P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalDelta Specialty Hospital×

Hospital record · FY2026CCN 440159

1Hospital

Delta Specialty Hospital

2Location

Memphis, TN (Tennessee’s hospitals on the map and in the table) 38118

Shelby County

3Type

223 beds · For-profit

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

−1.4622

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 −1.4622 for Delta Specialty 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: −1.4622 This hospital −1.4622 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: −1.4622 This hospital −1.4622

Higher than 0% 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

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, CDI, 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

    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.

    Clostridioides difficile (C. diff) infections

    Better than 91% 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 value0.000

    Z-score−1.4622

    Part of score−1.4622

  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
CDI0.0000.346−1.4622−1.4622Better than 91% 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.

(−1.4622CDI)÷1measures=−1.4622Total HAC Score

Added from the rounded z‑scores CMS published, the parts make −1.4622; CMS reports −1.4622. The small difference is rounding.

This hospital’s score is 1.8421 below 0.3799, the lowest score CMS marked Yes. (This site recomputes.)

Figure 2. The parts add up to −1.4622, below CMS’s line.
1% cut CDI: z‑score −1.4622 divided by 1 = −1.4622CDI−1.4622 Total HAC Score: −1.4622Score−1.4622 CMS’s line: between 0.3792 and 0.3799 CMS’s line −1.5−1.0−0.50.00.5 1% cut CDI: z‑score −1.4622 divided by 1 = −1.4622CDI−1.4622 Total HAC Score: −1.4622Score−1.4622 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
CDI−1.4622−1.4622−1.4622
Total HAC Score−1.4622
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−1.4622same
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 −1.4622 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
CDIup to 0.475

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 0.346 · 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 3. Each bar is one measure’s part of this hospital’s Total HAC Score of −1.4622: its z‑score divided by 1, the number of measures scored.
  • CDI −1.4622

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
CDI−1.4622−1.4622same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/440159/

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 3.0000, higher than 12% of scores; not cutFY2016: score 5.0000, higher than 38% of scores; not cutFY2017: score 1.4500, higher than 1% of scores; not cutFY2018: score −1.3297, higher than 4% of scores; not cutFY2019: score −1.4553, higher than 3% of scores; not cutFY2020: score −0.9539, higher than 7% of scores; not cutFY2021: score 0.0980, higher than 61% of scores; not cutFY2022: score 0.1179, higher than 64% of scores; not cutFY2024: score −1.4163, higher than 0% of scores; not cutFY2025: score −1.5447, higher than 0% of scores; not cutFY2026: score −1.4622, higher than 0% of scores; not cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 3.0000, higher than 12% of scores; not cutFY2016: score 5.0000, higher than 38% of scores; not cutFY2017: score 1.4500, higher than 1% of scores; not cutFY2018: score −1.3297, higher than 4% of scores; not cutFY2019: score −1.4553, higher than 3% of scores; not cutFY2020: score −0.9539, higher than 7% of scores; not cutFY2021: score 0.0980, higher than 61% of scores; not cutFY2022: score 0.1179, higher than 64% of scores; not cutFY2024: score −1.4163, higher than 0% of scores; not cutFY2025: score −1.5447, higher than 0% of scores; not cutFY2026: score −1.4622, higher than 0% 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
FY20153.000012.3%not cut
FY20165.000038.0%not cut
FY20171.45001.8%not cut
FY2018−1.32974.8%not cut
FY2019−1.45533.6%not cut
FY2020−0.95397.5%not cut
FY20210.098061.0%not cut
FY20220.117964.6%not cut
FY2023no decision
FY2024−1.41630.1%not cut
FY2025−1.54470.1%not cut
FY2026−1.46220.1%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 5. 0 of its 1 infection measures ended lower than they started.
C. diff 0.00 → 0.00 1as predicted 0 ’18’21’24 Nation’s middle C. diff, 2017: 0.000C. diff, 2022: 0.000C. diff, 2023: 0.000 C. diff 0.00 → 0.00 1as predicted 0 ’18’20’22’24 Nation’s middle C. diff, 2017: 0.000C. diff, 2022: 0.000C. diff, 2023: 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
20170.000
2018
2019
2021
20220.000
20230.000
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 Tennessee, its score is higher than 0% of the other 72 scored there.

Figure 6. Its score is below the middle in all 5 groups it belongs to; the share cut runs from 15% (For-profit) to 25% (All hospitals).
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 Tennessee: CMS cut 14 of 73 (19%); middle score −0.2186Tennessee 73 hospitals19% cut 100 to 299 beds: CMS cut 275 of 1,193 (23%); middle score −0.0732100 to 299 beds 1,193 hospitals23% cut For-profit: CMS cut 98 of 651 (15%); middle score −0.2590For-profit 651 hospitals15% cut CMS’s line: between 0.3792 and 0.3799 CMS’s line −1012 This hospital: −1.4622 This hospital −1.4622 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 Tennessee: CMS cut 14 of 73 (19%); middle score −0.2186Tennessee73 hospitals19% cut 100 to 299 beds: CMS cut 275 of 1,193 (23%); middle score −0.0732100 to 299 beds1,193 hospitals23% cut For-profit: CMS cut 98 of 651 (15%); middle score −0.2590For-profit651 hospitals15% 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: −1.4622 This hospital −1.4622

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%−0.04530%
South region1,17426322%−0.10560%
Tennessee731419%−0.21860%
100 to 299 beds1,19327523%−0.07320%
For-profit6519815%−0.25900%
This hospital−1.4622
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 7. CMS cut 3 of the 8 nearest hospitals; the closest is 4 miles away.
5 mi10 mi25 mi8. Baptist Memorial Hospital Tipton, Covington: score −1.4622, not cut, 35 miles87. Saint Francis Bartlett Medical Center, Bartlett: score 0.6053, cut, 12 miles76. Methodist Healthcare - Olive Branch Hospital, Olive Branch: score −0.9232, not cut, 11 miles65. Regional One Health, Memphis: score 0.1505, not cut, 8 miles54. Baptist Memorial Hospital Desoto, Southaven: score 0.5171, cut, 8 miles43. Methodist Hospitals of Memphis, Memphis: score −0.1512, not cut, 7 miles32. Baptist Memorial Hospital, Memphis: score 0.5660, cut, 6 miles21. St Francis Hospital, Memphis: score 0.0324, not cut, 4 miles1This hospital: Delta Specialty Hospital

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

Show table
HospitalMilesScoreDecision
St Francis Hospital, Memphis, TN40.0324not cut
Baptist Memorial Hospital, Memphis, TN60.5660cut
Methodist Hospitals of Memphis, Memphis, TN7−0.1512not cut
Baptist Memorial Hospital Desoto, Southaven, MS80.5171cut
Regional One Health, Memphis, TN80.1505not cut
Methodist Healthcare - Olive Branch Hospital, Olive Branch, MS11−0.9232not cut
Saint Francis Bartlett Medical Center, Bartlett, TN120.6053cut
Baptist Memorial Hospital Tipton, Covington, TN35−1.4622not cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1St Francis HospitalMemphis, TN40.0324No cut$0Above the national median on 3 of 6 measures
2Baptist Memorial HospitalMemphis, TN60.56601% cut$1.8MAbove the national median on 5 of 6 measures
3Methodist Hospitals of MemphisMemphis, TN7−0.1512No cut$0Above the national median on 2 of 6 measures
4Baptist Memorial Hospital DesotoSouthaven, MS80.51711% cut$640KAbove the national median on 4 of 6 measures
5Regional One HealthMemphis, TN80.1505No cut$0Above the national median on 2 of 6 measures
6Methodist Healthcare - Olive Branch HospitalOlive Branch, MS11−0.9232No cut$0Above the national median on 1 of 5 measures
7Saint Francis Bartlett Medical CenterBartlett, TN120.60531% cut$219KAbove the national median on 3 of 6 measures
8Baptist Memorial Hospital TiptonCovington, TN35−1.4622No cut$0Above the national median on 0 of 1 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. Delta Specialty Hospital, Memphis, TN: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/440159/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.