Hospital record · FY2026CCN 470005

1Hospital

Rutland Regional Medical Center

2Location

Rutland, VT (Vermont’s hospitals on the map and in the table) 05701

Rutland County

3Type

Not a teaching hospital · 301 beds · Nonprofit · Rural · Rural referral center · 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

1.0356

As CMS reports it

6Payment reduction

1% cut

CMS’s value: Yes

7Estimated cut

$314K estimate

Likely $244⁠–⁠382K; about $152 per traditional Medicare stay

Cut 1%

$314K

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

For fiscal year 2026, CMS reports a Total HAC Score of 1.0356 for Rutland Regional Medical Center and a payment reduction decision of Yes.

That is 1% of about $31.4M, this site’s estimate of what traditional Medicare pays it for inpatient stays in a year: about $152 per traditional Medicare stay.

Likely range $244–382K

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.

Higher than 94% of the other 2,928 scores CMS published (higher is worse).

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

15No
16No
17No
18No
19No
20No
21No
22No
23—
24No
25Cut
26Cut

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.

Bringing PSI 90 down to the national median (0.9623) would lower the score the most: by 0.4490, to 0.5866. Try it in the what-if

Figure 1. Of its 6 measures with a value, this hospital is above the national median on 5; PSI 90 added the most to its score.

This hospital
National median
Scores the same as CMS’s floor or cap

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.
added the most
Patient safety and adverse events composite
Worse than 96% 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 value1.3833

Z-score2.5111

Part of score+0.4185
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
Worse than 61% of the other 2,181 hospitals

CMS value0.682

Z-score0.1756

Part of score+0.0293
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
Worse than 74% of the other 2,354 hospitals

CMS value0.753

Z-score0.4965

Part of score+0.0828
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 58% of the other 2,269 hospitals

CMS value0.670

Z-score−0.3088

Part of score−0.0515
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
Worse than 92% 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 value0.864

Z-score1.8833

Part of score+0.3139
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
Worse than 89% of the other 2,067 hospitals

CMS value1.394

Z-score1.4560

Part of score+0.2427

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

Show table

Measure	CMS value	National median	Z-score	Part of the score	Among hospitals
PSI 90	1.3833	0.9623	2.5111	+0.4185	Worse than 96% of the other 2,808 hospitals
CLABSI	0.682	0.559	0.1756	+0.0293	Worse than 61% of the other 2,181 hospitals
CAUTI	0.753	0.489	0.4965	+0.0828	Worse than 74% of the other 2,354 hospitals
SSI	0.670	0.795	−0.3088	−0.0515	Better than 58% of the other 2,269 hospitals
CDI	0.864	0.346	1.8833	+0.3139	Worse than 92% of the other 2,766 hospitals
MRSA	1.394	0.641	1.4560	+0.2427	Worse than 89% 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.

(2.5111PSI 90+0.1756CLABSI+0.4965CAUTI−0.3088SSI+1.8833CDI+1.4560MRSA)÷6measures=1.0356Total HAC Score

This hospital’s score is 0.6564 above 0.3792, the highest score CMS marked No. (This site recomputes.)

Figure 2. The parts add up to 1.0356, above CMS’s line.

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

Show table

Measure	Z-score	Part of the score	Running total
PSI 90	2.5111	+0.4185	0.4185
CLABSI	0.1756	+0.0293	0.4478
CAUTI	0.4965	+0.0828	0.5306
SSI	−0.3088	−0.0515	0.4791
CDI	1.8833	+0.3139	0.7930
MRSA	1.4560	+0.2427	1.0357
Total HAC Score			1.0356
CMS’s line		0.3792	0.3799

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, 0.6564 over the highest score CMS didn’t cut, costs it about $314K by this site’s estimate, and at CMS’s highest score, 2.3133, the cut would be the same.

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

Score	Total HAC Score	Estimated HAC cut (whole dollars)
Any score up to 0.3792	0.3792	$0
Any score from 0.3799	0.3799	−$313,637
This hospital	1.0356	−$313,637
CMS’s highest score	2.3133	−$313,637

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.

($31,309,091payment−$28,575readmissions+$83,170value-based)×1%the cut=$313,637HAC cut

$313,637HAC cut÷2,060traditional Medicare stays=$152per traditional Medicare stay

Figure 4. This site estimates the HAC cut at $314K: 1% of the hospital’s whole inpatient payment, taken last. The readmissions and value-based adjustments, on the base alone, came to −$29K and +$83K.

Estimated Medicare inpatient payments · FY2026 estimate

What traditional Medicare pays it for inpatient stays
DRG payments at the federal rates the base	$19,049,823
Many low-income patients (disproportionate share)	$665,410
Outliers: unusually costly stays	$1,760,204
Sole community hospital rate difference	$8,272,600
Capital: buildings and equipment	$1,561,054
Total, before the three programs	$31,309,091
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (0.9985 − 1)	−$28,575
Value-based purchasing (HVBP) base × (1.0044 − 1)	+$83,170
After these two	$31,363,686
HAC Reduction Program 1% of everything above; likely $244⁠–⁠382K	−$313,637
Net of the three programs likely −$300K to −$207K	−$259,042

Not paid to this hospital: a Medicare-dependent hospital add-on, teaching payments, a low-volume adjustment, 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.

Show table

Line	Amount (whole dollars)
DRG payments at the federal rates (the base)	$19,049,823
Many low-income patients (disproportionate share)	$665,410
Outliers: unusually costly stays	$1,760,204
Sole community hospital rate difference	$8,272,600
Capital: buildings and equipment	$1,561,054
Total, before the three programs	$31,309,091
Readmissions (HRRP) (base × (0.9985 − 1))	−$28,575
Value-based purchasing (HVBP) (base × (1.0044 − 1))	+$83,170
After these two	$31,363,686
HAC Reduction Program (1% of everything above; likely $244–382K)	−$313,637
Net of the three programs (likely −$300K to −$207K)	−$259,042

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.

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	CMS reports	Hypothetical
Total HAC Score	1.0356	same
Payment reduction decision	Yes	same
Payment cut	1%	same
Estimated HAC cut estimate	$314K	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 1.0356 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 $314K, 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.

Measure	Value that would read No
PSI 90	0.7839 or lower
CLABSI	not possible with this measure alone
CAUTI	not possible with this measure alone
SSI	not possible with this measure alone
CDI	not possible with this measure alone
MRSA	not possible with this measure alone

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.

Patient safety and adverse events composite PSI 90

PSI 90 value

CMS 1.3833 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1164

Central line–associated bloodstream infections CLABSI

CLABSI value

CMS 0.682 · median 0.559 · cap 1.572 · each 0.1 = 0.0387

Catheter-associated urinary tract infections CAUTI

CAUTI value

CMS 0.753 · median 0.489 · cap 1.537 · each 0.1 = 0.0402

Surgical site infections after colon surgery or abdominal hysterectomy SSI

SSI value

CMS 0.670 · median 0.795 · cap 2.118 · each 0.1 = 0.0286

Clostridioides difficile (C. diff) infections CDI

CDI value

CMS 0.864 · median 0.346 · cap 0.944 · each 0.1 = 0.0645

MRSA bloodstream infections MRSA

MRSA value

CMS 1.394 · median 0.641 · cap 1.762 · each 0.1 = 0.0348

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

Stays in your browser; never sent.

Optional: your NHSN predicted infections for CLABSI, January 1, 2023 to December 31, 2024

Optional: your NHSN predicted infections for CAUTI, January 1, 2023 to December 31, 2024

Optional: your NHSN predicted infections for SSI, January 1, 2023 to December 31, 2024

Optional: your NHSN predicted infections for CDI, January 1, 2023 to December 31, 2024

Optional: your NHSN predicted infections for MRSA, January 1, 2023 to December 31, 2024

Figure 5. PSI 90 added the most to this hospital’s Total HAC Score of 1.0356 among its measured results: +0.4185.

PSI 90 +0.4185
CLABSI +0.0293
CAUTI +0.0828
SSI −0.0515
CDI +0.3139
MRSA +0.2427

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

Measure	Z-score	Part of the score	Hypothetical
PSI 90	2.5111	+0.4185	same
CLABSI	0.1756	+0.0293	same
CAUTI	0.4965	+0.0828	same
SSI	−0.3088	−0.0515	same
CDI	1.8833	+0.3139	same
MRSA	1.4560	+0.2427	same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/470005/

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.

Its longest run: cut 2 years in a row.

Figure 6. CMS cut this hospital in 2 of the 11 years it made a decision.

● 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 year	Total HAC Score	Higher than this share of scores	Payment reduction
FY2015	3.0000	12.3%	not cut
FY2016	4.5000	30.4%	not cut
FY2017	4.2800	30.5%	not cut
FY2018	−0.3665	27.1%	not cut
FY2019	−0.134	41.8%	not cut
FY2020	−0.3411	27.8%	not cut
FY2021	−0.4451	22.1%	not cut
FY2022	−0.2536	33.9%	not cut
FY2023			no decision
FY2024	−0.3201	30.3%	not cut
FY2025	0.5353	83.0%	cut
FY2026	1.0356	94.2%	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. 2 of its 5 infection measures ended lower than they started.

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).

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Calendar year	CLABSI	CAUTI	SSI, colon	MRSA	C. diff
2017	0.000	0.000	1.859	1.404	0.484
2018	0.674	0.000	1.507	0.666	0.412
2019	0.000	0.838	0.516	0.000	0.897
2021	1.079	1.829	1.305	1.428	0.557
2022	0.000	0.324	1.564	0.492	0.538
2023	0.639	1.364	1.257	1.496	0.797
2024	0.730	0.000	0.000	1.305	0.932

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 Vermont, its score is higher than 40% of the other 5 scored there.

Figure 8. Its score is above the middle in 6 of the 7 groups it belongs to; the share cut runs from 22% (300 to 499 beds) to 67% (Vermont).

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

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Group	With a decision	Hospitals cut	Share cut	Middle score	Hospital higher than
All hospitals	2,886	718	25%	−0.0453	94%
Northeast region	436	124	28%	0.0478	94%
Vermont	6	4	67%	1.0510	40%
Not teaching	1,563	389	25%	−0.1053	92%
300 to 499 beds	523	113	22%	−0.0384	98%
Nonprofit	1,830	478	26%	−0.0134	95%
Rural	619	196	32%	0.0229	89%
This hospital				1.0356
CMS’s line				0.3792	0.3799

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 3 of the 8 nearest hospitals; the closest is 40 miles away.

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

Show table

Hospital	Miles	Score	Decision
Glens Falls Hospital, Glens Falls, NY	40	0.2472	not cut
Central Vermont Medical Center, Barre, VT	47	1.3224	cut
Southwestern Vermont Medical Center, Bennington, VT	52	−0.4317	not cut
Saratoga Hospital, Saratoga Springs, NY	55	−0.1274	not cut
Brattleboro Memorial Hospital, Brattleboro, VT	56	−0.3152	not cut
Cheshire Medical Center, Keene, NH	56	−0.2955	not cut
Mary Hitchcock Memorial Hospital, Lebanon, NH	61	0.4187	cut
Univ. of Vermont - Fletcher Allen Health Care, Burlington, VT	62	1.0951	cut

#	Hospital	Miles	Score	Decision	Est. cut ($, modeled)	Measures
1	Glens Falls HospitalGlens Falls, NY	40	0.2472	No cut	$0	Above the national median on 2 of 6 measures
2	Central Vermont Medical CenterBarre, VT	47	1.3224	1% cut	$323K	Above the national median on 5 of 6 measures
3	Southwestern Vermont Medical CenterBennington, VT	52	−0.4317	No cut	$0	Above the national median on 2 of 6 measures
4	Saratoga HospitalSaratoga Springs, NY	55	−0.1274	No cut	$0	Above the national median on 3 of 6 measures
5	Brattleboro Memorial HospitalBrattleboro, VT	56	−0.3152	No cut	$0	Above the national median on 0 of 2 measures
6	Cheshire Medical CenterKeene, NH	56	−0.2955	No cut	$0	Above the national median on 2 of 6 measures
7	Mary Hitchcock Memorial HospitalLebanon, NH	61	0.4187	1% cut	$2.1M	Above the national median on 4 of 6 measures
8	Univ. of Vermont - Fletcher Allen Health CareBurlington, VT	62	1.0951	1% cut	$1.6M	Above the national median on 5 of 6 measures

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

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. Rutland Regional Medical Center, Rutland, VT: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/470005/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.