Milford, CT

Civita Care Center At West River

3-star overall rating with 3-star inspections with 12 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle

245 Orange Avenue, Milford, CT

(203) 876-5123

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

110

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Civita Care Centers

Operator or chain grouping

Approved since

1992-08-04

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

6 facilities

Chain averages 2 overall / 2 health / 3 staffing / 2 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

0.66

Registered nurse staffing · state 0.70 · national 0.68

LPN hours / resident day

1.13

Licensed practical nurse staffing · state 0.84 · national 0.87

Aide hours / resident day

1.94

Nurse aide staffing · state 2.28 · national 2.35

Total nurse hours

3.73

All reported nurse hours · state 3.83 · national 3.89

Licensed hours

1.79

RN + LPN hours · state 1.54 · national 1.54

Weekend hours

3.18

Weekend nurse staffing · state 3.41 · national 3.43

Weekend RN hours

0.33

Weekend registered nurse coverage · state 0.46 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.08 · national 0.07

Adjusted RN hours

0.67

CMS adjusted RN staffing hours

Adjusted total hours

3.82

CMS adjusted total nurse staffing hours

Case-mix index

1.33

Higher values indicate more complex resident acuity

RN turnover

39%

Annual RN turnover · state 39% · national 45%

Total nurse turnover

34%

Annual nurse turnover · state 38% · national 46%

SNF VBP

Value-based purchasing

Program rank

7,410

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

Performance score

29.83

Composite VBP score used to determine payment impact.

Payment multiplier

0.9856

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0.53

Baseline 19.80% · Performance 21.19% · Measure score 0.53 · Achievement 0.53 · Improvement 0

Healthcare-associated infections

2.06

Baseline 5.57% · Performance 7.22% · Measure score 2.06 · Achievement 2.06 · Improvement 0

Total nurse turnover

8.38

Baseline 41.38% · Performance 29.41% · Measure score 8.38 · Achievement 8.38 · Improvement 6.74

Adjusted total nurse staffing

0.96

Baseline 3.54 hours · Performance 3.35 hours · Measure score 0.96 · Achievement 0.96 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 11.19%
10.72%
0.5 pts worse
No Different than the National Rate · Eligible stays 142 · Observed rate 11.97% · Lower 95% interval 8.06%
Discharge to community 62.31%
50.57%
11.7 pts better
Better than the National Rate · Eligible stays 134 · Observed rate 52.24% · Lower 95% interval 52.47%
Medicare spending per beneficiary 1.01
1.02
About the same
Drug regimen review with follow-up 95.24%
95.27%
About the same
Numerator 80 · Denominator 84
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 84
Discharge self-care score 47.76%
53.69%
5.9 pts worse
Numerator 32 · Denominator 67
Discharge mobility score 40.3%
50.94%
10.6 pts worse
Numerator 27 · Denominator 67
Pressure ulcers or injuries, new or worsened 0%
2.29%
2.3 pts better
Numerator 0 · Denominator 84 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization 7.22%
7.12%
0.1 pts worse
No Different than the National Rate · Eligible stays 86 · Observed rate 8.14% · Lower 95% interval 4.62%
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 192
Staff flu vaccination coverage 21.11%
42%
20.9 pts worse
Numerator 42 · Denominator 199
Discharge function score 50.75%
56.45%
5.7 pts worse
Numerator 34 · Denominator 67
Transfer of health information to provider 89.58%
95.95%
6.4 pts worse
Numerator 43 · Denominator 48
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date 51.02%
25.2%
25.8 pts better
Numerator 25 · Denominator 49

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.7
2.1
0.4 pts better
1.9
0.2 pts better
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.6 · Expected 1.8 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 0.6
1.5
0.9 pts better
1.8
1.2 pts better
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.5 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 61.5%
87.5%
26 pts worse
93.4%
31.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 81.0% · Q2 53.6% · Q3 51.7% · Q4 57.6% · 4Q avg 61.5%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99.1%
93.5%
5.6 pts better
95.5%
3.6 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.1%
Percentage of long-stay residents experiencing one or more falls with major injury 0.3%
3.4%
3.1 pts better
3.3%
3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 4.9%
17.1%
12.2 pts better
11.4%
6.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.1% · Q3 3.7% · Q4 15.0% · 4Q avg 4.9%
Percentage of long-stay residents who lose too much weight 10.5%
6.4%
4.1 pts worse
5.4%
5.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 12.1% · Q2 11.2% · Q3 7.5% · Q4 11.1% · 4Q avg 10.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 11.0%
17.3%
6.3 pts better
19.6%
8.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 9.6% · Q2 12.2% · Q3 14.6% · Q4 7.7% · 4Q avg 11.0%
Percentage of long-stay residents who received an antipsychotic medication 22.0%
19.4%
2.6 pts worse
16.7%
5.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 22.1% · Q3 21.9% · Q4 24.2% · 4Q avg 22.0% · 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 25.1%
18.1%
7 pts worse
16.3%
8.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 34.1% · Q2 28.9% · Q3 14.1% · Q4 19.4% · 4Q avg 25.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 21.6%
18.4%
3.2 pts worse
14.9%
6.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 28.0% · Q2 28.9% · Q3 12.0% · Q4 15.7% · 4Q avg 21.6% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
0.9%
0.9 pts better
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% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 3.1%
1.7%
1.4 pts worse
1.7%
1.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 4.2% · Q3 3.5% · Q4 0.0% · 4Q avg 3.1% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 25.4%
24.8%
0.6 pts worse
19.8%
5.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 31.1% · Q2 25.3% · Q3 19.6% · Q4 24.5% · 4Q avg 25.4%
Percentage of long-stay residents with pressure ulcers 5.2%
4.4%
0.8 pts worse
5.1%
0.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 7.1% · Q3 3.6% · Q4 3.8% · 4Q avg 5.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 66.1%
70.5%
4.4 pts worse
81.7%
15.6 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 56.5% · Q2 52.0% · Q3 68.4% · Q4 80.7% · 4Q avg 66.1%
Percentage of short-stay residents who had an outpatient emergency department visit 4.7%
11.1%
6.4 pts better
12.0%
7.3 pts better
Short Stay · 20240701-20250630 · Adjusted 4.7% · Observed 4.5% · Expected 10.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.6%
1.5%
0.9 pts better
1.6%
1 pts better
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.0% · Q4 0.8% · 4Q avg 0.6% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 71.5%
69.7%
1.8 pts better
79.7%
8.2 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 71.5%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 27.1%
25.0%
2.1 pts worse
23.9%
3.2 pts worse
Short Stay · 20240701-20250630 · Adjusted 27.1% · Observed 26.8% · Expected 23.5% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-01-29 · Fire 2025-01-29

12 health deficiencies

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

10 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)

Cycle 2 Health 2023-01-26 · Fire 2023-01-26

7 health deficiencies

Top issue: Infection Control (3 deficiencies)

16 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2020-02-14 · Fire 2020-02-14

7 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-01-29

K902 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of medical gas and medical vacuum systems.

Corrected 2025-04-22

F · Potential for more than minimal harm 2025-01-29

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-04-22

D · Potential for more than minimal harm 2025-01-29

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2025-04-22

D · Potential for more than minimal harm 2025-01-29

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-04-22

D · Potential for more than minimal harm 2025-01-29

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2025-04-22

D · Potential for more than minimal harm 2025-01-29

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2025-04-22

D · Potential for more than minimal harm 2025-01-29

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-04-22

D · Potential for more than minimal harm 2025-01-29

K541 · Services Deficiencies

Fire Safety

Install properly constructed and protected linen or trash chutes.

Corrected 2025-04-22

D · Potential for more than minimal harm 2025-01-29

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2025-04-22

D · Potential for more than minimal harm 2025-01-29

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-04-22

E · Potential for more than minimal harm 2023-01-26

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-03-15

E · Potential for more than minimal harm 2023-01-26

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2023-03-15

D · Potential for more than minimal harm 2023-01-26

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2023-03-15

D · Potential for more than minimal harm 2023-01-26

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2023-03-15

D · Potential for more than minimal harm 2023-01-26

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2023-03-15

D · Potential for more than minimal harm 2023-01-26

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2023-03-15

D · Potential for more than minimal harm 2023-01-26

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-03-30

D · Potential for more than minimal harm 2023-01-26

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2023-03-15

D · Potential for more than minimal harm 2023-01-26

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-03-30

D · Potential for more than minimal harm 2023-01-26

K500 · Services Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2023-03-15

D · Potential for more than minimal harm 2023-01-26

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2023-03-15

D · Potential for more than minimal harm 2023-01-26

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-03-15

D · Potential for more than minimal harm 2023-01-26

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2023-03-30

D · Potential for more than minimal harm 2023-01-26

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-03-15

D · Potential for more than minimal harm 2023-01-26

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2023-03-30

D · Potential for more than minimal harm 2023-01-26

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-03-15

D · Potential for more than minimal harm 2020-02-14

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2020-03-02

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-01-29

F882 · Infection Control Deficiencies

Health

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Corrected 2025-02-25

E · Potential for more than minimal harm 2025-01-29

F887 · Infection Control Deficiencies

Health

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Corrected 2025-03-01

D · Potential for more than minimal harm 2025-01-29

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 2025-02-25

D · Potential for more than minimal harm 2025-01-29

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 2025-02-25

D · Potential for more than minimal harm 2025-01-29

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-02-25

D · Potential for more than minimal harm 2025-01-29

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 2025-02-25

D · Potential for more than minimal harm 2025-01-29

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-02-25

D · Potential for more than minimal harm 2025-01-29

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-03-01

D · Potential for more than minimal harm 2025-01-29

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-02-25

D · Potential for more than minimal harm 2025-01-29

F698 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-02-25

D · Potential for more than minimal harm 2025-01-29

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2025-02-25

D · Potential for more than minimal harm 2025-01-29

F810 · Nutrition and Dietary Deficiencies

Health

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Corrected 2025-02-25

E · Potential for more than minimal harm 2023-01-26

F730 · Nursing and Physician Services Deficiencies

Health

Observe each nurse aide's job performance and give regular training.

Corrected 2023-03-09

E · Potential for more than minimal harm 2023-01-26

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-03-09

E · Potential for more than minimal harm 2023-01-26

F883 · Infection Control Deficiencies

Health

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

Corrected 2023-03-09

D · Potential for more than minimal harm 2023-01-26

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 2023-03-09

D · Potential for more than minimal harm 2023-01-26

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 2023-03-09

D · Potential for more than minimal harm 2023-01-26

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2023-03-09

C · Minimal harm 2023-01-26

F885 · Infection Control Deficiencies

Health

Report COVID19 data to residents and families.

Corrected 2023-03-09

D · Potential for more than minimal harm 2020-02-14

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 2020-03-24

D · Potential for more than minimal harm 2020-02-14

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2020-03-24

D · Potential for more than minimal harm 2020-02-14

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2020-03-24

D · Potential for more than minimal harm 2020-02-14

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2020-03-24

B · Minimal harm 2020-02-14

F636 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2020-03-24

B · Minimal harm 2020-02-14

F638 · Resident Assessment and Care Planning Deficiencies

Health

Assure that each resident’s assessment is updated at least once every 3 months.

Corrected 2020-03-24

B · Minimal harm 2020-02-14

F730 · Nursing and Physician Services Deficiencies

Health

Observe each nurse aide's job performance and give regular training.

Corrected 2020-03-24

Penalties and ownership

What sits behind the stars

Ownership

Ct6 Opco Holdco LLC

5% Or Greater Direct Ownership Interest · Organization

100% 6 facilities 2024-10-01
245 Orange LLC

5% Or Greater Mortgage Interest · Organization

0% 1 facilities 2024-10-01
Cleary, Kevin

Operational/Managerial Control · Individual

0% 1 facilities 2024-10-01
Esnh LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 9 facilities 2024-10-01
Jpnh LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 9 facilities 2024-10-01
Pepper, Yehuda

5% Or Greater Indirect Ownership Interest · Individual

0% 9 facilities 2024-10-01
Pepper, Yehuda

Operational/Managerial Control · Individual

0% 9 facilities 2025-01-09
Schwarcz, Elliot

5% Or Greater Indirect Ownership Interest · Individual

0% 11 facilities 2024-10-01
Schwarcz, Elliot

5% Or Greater Mortgage Interest · Individual

0% 11 facilities 2024-10-01

Nearby options

Other facilities in reach

#1

Civita Care Center At Milford

Milford, CT

1-star overall rating with 2-star inspections with abuse icon flag with $14,433 in total fines with 25 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle

Overall
1 / 5
Health
2 / 5
Staffing
3 / 5
Fines
$14,433
#3

Lord Chamberlain Manor

Stratford, CT

2-star overall rating with 1-star inspections with $14,069 in total fines with 19 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

Overall
2 / 5
Health
1 / 5
Staffing
5 / 5
Fines
$14,069

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