Smithfield, RI

Cedar Haven Operations LLC DBA Lake Forrest Health

1-star overall rating with 1-star inspections with abuse icon flag with $111,914 in total fines with 16 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

180 Log Road, Smithfield, RI

(401) 231-7016

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

133

Certified beds

Average residents

97

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1977-11-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

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

0.62

Registered nurse staffing · state 0.77 · national 0.68

LPN hours / resident day

0.54

Licensed practical nurse staffing · state 0.51 · national 0.87

Aide hours / resident day

2.11

Nurse aide staffing · state 2.46 · national 2.35

Total nurse hours

3.27

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.16

RN + LPN hours · state 1.25 · national 1.54

Weekend hours

2.90

Weekend nurse staffing · state 3.30 · national 3.43

Weekend RN hours

0.30

Weekend registered nurse coverage · state 0.56 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.71

CMS adjusted RN staffing hours

Adjusted total hours

3.73

CMS adjusted total nurse staffing hours

Case-mix index

1.20

Higher values indicate more complex resident acuity

RN turnover

27%

Annual RN turnover · state 38% · national 45%

Total nurse turnover

54%

Annual nurse turnover · state 40% · national 46%

SNF VBP

Value-based purchasing

Program rank

9,342

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

Performance score

23.93

Composite VBP score used to determine payment impact.

Payment multiplier

0.9833

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

3.21

Baseline 36.36% · Performance 50.55% · Measure score 3.21 · Achievement 3.21 · Improvement 0

Adjusted total nurse staffing

1.57

Baseline 3.81 hours · Performance 3.53 hours · Measure score 1.57 · Achievement 1.57 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 9.83%
10.72%
0.9 pts better
No Different than the National Rate · Eligible stays 36 · Observed rate 5.56% · Lower 95% interval 6.28%
Discharge to community Not Available
50.57%
Not Available · Eligible stays 20 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary 0.66
1.02
0.4 pts better
Drug regimen review with follow-up Not Available
95.27%
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Falls with major injury Not Available
0.77%
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened Not Available
2.29%
Numerator Not Available · Denominator 12 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization Not Available
7.12%
Not Available · Eligible stays 21 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage 8.47%
8.2%
0.3 pts better
Numerator 10 · Denominator 118
Staff flu vaccination coverage Not Available
42%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
93.2%
6.8 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
95.3%
4.7 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 5.8%
3.6%
2.2 pts worse
3.3%
2.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 6.7% · Q3 4.1% · Q4 6.4% · 4Q avg 5.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 2.0%
14.6%
12.6 pts better
11.4%
9.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 2.1% · Q3 1.1% · Q4 1.3% · 4Q avg 2.0%
Percentage of long-stay residents who lose too much weight 6.1%
5.3%
0.8 pts worse
5.4%
0.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 8.2% · Q2 7.0% · Q3 5.4% · Q4 3.4% · 4Q avg 6.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 24.9%
16.4%
8.5 pts worse
19.6%
5.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 23.5% · Q2 25.5% · Q3 23.9% · Q4 27.0% · 4Q avg 24.9%
Percentage of long-stay residents who received an antipsychotic medication 32.2%
23.6%
8.6 pts worse
16.7%
15.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 37.3% · Q2 29.8% · Q3 33.3% · Q4 28.1% · 4Q avg 32.2% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.1%
0.1 pts better
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 18.0%
17.0%
1 pts worse
16.3%
1.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 12.3% · Q2 25.3% · Q3 14.0% · Q4 19.9% · 4Q avg 18.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 15.8%
18.4%
2.6 pts better
14.9%
0.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 18.5% · Q2 18.6% · Q3 17.2% · Q4 8.2% · 4Q avg 15.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.9%
1.0%
0.1 pts better
1.0%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 1.0% · Q3 0.8% · Q4 0.9% · 4Q avg 0.9% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.5%
2.2%
1.7 pts better
1.7%
1.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 0.0% · Q3 1.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 15.6%
22.3%
6.7 pts better
19.8%
4.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 17.8% · Q2 10.8% · Q3 19.9% · Q4 14.3% · 4Q avg 15.6%
Percentage of long-stay residents with pressure ulcers 4.2%
4.7%
0.5 pts better
5.1%
0.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 5.3% · Q3 2.6% · Q4 4.4% · 4Q avg 4.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 97.9%
77.2%
20.7 pts better
81.7%
16.2 pts better
Short Stay · 2024Q4-2025Q3 · Q1 96.8% · Q2 97.6% · Q3 97.6% · Q4 100.0% · 4Q avg 97.9%
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.9%
1.9 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3 · Q3 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 95.3%
78.2%
17.1 pts better
79.7%
15.6 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.3%

Survey summary

Recent inspection cycles

Cycle 1 Health 2026-01-02 · Fire 2026-01-02

16 health deficiencies

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

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-10-10 · Fire 2024-10-10

15 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

3 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 3 Health 2023-10-19 · Fire 2023-10-19

13 health deficiencies

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

5 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2026-01-02

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2026-02-01

F · Potential for more than minimal harm 2026-01-02

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-02-01

F · Potential for more than minimal harm 2026-01-02

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2026-02-01

F · Potential for more than minimal harm 2024-10-10

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-11-09

F · Potential for more than minimal harm 2024-10-10

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2024-11-09

F · Potential for more than minimal harm 2024-10-10

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2024-11-09

F · Potential for more than minimal harm 2023-10-19

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2023-11-18

F · Potential for more than minimal harm 2023-10-19

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-11-18

F · Potential for more than minimal harm 2023-10-19

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-11-18

F · Potential for more than minimal harm 2023-10-19

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-11-18

D · Potential for more than minimal harm 2023-10-19

K300 · Egress Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2023-11-18

Inspection history

Recent health citations

F · Potential for more than minimal harm 2026-01-02

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2026-02-01

E · Potential for more than minimal harm 2026-01-02

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2026-02-01

E · Potential for more than minimal harm 2026-01-02

F940 · Administration Deficiencies

Health

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Corrected 2026-02-01

D · Potential for more than minimal harm 2026-01-02

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2026-02-01

D · Potential for more than minimal harm 2026-01-02

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 2026-02-01

D · Potential for more than minimal harm 2026-01-02

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2026-02-01

D · Potential for more than minimal harm 2026-01-02

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2026-02-01

D · Potential for more than minimal harm 2026-01-02

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2026-02-01

D · Potential for more than minimal harm 2026-01-02

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2026-02-01

D · Potential for more than minimal harm 2025-12-01

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 2025-12-24

D · Potential for more than minimal harm 2025-12-01

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-12-24

J · Immediate jeopardy 2025-11-25

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 2025-12-24

J · Immediate jeopardy 2025-11-25

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-12-24

D · Potential for more than minimal harm 2025-11-25

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 2025-12-24

D · Potential for more than minimal harm 2025-03-25

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-04-24

D · Potential for more than minimal harm 2025-03-11

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-04-10

D · Potential for more than minimal harm 2024-12-31

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-01-17

D · Potential for more than minimal harm 2024-12-31

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-01-17

E · Potential for more than minimal harm 2024-10-10

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-11-09

E · Potential for more than minimal harm 2024-10-10

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-11-09

E · Potential for more than minimal harm 2024-10-10

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-11-09

D · Potential for more than minimal harm 2024-10-10

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 2024-11-09

D · Potential for more than minimal harm 2024-10-10

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-11-09

D · Potential for more than minimal harm 2024-08-14

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 2024-09-06

D · Potential for more than minimal harm 2024-07-22

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 2024-08-09

D · Potential for more than minimal harm 2024-07-22

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2024-08-09

J · Immediate jeopardy 2024-07-17

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 2024-07-24

J · Immediate jeopardy 2024-06-24

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 2024-07-24

E · Potential for more than minimal harm 2024-06-24

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2024-07-24

H · Actual harm 2024-06-04

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-07-04

F · Potential for more than minimal harm 2024-05-01

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2024-07-24

E · Potential for more than minimal harm 2023-10-19

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2023-11-18

E · Potential for more than minimal harm 2023-10-19

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-11-18

E · Potential for more than minimal harm 2023-10-19

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-11-18

E · Potential for more than minimal harm 2023-10-19

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2023-11-18

E · Potential for more than minimal harm 2023-10-19

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2023-11-18

D · Potential for more than minimal harm 2023-10-19

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-11-18

D · Potential for more than minimal harm 2023-10-19

F757 · Pharmacy Service Deficiencies

Health

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

Corrected 2023-11-18

D · Potential for more than minimal harm 2023-10-19

F773 · Administration Deficiencies

Health

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Corrected 2023-11-18

F · Potential for more than minimal harm 2023-09-07

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 2023-09-19

D · Potential for more than minimal harm 2023-08-23

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2023-11-09

J · Immediate jeopardy 2023-07-05

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 2023-08-04

E · Potential for more than minimal harm 2023-07-05

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2023-08-04

D · Potential for more than minimal harm 2023-06-29

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2023-07-21

Penalties and ownership

What sits behind the stars

$89,642 2024-05-01

Fine

Fine · fine $89,642

Fine

$0 2024-05-01

Payment Denial

Payment Denial · denial start 2024-07-18 · 50 days

50 day denial

$7,930 2023-08-23

Fine

Fine · fine $7,930

Fine

$14,342 2023-06-29

Fine

Fine · fine $14,342

Fine

Ownership

Lake Valley Operations Holdco LLC

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2025-06-01
Aponte, Sandra

Operational/Managerial Control · Individual

0% 1 facilities 2025-06-01
Esri Holdco LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 1 facilities 2025-06-01
Heller, Shlomo

5% Or Greater Indirect Ownership Interest · Individual

0% 20 facilities 2025-06-01
Lake Valley Operations Holdco LLC

Operational/Managerial Control · Organization

0% 1 facilities 2025-06-01
Lake Valley Ri Management LLC

Operational/Managerial Control · Organization

0% 1 facilities 2025-06-01
Majekodunmi, Akindele

Operational/Managerial Control · Individual

0% 5 facilities 2025-06-01
Mcalpine, Ulysses

Operational/Managerial Control · Individual

0% 1 facilities 2025-06-01
Nussbaum, Ephraim

5% Or Greater Indirect Ownership Interest · Individual

0% 20 facilities 2025-06-01
Yarmush, Yehuda

5% Or Greater Indirect Ownership Interest · Individual

0% 1 facilities 2025-06-01
Yarmush, Yehuda

Operational/Managerial Control · Individual

0% 1 facilities 2025-06-01

Nearby options

Other facilities in reach

#2

Greenville Operations RI LLC DBA Greenville Skille

Greenville, RI

1-star overall rating with 1-star inspections with $259,161 in total fines with 9 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

Overall
1 / 5
Health
1 / 5
Staffing
4 / 5
Fines
$259,161
#3

Heritage Hills Nursing & Rehabilitation Center

Smithfield, RI

2-star overall rating with 1-star inspections with Special Focus status with $17,475 in total fines with 20 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

Overall
2 / 5
Health
1 / 5
Staffing
2 / 5
Fines
$17,475

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