P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalAugusta Health Estimated FY2026 net: −$52×

Hospital record · FY2026CCN 490018

1Hospital

Augusta Health

2Location

Fishersville, VA (Virginia’s hospitals on the map and in the table) 22939

Augusta County

3Type

Minor teaching · 255 beds · Nonprofit · Urban · Rural referral center · Sole community hospital

4Care Compare stars

4 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

0.0460

As CMS reports it

6Payment reduction

No cut
CMS’s value: No

7Estimated cut

$0
A cut would have been $421K, likely $327⁠–⁠514K estimate

No cut

$0

from this program

For fiscal year 2026, CMS reports a Total HAC Score of 0.0460 for Augusta Health and a payment reduction decision of No.

A cut would have taken about $421K estimate 1% of about $42.1M, this site’s estimate of what traditional Medicare pays it for inpatient stays in a year plus the teaching payments Medicare makes on its Medicare Advantage patients’ stays. Its score was 0.3339 under 0.3799, the lowest score CMS cut.

Likely range $327–514K

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.

lowest −1.4728 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: 0.0460 This hospital 0.0460 lowest −1.4728 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: 0.0460 This hospital 0.0460

Higher than 55% 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.

Bringing CLABSI down to the national median (0.559) would lower the score the most: by 0.1326, to −0.0866. Try it in the what-if

Figure 1. Of its 6 measures with a value, this hospital is above the national median on 4; CLABSI added the most to its score.
  • 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

    Worse than 51% 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 value0.9643

    Z-score−0.1685

    Part of score−0.0281

  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.

    added the most

    Central line–associated bloodstream infections

    Worse than 77% of the other 2,181 hospitals

    CMS value0.902

    Z-score0.6860

    Part of score+0.1143

  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

    Worse than 75% of the other 2,354 hospitals

    CMS value0.768

    Z-score0.5327

    Part of score+0.0888

  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 56% of the other 2,269 hospitals

    CMS value0.695

    Z-score−0.2659

    Part of score−0.0443

  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 66% 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 value0.240

    Z-score−0.5329

    Part of score−0.0888

  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

    Worse than 56% of the other 2,067 hospitals

    CMS value0.709

    Z-score0.0245

    Part of score+0.0041

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

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 900.96430.9623−0.1685−0.0281Worse than 51% of the other 2,808 hospitals
CLABSI0.9020.5590.6860+0.1143Worse than 77% of the other 2,181 hospitals
CAUTI0.7680.4890.5327+0.0888Worse than 75% of the other 2,354 hospitals
SSI0.6950.795−0.2659−0.0443Better than 56% of the other 2,269 hospitals
CDI0.2400.346−0.5329−0.0888Better than 66% of the other 2,766 hospitals
MRSA0.7090.6410.0245+0.0041Worse than 56% 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.

(−0.1685PSI 90+0.6860CLABSI+0.5327CAUTI−0.2659SSI−0.5329CDI+0.0245MRSA)÷6measures=0.0460Total HAC Score

This hospital’s score is 0.3339 below 0.3799, the lowest score CMS marked Yes. (This site recomputes.)

Figure 2. The parts add up to 0.0460, below CMS’s line.
1% cut PSI 90: z‑score −0.1685 divided by 6 = −0.0281PSI 90−0.0281 CLABSI: z‑score 0.6860 divided by 6 = +0.1143CLABSI+0.1143 CAUTI: z‑score 0.5327 divided by 6 = +0.0888CAUTI+0.0888 SSI: z‑score −0.2659 divided by 6 = −0.0443SSI−0.0443 CDI: z‑score −0.5329 divided by 6 = −0.0888CDI−0.0888 MRSA: z‑score 0.0245 divided by 6 = +0.0041MRSA+0.0041 Total HAC Score: 0.0460Score0.0460 CMS’s line: between 0.3792 and 0.3799 CMS’s line −0.10.00.10.20.30.4 1% cut PSI 90: z‑score −0.1685 divided by 6 = −0.0281PSI 90−0.0281 CLABSI: z‑score 0.6860 divided by 6 = +0.1143CLABSI+0.1143 CAUTI: z‑score 0.5327 divided by 6 = +0.0888CAUTI+0.0888 SSI: z‑score −0.2659 divided by 6 = −0.0443SSI−0.0443 CDI: z‑score −0.5329 divided by 6 = −0.0888CDI−0.0888 MRSA: z‑score 0.0245 divided by 6 = +0.0041MRSA+0.0041 Total HAC Score: 0.0460Score0.0460 CMS’s line: between 0.3792 and 0.3799 CMS’s line −0.10.00.10.20.30.4

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 90−0.1685−0.0281−0.0281
CLABSI0.6860+0.11430.0862
CAUTI0.5327+0.08880.1750
SSI−0.2659−0.04430.1307
CDI−0.5329−0.08880.0419
MRSA0.0245+0.00410.0460
Total HAC Score0.0460
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, and of the teaching payments Medicare makes on its Medicare Advantage stays; 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, 0.3339 under the lowest score CMS cut, costs it nothing; 0.3339 higher, the cut would have been about $421K 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 $421K at any score from 0.3799 $0at any score up to 0.3792 $421K at any score from 0.3799 −1012 CMS’s highest score: 2.3133 CMS’s highest score 2.3133 This hospital: 0.0460 This hospital 0.0460 CMS’s line $0 at any score up to 0.3792 $421K at any score from 0.3799 $0at any score up to 0.3792 $421Kat 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: 0.0460 This hospital 0.0460

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−$421,499
This hospital0.0460$0
CMS’s highest score2.3133−$421,499

The money, line by line

This site estimates what traditional Medicare pays the hospital for a year of inpatient stays, and the teaching payments Medicare makes on its Medicare Advantage patients’ 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.

($42,140,382payment+$9,613teaching, MA stays+$0readmissions−$52value-based)×1%the cut=$421,499at stake

$421,499at stake÷3,262traditional Medicare stays=$129per traditional Medicare stay

Figure 4. No HAC cut this year; 1% of the hospital’s whole inpatient payment would have been about $421K by this site’s estimate. The readmissions and value-based adjustments, on the base alone, came to $0 and −$52.

Estimated Medicare inpatient payments · FY2026 estimate

What traditional Medicare pays it for inpatient stays, and for teaching on Medicare Advantage stays
DRG payments at the federal rates the base $33,077,559
Teaching (indirect medical education) $1,029,704
Teaching on Medicare Advantage stays $9,613
Many low-income patients (disproportionate share) $753,838
Outliers: unusually costly stays $655,266
Sole community hospital rate difference $3,843,081
Capital: buildings and equipment $2,780,934
Total, before the three programs $42,149,995
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (1.0000 − 1) $0
Value-based purchasing (HVBP) base × (1.0000 − 1) −$52
After these two $42,149,943
HAC Reduction Program no cut; 1% would have been $421,499 $0
Net of the three programs likely −$60 to −$42 −$52

Not paid to this hospital: a Medicare-dependent hospital add-on, 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.

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)$33,077,559
Teaching (indirect medical education)$1,029,704
Teaching on Medicare Advantage stays$9,613
Many low-income patients (disproportionate share)$753,838
Outliers: unusually costly stays$655,266
Sole community hospital rate difference$3,843,081
Capital: buildings and equipment$2,780,934
Total, before the three programs$42,149,995
Readmissions (HRRP) (base × (1.0000 − 1))$0
Value-based purchasing (HVBP) (base × (1.0000 − 1))−$52
After these two$42,149,943
HAC Reduction Program (no cut; 1% would have been $421,499)$0
Net of the three programs (likely −$60 to −$42)−$52

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 Score0.0460same
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 0.0460 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 $421K 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 90up to 1.2505
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
SSIup to 1.862
CDIup to 0.756
MRSAup to 1.665

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 0.9643 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1164

CMS 0.902 · median 0.559 · cap 1.572 · each 0.1 = 0.0387

CMS 0.768 · median 0.489 · cap 1.537 · each 0.1 = 0.0402

CMS 0.695 · median 0.795 · cap 2.118 · each 0.1 = 0.0286

CMS 0.240 · median 0.346 · cap 0.944 · each 0.1 = 0.0645

CMS 0.709 · median 0.641 · cap 1.762 · each 0.1 = 0.0348

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Figure 5. CLABSI added the most to this hospital’s Total HAC Score of 0.0460 among its measured results: +0.1143.
  • PSI 90 −0.0281
  • CLABSI +0.1143
  • CAUTI +0.0888
  • SSI −0.0443
  • CDI −0.0888
  • MRSA +0.0041

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 90−0.1685−0.0281same
CLABSI0.6860+0.1143same
CAUTI0.5327+0.0888same
SSI−0.2659−0.0443same
CDI−0.5329−0.0888same
MRSA0.0245+0.0041same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/490018/

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 4.6500, higher than 35% of scores; not cutFY2016: score 4.2500, higher than 27% of scores; not cutFY2017: score 3.5100, higher than 19% of scores; not cutFY2018: score −0.2076, higher than 36% of scores; not cutFY2019: score −0.053, higher than 48% of scores; not cutFY2020: score 0.0804, higher than 58% of scores; not cutFY2021: score 0.2089, higher than 68% of scores; not cutFY2022: score 0.2805, higher than 73% of scores; not cutFY2024: score −0.1260, higher than 43% of scores; not cutFY2025: score 0.0704, higher than 57% of scores; not cutFY2026: score 0.0460, higher than 55% of scores; not cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 4.6500, higher than 35% of scores; not cutFY2016: score 4.2500, higher than 27% of scores; not cutFY2017: score 3.5100, higher than 19% of scores; not cutFY2018: score −0.2076, higher than 36% of scores; not cutFY2019: score −0.053, higher than 48% of scores; not cutFY2020: score 0.0804, higher than 58% of scores; not cutFY2021: score 0.2089, higher than 68% of scores; not cutFY2022: score 0.2805, higher than 73% of scores; not cutFY2024: score −0.1260, higher than 43% of scores; not cutFY2025: score 0.0704, higher than 57% of scores; not cutFY2026: score 0.0460, higher than 55% 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
FY20154.650035.8%not cut
FY20164.250027.2%not cut
FY20173.510019.6%not cut
FY2018−0.207636.6%not cut
FY2019−0.05348.2%not cut
FY20200.080458.9%not cut
FY20210.208968.3%not cut
FY20220.280573.5%not cut
FY2023no decision
FY2024−0.126043.4%not cut
FY20250.070457.5%not cut
FY20260.046055.6%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. 4 of its 6 infection measures ended lower than they started.
CLABSI 0.00 → 0.97 1as predicted 0 ’18’21’24 Nation’s middle CLABSI, 2017: 0.000CLABSI, 2018: 1.165CLABSI, 2019: 0.575CLABSI, 2021: 0.978CLABSI, 2022: 0.507CLABSI, 2023: 0.846CLABSI, 2024: 0.966 CAUTI 1.78 → 0.74 1 0 ’18’21’24 CAUTI, 2017: 1.777CAUTI, 2018: 1.762CAUTI, 2019: 2.082CAUTI, 2021: 2.323CAUTI, 2022: 1.367CAUTI, 2023: 0.797CAUTI, 2024: 0.740 SSI, colon 0.36 → 0.63 1 0 ’18’21’24 SSI, colon, 2017: 0.364SSI, colon, 2018: 0.346SSI, colon, 2019: 0.349SSI, colon, 2021: 0.357SSI, colon, 2022: 0.410SSI, colon, 2023: 0.684SSI, colon, 2024: 0.629 SSI, hysterectomy 0.84 → 0.75 1 0 ’18’21’24 SSI, hysterectomy, 2023: 0.845SSI, hysterectomy, 2024: 0.746 MRSA 1.15 → 0.00 1 0 ’18’21’24 MRSA, 2017: 1.149MRSA, 2018: 0.000MRSA, 2019: 1.529MRSA, 2021: 1.054MRSA, 2022: 0.395MRSA, 2023: 1.717MRSA, 2024: 0.000 C. diff 0.91 → 0.20 1 0 ’18’21’24 C. diff, 2017: 0.910C. diff, 2018: 0.469C. diff, 2019: 0.407C. diff, 2021: 0.757C. diff, 2022: 0.303C. diff, 2023: 0.269C. diff, 2024: 0.202 CLABSI 0.00 → 0.97 1as predicted 0 ’18’20’22’24 Nation’s middle CLABSI, 2017: 0.000CLABSI, 2018: 1.165CLABSI, 2019: 0.575CLABSI, 2021: 0.978CLABSI, 2022: 0.507CLABSI, 2023: 0.846CLABSI, 2024: 0.966 CAUTI 1.78 → 0.74 1 0 ’18’20’22’24 CAUTI, 2017: 1.777CAUTI, 2018: 1.762CAUTI, 2019: 2.082CAUTI, 2021: 2.323CAUTI, 2022: 1.367CAUTI, 2023: 0.797CAUTI, 2024: 0.740 SSI, colon 0.36 → 0.63 1 0 ’18’20’22’24 SSI, colon, 2017: 0.364SSI, colon, 2018: 0.346SSI, colon, 2019: 0.349SSI, colon, 2021: 0.357SSI, colon, 2022: 0.410SSI, colon, 2023: 0.684SSI, colon, 2024: 0.629 SSI, hysterectomy 0.84 → 0.75 1 0 ’18’20’22’24 SSI, hysterectomy, 2023: 0.845SSI, hysterectomy, 2024: 0.746 MRSA 1.15 → 0.00 1 0 ’18’20’22’24 MRSA, 2017: 1.149MRSA, 2018: 0.000MRSA, 2019: 1.529MRSA, 2021: 1.054MRSA, 2022: 0.395MRSA, 2023: 1.717MRSA, 2024: 0.000 C. diff 0.91 → 0.20 1 0 ’18’20’22’24 C. diff, 2017: 0.910C. diff, 2018: 0.469C. diff, 2019: 0.407C. diff, 2021: 0.757C. diff, 2022: 0.303C. diff, 2023: 0.269C. diff, 2024: 0.202

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 yearCLABSICAUTISSI, colonSSI, hysterectomyMRSAC. diff
20170.0001.7770.3641.1490.910
20181.1651.7620.3460.0000.469
20190.5752.0820.3491.5290.407
20210.9782.3230.3571.0540.757
20220.5071.3670.4100.3950.303
20230.8460.7970.6840.8451.7170.269
20240.9660.7400.6290.7460.0000.202

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 Virginia, its score is higher than 73% of the other 69 scored there.

Figure 8. Its score is above the middle in all 7 groups it belongs to; the share cut runs from 7% (Virginia) to 26% (Nonprofit).
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 Virginia: CMS cut 5 of 70 (7%); middle score −0.2572Virginia 70 hospitals7% cut Minor teaching: CMS cut 181 of 873 (21%); middle score −0.0567Minor teaching 873 hospitals21% cut 100 to 299 beds: CMS cut 275 of 1,193 (23%); middle score −0.0732100 to 299 beds 1,193 hospitals23% cut Nonprofit: CMS cut 478 of 1,830 (26%); middle score −0.0134Nonprofit 1,830 hospitals26% 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: 0.0460 This hospital 0.0460 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 Virginia: CMS cut 5 of 70 (7%); middle score −0.2572Virginia70 hospitals7% cut Minor teaching: CMS cut 181 of 873 (21%); middle score −0.0567Minor teaching873 hospitals21% cut 100 to 299 beds: CMS cut 275 of 1,193 (23%); middle score −0.0732100 to 299 beds1,193 hospitals23% cut Nonprofit: CMS cut 478 of 1,830 (26%); middle score −0.0134Nonprofit1,830 hospitals26% 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: 0.0460 This hospital 0.0460

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%−0.045355%
South region1,17426322%−0.105659%
Virginia7057%−0.257273%
Minor teaching87318121%−0.056756%
100 to 299 beds1,19327523%−0.073257%
Nonprofit1,83047826%−0.013453%
Urban2,24151023%−0.057456%
This hospital0.0460
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 23 miles away.
10 mi25 mi50 mi8. Southside Community Hospital, Inc, Farmville: score −0.2277, not cut, 62 miles87. Centra Bedford Memorial Hospital, Bedford: score −0.8970, not cut, 59 miles76. UVA Health Culpeper Medical Center, Culpeper: score 0.7477, cut, 58 miles65. Lewisgale Hospital Alleghany, Low Moor: score −0.7361, not cut, 52 miles54. Centra Health - Lynchburg Gen Hospital, Lynchburg: score 0.2206, not cut, 48 miles43. Sentara Martha Jefferson Hospital, Charlottesville: score 0.4105, cut, 30 miles32. University of Virginia Medical Center, Charlottesville: score 0.3730, not cut, 27 miles21. Sentara RMH Medical Center, Harrisonburg: score −0.1794, not cut, 23 miles1This hospital: Augusta Health

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

Show table
HospitalMilesScoreDecision
Sentara RMH Medical Center, Harrisonburg, VA23−0.1794not cut
University of Virginia Medical Center, Charlottesville, VA270.3730not cut
Sentara Martha Jefferson Hospital, Charlottesville, VA300.4105cut
Centra Health - Lynchburg Gen Hospital, Lynchburg, VA480.2206not cut
Lewisgale Hospital Alleghany, Low Moor, VA52−0.7361not cut
UVA Health Culpeper Medical Center, Culpeper, VA580.7477cut
Centra Bedford Memorial Hospital, Bedford, VA59−0.8970not cut
Southside Community Hospital, Inc, Farmville, VA62−0.2277not cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1Sentara RMH Medical CenterHarrisonburg, VA23−0.1794No cut$0Above the national median on 3 of 6 measures
2University of Virginia Medical CenterCharlottesville, VA270.3730No cut$0Above the national median on 6 of 6 measures
3Sentara Martha Jefferson HospitalCharlottesville, VA300.41051% cut$362KAbove the national median on 4 of 6 measures
4Centra Health - Lynchburg Gen HospitalLynchburg, VA480.2206No cut$0Above the national median on 3 of 6 measures
5Lewisgale Hospital AlleghanyLow Moor, VA52−0.7361No cut$0Above the national median on 0 of 3 measures
6UVA Health Culpeper Medical CenterCulpeper, VA580.74771% cut$147KAbove the national median on 4 of 5 measures
7Centra Bedford Memorial HospitalBedford, VA59−0.8970No cut$0Above the national median on 0 of 2 measures
8Southside Community Hospital, IncFarmville, VA62−0.2277No cut$0Above the national median on 2 of 4 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. Augusta Health, Fishersville, VA: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/490018/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.