P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalFort Duncan Medical Center Estimated FY2026 net: +$267×

Hospital record · FY2026CCN 450092

1Hospital

Fort Duncan Medical Center

2Location

Eagle Pass, TX (Texas’s hospitals on the map and in the table) 78852

Maverick County

3Type

Not a teaching hospital · 61 beds · For-profit · Urban · Sole community hospital

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

−1.1856

As CMS reports it

6Payment reduction

No cut
CMS’s value: No

7Estimated cut

$0
A cut would have been $63K, likely $45⁠–⁠71K estimate

No cut

$0

from this program

For fiscal year 2026, CMS reports a Total HAC Score of −1.1856 for Fort Duncan Medical Center and a payment reduction decision of No.

A cut would have taken about $63K estimate 1% of about $6.3M, this site’s estimate of what traditional Medicare pays it for inpatient stays in a year. Its score was 1.5655 under 0.3799, the lowest score CMS cut.

Likely range $45–71K

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: −1.1856 This hospital −1.1856 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: −1.1856 This hospital −1.1856

Higher than 2% 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

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.

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. Of its 6 measures with a value, this hospital is above the national median on 0.
  • 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

    Better than 74% 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 value0.8947

    Z-score−0.6549

    Part of score−0.1092

  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

    Better than 86% of the other 2,181 hospitals

    CMS value0.000

    Z-score−1.4065

    Part of score−0.2344

  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−0.2198

  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

    Better than 77% of the other 2,269 hospitals

    CMS value0.375

    Z-score−0.8141

    Part of score−0.1357

  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−0.2437

  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 87% of the other 2,067 hospitals

    CMS value0.000

    Z-score−1.4573

    Part of score−0.2429

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

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 900.89470.9623−0.6549−0.1092Better than 74% of the other 2,808 hospitals
CLABSI0.0000.559−1.4065−0.2344Better than 86% of the other 2,181 hospitals
CAUTI0.0000.489−1.3186−0.2198Better than 85% of the other 2,354 hospitals
SSI0.3750.795−0.8141−0.1357Better than 77% of the other 2,269 hospitals
CDI0.0000.346−1.4622−0.2437Better than 91% of the other 2,766 hospitals
MRSA0.0000.641−1.4573−0.2429Better than 87% 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.

(−0.6549PSI 90−1.4065CLABSI−1.3186CAUTI−0.8141SSI−1.4622CDI−1.4573MRSA)÷6measures=−1.1856Total HAC Score

Added from the rounded z‑scores CMS published, the parts make −1.1856; CMS reports −1.1856. The small difference is rounding.

This hospital’s score is 1.5655 below 0.3799, the lowest score CMS marked Yes. (This site recomputes.)

Figure 2. The parts add up to −1.1856, below CMS’s line.
1% cut PSI 90: z‑score −0.6549 divided by 6 = −0.1092PSI 90−0.1092 CLABSI: z‑score −1.4065 divided by 6 = −0.2344CLABSI−0.2344 CAUTI: z‑score −1.3186 divided by 6 = −0.2198CAUTI−0.2198 SSI: z‑score −0.8141 divided by 6 = −0.1357SSI−0.1357 CDI: z‑score −1.4622 divided by 6 = −0.2437CDI−0.2437 MRSA: z‑score −1.4573 divided by 6 = −0.2429MRSA−0.2429 Total HAC Score: −1.1856Score−1.1856 CMS’s line: between 0.3792 and 0.3799 CMS’s line −1.0−0.50.00.5 1% cut PSI 90: z‑score −0.6549 divided by 6 = −0.1092PSI 90−0.1092 CLABSI: z‑score −1.4065 divided by 6 = −0.2344CLABSI−0.2344 CAUTI: z‑score −1.3186 divided by 6 = −0.2198CAUTI−0.2198 SSI: z‑score −0.8141 divided by 6 = −0.1357SSI−0.1357 CDI: z‑score −1.4622 divided by 6 = −0.2437CDI−0.2437 MRSA: z‑score −1.4573 divided by 6 = −0.2429MRSA−0.2429 Total HAC Score: −1.1856Score−1.1856 CMS’s line: between 0.3792 and 0.3799 CMS’s line −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
PSI 90−0.6549−0.1092−0.1092
CLABSI−1.4065−0.2344−0.3436
CAUTI−1.3186−0.2198−0.5634
SSI−0.8141−0.1357−0.6991
CDI−1.4622−0.2437−0.9428
MRSA−1.4573−0.2429−1.1857
Total HAC Score−1.1856
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, 1.5655 under the lowest score CMS cut, costs it nothing; 1.5655 higher, the cut would have been about $63K 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 $63K at any score from 0.3799 $0at any score up to 0.3792 $63K at any score from 0.3799 −1012 CMS’s highest score: 2.3133 CMS’s highest score 2.3133 This hospital: −1.1856 This hospital −1.1856 CMS’s line $0 at any score up to 0.3792 $63K at any score from 0.3799 $0at any score up to 0.3792 $63Kat 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: −1.1856 This hospital −1.1856

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−$63,381
This hospital−1.1856$0
CMS’s highest score2.3133−$63,381

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.

($6,337,786payment−$3,536readmissions+$3,803value-based)×1%the cut=$63,381at stake

$63,381at stake÷392traditional Medicare stays=$162per traditional Medicare stay

Figure 4. No HAC cut this year; 1% of the hospital’s whole inpatient payment would have been about $63K by this site’s estimate. The readmissions and value-based adjustments, on the base alone, came to −$4K and +$4K.

Estimated Medicare inpatient payments · FY2026 estimate

What traditional Medicare pays it for inpatient stays
DRG payments at the federal rates the base $4,420,364
Many low-income patients (disproportionate share) $132,611
Capital: buildings and equipment $342,456
Uncompensated care $1,442,355
Total, before the three programs $6,337,786
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (0.9992 − 1) −$3,536
Value-based purchasing (HVBP) base × (1.0009 − 1) +$3,803
After these two $6,338,053
HAC Reduction Program no cut; 1% would have been $63,381 $0
Net of the three programs likely $185⁠–⁠$283 +$267

Not paid to this hospital: a Medicare-dependent hospital add-on, teaching payments, outlier 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)$4,420,364
Many low-income patients (disproportionate share)$132,611
Capital: buildings and equipment$342,456
Uncompensated care$1,442,355
Total, before the three programs$6,337,786
Readmissions (HRRP) (base × (0.9992 − 1))−$3,536
Value-based purchasing (HVBP) (base × (1.0009 − 1))+$3,803
After these two$6,338,053
HAC Reduction Program (no cut; 1% would have been $63,381)$0
Net of the three programs (likely $185–$283)+$267

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 Score−1.1856same
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 −1.1856 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 $63K 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 90any value: every PSI 90 value past the cap (1.3482) scores the same
CLABSIany value: every CLABSI value past the cap (1.572) scores the same
CAUTIany value: every CAUTI value past the cap (1.537) scores the same
SSIany value: every SSI value past the cap (2.118) scores the same
CDIany value: every CDI value past the cap (0.944) scores the same
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 0.8947 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1164

CMS 0.000 · median 0.559 · cap 1.572 · each 0.1 = 0.0387

CMS 0.000 · median 0.489 · cap 1.537 · each 0.1 = 0.0402

CMS 0.375 · median 0.795 · cap 2.118 · each 0.1 = 0.0286

CMS 0.000 · median 0.346 · cap 0.944 · each 0.1 = 0.0645

CMS 0.000 · median 0.641 · cap 1.762 · each 0.1 = 0.0348

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Figure 5. Each bar is one measure’s part of this hospital’s Total HAC Score of −1.1856: its z‑score divided by 6, the number of measures scored.
  • PSI 90 −0.1092
  • CLABSI −0.2344
  • CAUTI −0.2198
  • SSI −0.1357
  • CDI −0.2437
  • MRSA −0.2429

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 90−0.6549−0.1092same
CLABSI−1.4065−0.2344same
CAUTI−1.3186−0.2198same
SSI−0.8141−0.1357same
CDI−1.4622−0.2437same
MRSA−1.4573−0.2429same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/450092/

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 made a decision on this hospital in 11 years and never cut it.
highest middle lowest z‑scoresequal weights no scores FY2015: score 2.0500, higher than 6% of scores; not cutFY2016: score 1.7500, higher than 2% of scores; not cutFY2017: score 2.4900, higher than 11% of scores; not cutFY2018: score −0.6529, higher than 15% of scores; not cutFY2019: score −0.1966, higher than 37% of scores; not cutFY2020: score −0.2023, higher than 37% of scores; not cutFY2021: score −0.1534, higher than 40% of scores; not cutFY2022: score 0.2175, higher than 70% of scores; not cutFY2024: score −0.9017, higher than 4% of scores; not cutFY2025: score −1.1415, higher than 2% of scores; not cutFY2026: score −1.1856, higher than 2% of scores; not cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 2.0500, higher than 6% of scores; not cutFY2016: score 1.7500, higher than 2% of scores; not cutFY2017: score 2.4900, higher than 11% of scores; not cutFY2018: score −0.6529, higher than 15% of scores; not cutFY2019: score −0.1966, higher than 37% of scores; not cutFY2020: score −0.2023, higher than 37% of scores; not cutFY2021: score −0.1534, higher than 40% of scores; not cutFY2022: score 0.2175, higher than 70% of scores; not cutFY2024: score −0.9017, higher than 4% of scores; not cutFY2025: score −1.1415, higher than 2% of scores; not cutFY2026: score −1.1856, higher than 2% 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
FY20152.05006.1%not cut
FY20161.75002.6%not cut
FY20172.490011.5%not cut
FY2018−0.652915.1%not cut
FY2019−0.196637.9%not cut
FY2020−0.202337.0%not cut
FY2021−0.153440.5%not cut
FY20220.217570.3%not cut
FY2023no decision
FY2024−0.90174.9%not cut
FY2025−1.14152.7%not cut
FY2026−1.18562.1%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 7. 2 of its 3 infection measures ended lower than they started.
CAUTI 0.86 → 0.00 1as predicted 0 ’18’21’24 Nation’s middle CAUTI, 2017: 0.865CAUTI, 2018: 0.999CAUTI, 2019: 0.510CAUTI, 2021: 0.429CAUTI, 2022: 0.000CAUTI, 2023: 0.000CAUTI, 2024: 0.000 SSI, colon 0.00 → 0.87 1 0 ’18’21’24 SSI, colon, 2019: 0.000SSI, colon, 2022: 0.000SSI, colon, 2023: 0.873 C. diff 1.11 → 0.00 1 0 ’18’21’24 C. diff, 2017: 1.113C. diff, 2018: 0.492C. diff, 2019: 0.663C. diff, 2021: 0.123C. diff, 2022: 0.398C. diff, 2023: 0.000C. diff, 2024: 0.000 CAUTI 0.86 → 0.00 1as predicted 0 ’18’20’22’24 Nation’s middle CAUTI, 2017: 0.865CAUTI, 2018: 0.999CAUTI, 2019: 0.510CAUTI, 2021: 0.429CAUTI, 2022: 0.000CAUTI, 2023: 0.000CAUTI, 2024: 0.000 SSI, colon 0.00 → 0.87 1 0 ’18’20’22’24 SSI, colon, 2019: 0.000SSI, colon, 2022: 0.000SSI, colon, 2023: 0.873 C. diff 1.11 → 0.00 1 0 ’18’20’22’24 C. diff, 2017: 1.113C. diff, 2018: 0.492C. diff, 2019: 0.663C. diff, 2021: 0.123C. diff, 2022: 0.398C. diff, 2023: 0.000C. diff, 2024: 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 yearCAUTISSI, colonC. diff
20170.8651.113
20180.9990.492
20190.5100.0000.663
20210.4290.123
20220.0000.0000.398
20230.0000.8730.000
20240.0000.000

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 Texas, its score is higher than 1% of the other 254 scored there.

Figure 8. Its score is below the middle in all 7 groups it belongs to; the share cut runs from 13% (Texas) to 28% (Fewer than 100 beds).
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 Texas: CMS cut 32 of 255 (13%); middle score −0.2368Texas 255 hospitals13% 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 For-profit: CMS cut 98 of 651 (15%); middle score −0.2590For-profit 651 hospitals15% 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: −1.1856 This hospital −1.1856 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 Texas: CMS cut 32 of 255 (13%); middle score −0.2368Texas255 hospitals13% 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 For-profit: CMS cut 98 of 651 (15%); middle score −0.2590For-profit651 hospitals15% 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: −1.1856 This hospital −1.1856

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%−0.04532%
South region1,17426322%−0.10563%
Texas2553213%−0.23681%
Not teaching1,56338925%−0.10533%
Fewer than 100 beds80522528%−0.11545%
For-profit6519815%−0.25904%
Urban2,24151023%−0.05741%
This hospital−1.1856
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 53 miles away.
25 mi50 mi100 mi8. Foundation Surgical Hospital of San Antonio, San Antonio: score −0.9526, not cut, 126 miles87. Legent Orthopedic + Spine, San Antonio: score −0.8212, not cut, 126 miles76. Peterson Regional Medical Center, Kerrville: score 0.2140, not cut, 121 miles65. CHRISTUS Santa Rosa Medical Center, San Antonio: score 0.3349, not cut, 119 miles54. Methodist Hospital Atascosa, Jourdanton: score −0.7911, not cut, 115 miles43. Laredo Medical Center, Laredo: score −0.7047, not cut, 101 miles32. Doctors Hospital of Laredo, Laredo: score 0.4746, cut, 97 miles21. Val Verde Regional Medical Center, Del Rio: score 0.0846, not cut, 53 miles1This hospital: Fort Duncan Medical Center

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

Show table
HospitalMilesScoreDecision
Val Verde Regional Medical Center, Del Rio, TX530.0846not cut
Doctors Hospital of Laredo, Laredo, TX970.4746cut
Laredo Medical Center, Laredo, TX101−0.7047not cut
Methodist Hospital Atascosa, Jourdanton, TX115−0.7911not cut
CHRISTUS Santa Rosa Medical Center, San Antonio, TX1190.3349not cut
Peterson Regional Medical Center, Kerrville, TX1210.2140not cut
Legent Orthopedic + Spine, San Antonio, TX126−0.8212not cut
Foundation Surgical Hospital of San Antonio, San Antonio, TX126−0.9526not cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1Val Verde Regional Medical CenterDel Rio, TX530.0846No cut$0Above the national median on 1 of 3 measures
2Doctors Hospital of LaredoLaredo, TX970.47461% cut$171KAbove the national median on 3 of 6 measures
3Laredo Medical CenterLaredo, TX101−0.7047No cut$0Above the national median on 1 of 6 measures
4Methodist Hospital AtascosaJourdanton, TX115−0.7911No cut$0Above the national median on 1 of 2 measures
5CHRISTUS Santa Rosa Medical CenterSan Antonio, TX1190.3349No cut$0Above the national median on 5 of 6 measures
6Peterson Regional Medical CenterKerrville, TX1210.2140No cut$0Above the national median on 3 of 6 measures
7Legent Orthopedic + SpineSan Antonio, TX126−0.8212No cut$0Above the national median on 0 of 1 measures
8Foundation Surgical Hospital of San AntonioSan Antonio, TX126−0.9526No cut$0Above the national median on 0 of 2 measures

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

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Paid & Penalized. Fort Duncan Medical Center, Eagle Pass, TX: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/450092/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.