Cycle 1
Health 2024-08-30 · Fire 2024-08-30
15 health deficiencies
Top issue: Nursing and Physician Services (3 deficiencies)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
The Dalles, OR
Columbia Basin Care Facility
2-star overall rating with 2-star inspections with $58,220 in total fines with 15 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
1015 Webber Street, The Dalles, OR
(541) 296-2156
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
90
Certified beds
Average residents
40
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1967-01-01
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
1.03
Registered nurse staffing · state 0.68 · national 0.68
LPN hours / resident day
0.46
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
3.80
Nurse aide staffing · state 3.37 · national 2.35
Total nurse hours
5.28
All reported nurse hours · state 4.95 · national 3.89
Licensed hours
1.49
RN + LPN hours · state 1.58 · national 1.54
Weekend hours
4.55
Weekend nurse staffing · state 4.39 · national 3.43
Weekend RN hours
0.44
Weekend registered nurse coverage · state 0.44 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
1.15
CMS adjusted RN staffing hours
Adjusted total hours
5.92
CMS adjusted total nurse staffing hours
Case-mix index
1.22
Higher values indicate more complex resident acuity
RN turnover
44%
Annual RN turnover · state 53% · national 45%
Total nurse turnover
66%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
4,534
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
39.55
Composite VBP score used to determine payment impact.
Payment multiplier
0.9925
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
6.99
Baseline 18.82% · Performance 18.19% · Measure score 6.99 · Achievement 6.99 · Improvement 3
Healthcare-associated infections
4.49
Baseline 6.15% · Performance 6.49% · Measure score 4.49 · Achievement 4.49 · Improvement 0
Total nurse turnover
0
Baseline 49.33% · Performance 69.32% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
4.34
Baseline 4.21 hours · Performance 4.31 hours · Measure score 4.34 · Achievement 4.34 · Improvement 0.16
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.43% |
10.72%
0.3 pts better
|
No Different than the National Rate · Eligible stays 112 · Observed rate 8.93% · Lower 95% interval 7.09% |
| Discharge to community | 61.44% |
50.57%
10.9 pts better
|
Better than the National Rate · Eligible stays 113 · Observed rate 58.41% · Lower 95% interval 53.37% |
| Medicare spending per beneficiary | 0.68 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 81.48% |
95.27%
13.8 pts worse
|
Numerator 66 · Denominator 81 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 81 |
| Discharge self-care score | 36.36% |
53.69%
17.3 pts worse
|
Numerator 24 · Denominator 66 |
| Discharge mobility score | 46.97% |
50.94%
4 pts worse
|
Numerator 31 · Denominator 66 |
| Pressure ulcers or injuries, new or worsened | 3.7% |
2.29%
1.4 pts worse
|
Numerator 3 · Denominator 81 · Adjusted rate 3.9% |
| Healthcare-associated infections requiring hospitalization | 6.49% |
7.12%
0.6 pts better
|
No Different than the National Rate · Eligible stays 67 · Observed rate 4.48% · Lower 95% interval 3.96% |
| Staff COVID-19 vaccination coverage | 8.22% |
8.2%
About the same
|
Numerator 6 · Denominator 73 |
| Staff flu vaccination coverage | 37.65% |
42%
4.4 pts worse
|
Numerator 32 · Denominator 85 |
| Discharge function score | 45.45% |
56.45%
11 pts worse
|
Numerator 30 · Denominator 66 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 67 · Denominator 67 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 36.73% |
25.2%
11.5 pts better
|
Numerator 18 · Denominator 49 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.6 |
1.4
0.2 pts worse
|
1.9
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.0 · Expected 1.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.4 |
2.5
0.1 pts better
|
1.8
0.6 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 1.9 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 93.3% |
95.5%
2.2 pts worse
|
93.4%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 91.4% · Q2 100.0% · Q3 96.9% · Q4 85.3% · 4Q avg 93.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.3% |
95.2%
2.1 pts better
|
95.5%
1.8 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.2% |
2.4%
0.2 pts better
|
3.3%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.1% · Q4 5.9% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.8% |
4.7%
3.9 pts better
|
11.4%
10.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 3.1% · 4Q avg 0.8% |
| Percentage of long-stay residents who lose too much weight | 10.6% |
5.0%
5.6 pts worse
|
5.4%
5.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 3.0% · Q3 22.6% · Q4 15.2% · 4Q avg 10.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 6.7% |
12.5%
5.8 pts better
|
19.6%
12.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 6.1% · Q3 9.4% · Q4 8.8% · 4Q avg 6.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 32.2% |
14.7%
17.5 pts worse
|
16.7%
15.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.0% · Q2 34.5% · Q3 34.5% · Q4 30.0% · 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 | 28.2% |
24.1%
4.1 pts worse
|
16.3%
11.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 28.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.1% |
15.8%
0.7 pts better
|
14.9%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.9% · Q2 9.7% · Q3 16.1% · Q4 21.2% · 4Q avg 15.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.3% |
1.7%
1.6 pts worse
|
1.0%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.6% · Q3 6.8% · Q4 3.2% · 4Q avg 3.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 6.1% |
2.0%
4.1 pts worse
|
1.7%
4.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 12.1% · Q3 3.2% · Q4 3.0% · 4Q avg 6.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 19.7% |
22.2%
2.5 pts better
|
19.8%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 20.4% · Q3 21.3% · Q4 25.3% · 4Q avg 19.7% |
| Percentage of long-stay residents with pressure ulcers | 5.0% |
6.5%
1.5 pts better
|
5.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 5.5% · Q3 9.2% · Q4 3.1% · 4Q avg 5.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 70.8% |
85.4%
14.6 pts worse
|
81.7%
10.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 92.8% · Q2 85.5% · Q3 65.2% · Q4 34.9% · 4Q avg 70.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 21.3% |
15.1%
6.2 pts worse
|
12.0%
9.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 21.3% · Observed 18.8% · Expected 9.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.9% |
1.7%
0.2 pts worse
|
1.6%
0.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.0% · Q4 7.4% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 81.5% |
81.2%
0.3 pts better
|
79.7%
1.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 81.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.9% |
21.6%
1.7 pts better
|
23.9%
4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.9% · Observed 16.2% · Expected 19.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-05-08 · Fire 2023-05-08
12 health deficiencies
Top issue: Resident Assessment and Care Planning (5 deficiencies)
4 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Cycle 3
Health 2022-03-25 · Fire 2022-03-25
7 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-08-30
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-10-19
F · Potential for more than minimal harm
2023-05-08
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-06-27
F · Potential for more than minimal harm
2023-05-08
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-06-27
F · Potential for more than minimal harm
2023-05-08
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-06-27
D · Potential for more than minimal harm
2023-05-08
K225 · Egress Deficiencies
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2023-06-27
F · Potential for more than minimal harm
2022-03-25
K255 · Egress Deficiencies
Fire Safety
Ensure that suites are correctly sub-divided by noncombustible or limited-combustible construction.
Corrected 2022-06-09
F · Potential for more than minimal harm
2022-03-25
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-06-09
F · Potential for more than minimal harm
2022-03-25
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-06-09
F · Potential for more than minimal harm
2022-03-25
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2022-06-09
F · Potential for more than minimal harm
2022-03-25
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-06-09
F · Potential for more than minimal harm
2022-03-25
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-06-09
E · Potential for more than minimal harm
2022-03-25
K200 · Egress Deficiencies
Fire Safety
Meet other general requirements.
Corrected 2022-06-09
E · Potential for more than minimal harm
2022-03-25
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2022-06-09
E · Potential for more than minimal harm
2022-03-25
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-06-09
D · Potential for more than minimal harm
2022-03-25
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 2022-06-09
Inspection history
Recent health citations
F · Potential for more than minimal harm
2024-08-30
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 2024-10-19
E · Potential for more than minimal harm
2024-08-30
F711 · Nursing and Physician Services Deficiencies
Health
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2024-10-19
E · Potential for more than minimal harm
2024-08-30
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2024-10-19
E · Potential for more than minimal harm
2024-08-30
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-10-19
D · Potential for more than minimal harm
2024-08-30
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 2024-10-19
D · Potential for more than minimal harm
2024-08-30
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 2024-10-19
D · Potential for more than minimal harm
2024-08-30
F637 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident when there is a significant change in condition
Corrected 2024-10-19
D · Potential for more than minimal harm
2024-08-30
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2024-10-19
D · Potential for more than minimal harm
2024-08-30
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-10-19
D · Potential for more than minimal harm
2024-08-30
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 2024-10-19
D · Potential for more than minimal harm
2024-08-30
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 2024-10-19
D · Potential for more than minimal harm
2024-08-30
F694 · Quality of Life and Care Deficiencies
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2024-10-19
D · Potential for more than minimal harm
2024-08-30
F712 · Nursing and Physician Services Deficiencies
Health
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected 2024-10-19
D · Potential for more than minimal harm
2024-08-30
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-10-19
D · Potential for more than minimal harm
2024-08-30
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2024-10-19
D · Potential for more than minimal harm
2024-08-30
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 2024-10-19
G · Actual harm
2023-05-08
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 2023-06-27
D · Potential for more than minimal harm
2023-05-08
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 2023-06-27
D · Potential for more than minimal harm
2023-05-08
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 2023-06-27
D · Potential for more than minimal harm
2023-05-08
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-06-27
D · Potential for more than minimal harm
2023-05-08
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-06-27
D · Potential for more than minimal harm
2023-05-08
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-06-27
D · Potential for more than minimal harm
2023-05-08
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-06-27
D · Potential for more than minimal harm
2023-05-08
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-06-27
D · Potential for more than minimal harm
2023-05-08
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-06-27
D · Potential for more than minimal harm
2023-05-08
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 2023-06-27
D · Potential for more than minimal harm
2023-05-08
F791 · Quality of Life and Care Deficiencies
Health
Provide or obtain dental services for each resident.
Corrected 2023-06-27
E · Potential for more than minimal harm
2022-03-25
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-05-14
D · Potential for more than minimal harm
2022-03-25
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 2022-05-14
D · Potential for more than minimal harm
2022-03-25
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 2022-05-14
D · Potential for more than minimal harm
2022-03-25
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2022-05-14
D · Potential for more than minimal harm
2022-03-25
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 2022-05-14
D · Potential for more than minimal harm
2022-03-25
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-05-14
D · Potential for more than minimal harm
2022-03-25
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 2022-05-14
Penalties and ownership
What sits behind the stars
$58,220
2023-05-08
Fine
Fine · fine $58,220
Fine
$0
2023-05-08
Payment Denial
Payment Denial · denial start 2023-06-27 · 25 days
25 day denial
Ownership
Wasco County Nursing Care, Inc.
5% Or Greater Direct Ownership Interest · Organization
Byers, John
Corporate Officer · Individual
Courtney, David
Corporate Officer · Individual
Olmstead, Aubree
Corporate Director · Individual
Omeg, Linda
Corporate Officer · Individual
Snyder, Kimberly
Operational/Managerial Control · Individual
Trautz, Linda
Corporate Officer · Individual
Wasco County Nursing Care, Inc.
Operational/Managerial Control · Organization
Nearby options
Other facilities in reach
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The Dalles Health & Rehabilitation Center
The Dalles, OR
4-star overall rating with 4-star inspections with 4 recent health deficiencies
#2
Oregon Veterans Home
The Dalles, OR
5-star overall rating with 5-star inspections with 5 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
#3
Hood River Post Acute
Hood River, OR
1-star overall rating with 1-star inspections with $38,636 in total fines with 14 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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