Bottineau, ND

Good Samaritan Society - Bottineau

0-star overall rating with 0-star inspections with Special Focus status with abuse icon flag with $132,380 in total fines with 16 recent health deficiencies

725 E 10th St, Bottineau, ND

(701) 228-3796

Compare this facility

Overall

0 / 5

CMS overall stars

Health inspections

0 / 5

Survey and complaint cycles

Staffing

0 / 5

RN + nurse staffing

Quality measures

0 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

52

Certified beds

Average residents

43

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Good Samaritan Society

Operator or chain grouping

Approved since

1989-12-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

89 facilities

Chain averages 3 overall / 3 health / 4 staffing / 3 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

0.95

Registered nurse staffing · state 0.93 · national 0.68

LPN hours / resident day

0.25

Licensed practical nurse staffing · state 0.50 · national 0.87

Aide hours / resident day

2.24

Nurse aide staffing · state 2.99 · national 2.35

Total nurse hours

3.45

All reported nurse hours · state 4.41 · national 3.89

Licensed hours

1.21

RN + LPN hours · state 1.42 · national 1.54

Weekend hours

2.50

Weekend nurse staffing · state 3.75 · national 3.43

Weekend RN hours

0.48

Weekend registered nurse coverage · state 0.59 · national 0.47

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

1.15

CMS adjusted RN staffing hours

Adjusted total hours

4.18

CMS adjusted total nurse staffing hours

Case-mix index

1.13

Higher values indicate more complex resident acuity

RN turnover

50%

Annual RN turnover · state 38% · national 45%

Total nurse turnover

66%

Annual nurse turnover · state 49% · national 46%

SNF VBP

Value-based purchasing

Program rank

9,066

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

Performance score

24.84

Composite VBP score used to determine payment impact.

Payment multiplier

0.9836

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

3.59

Baseline 7.17% · Performance 6.76% · Measure score 3.59 · Achievement 3.59 · Improvement 1.39

Total nurse turnover

0

Baseline 63.27% · Performance 66.10% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

3.86

Baseline 4.36 hours · Performance 4.18 hours · Measure score 3.86 · Achievement 3.86 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 10.81%
10.72%
0.1 pts worse
No Different than the National Rate · Eligible stays 37 · Observed rate 10.81% · Lower 95% interval 6.82%
Discharge to community 34.55%
50.57%
16 pts worse
No Different than the National Rate · Eligible stays 27 · Observed rate 18.52% · Lower 95% interval 22.49%
Medicare spending per beneficiary 0.71
1.02
0.3 pts better
Drug regimen review with follow-up 96.15%
95.27%
0.9 pts better
Numerator 25 · Denominator 26
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 26
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened 7.69%
2.29%
5.4 pts worse
Numerator 2 · Denominator 26 · Adjusted rate 5.17%
Healthcare-associated infections requiring hospitalization 6.76%
7.12%
0.4 pts better
No Different than the National Rate · Eligible stays 26 · Observed rate 3.85% · Lower 95% interval 3.22%
Staff COVID-19 vaccination coverage 1.89%
8.2%
6.3 pts worse
Numerator 1 · Denominator 53
Staff flu vaccination coverage 83.33%
42%
41.3 pts better
Numerator 70 · Denominator 84
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator 19 · 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 4 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 6 · 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 1.9
1.4
0.5 pts worse
1.9
About the same
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.3 · Expected 1.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 4.7
1.9
2.8 pts worse
1.8
2.9 pts worse
Long Stay · 20240701-20250630 · Adjusted 4.7 · Observed 3.8 · Expected 1.3 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
98.3%
1.7 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%
98.8%
1.2 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 9.4%
5.1%
4.3 pts worse
3.3%
6.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 8.9% · Q2 9.1% · Q3 9.8% · Q4 9.8% · 4Q avg 9.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 3.5%
4.4%
0.9 pts better
11.4%
7.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 2.7% · Q3 0.0% · Q4 2.9% · 4Q avg 3.5%
Percentage of long-stay residents who lose too much weight 19.0%
5.5%
13.5 pts worse
5.4%
13.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 22.7% · Q2 23.3% · Q3 13.2% · Q4 15.2% · 4Q avg 19.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 1.8%
17.4%
15.6 pts better
19.6%
17.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.6% · Q4 5.6% · 4Q avg 1.8%
Percentage of long-stay residents who received an antipsychotic medication 11.0%
23.4%
12.4 pts better
16.7%
5.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 10.3% · Q3 18.8% · Q4 10.0% · 4Q avg 11.0% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.2%
0.2 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 19.8%
19.0%
0.8 pts worse
16.3%
3.5 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 19.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 19.4%
20.1%
0.7 pts better
14.9%
4.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 20.6% · Q3 20.6% · Q4 16.1% · 4Q avg 19.4% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.5%
1.8%
1.3 pts better
1.0%
0.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.1% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 4.2%
3.1%
1.1 pts worse
1.7%
2.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 2.3% · Q3 5.0% · Q4 7.9% · 4Q avg 4.2% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 31.6%
25.2%
6.4 pts worse
19.8%
11.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 22.9% · Q2 43.0% · Q3 27.2% · Q4 33.5% · 4Q avg 31.6%
Percentage of long-stay residents with pressure ulcers 8.8%
5.3%
3.5 pts worse
5.1%
3.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 13.1% · Q3 9.8% · Q4 5.0% · 4Q avg 8.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 96.4%
93.6%
2.8 pts better
81.7%
14.7 pts better
Short Stay · 2024Q4-2025Q3 · 4Q avg 96.4%
Percentage of short-stay residents who had an outpatient emergency department visit 13.0%
10.7%
2.3 pts worse
12.0%
1 pts worse
Short Stay · 20240701-20250630 · Adjusted 13.0% · Observed 12.0% · Expected 10.3% · Used in QM five-star
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 · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were rehospitalized after a nursing home admission 27.5%
20.5%
7 pts worse
23.9%
3.6 pts worse
Short Stay · 20240701-20250630 · Adjusted 27.5% · Observed 24.0% · Expected 20.8% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-09-11 · Fire 2025-09-11

16 health deficiencies

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

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2025-03-20 · Fire 2025-03-20

4 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2024-09-18 · Fire 2024-09-18

26 health deficiencies

Top issue: Resident Assessment and Care Planning (6 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-09-18

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-10-01

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-09-11

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 2025-10-10

E · Potential for more than minimal harm 2025-09-11

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-10-10

D · Potential for more than minimal harm 2025-09-11

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-10-10

D · Potential for more than minimal harm 2025-09-11

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-10-10

D · Potential for more than minimal harm 2025-09-11

F637 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident when there is a significant change in condition

Corrected 2025-10-10

D · Potential for more than minimal harm 2025-09-11

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-10-10

D · Potential for more than minimal harm 2025-09-11

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 2025-10-10

D · Potential for more than minimal harm 2025-09-11

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-10-10

D · Potential for more than minimal harm 2025-09-11

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-10-10

D · Potential for more than minimal harm 2025-09-11

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 2025-10-10

D · Potential for more than minimal harm 2025-09-11

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 2025-10-10

D · Potential for more than minimal harm 2025-09-11

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 2025-10-10

J · Immediate jeopardy 2025-07-16

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 2025-08-13

D · Potential for more than minimal harm 2025-07-16

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-08-13

G · Actual harm 2025-05-13

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-06-04

D · Potential for more than minimal harm 2025-05-13

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 2025-06-04

E · Potential for more than minimal harm 2025-03-20

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-04-24

D · Potential for more than minimal harm 2025-03-20

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2025-04-24

D · Potential for more than minimal harm 2025-01-22

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 2025-01-14

D · Potential for more than minimal harm 2024-09-18

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-10-23

D · Potential for more than minimal harm 2024-09-18

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-10-23

D · Potential for more than minimal harm 2024-09-18

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-10-23

D · Potential for more than minimal harm 2024-09-18

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-10-23

G · Actual harm 2024-07-16

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 2024-07-26

E · Potential for more than minimal harm 2023-10-05

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 2023-10-27

E · Potential for more than minimal harm 2023-10-05

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 2023-10-27

D · Potential for more than minimal harm 2023-10-05

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2023-10-27

D · Potential for more than minimal harm 2023-10-05

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-10-27

D · Potential for more than minimal harm 2023-10-05

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 2023-10-27

D · Potential for more than minimal harm 2023-10-05

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2023-10-27

D · Potential for more than minimal harm 2023-10-05

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2023-10-27

K · Immediate jeopardy 2023-05-24

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 2023-06-22

K · Immediate jeopardy 2023-05-24

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 2023-06-22

K · Immediate jeopardy 2023-05-24

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 2023-06-22

F · Potential for more than minimal harm 2023-05-24

F726 · Nursing and Physician Services Deficiencies

Health

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

Corrected 2023-06-22

E · Potential for more than minimal harm 2023-05-24

F585 · Resident Rights Deficiencies

Health

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

Corrected 2023-06-22

E · Potential for more than minimal harm 2023-05-24

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2023-07-24

E · Potential for more than minimal harm 2023-05-24

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2023-06-22

D · Potential for more than minimal harm 2023-05-24

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2023-06-22

D · Potential for more than minimal harm 2023-05-24

F623 · Resident Rights Deficiencies

Health

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

Corrected 2023-06-22

D · Potential for more than minimal harm 2023-05-24

F625 · Resident Rights Deficiencies

Health

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

Corrected 2023-06-22

D · Potential for more than minimal harm 2023-05-24

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 2023-07-24

D · Potential for more than minimal harm 2023-05-24

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-06-22

D · Potential for more than minimal harm 2023-05-24

F744 · Quality of Life and Care Deficiencies

Health

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Corrected 2023-06-22

D · Potential for more than minimal harm 2023-05-24

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 2023-06-22

D · Potential for more than minimal harm 2023-05-24

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 2023-07-24

Penalties and ownership

What sits behind the stars

$96,272 2025-03-20

Fine

Fine · fine $96,272

Fine

$0 2025-03-20

Payment Denial

Payment Denial · denial start 2025-08-09 · 4 days

4 day denial

$13,975 2024-07-16

Fine

Fine · fine $13,975

Fine

$22,133 2023-05-24

Fine

Fine · fine $22,133

Fine

Ownership

Sanford

5% Or Greater Indirect Ownership Interest · Organization

100% 89 facilities 2019-01-01
Brandenburg, Theresa

W-2 Managing Employee · Individual

0% 1 facilities 2024-02-11
Cain, James

Corporate Director · Individual

0% 28 facilities 2024-05-30
Dykhouse, Dana

Corporate Director · Individual

0% 85 facilities 2024-05-30
Engbrecht, Wesley

Corporate Director · Individual

0% 89 facilities 2024-05-30
Fluit, Joel

Corporate Officer · Individual

0% 88 facilities 2022-10-01
Gassen, William

Corporate Director · Individual

0% 89 facilities 2024-05-30
Gassen, William

Corporate Officer · Individual

0% 89 facilities 2024-05-30
Gulsvig, Neil

Corporate Director · Individual

0% 89 facilities 2024-05-30
Herseth Sandlin, Stephanie

Corporate Director · Individual

0% 86 facilities 2024-05-30
Lundeen, Mark

Corporate Director · Individual

0% 89 facilities 2024-05-30
Middleton, Aimee

Corporate Officer · Individual

0% 88 facilities 2022-01-27
Molbert, Lauris

Corporate Director · Individual

0% 89 facilities 2024-05-30
Morrison, Tony

W-2 Managing Employee · Individual

0% 89 facilities 2019-01-01
North, Andrew

Corporate Director · Individual

0% 89 facilities 2024-05-30
Olson, Nicholas

Corporate Officer · Individual

0% 87 facilities 2024-04-08
Rogers, Michael

Corporate Officer · Individual

0% 27 facilities 2022-06-13
Schema, Nathan

Corporate Officer · Individual

0% 88 facilities 2022-01-01
Shulkin, David

Corporate Director · Individual

0% 85 facilities 2024-05-30
Skjolden, Jessica

Contracted Managing Employee · Individual

0% 1 facilities 2022-01-01
Teiken, Brent

Corporate Director · Individual

0% 89 facilities 2024-05-30
The Evangelical Lutheran Good Samaritan Society

Operational/Managerial Control · Organization

0% 88 facilities 2019-01-01
Ventling-Herrmann, Marnie

Corporate Director · Individual

0% 89 facilities 2024-05-30

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