P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalLamb Healthcare Center Estimated FY2026 net: −$8K×

Hospital record · FY2026CCN 450698

1Hospital

Lamb Healthcare Center

2Location

Littlefield, TX (Texas’s hospitals on the map and in the table) 79339

Lamb County

3Type

Not a teaching hospital · 41 beds · Government · Rural · Sole community hospital

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

2.2091

As CMS reports it

6Payment reduction

1% cut
CMS’s value: Yes

7Estimated cut

$8K estimate
Likely $6⁠–⁠10K; about $265 per traditional Medicare stay

Cut 1%

$8K

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

For fiscal year 2026, CMS reports a Total HAC Score of 2.2091 for Lamb Healthcare Center and a payment reduction decision of Yes.

That is 1% of about $847K, this site’s estimate of what traditional Medicare pays it for inpatient stays in a year: about $265 per traditional Medicare stay.

Likely range $6–10K

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: 2.2091 This hospital 2.2091 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: 2.2091 This hospital 2.2091

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

Its record, fiscal years 2015 to 2026 Cut in 1 of 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. 26Cut

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

Where the score came from

CMS scored this hospital on 2 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.

Figure 1. CMS published no measure values for this hospital.
  • 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

    CMS assigned this measure its worst possible score under the program’s rules; it is not a measured result. CMS’s footnote gives the reason.

    CMS footnote 11: There were discrepancies in the data collection process.

    CMS valueno value published

    Z-score2.1931

    Part of score+1.0966

  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

    CMS assigned this measure its worst possible score under the program’s rules; it is not a measured result. CMS’s footnote gives the reason.

    CMS footnote 11: There were discrepancies in the data collection process.

    CMS valueno value published

    Z-score2.2251

    Part of score+1.1126

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
CDIno value published0.3462.1931+1.0966
MRSAno value published0.6412.2251+1.1126

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

(2.1931CDI+2.2251MRSA)÷2measures=2.2091Total HAC Score

This hospital’s score is 1.8299 above 0.3792, the highest score CMS marked No. (This site recomputes.)

Figure 2. The parts add up to 2.2091, above CMS’s line.
1% cut CDI: z‑score 2.1931 divided by 2 = +1.0966CDI+1.0966 MRSA: z‑score 2.2251 divided by 2 = +1.1126MRSA+1.1126 Total HAC Score: 2.2091Score2.2091 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 2 = +1.0966CDI+1.0966 MRSA: z‑score 2.2251 divided by 2 = +1.1126MRSA+1.1126 Total HAC Score: 2.2091Score2.2091 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+1.09661.0966
MRSA2.2251+1.11262.2092
Total HAC Score2.2091
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, 1.8299 over the highest score CMS didn’t cut, costs it about $8K 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 $8K at any score from 0.3799 $0at any score up to 0.3792 $8K at any score from 0.3799 −1012 This hospital: 2.2091 This hospital 2.2091 CMS’s line $0 at any score up to 0.3792 $8K at any score from 0.3799 $0at any score up to 0.3792 $8Kat any score from 0.3799 −1.0−0.50.00.51.01.52.0 CMS’s highest score: 2.3133 This hospital: 2.2091 This hospital 2.2091

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−$8,472
This hospital2.2091−$8,472
CMS’s highest score2.3133−$8,472

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.

($847,183payment+$0readmissions+$0value-based)×1%the cut=$8,472HAC cut

$8,472HAC cut÷32traditional Medicare stays=$265per traditional Medicare stay

Figure 4. This site estimates the HAC cut at $8K: 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 $242,713
Many low-income patients (disproportionate share) $7,281
Low-volume adjustment $169,437
Capital: buildings and equipment $18,956
Uncompensated care $408,796
Total, before the three programs $847,183
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 $847,183
HAC Reduction Program 1% of everything above; likely $6⁠–⁠10K −$8,472
Net of the three programs likely −$9K to −$6K −$8,472

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

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)$242,713
Many low-income patients (disproportionate share)$7,281
Low-volume adjustment$169,437
Capital: buildings and equipment$18,956
Uncompensated care$408,796
Total, before the three programs$847,183
Readmissions (HRRP) (base × (1.0000 − 1))$0
Value-based purchasing (HVBP) (not in CMS’s value-based factors: no adjustment)$0
After these two$847,183
HAC Reduction Program (1% of everything above; likely $6–10K)−$8,472
Net of the three programs (likely −$9K to −$6K)−$8,472

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 Score2.2091same
Payment reduction decisionYessame
Payment cut1%same
Estimated HAC cut estimate$8Ksame

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 2.2091 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 $8K, 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 NoNote
CDICMS assigned this measure’s score, so there is no submitted value to solve for.
MRSACMS assigned this measure’s score, so there is no submitted value to solve for.

Each measure weighs 1 ÷ 2 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.

median 0.346 · cap 0.944 · each 0.1 = 0.1936

CMS assigned this measure’s score; CMS’s footnote in the table above gives the reason. Enter a value to see the score had it been submitted.

median 0.641 · cap 1.762 · each 0.1 = 0.1045

CMS assigned this measure’s score; CMS’s footnote in the table above gives the reason. Enter a value to see the score had it been submitted.

Figure 5. Each bar is one measure’s part of this hospital’s Total HAC Score of 2.2091: its z‑score divided by 2, the number of measures scored.
  • CDI (assigned by CMS) +1.0966
  • MRSA (assigned by CMS) +1.1126

A measure adds its z‑score divided by 2, 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, assigned2.1931+1.0966same
MRSA, assigned2.2251+1.1126same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/450698/

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 1 of the 11 years it made a decision.
highest middle lowest z‑scoresequal weights no scores FY2015: score 7.0000, higher than 73% of scores; not cutFY2016: score 6.0000, higher than 56% of scores; not cutFY2017: score 6.0000, higher than 62% of scores; not cutFY2018: score −0.0063, higher than 51% of scores; not cutFY2019: score 0.0514, higher than 56% of scores; not cutFY2020: score 0.0512, higher than 56% of scores; not cutFY2021: score 0.0801, higher than 59% of scores; not cutFY2022: score 0.1032, higher than 63% of scores; not cutFY2026: score 2.2091, higher than 99% of scores; cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 7.0000, higher than 73% of scores; not cutFY2016: score 6.0000, higher than 56% of scores; not cutFY2017: score 6.0000, higher than 62% of scores; not cutFY2018: score −0.0063, higher than 51% of scores; not cutFY2019: score 0.0514, higher than 56% of scores; not cutFY2020: score 0.0512, higher than 56% of scores; not cutFY2021: score 0.0801, higher than 59% of scores; not cutFY2022: score 0.1032, higher than 63% of scores; not cutFY2026: score 2.2091, 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
FY20157.000073.6%not cut
FY20166.000056.2%not cut
FY20176.000062.8%not cut
FY2018−0.006351.3%not cut
FY20190.051456.1%not cut
FY20200.051256.5%not cut
FY20210.080159.0%not cut
FY20220.103263.1%not cut
FY2023no decision
FY2024N/Anot cut, with no score published
FY2025N/Anot cut, with no score published
FY20262.209199.7%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 Texas, its score is higher than 99% of the other 254 scored there.

Figure 7. Its score is above the middle in all 7 groups it belongs to; the share cut runs from 13% (Texas) 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 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 Government: CMS cut 140 of 401 (35%); middle score 0.1602Government 401 hospitals35% cut Rural: CMS cut 196 of 619 (32%); middle score 0.0229Rural 619 hospitals32% cut CMS’s line: between 0.3792 and 0.3799 CMS’s line −1012 This hospital: 2.2091 This hospital 2.2091 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 Government: CMS cut 140 of 401 (35%); middle score 0.1602Government401 hospitals35% cut Rural: CMS cut 196 of 619 (32%); middle score 0.0229Rural619 hospitals32% 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: 2.2091 This hospital 2.2091

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%−0.105699%
Texas2553213%−0.236899%
Not teaching1,56338925%−0.105399%
Fewer than 100 beds80522528%−0.115499%
Government40114035%0.160299%
Rural61919632%0.0229100%
This hospital2.2091
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 8. CMS cut 1 of the 8 nearest hospitals; the closest is 33 miles away.
10 mi25 mi50 mi8. BSA Hospital, Amarillo: score −0.2368, not cut, 92 miles87. Plains Regional Medical Center, Clovis: score 0.4927, cut, 62 miles76. Roosevelt General Hospital, Portales: score 0.0301, not cut, 61 miles65. Covenant Hospital Plainview, Plainview: score −0.4609, not cut, 41 miles54. Grace Surgical Hospital, Lubbock: score 0.0680, not cut, 37 miles43. Covenant Medical Center, Lubbock: score −0.2310, not cut, 35 miles32. University Medical Center, Lubbock: score −0.1923, not cut, 34 miles21. Lubbock Heart Hospital LP, Lubbock: score −0.0579, not cut, 33 miles1This hospital: Lamb Healthcare Center

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

Show table
HospitalMilesScoreDecision
Lubbock Heart Hospital LP, Lubbock, TX33−0.0579not cut
University Medical Center, Lubbock, TX34−0.1923not cut
Covenant Medical Center, Lubbock, TX35−0.2310not cut
Grace Surgical Hospital, Lubbock, TX370.0680not cut
Covenant Hospital Plainview, Plainview, TX41−0.4609not cut
Roosevelt General Hospital, Portales, NM610.0301not cut
Plains Regional Medical Center, Clovis, NM620.4927cut
BSA Hospital, Amarillo, TX92−0.2368not cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1Lubbock Heart Hospital LPLubbock, TX33−0.0579No cut$0Above the national median on 2 of 4 measures
2University Medical CenterLubbock, TX34−0.1923No cut$0Above the national median on 3 of 6 measures
3Covenant Medical CenterLubbock, TX35−0.2310No cut$0Above the national median on 1 of 6 measures
4Grace Surgical HospitalLubbock, TX370.0680No cut$0Above the national median on 1 of 2 measures
5Covenant Hospital PlainviewPlainview, TX41−0.4609No cut$0Above the national median on 0 of 3 measures
6Roosevelt General HospitalPortales, NM610.0301No cut$0Above the national median on 1 of 1 measures
7Plains Regional Medical CenterClovis, NM620.49271% cut$96KAbove the national median on 2 of 4 measures
8BSA HospitalAmarillo, TX92−0.2368No cut$0Above the national median on 2 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.
11
There were discrepancies in the data collection process.

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. Lamb Healthcare Center, Littlefield, TX: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/450698/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.