P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalAltus Lumberton Hospital Estimated FY2026 net: −$3K×

Hospital record · FY2026CCN 670134

1Hospital

Altus Lumberton Hospital

2Location

Lumberton, TX (Texas’s hospitals on the map and in the table) 77657

Hardin County

3Type

Not a teaching hospital · 4 beds · For-profit · Urban

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

2.1717

As CMS reports it

6Payment reduction

1% cut
CMS’s value: Yes

7Estimated cut

$3K estimate
Likely $2⁠–⁠4K; about $69 per traditional Medicare stay

Cut 1%

$3K

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

For fiscal year 2026, CMS reports a Total HAC Score of 2.1717 for Altus Lumberton Hospital and a payment reduction decision of Yes.

That is 1% of about $283K, this site’s estimate of what traditional Medicare pays it for inpatient stays in a year: about $69 per traditional Medicare stay.

Likely range $2–4K

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: 2.1717 This hospital 2.1717 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: 2.1717 This hospital 2.1717

Higher than 98% of the other 2,928 scores CMS published (higher is worse).

Its record, fiscal years 2015 to 2026 Cut in 3 of 5 years

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

In FY2021 and FY2022, CMS reports a payment reduction decision for this hospital but no Total HAC Score.

CMS’s note on the score: This result is not based on performance data; the hospital did not submit data and did not submit an HAI exemption form.

CMS scored this hospital on a single measure, so that measure alone set its Total HAC Score.

Where the score came from

CMS scored this hospital on 1 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

    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+2.1717

  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

    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

  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+2.1717
CDIno value published0.346no value publishedno value publishedNot scored on this measure
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 1; a bar right of zero raised the score and one left of zero lowered it.

(2.1717SSI)÷1measures=2.1717Total HAC Score

This hospital’s score is 1.7925 above 0.3792, the highest score CMS marked No. (This site recomputes.)

Figure 2. The parts add up to 2.1717, above CMS’s line.
1% cut SSI: z‑score 2.1717 divided by 1 = +2.1717SSI+2.1717 Total HAC Score: 2.1717Score2.1717 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.51.01.52.0 1% cut SSI: z‑score 2.1717 divided by 1 = +2.1717SSI+2.1717 Total HAC Score: 2.1717Score2.1717 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
SSI2.1717+2.17172.1717
Total HAC Score2.1717
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, 1.7925 over the highest score CMS didn’t cut, costs it about $3K 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 $3K at any score from 0.3799 $0at any score up to 0.3792 $3K at any score from 0.3799 −1012 This hospital: 2.1717 This hospital 2.1717 CMS’s line $0 at any score up to 0.3792 $3K at any score from 0.3799 $0at any score up to 0.3792 $3Kat any score from 0.3799 −1.0−0.50.00.51.01.52.0 CMS’s highest score: 2.3133 This hospital: 2.1717 This hospital 2.1717

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−$2,827
This hospital2.1717−$2,827
CMS’s highest score2.3133−$2,827

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.

($283,108payment−$419readmissions+$0value-based)×1%the cut=$2,827HAC cut

$2,827HAC cut÷41traditional Medicare stays=$69per traditional Medicare stay

Figure 4. This site estimates the HAC cut at $3K: 1% of the hospital’s whole inpatient payment, taken last. The readmissions and value-based adjustments, on the base alone, came to −$419 and $0.

Estimated Medicare inpatient payments · FY2026 estimate

What traditional Medicare pays it for inpatient stays
DRG payments at the federal rates the base $261,797
Outliers: unusually costly stays $746
Capital: buildings and equipment $20,565
Total, before the three programs $283,108
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (0.9984 − 1) −$419
Value-based purchasing (HVBP) not in CMS’s value-based factors: no adjustment $0
After these two $282,689
HAC Reduction Program 1% of everything above; likely $2⁠–⁠4K −$2,827
Net of the three programs likely −$4K to −$2K −$3,246

Not paid to this hospital: a Medicare-dependent hospital add-on, teaching payments, low-income-patient payments, a sole community hospital rate difference, 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)$261,797
Outliers: unusually costly stays$746
Capital: buildings and equipment$20,565
Total, before the three programs$283,108
Readmissions (HRRP) (base × (0.9984 − 1))−$419
Value-based purchasing (HVBP) (not in CMS’s value-based factors: no adjustment)$0
After these two$282,689
HAC Reduction Program (1% of everything above; likely $2–4K)−$2,827
Net of the three programs (likely −$4K to −$2K)−$3,246

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 Score2.1717same
Payment reduction decisionYessame
Payment cut1%same
Estimated HAC cut estimate$3Ksame

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 2.1717 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 $3K, 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
SSICMS assigned this measure’s score, so there is no submitted value to solve for.

Each measure weighs 1 ÷ 1 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 = 0.1713

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 2.1717: its z‑score divided by 1, the number of measures scored.
  • SSI (assigned by CMS) +2.1717

A measure adds its z‑score divided by 1, 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+2.1717same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/670134/

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 3 years in a row.

Figure 6. CMS cut this hospital in 3 of the 5 years it made a decision.
highest middle lowest z‑scoresequal weights no scores FY2024: score 2.2503, higher than 99% of scores; cutFY2025: score 2.1687, higher than 99% of scores; cutFY2026: score 2.1717, higher than 98% of scores; cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2024: score 2.2503, higher than 99% of scores; cutFY2025: score 2.1687, higher than 99% of scores; cutFY2026: score 2.1717, higher than 98% 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
FY2015no decision
FY2016no decision
FY2017no decision
FY2018no decision
FY2019no decision
FY2020no decision
FY2021N/Anot cut, with no score published
FY2022N/Anot cut, with no score published
FY2023no decision
FY20242.250399.0%cut
FY20252.168799.2%cut
FY20262.171798.8%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 97% 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 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: 2.1717 This hospital 2.1717 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: 2.1717 This hospital 2.1717

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%−0.045398%
South region1,17426322%−0.105698%
Texas2553213%−0.236897%
Not teaching1,56338925%−0.105398%
Fewer than 100 beds80522528%−0.115496%
For-profit6519815%−0.259098%
Urban2,24151023%−0.057499%
This hospital2.1717
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 13 miles away.
10 mi25 mi50 mi8. CHRISTUS Ochsner Lake Area Hospital, Lake Charles: score −1.1253, not cut, 58 miles87. Baytown Medical Center LP, Baytown: score 0.0548, not cut, 57 miles76. Houston Methodist Baytown Hospital, Baytown: score −0.4851, not cut, 57 miles65. West Calcasieu Cameron Hospital, Sulphur: score 0.5753, cut, 51 miles54. CHI St Lukes Health Memorial Livingston, Livingston: score −0.8538, not cut, 47 miles43. The Medical Center of Southeast Texas, Port Arthur: score −0.4714, not cut, 31 miles32. Baptist Beaumont Hospital, Beaumont: score −0.0406, not cut, 15 miles21. CHRISTUS Southeast Texas- St Elizabeth, Beaumont: score −0.3060, not cut, 13 miles1This hospital: Altus Lumberton Hospital

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

Show table
HospitalMilesScoreDecision
CHRISTUS Southeast Texas- St Elizabeth, Beaumont, TX13−0.3060not cut
Baptist Beaumont Hospital, Beaumont, TX15−0.0406not cut
The Medical Center of Southeast Texas, Port Arthur, TX31−0.4714not cut
CHI St Lukes Health Memorial Livingston, Livingston, TX47−0.8538not cut
West Calcasieu Cameron Hospital, Sulphur, LA510.5753cut
Houston Methodist Baytown Hospital, Baytown, TX57−0.4851not cut
Baytown Medical Center LP, Baytown, TX570.0548not cut
CHRISTUS Ochsner Lake Area Hospital, Lake Charles, LA58−1.1253not cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1CHRISTUS Southeast Texas- St ElizabethBeaumont, TX13−0.3060No cut$0Above the national median on 3 of 6 measures
2Baptist Beaumont HospitalBeaumont, TX15−0.0406No cut$0Above the national median on 3 of 6 measures
3The Medical Center of Southeast TexasPort Arthur, TX31−0.4714No cut$0Above the national median on 1 of 6 measures
4CHI St Lukes Health Memorial LivingstonLivingston, TX47−0.8538No cut$0Above the national median on 0 of 2 measures
5West Calcasieu Cameron HospitalSulphur, LA510.57531% cut$55KAbove the national median on 3 of 4 measures
6Houston Methodist Baytown HospitalBaytown, TX57−0.4851No cut$0Above the national median on 1 of 6 measures
7Baytown Medical Center LPBaytown, TX570.0548No cut$0Above the national median on 1 of 1 measures
8CHRISTUS Ochsner Lake Area HospitalLake Charles, LA58−1.1253No cut$0Above the national median on 1 of 4 measures

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

CMS’s footnotes on this page

18
This result is not based on performance data; the hospital did not submit data and did not submit an HAI exemption form.
13
Results cannot be calculated for this reporting period.
5
Results are not available for this reporting period.

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. Altus Lumberton Hospital, Lumberton, TX: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/670134/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.