Largo, FL

Aviata At Bryan Dairy

1-star overall rating with 1-star inspections with abuse icon flag with $20,810 in total fines with 21 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

9035 Bryan Dairy Rd, Largo, FL

(727) 395-9619

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

158

Certified beds

Average residents

150

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Aviata Health Group

Operator or chain grouping

Approved since

2017-11-17

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

52 facilities

Chain averages 2 overall / 2 health / 2 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.32

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.89

Licensed practical nurse staffing · state 0.79 · national 0.87

Aide hours / resident day

2.03

Nurse aide staffing · state 2.34 · national 2.35

Total nurse hours

3.23

All reported nurse hours · state 3.86 · national 3.89

Licensed hours

1.20

RN + LPN hours · state 1.52 · national 1.54

Weekend hours

3.05

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.35

Weekend registered nurse coverage · state 0.53 · national 0.47

Physical therapist

0.07

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.34

CMS adjusted RN staffing hours

Adjusted total hours

3.48

CMS adjusted total nurse staffing hours

Case-mix index

1.27

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

0%

Annual nurse turnover

SNF VBP

Value-based purchasing

Program rank

5,416

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

36.26

Composite VBP score used to determine payment impact.

Payment multiplier

0.9897

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

5.92

Baseline 23.07% · Performance 19.19% · Measure score 5.92 · Achievement 4.84 · Improvement 5.92

Healthcare-associated infections

2.50

Baseline 8.09% · Performance 7.16% · Measure score 2.50 · Achievement 2.25 · Improvement 2.50

Total nurse turnover

4.54

Baseline 85.62% · Performance 55.00% · Measure score 4.54 · Achievement 2.12 · Improvement 4.54

Adjusted total nurse staffing

1.55

Baseline 3.91 hours · Performance 3.52 hours · Measure score 1.55 · Achievement 1.55 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 10.15%
10.72%
0.6 pts better
No Different than the National Rate · Eligible stays 82 · Observed rate 12.2% · Lower 95% interval 7.63%
Discharge to community 52.41%
50.57%
1.8 pts better
No Different than the National Rate · Eligible stays 43 · Observed rate 41.86% · Lower 95% interval 39.73%
Medicare spending per beneficiary 1.05
1.02
About the same
Drug regimen review with follow-up 93.7%
95.27%
1.6 pts worse
Numerator 119 · Denominator 127
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 127
Discharge self-care score 46.32%
53.69%
7.4 pts worse
Numerator 44 · Denominator 95
Discharge mobility score 36.84%
50.94%
14.1 pts worse
Numerator 35 · Denominator 95
Pressure ulcers or injuries, new or worsened 5.51%
2.29%
3.2 pts worse
Numerator 7 · Denominator 127 · Adjusted rate 4.36%
Healthcare-associated infections requiring hospitalization 7.16%
7.12%
About the same
No Different than the National Rate · Eligible stays 33 · Observed rate 9.09% · Lower 95% interval 4.24%
Staff COVID-19 vaccination coverage 62.35%
8.2%
54.2 pts better
Numerator 101 · Denominator 162
Staff flu vaccination coverage 0%
42%
42 pts worse
Numerator 0 · Denominator 194
Discharge function score 40%
56.45%
16.5 pts worse
Numerator 38 · Denominator 95
Transfer of health information to provider 96.3%
95.95%
0.3 pts better
Numerator 26 · Denominator 27
Transfer of health information to patient 91.67%
96.28%
4.6 pts worse
Numerator 22 · Denominator 24
Resident COVID-19 vaccinations up to date 7.59%
25.2%
17.6 pts worse
Numerator 6 · Denominator 79

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.9
2.1
0.8 pts worse
1.9
1 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.9 · Observed 4.3 · Expected 2.8 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 2.5
1.2
1.3 pts worse
1.8
0.7 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 3.2 · Expected 2.1 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 93.2%
97.8%
4.6 pts worse
93.4%
0.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 90.2% · Q2 95.3% · Q3 93.1% · Q4 93.7% · 4Q avg 93.2%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
99.2%
0.8 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury 1.8%
2.6%
0.8 pts better
3.3%
1.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.6% · Q3 3.1% · Q4 2.4% · 4Q avg 1.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 0.2%
3.7%
3.5 pts better
11.4%
11.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.8% · 4Q avg 0.2%
Percentage of long-stay residents who lose too much weight 7.7%
5.9%
1.8 pts worse
5.4%
2.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 4.3% · Q3 10.1% · Q4 6.4% · 4Q avg 7.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 37.9%
15.7%
22.2 pts worse
19.6%
18.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 27.6% · Q2 33.6% · Q3 40.7% · Q4 48.7% · 4Q avg 37.9%
Percentage of long-stay residents who received an antipsychotic medication 8.0%
9.8%
1.8 pts better
16.7%
8.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 3.3% · Q3 6.2% · Q4 15.1% · 4Q avg 8.0% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.0%
About the same
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 21.7%
11.7%
10 pts worse
16.3%
5.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 25.2% · Q2 25.0% · Q3 16.1% · Q4 20.2% · 4Q avg 21.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 13.7%
9.8%
3.9 pts worse
14.9%
1.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 19.4% · Q2 14.6% · Q3 8.0% · Q4 13.7% · 4Q avg 13.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.7%
0.4%
0.3 pts worse
1.0%
0.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.6%
0.8%
0.2 pts better
1.7%
1.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 0.0% · Q3 1.6% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 16.5%
12.5%
4 pts worse
19.8%
3.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 20.9% · Q2 17.9% · Q3 10.6% · Q4 17.5% · 4Q avg 16.5%
Percentage of long-stay residents with pressure ulcers 3.3%
5.1%
1.8 pts better
5.1%
1.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 3.7% · Q3 2.5% · Q4 2.8% · 4Q avg 3.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 65.1%
94.3%
29.2 pts worse
81.7%
16.6 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 72.1% · Q2 59.3% · Q3 58.1% · Q4 70.9% · 4Q avg 65.1%
Percentage of short-stay residents who had an outpatient emergency department visit 3.5%
9.3%
5.8 pts better
12.0%
8.5 pts better
Short Stay · 20240701-20250630 · Adjusted 3.5% · Observed 3.9% · Expected 12.5% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 1.5%
1.5%
About the same
1.6%
0.1 pts better
Short Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 1.2% · Q3 0.0% · Q4 3.3% · 4Q avg 1.5% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 71.9%
94.7%
22.8 pts worse
79.7%
7.8 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 71.9%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 32.5%
26.2%
6.3 pts worse
23.9%
8.6 pts worse
Short Stay · 20240701-20250630 · Adjusted 32.5% · Observed 35.5% · Expected 26.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-06-12 · Fire 2024-06-12

21 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

6 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 2 Health 2022-04-01 · Fire 2022-04-01

11 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2021-01-29 · Fire 2021-01-29

9 health deficiencies

Top issue: Nutrition and Dietary (3 deficiencies)

6 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-06-12

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-09-07

F · Potential for more than minimal harm 2024-06-12

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-07-12

E · Potential for more than minimal harm 2024-06-12

K200 · Egress Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2024-07-12

D · Potential for more than minimal harm 2024-06-12

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-07-12

D · Potential for more than minimal harm 2024-06-12

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2024-07-12

D · Potential for more than minimal harm 2024-06-12

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-07-12

D · Potential for more than minimal harm 2021-01-29

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2021-02-26

D · Potential for more than minimal harm 2021-01-29

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2021-02-26

D · Potential for more than minimal harm 2021-01-29

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2021-02-26

D · Potential for more than minimal harm 2021-01-29

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2021-02-26

D · Potential for more than minimal harm 2021-01-29

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2021-02-26

D · Potential for more than minimal harm 2021-01-29

K929 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

Corrected 2021-02-26

Inspection history

Recent health citations

J · Immediate jeopardy 2025-10-24

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2025-11-24

J · Immediate jeopardy 2025-10-24

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-11-24

J · Immediate jeopardy 2025-10-24

F678 · Quality of Life and Care Deficiencies

Health

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Corrected 2025-11-24

J · Immediate jeopardy 2025-10-24

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2025-11-24

D · Potential for more than minimal harm 2025-06-18

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2025-07-18

F · Potential for more than minimal harm 2024-06-12

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-07-12

E · Potential for more than minimal harm 2024-06-12

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2024-07-12

E · Potential for more than minimal harm 2024-06-12

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2024-07-12

E · Potential for more than minimal harm 2024-06-12

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2024-07-12

E · Potential for more than minimal harm 2024-06-12

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2024-07-12

E · Potential for more than minimal harm 2024-06-12

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-07-12

E · Potential for more than minimal harm 2024-06-12

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2024-07-12

D · Potential for more than minimal harm 2024-06-12

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-07-12

D · Potential for more than minimal harm 2024-06-12

F557 · Resident Rights Deficiencies

Health

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Corrected 2024-07-12

D · Potential for more than minimal harm 2024-06-12

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-07-12

D · Potential for more than minimal harm 2024-06-12

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2024-07-12

D · Potential for more than minimal harm 2024-06-12

F676 · Quality of Life and Care Deficiencies

Health

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2024-07-12

D · Potential for more than minimal harm 2024-06-12

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-07-12

D · Potential for more than minimal harm 2024-06-12

F685 · Quality of Life and Care Deficiencies

Health

Assist a resident in gaining access to vision and hearing services.

Corrected 2024-07-12

D · Potential for more than minimal harm 2024-06-12

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-07-12

D · Potential for more than minimal harm 2024-06-12

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2024-07-12

D · Potential for more than minimal harm 2024-06-12

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2024-07-12

D · Potential for more than minimal harm 2024-02-28

F565 · Resident Rights Deficiencies

Health

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2024-03-29

D · Potential for more than minimal harm 2024-02-28

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2024-03-29

D · Potential for more than minimal harm 2024-02-28

F800 · Nutrition and Dietary Deficiencies

Health

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Corrected 2024-03-29

D · Potential for more than minimal harm 2024-02-28

F801 · Nutrition and Dietary Deficiencies

Health

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2024-03-29

E · Potential for more than minimal harm 2022-04-01

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2022-05-01

D · Potential for more than minimal harm 2022-04-01

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2022-05-01

D · Potential for more than minimal harm 2022-04-01

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2022-05-01

D · Potential for more than minimal harm 2022-04-01

F635 · Resident Assessment and Care Planning Deficiencies

Health

Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

Corrected 2022-05-01

D · Potential for more than minimal harm 2022-04-01

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2022-05-01

D · Potential for more than minimal harm 2022-04-01

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2022-05-01

D · Potential for more than minimal harm 2022-04-01

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2022-05-01

D · Potential for more than minimal harm 2022-04-01

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2022-05-01

D · Potential for more than minimal harm 2022-04-01

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2022-05-01

D · Potential for more than minimal harm 2022-04-01

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2022-05-01

D · Potential for more than minimal harm 2021-01-29

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2021-02-26

D · Potential for more than minimal harm 2021-01-29

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2021-02-26

D · Potential for more than minimal harm 2021-01-29

F745 · Quality of Life and Care Deficiencies

Health

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Corrected 2021-02-26

D · Potential for more than minimal harm 2021-01-29

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2021-02-26

D · Potential for more than minimal harm 2021-01-29

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2021-02-26

Penalties and ownership

What sits behind the stars

$7,488 2024-06-12

Fine

Fine · fine $7,488

Fine

$3,882 2023-10-17

Fine

Fine · fine $3,882

Fine

$9,440 2023-09-25

Fine

Fine · fine $9,440

Fine

Ownership

Freund, Nochum

Operational/Managerial Control · Individual

0% 109 facilities 2023-09-01
Freund, Nochum

Corporate Officer · Individual

0% 109 facilities 2023-09-01
Srivastava, Sunit

Operational/Managerial Control · Individual

0% 1 facilities 2025-03-10
Steffy, Spencer

Operational/Managerial Control · Individual

0% 1 facilities 2025-01-13

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Health
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Staffing
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Fines
$0

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