Northeast region43612428%0.04780%
New York1264536%0.16140%
100 to 299 beds1,19327523%−0.07320%
Government40114035%0.16022%
This hospital−1.3186
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 6. CMS cut 1 of the 8 nearest hospitals; the closest is 7 miles away.
5 mi10 mi8. White Plains Hospital Center, White Plains: score −0.8375, not cut, 17 miles87. Hackensack Meridian Health Pascack Valley Medical, Westwood: score −1.0951, not cut, 16 miles76. Northern Westchester Hospital, Mount Kisco: score −0.5258, not cut, 13 miles65. Westchester Medical Center, Valhalla: score 0.4141, cut, 13 miles54. Good Samaritan Hospital of Suffern, Suffern: score −0.5762, not cut, 10 miles43. Phelps Hospital, Sleepy Hollow: score −0.8784, not cut, 10 miles32. Nyack Hospital, Nyack: score 0.0169, not cut, 9 miles21. Hudson Valley Hospital Center, Cortlandt Manor: score −0.8542, not cut, 7 miles1This hospital: Helen Hayes Hospital

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

Show table
HospitalMilesScoreDecision
Hudson Valley Hospital Center, Cortlandt Manor, NY7−0.8542not cut
Nyack Hospital, Nyack, NY90.0169not cut
Phelps Hospital, Sleepy Hollow, NY10−0.8784not cut
Good Samaritan Hospital of Suffern, Suffern, NY10−0.5762not cut
Westchester Medical Center, Valhalla, NY130.4141cut
Northern Westchester Hospital, Mount Kisco, NY13−0.5258not cut
Hackensack Meridian Health Pascack Valley Medical, Westwood, NJ16−1.0951not cut
White Plains Hospital Center, White Plains, NY17−0.8375not cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1Hudson Valley Hospital CenterCortlandt Manor, NY7−0.8542No cut$0Above the national median on 1 of 6 measures
2Nyack HospitalNyack, NY90.0169No cut$0Above the national median on 3 of 6 measures
3Phelps HospitalSleepy Hollow, NY10−0.8784No cut$0Above the national median on 1 of 6 measures
4Good Samaritan Hospital of SuffernSuffern, NY10−0.5762No cut$0Above the national median on 1 of 6 measures
5Westchester Medical CenterValhalla, NY130.41411% cut$1.9MAbove the national median on 3 of 6 measures
6Northern Westchester HospitalMount Kisco, NY13−0.5258No cut$0Above the national median on 1 of 6 measures
7Hackensack Meridian Health Pascack Valley MedicalWestwood, NJ16−1.0951No cut$0Above the national median on 0 of 5 measures
8White Plains Hospital CenterWhite Plains, NY17−0.8375No cut$0Above the national median on 0 of 6 measures

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

CMS’s footnotes on this page

13
Results cannot be calculated for this reporting period.
5
Results are not available for this reporting period.
12
This measure does not apply to this hospital for this reporting period.

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. Helen Hayes Hospital, West Haverstraw, NY: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/330405/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.