P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalMayhill Hospital×

Hospital record · FY2026CCN 670010

1Hospital

Mayhill Hospital

2Location

Denton, TX (Texas’s hospitals on the map and in the table) 76208

Denton County

3Type

59 beds · For-profit

4Care Compare stars

Not Available

Overall rating, CMS Care Compare data of July 22, 2026
CMS footnote 16: There are too few measures or measure groups reported to calculate a star rating or measure group score.
Open on Care Compare (opens in a new tab)

5Total HAC Score

0.3548

As CMS reports it

6Payment reduction

No cut
CMS’s value: No

7Estimated cut

No dollar estimate
No usable impact-file row

No cut

No dollar estimate

For fiscal year 2026, CMS reports a Total HAC Score of 0.3548 for Mayhill Hospital and a payment reduction decision of No.

CMS’s FY2026 impact file, which this site’s estimate is built from, has no usable row for this hospital.

Its score was at or below CMS’s line, so this program did not cut its Medicare payments for the year. The score compares hospitals with each other; it is not a grade of the quality of care.

CMS cut scores of 0.3799 and above.

Each year CMS cuts the hospitals with the highest quarter of scores, those above the 75th percentile, so the line moves with other hospitals’ scores.

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: 0.3548 This hospital 0.3548 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: 0.3548 This hospital 0.3548

Higher than 73% of the other 2,928 scores CMS published (higher is worse).

Its record, fiscal years 2015 to 2026 Never cut in 10 years

  1. 15—
  2. 16No
  3. 17No
  4. 18No
  5. 19No
  6. 20No
  7. 21No
  8. 22No
  9. 23—
  10. 24No
  11. 25No
  12. 26No

In FY2016, 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.

None of the measures CMS scored it on is above the national median, so no single measure at the median would lower its score.

Figure 1. This hospital has a published value for one measure, CDI, and it is at or below the national median.
  • This hospital
  • National median
  • Scores the same as CMS’s floor or cap
  1. PSI 90 (what it counts)

    Safety problems such as serious bedsores, falls that break a bone and blood clots after surgery, found by CMS in traditional Medicare claims. A value of 1 matches the national composite value.

    Patient safety and adverse events composite

    Not scored on this measure

    CMS footnote 13: Results cannot be calculated for this reporting period.

    CMS footnote 5: Results are not available for this reporting period.

    CMS valueno value published

    Z-scoreno value published

    Part of scoreno value published

  2. CLABSI (what it counts)

    Bloodstream infections tied to a central line, a tube often placed in a large vein in the neck, chest or groin. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    Central line–associated bloodstream infections

    Not scored on this measure

    CMS footnote 13: Results cannot be calculated for this reporting period.

    CMS footnote 5: Results are not available for this reporting period.

    CMS valueno value published

    Z-scoreno value published

    Part of scoreno value published

  3. CAUTI (what it counts)

    Urinary tract infections that start from a urinary catheter, a tube that drains the bladder. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    Catheter-associated urinary tract infections

    Not scored on this measure

    CMS footnote 13: Results cannot be calculated for this reporting period.

    CMS footnote 5: Results are not available for this reporting period.

    CMS valueno value published

    Z-scoreno value published

    Part of scoreno value published

  4. SSI (what it counts)

    Deep infections at the site of colon surgery or an abdominal hysterectomy, within a month of the operation, pooled into one measure. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    Surgical site infections after colon surgery or abdominal hysterectomy

    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 18: This result is not based on performance data; the hospital did not submit data and did not submit an HAI exemption form.

    CMS valueno value published

    Z-score2.1717

    Part of score+1.0859

  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−0.7311

  6. MRSA (what it counts)

    Bloodstream infections with MRSA, a germ that resists several antibiotics, found by a lab test and starting in the hospital. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    MRSA bloodstream infections

    Not scored on this measure

    CMS footnote 13: Results cannot be calculated for this reporting period.

    CMS footnote 5: Results are not available for this reporting period.

    CMS valueno value published

    Z-scoreno value published

    Part of scoreno value published

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

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 90no value published0.9623no value publishedno value publishedNot scored on this measure
CLABSIno value published0.559no value publishedno value publishedNot scored on this measure
CAUTIno value published0.489no value publishedno value publishedNot scored on this measure
SSIno value published0.7952.1717+1.0859
CDI0.0000.346−1.4622−0.7311Better than 91% of the other 2,766 hospitals
MRSAno value published0.641no value publishedno value publishedNot scored on this measure

How the parts add up

CMS adds the z‑scores and divides by the number of measures scored, so each measure counts the same. Each bar below is one z‑score divided by 2; a bar right of zero raised the score and one left of zero lowered it.

(2.1717SSI−1.4622CDI)÷2measures=0.3548Total HAC Score

This hospital’s score is 0.0251 below 0.3799, the lowest score CMS marked Yes. (This site recomputes.)

Figure 2. The parts add up to 0.3548, below CMS’s line.
1% cut SSI: z‑score 2.1717 divided by 2 = +1.0859SSI+1.0859 CDI: z‑score −1.4622 divided by 2 = −0.7311CDI−0.7311 Total HAC Score: 0.3548Score0.3548 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.20.40.60.81.01.2 1% cut SSI: z‑score 2.1717 divided by 2 = +1.0859SSI+1.0859 CDI: z‑score −1.4622 divided by 2 = −0.7311CDI−0.7311 Total HAC Score: 0.3548Score0.3548 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.20.40.60.81.01.2

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

Show table
MeasureZ-scorePart of the scoreRunning total
SSI2.1717+1.08591.0859
CDI−1.4622−0.73110.3548
Total HAC Score0.3548
CMS’s line0.37920.3799

What if a measure were different?

Change a measure’s value to see how this site recomputes the Total HAC Score and the payment reduction decision, starting from CMS’s values.

The what-if needs JavaScript. Without it, the values below stay as they are.

Show table
CMS reportsHypothetical
Total HAC Score0.3548same
Payment reduction decisionNosame
Payment cut0%same

CMS’s line: between 0.3792 and 0.3799

The faint ticks are CMS’s line in earlier years under the same formula, from about 0.300 (FY2022) to about 0.375 (FY2024). The line moves every year, so a hospital can cross it without changing anything.

CMS reports a Total HAC Score of 0.3548 and a payment reduction decision of No.

A what-if shows the formula’s arithmetic, not what a hospital could realistically change or how. CMS’s real result also depends on other hospitals.

How much cushion?

From CMS’s values, one measure at a time, with every other measure held at CMS’s value.

MeasureHighest value that keeps NoNote
SSICMS assigned this measure’s score, so there is no submitted value to solve for.
CDIup to 0.012

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 0.795 · cap 2.118 · each 0.1 = 0.0857

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.

CMS 0.000 · median 0.346 · cap 0.944 · each 0.1 = 0.1936

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

Stays in your browser; never sent.

Figure 3. Each bar is one measure’s part of this hospital’s Total HAC Score of 0.3548: its z‑score divided by 2, the number of measures scored.
  • SSI (assigned by CMS) +1.0859
  • CDI −0.7311

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
SSI, assigned2.1717+1.0859same
CDI−1.4622−0.7311same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/670010/

Among hospitals with a Yes or No payment decision, CMS cut those with a published Total HAC Score of 0.3799 or higher and none at 0.3792 or lower. Maryland’s hospitals are scored but not subject to the reduction.

Held fixed: every other hospital’s results, CMS’s line, and each measure’s mean, spread, floor and cap as this site fits them to CMS’s published values.

Year by year

Where this hospital’s score fell among every hospital’s, each year CMS published one. A score near the top is among the highest; the shaded band is where CMS cut. Places compare across years even where CMS changed how it builds the score.

Figure 4. CMS made a decision on this hospital in 10 years and never cut it.
highest middle lowest z‑scoresequal weights no scores FY2017: score 1.0000, higher than 0% of scores; not cutFY2018: score −1.9602, higher than 0% of scores; not cutFY2019: score −1.9247, higher than 0% of scores; not cutFY2020: score −1.9626, higher than 0% of scores; not cutFY2021: score −1.9460, higher than 0% of scores; not cutFY2022: score −1.6615, higher than 0% of scores; not cutFY2024: score −1.4163, higher than 0% of scores; not cutFY2025: score 0.3120, higher than 72% of scores; not cutFY2026: score 0.3548, higher than 73% of scores; not cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2017: score 1.0000, higher than 0% of scores; not cutFY2018: score −1.9602, higher than 0% of scores; not cutFY2019: score −1.9247, higher than 0% of scores; not cutFY2020: score −1.9626, higher than 0% of scores; not cutFY2021: score −1.9460, higher than 0% of scores; not cutFY2022: score −1.6615, higher than 0% of scores; not cutFY2024: score −1.4163, higher than 0% of scores; not cutFY2025: score 0.3120, higher than 72% of scores; not cutFY2026: score 0.3548, higher than 73% 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
FY2015N/Ano decision
FY2016N/Anot cut, with no score published
FY20171.00000.0%not cut
FY2018−1.96020.0%not cut
FY2019−1.92470.0%not cut
FY2020−1.96260.0%not cut
FY2021−1.94600.0%not cut
FY2022−1.66150.0%not cut
FY2023no decision
FY2024−1.41630.1%not cut
FY20250.312072.2%not cut
FY20260.354873.4%not cut

Its infections, year by year

This hospital’s infection rate against prediction for each calendar year Care Compare published one, on each measure with at least two years of results (black), over the nation’s middle hospital (gray). Below the dashed line at one, fewer infections than predicted. Each year is measured against the same fixed baseline, not against other hospitals, so unlike the score they can all improve at once.

Figure 5. 0 of its 1 infection measures ended lower than they started.
C. diff 0.00 → 0.00 1as predicted 0 ’18’21’24 Nation’s middle C. diff, 2017: 0.000C. diff, 2018: 0.000C. diff, 2019: 0.000C. diff, 2022: 0.000C. diff, 2023: 0.000 C. diff 0.00 → 0.00 1as predicted 0 ’18’20’22’24 Nation’s middle C. diff, 2017: 0.000C. diff, 2018: 0.000C. diff, 2019: 0.000C. diff, 2022: 0.000C. diff, 2023: 0.000

Source: CMS Care Compare, healthcare-associated infections by hospital, calendar years 2017 to 2024 (Provider Data Catalog archives; the oldest year through the Internet Archive’s copy).

Show table
Calendar yearC. diff
20170.000
20180.000
20190.000
2021
20220.000
20230.000
2024

Among hospitals like it

Each row is a group this hospital belongs to, drawn from every hospital in it with a payment decision. Red columns are hospitals past CMS’s line, the ones CMS cut; the short tick is the group’s middle score.

In Texas, its score is higher than 87% of the other 254 scored there.

Figure 6. Its score is above the middle in all 5 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 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 CMS’s line: between 0.3792 and 0.3799 CMS’s line −1012 This hospital: 0.3548 This hospital 0.3548 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 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 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: 0.3548 This hospital 0.3548

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%−0.045373%
South region1,17426322%−0.105676%
Texas2553213%−0.236887%
Fewer than 100 beds80522528%−0.115470%
For-profit6519815%−0.259083%
This hospital0.3548
CMS’s line0.37920.3799

The nearest hospitals

The 8 closest hospitals with a Total HAC Score, in a straight line. The squares are each hospital’s measures in order: filled, above the national median; open, at or below it; hatched, assigned by CMS; blank, not scored.

Figure 7. CMS cut none of the 8 nearest hospitals; the closest is less than a mile away.
5 mi10 mi8. Baylor Scott & White Medical Center - Frisco, Frisco: score −0.4697, not cut, 15 miles87. Texas Health Hospital Frisco, Frisco: score −0.1313, not cut, 14 miles76. Baylor Medical Center at Trophy Club, Trophy Club: score −0.3599, not cut, 14 miles65. Medical City Lewisville, Lewisville: score 0.3494, not cut, 10 miles54. Texas Health Presbyterian Hospital Flower Mound, Flower Mound: score −0.3871, not cut, 9 miles43. Texas Health Presbyterian Hospital Denton, Denton: score −0.8759, not cut, 5 miles32. Medical City Denton, Denton: score −1.0790, not cut, less than a mile21. The Heart Hospital Baylor Denton, Denton: score −1.0067, not cut, less than a mile1This hospital: Mayhill Hospital

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

Show table
HospitalMilesScoreDecision
The Heart Hospital Baylor Denton, Denton, TXunder 1−1.0067not cut
Medical City Denton, Denton, TXunder 1−1.0790not cut
Texas Health Presbyterian Hospital Denton, Denton, TX5−0.8759not cut
Texas Health Presbyterian Hospital Flower Mound, Flower Mound, TX9−0.3871not cut
Medical City Lewisville, Lewisville, TX100.3494not cut
Baylor Medical Center at Trophy Club, Trophy Club, TX14−0.3599not cut
Texas Health Hospital Frisco, Frisco, TX14−0.1313not cut
Baylor Scott & White Medical Center - Frisco, Frisco, TX15−0.4697not cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1The Heart Hospital Baylor DentonDenton, TXunder 1−1.0067No cut$0Above the national median on 0 of 2 measures
2Medical City DentonDenton, TXunder 1−1.0790No cut$0Above the national median on 0 of 6 measures
3Texas Health Presbyterian Hospital DentonDenton, TX5−0.8759No cut$0Above the national median on 0 of 6 measures
4Texas Health Presbyterian Hospital Flower MoundFlower Mound, TX9−0.3871No cut$0Above the national median on 3 of 6 measures
5Medical City LewisvilleLewisville, TX100.3494No cut$0Above the national median on 3 of 6 measures
6Baylor Medical Center at Trophy ClubTrophy Club, TX14−0.3599No cut$0Above the national median on 0 of 1 measures
7Texas Health Hospital FriscoFrisco, TX14−0.1313No cut$0Above the national median on 1 of 6 measures
8Baylor Scott & White Medical Center - FriscoFrisco, TX15−0.4697No cut$0Above the national median on 1 of 3 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.
18
This result is not based on performance data; the hospital did not submit data and did not submit an HAI exemption form.

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. Mayhill Hospital, Denton, TX: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/670010/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.