Crane, TX

Focused Care At Crane

4-star overall rating with 3-star inspections with $42,357 in total fines with 6 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

699 Campus Dr, Crane, TX

(432) 558-3400

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

110

Certified beds

Average residents

68

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Focused Post Acute Care Partners

Operator or chain grouping

Approved since

2002-08-16

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

25 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

0.27

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

0.74

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

2.20

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

3.21

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

1.01

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

2.88

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.23

Weekend registered nurse coverage · state 0.34 · national 0.47

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

0.31

CMS adjusted RN staffing hours

Adjusted total hours

3.61

CMS adjusted total nurse staffing hours

Case-mix index

1.22

Higher values indicate more complex resident acuity

RN turnover

80%

Annual RN turnover · state 52% · national 45%

Total nurse turnover

54%

Annual nurse turnover · state 52% · national 46%

SNF VBP

Value-based purchasing

Program rank

12,069

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

Performance score

14.07

Composite VBP score used to determine payment impact.

Payment multiplier

0.9813

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

2.81

Baseline 58.93% · Performance 52.17% · Measure score 2.81 · Achievement 2.81 · Improvement 1.48

Adjusted total nurse staffing

0

Baseline 3.35 hours · Performance 3.19 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission Not Available
10.72%
Not Available · Eligible stays 23 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community Not Available
50.57%
Not Available · Eligible stays 9 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary 0.94
1.02
0.1 pts better
Drug regimen review with follow-up Not Available
95.27%
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Falls with major injury Not Available
0.77%
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened Not Available
2.29%
Numerator Not Available · Denominator 9 · 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 11 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage Not Available
8.2%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Staff flu vaccination coverage 72.73%
42%
30.7 pts better
Numerator 64 · Denominator 88
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 0.6
2.1
1.5 pts better
1.9
1.3 pts better
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.4 · Expected 1.2 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.5
2.1
0.6 pts better
1.8
0.3 pts better
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.2 · Expected 1.3 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
97.1%
2.9 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%
97.9%
2.1 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 5.1%
3.3%
1.8 pts worse
3.3%
1.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 4.8% · Q3 4.7% · Q4 4.8% · 4Q avg 5.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 0.0%
2.7%
2.7 pts better
11.4%
11.4 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 who lose too much weight 7.9%
3.3%
4.6 pts worse
5.4%
2.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 7.8% · Q2 7.7% · Q3 10.2% · Q4 5.9% · 4Q avg 7.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 33.0%
18.9%
14.1 pts worse
19.6%
13.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 31.4% · Q2 36.5% · Q3 36.7% · Q4 27.5% · 4Q avg 33.0%
Percentage of long-stay residents who received an antipsychotic medication 27.3%
10.8%
16.5 pts worse
16.7%
10.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 27.9% · Q3 27.5% · Q4 28.6% · 4Q avg 27.3% · 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 5.3%
15.4%
10.1 pts better
16.3%
11 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 19.4% · 4Q avg 5.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 19.8%
16.1%
3.7 pts worse
14.9%
4.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 19.6% · Q2 6.7% · Q3 11.9% · Q4 40.9% · 4Q avg 19.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.8%
0.5%
0.3 pts worse
1.0%
0.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 1.6% · Q3 0.0% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.0%
0.8%
0.8 pts better
1.7%
1.7 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 new or worsened bowel or bladder incontinence 11.7%
15.0%
3.3 pts better
19.8%
8.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 19.8% · Q2 17.0% · Q3 7.1% · Q4 2.9% · 4Q avg 11.7%
Percentage of long-stay residents with pressure ulcers 3.8%
4.2%
0.4 pts better
5.1%
1.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 6.2% · Q3 4.8% · Q4 2.8% · 4Q avg 3.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.5%
89.7%
8.8 pts better
81.7%
16.8 pts better
Short Stay · 2024Q4-2025Q3 · Q4 100.0% · 4Q avg 98.5%
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.5%
1.5 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-26 · Fire 2025-06-26

6 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 2 Health 2024-04-25 · Fire 2024-04-25

15 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

14 fire-safety deficiencies

Top issue: Emergency Preparedness (5 deficiencies)

Cycle 3 Health 2023-02-24 · Fire 2023-02-24

13 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

2 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-06-26

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 2025-08-27

F · Potential for more than minimal harm 2024-04-25

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2024-05-27

F · Potential for more than minimal harm 2024-04-25

E26 · Emergency Preparedness Deficiencies

Fire Safety

Establish roles under a Waiver declared by secretary.

Corrected 2024-05-27

F · Potential for more than minimal harm 2024-04-25

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-05-08

F · Potential for more than minimal harm 2024-04-25

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2024-05-13

F · Potential for more than minimal harm 2024-04-25

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2024-05-21

F · Potential for more than minimal harm 2024-04-25

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2024-05-30

F · Potential for more than minimal harm 2024-04-25

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2024-04-30

F · Potential for more than minimal harm 2024-04-25

K521 · Services Deficiencies

Fire Safety

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

Corrected 2024-06-11

F · Potential for more than minimal harm 2024-04-25

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-05-08

F · Potential for more than minimal harm 2024-04-25

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-05-28

E · Potential for more than minimal harm 2024-04-25

K344 · Smoke Deficiencies

Fire Safety

Have an alternate power supply for its alarm system.

Corrected 2024-06-17

E · Potential for more than minimal harm 2024-04-25

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-06-17

E · Potential for more than minimal harm 2024-04-25

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-05-16

D · Potential for more than minimal harm 2024-04-25

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2024-05-22

C · Minimal harm 2023-02-24

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-03-28

C · Minimal harm 2023-02-24

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-03-28

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-06-26

F868 · Administration Deficiencies

Health

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2025-07-08

E · Potential for more than minimal harm 2025-06-26

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 2025-06-28

E · Potential for more than minimal harm 2025-06-26

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 2025-06-28

D · Potential for more than minimal harm 2025-06-26

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 2025-07-16

D · Potential for more than minimal harm 2025-06-26

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-07-16

D · Potential for more than minimal harm 2025-06-26

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-06-27

D · Potential for more than minimal harm 2024-06-25

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-07-10

D · Potential for more than minimal harm 2024-05-17

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 2024-05-20

D · Potential for more than minimal harm 2024-05-17

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 2024-05-20

K · Immediate jeopardy 2024-04-25

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 2024-06-07

E · Potential for more than minimal harm 2024-04-25

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 2024-06-07

E · Potential for more than minimal harm 2024-04-25

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 2024-06-07

E · Potential for more than minimal harm 2024-04-25

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-06-07

E · Potential for more than minimal harm 2024-04-25

F700 · Quality of Life and Care Deficiencies

Health

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Corrected 2024-06-07

E · Potential for more than minimal harm 2024-04-25

F730 · Nursing and Physician Services Deficiencies

Health

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

Corrected 2024-06-07

E · Potential for more than minimal harm 2024-04-25

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 2024-06-07

E · Potential for more than minimal harm 2024-04-25

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 2024-06-07

E · Potential for more than minimal harm 2024-04-25

F849 · Administration Deficiencies

Health

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Corrected 2024-06-07

E · Potential for more than minimal harm 2024-04-25

F947 · Nursing and Physician Services Deficiencies

Health

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Corrected 2024-06-07

D · Potential for more than minimal harm 2024-04-25

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 2024-06-07

D · Potential for more than minimal harm 2024-04-25

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 2024-06-07

E · Potential for more than minimal harm 2023-06-21

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2023-06-30

F · Potential for more than minimal harm 2023-02-24

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2023-03-28

E · Potential for more than minimal harm 2023-02-24

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 2023-02-28

E · Potential for more than minimal harm 2023-02-24

F603 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

Corrected 2023-02-28

E · Potential for more than minimal harm 2023-02-24

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 2023-02-28

E · Potential for more than minimal harm 2023-02-24

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 2023-03-28

E · Potential for more than minimal harm 2023-02-24

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 2023-03-15

E · Potential for more than minimal harm 2023-02-24

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-03-30

E · Potential for more than minimal harm 2023-02-24

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 2023-02-28

D · Potential for more than minimal harm 2023-02-24

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 2023-02-28

D · Potential for more than minimal harm 2023-02-24

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2023-02-28

D · Potential for more than minimal harm 2023-02-24

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-03-01

D · Potential for more than minimal harm 2023-02-24

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 2023-02-28

Penalties and ownership

What sits behind the stars

$42,357 2024-04-25

Fine

Fine · fine $42,357

Fine

$0 2024-04-25

Payment Denial

Payment Denial · denial start 2024-05-24 · 24 days

24 day denial

Ownership

Mcculloch County Hospital District

5% Or Greater Direct Ownership Interest · Organization

100% 6 facilities 2014-06-01
Conley, Shawn

Operational/Managerial Control · Individual

0% 25 facilities 2017-11-01
Focused Post

Operational/Managerial Control · Organization

0% 7 facilities 2017-11-01
Focused Post Acute Care Partners Ii LLC

Operational/Managerial Control · Organization

0% 7 facilities 2017-11-01
Focused Post Acute Care Partners Management, LLC

Operational/Managerial Control · Organization

0% 25 facilities 2017-11-01
Fpacp Crane LLC

Operational/Managerial Control · Organization

0% 1 facilities 2017-11-01
Jones, Timothy

Operational/Managerial Control · Individual

0% 8 facilities 2014-06-01
Jones, Timothy

Corporate Director · Individual

0% 8 facilities 2014-06-01
Jones, Timothy

Corporate Officer · Individual

0% 8 facilities 2014-06-01
Mcculloch County Hospital District

Operational/Managerial Control · Organization

0% 6 facilities 2014-06-01
Mckenzie, Mark

Operational/Managerial Control · Individual

0% 25 facilities 2017-11-01
Rice, Holli

Operational/Managerial Control · Individual

0% 1 facilities 2018-09-01
Shetter, Ashley

Operational/Managerial Control · Individual

0% 1 facilities 2024-02-01
Strubbe, Loretta

Operational/Managerial Control · Individual

0% 25 facilities 2017-11-01
Torres, Bridget

Operational/Managerial Control · Individual

0% 1 facilities 2023-10-31

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2-star overall rating with 1-star inspections with abuse icon flag with $366,050 in total fines with 9 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

Overall
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Staffing
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Fines
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