P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalSequoyah County-City of Sallisaw Hospital Authorit Estimated FY2026 net: −$11K×

Hospital record · FY2026CCN 370112

1Hospital

Sequoyah County-City of Sallisaw Hospital Authorit

2Location

Sallisaw, OK (Oklahoma’s hospitals on the map and in the table) 74955

Sequoyah County

3Type

Not a teaching hospital · 41 beds · Government · 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

2.1931

As CMS reports it

6Payment reduction

1% cut
CMS’s value: Yes

7Estimated cut

$11K estimate
Likely $8⁠–⁠14K; about $92 per traditional Medicare stay

Cut 1%

$11K

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

For fiscal year 2026, CMS reports a Total HAC Score of 2.1931 for Sequoyah County-City of Sallisaw Hospital Authorit and a payment reduction decision of Yes.

That is 1% of about $1.1M, this site’s estimate of what traditional Medicare pays it for inpatient stays in a year: about $92 per traditional Medicare stay.

Likely range $8–14K

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 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: 2.1931 This hospital 2.1931 lowest −1.4728 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: 2.1931 This hospital 2.1931

Higher than 99% of the other 2,928 scores CMS published (higher is worse).

Its record, fiscal years 2015 to 2026 Cut in 2 of 11 years

  1. 15No
  2. 16No
  3. 17No
  4. 18No
  5. 19No
  6. 20No
  7. 21Cut
  8. 22No
  9. 23—
  10. 24No
  11. 25No
  12. 26Cut

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.

Bringing CDI down to the national median (0.346) would lower the score the most: by 2.3155, to −0.1224. That change alone would put the score under CMS’s line. Try it in the what-if

Figure 1. This hospital has a published value for one measure, CDI, and it is above 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

    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

  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.

    added the most

    Clostridioides difficile (C. diff) infections

    Worse than 97% 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 value1.229

    Z-score2.1931

    Part of score+2.1931

  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
CAUTIno value published0.489no value publishedno value publishedNot scored on this measure
SSIno value published0.795no value publishedno value publishedNot scored on this measure
CDI1.2290.3462.1931+2.1931Worse than 97% of the other 2,766 hospitals
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.

(2.1931CDI)÷1measures=2.1931Total HAC Score

This hospital’s score is 1.8139 above 0.3792, the highest score CMS marked No. (This site recomputes.)

Figure 2. The parts add up to 2.1931, above CMS’s line.
1% cut CDI: z‑score 2.1931 divided by 1 = +2.1931CDI+2.1931 Total HAC Score: 2.1931Score2.1931 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.51.01.52.0 1% cut CDI: z‑score 2.1931 divided by 1 = +2.1931CDI+2.1931 Total HAC Score: 2.1931Score2.1931 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.51.01.52.0

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

Show table
MeasureZ-scorePart of the scoreRunning total
CDI2.1931+2.19312.1931
Total HAC Score2.1931
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, 1.8139 over the highest score CMS didn’t cut, costs it about $11K 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 $11K at any score from 0.3799 $0at any score up to 0.3792 $11K at any score from 0.3799 −1012 This hospital: 2.1931 This hospital 2.1931 CMS’s line $0 at any score up to 0.3792 $11K at any score from 0.3799 $0at any score up to 0.3792 $11Kat any score from 0.3799 −1.0−0.50.00.51.01.52.0 CMS’s highest score: 2.3133 This hospital: 2.1931 This hospital 2.1931

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−$11,173
This hospital2.1931−$11,173
CMS’s highest score2.3133−$11,173

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.

($1,117,256payment+$0readmissions+$0value-based)×1%the cut=$11,173HAC cut

$11,173HAC cut÷121traditional Medicare stays=$92per traditional Medicare stay

Figure 4. This site estimates the HAC cut at $11K: 1% of the hospital’s whole inpatient payment, taken last. The readmissions and value-based adjustments, on the base alone, came to $0 and $0.

Estimated Medicare inpatient payments · FY2026 estimate

What traditional Medicare pays it for inpatient stays
DRG payments at the federal rates the base $813,866
Many low-income patients (disproportionate share) $20,273
Outliers: unusually costly stays $676
Low-volume adjustment $219,698
Capital: buildings and equipment $62,743
Total, before the three programs $1,117,256
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (1.0000 − 1) $0
Value-based purchasing (HVBP) not in CMS’s value-based factors: no adjustment $0
After these two $1,117,256
HAC Reduction Program 1% of everything above; likely $8⁠–⁠14K −$11,173
Net of the three programs likely −$14K to −$8K −$11,173

Not paid to this hospital: a Medicare-dependent hospital add-on, teaching payments, a sole community hospital rate difference, and uncompensated care payments.

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)$813,866
Many low-income patients (disproportionate share)$20,273
Outliers: unusually costly stays$676
Low-volume adjustment$219,698
Capital: buildings and equipment$62,743
Total, before the three programs$1,117,256
Readmissions (HRRP) (base × (1.0000 − 1))$0
Value-based purchasing (HVBP) (not in CMS’s value-based factors: no adjustment)$0
After these two$1,117,256
HAC Reduction Program (1% of everything above; likely $8–14K)−$11,173
Net of the three programs (likely −$14K to −$8K)−$11,173

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 Score2.1931same
Payment reduction decisionYessame
Payment cut1%same
Estimated HAC cut estimate$11Ksame

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 2.1931 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 $11K, 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
CDI0.475 or lower

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 1.229 · median 0.346 · cap 0.944 · each 0.1 = 0.3872

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

Stays in your browser; never sent.

Figure 5. CDI added the most to this hospital’s Total HAC Score of 2.1931 among its measured results: +2.1931.
  • CDI +2.1931

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
CDI2.1931+2.1931same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/370112/

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 2 of the 11 years it made a decision.
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 1.7500, higher than 4% of scores; not cutFY2018: score −1.6720, higher than 1% of scores; not cutFY2019: score −0.4381, higher than 23% of scores; not cutFY2020: score −0.2047, higher than 36% of scores; not cutFY2021: score 0.4975, higher than 82% of scores; cutFY2022: score −0.0073, higher than 51% of scores; not cutFY2024: score −1.4163, higher than 0% of scores; not cutFY2025: score 0.2329, higher than 67% of scores; not cutFY2026: score 2.1931, higher than 99% of scores; 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 1.7500, higher than 4% of scores; not cutFY2018: score −1.6720, higher than 1% of scores; not cutFY2019: score −0.4381, higher than 23% of scores; not cutFY2020: score −0.2047, higher than 36% of scores; not cutFY2021: score 0.4975, higher than 82% of scores; cutFY2022: score −0.0073, higher than 51% of scores; not cutFY2024: score −1.4163, higher than 0% of scores; not cutFY2025: score 0.2329, higher than 67% of scores; not cutFY2026: score 2.1931, higher than 99% of scores; cut 151617181920212223242526

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

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

Show table
Fiscal yearTotal HAC ScoreHigher than this share of scoresPayment reduction
FY20156.000055.9%not cut
FY20166.000056.2%not cut
FY20171.75004.4%not cut
FY2018−1.67201.7%not cut
FY2019−0.438123.8%not cut
FY2020−0.204736.8%not cut
FY20210.497582.7%cut
FY2022−0.007351.9%not cut
FY2023no decision
FY2024−1.41630.1%not cut
FY20250.232967.5%not cut
FY20262.193199.2%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. 1 of its 1 infection measures ended lower than they started.
C. diff 0.84 → 0.00 1as predicted 0 ’18’21’24 Nation’s middle C. diff, 2021: 0.842C. diff, 2022: 0.000 C. diff 0.84 → 0.00 1as predicted 0 ’18’20’22’24 Nation’s middle C. diff, 2021: 0.842C. diff, 2022: 0.000

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 yearC. diff
2017
2018
2019
20210.842
20220.000
2023
2024

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 Oklahoma, its score is higher than 98% of the other 67 scored there.

Figure 8. Its score is above the middle in all 7 groups it belongs to; the share cut runs from 22% (Oklahoma) to 35% (Government).
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 Oklahoma: CMS cut 15 of 68 (22%); middle score −0.1556Oklahoma 68 hospitals22% cut Not teaching: CMS cut 389 of 1,563 (25%); middle score −0.1053Not teaching 1,563 hospitals25% cut Fewer than 100 beds: CMS cut 225 of 805 (28%); middle score −0.1154Fewer than 100 beds 805 hospitals28% cut Government: CMS cut 140 of 401 (35%); middle score 0.1602Government 401 hospitals35% 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: 2.1931 This hospital 2.1931 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 Oklahoma: CMS cut 15 of 68 (22%); middle score −0.1556Oklahoma68 hospitals22% cut Not teaching: CMS cut 389 of 1,563 (25%); middle score −0.1053Not teaching1,563 hospitals25% cut Fewer than 100 beds: CMS cut 225 of 805 (28%); middle score −0.1154Fewer than 100 beds805 hospitals28% cut Government: CMS cut 140 of 401 (35%); middle score 0.1602Government401 hospitals35% 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: 2.1931 This hospital 2.1931

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%−0.045399%
South region1,17426322%−0.105698%
Oklahoma681522%−0.155698%
Not teaching1,56338925%−0.105398%
Fewer than 100 beds80522528%−0.115497%
Government40114035%0.160297%
Urban2,24151023%−0.057499%
This hospital2.1931
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 22 miles away.
10 mi25 mi50 mi8. Siloam Springs Regional Hospital, Siloam Springs: score −0.1715, not cut, 53 miles87. Wagoner Community Hospital, Wagoner: score −0.7885, not cut, 48 miles76. Saint Francis Hospital Muskogee, Muskogee: score 0.0729, not cut, 40 miles65. Northeastern Health System, Tahlequah: score 0.3147, not cut, 32 miles54. Cherokee Nation W W Hastings Indian Hospital, Tahlequah: score 1.1211, cut, 32 miles43. Mercy Hospital Fort Smith, Fort Smith: score −0.4569, not cut, 26 miles32. Memorial Hospital, Stilwell: score −0.0170, not cut, 25 miles21. Baptist Health - Fort Smith, Fort Smith: score 0.6501, cut, 22 miles1This hospital: Sequoyah County-City of Sallisaw Hospital Authorit

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

Show table
HospitalMilesScoreDecision
Baptist Health - Fort Smith, Fort Smith, AR220.6501cut
Memorial Hospital, Stilwell, OK25−0.0170not cut
Mercy Hospital Fort Smith, Fort Smith, AR26−0.4569not cut
Cherokee Nation W W Hastings Indian Hospital, Tahlequah, OK321.1211cut
Northeastern Health System, Tahlequah, OK320.3147not cut
Saint Francis Hospital Muskogee, Muskogee, OK400.0729not cut
Wagoner Community Hospital, Wagoner, OK48−0.7885not cut
Siloam Springs Regional Hospital, Siloam Springs, AR53−0.1715not cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1Baptist Health - Fort SmithFort Smith, AR220.65011% cut$463KAbove the national median on 3 of 6 measures
2Memorial HospitalStilwell, OK25−0.0170No cut$0Above the national median on 1 of 1 measures
3Mercy Hospital Fort SmithFort Smith, AR26−0.4569No cut$0Above the national median on 3 of 6 measures
4Cherokee Nation W W Hastings Indian HospitalTahlequah, OK321.12111% cut$89KAbove the national median on 5 of 5 measures
5Northeastern Health SystemTahlequah, OK320.3147No cut$0Above the national median on 3 of 6 measures
6Saint Francis Hospital MuskogeeMuskogee, OK400.0729No cut$0Above the national median on 4 of 6 measures
7Wagoner Community HospitalWagoner, OK48−0.7885No cut$0Above the national median on 1 of 2 measures
8Siloam Springs Regional HospitalSiloam Springs, AR53−0.1715No cut$0Above the national median on 1 of 3 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. Sequoyah County-City of Sallisaw Hospital Authorit, Sallisaw, OK: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/370112/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.