Washington, MO

Grandview Healthcare Center

3-star overall rating with 3-star inspections with 7 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle

201 Grand Ave, Washington, MO

(636) 239-9190

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

102

Certified beds

Average residents

48

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

James & Judy Lincoln

Operator or chain grouping

Approved since

1989-06-29

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

58 facilities

Chain averages 3 overall / 3 health / 2 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

0.41

Registered nurse staffing · state 0.46 · national 0.68

LPN hours / resident day

0.75

Licensed practical nurse staffing · state 0.68 · national 0.87

Aide hours / resident day

1.87

Nurse aide staffing · state 2.33 · national 2.35

Total nurse hours

3.03

All reported nurse hours · state 3.47 · national 3.89

Licensed hours

1.16

RN + LPN hours · state 1.14 · national 1.54

Weekend hours

2.64

Weekend nurse staffing · state 3.04 · national 3.43

Weekend RN hours

0.26

Weekend registered nurse coverage · state 0.33 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.43

CMS adjusted RN staffing hours

Adjusted total hours

3.17

CMS adjusted total nurse staffing hours

Case-mix index

1.31

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

31%

Annual nurse turnover · state 57% · national 46%

SNF VBP

Value-based purchasing

Program rank

5,176

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

Performance score

37.12

Composite VBP score used to determine payment impact.

Payment multiplier

0.9904

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

7.42

Baseline 35.59% · Performance 33.33% · Measure score 7.42 · Achievement 7.42 · Improvement 1.60

Adjusted total nurse staffing

0

Baseline 3.45 hours · Performance 2.80 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 9.91%
10.72%
0.8 pts better
No Different than the National Rate · Eligible stays 29 · Observed rate 3.45% · Lower 95% interval 6.23%
Discharge to community Not Available
50.57%
Not Available · Eligible stays 22 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary 0.98
1.02
About the same
Drug regimen review with follow-up Not Available
95.27%
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Falls with major injury Not Available
0.77%
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened Not Available
2.29%
Numerator Not Available · Denominator 14 · 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 9 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage 3.28%
8.2%
4.9 pts worse
Numerator 2 · Denominator 61
Staff flu vaccination coverage 24.29%
42%
17.7 pts worse
Numerator 17 · Denominator 70
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 95.4%
84.8%
10.6 pts better
93.4%
2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 82.2% · 4Q avg 95.4%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
90.9%
9.1 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 8.0%
4.1%
3.9 pts worse
3.3%
4.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 4.5% · Q3 9.1% · Q4 11.1% · 4Q avg 8.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 0.0%
14.7%
14.7 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 6.3%
5.5%
0.8 pts worse
5.4%
0.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 2.8% · Q3 8.1% · Q4 10.8% · 4Q avg 6.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 34.2%
25.3%
8.9 pts worse
19.6%
14.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 35.3% · Q2 32.4% · Q3 34.2% · Q4 35.1% · 4Q avg 34.2%
Percentage of long-stay residents who received an antipsychotic medication 27.2%
25.0%
2.2 pts worse
16.7%
10.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 26.9% · Q2 24.1% · Q3 24.1% · Q4 33.3% · 4Q avg 27.2% · 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 22.7%
20.3%
2.4 pts worse
16.3%
6.4 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 22.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 13.9%
19.8%
5.9 pts better
14.9%
1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 5.9% · Q3 13.9% · Q4 32.4% · 4Q avg 13.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.0%
1.4%
0.4 pts better
1.0%
About the same
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 3.8% · 4Q avg 1.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 2.3%
2.6%
0.3 pts better
1.7%
0.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 0.0% · Q3 2.3% · Q4 0.0% · 4Q avg 2.3% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 19.2%
18.1%
1.1 pts worse
19.8%
0.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 13.3% · Q2 16.1% · Q3 12.1% · Q4 34.8% · 4Q avg 19.2%
Percentage of long-stay residents with pressure ulcers 3.9%
5.0%
1.1 pts better
5.1%
1.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 0.0% · Q3 3.3% · Q4 7.4% · 4Q avg 3.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 91.1%
66.4%
24.7 pts better
81.7%
9.4 pts better
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 69.4% · 4Q avg 91.1%
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
2.2%
2.2 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 assessed and appropriately given the seasonal influenza vaccine 100.0%
63.5%
36.5 pts better
79.7%
20.3 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0%

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-07-11 · Fire 2024-07-11

7 health deficiencies

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

11 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 2 Health 2023-09-22 · Fire 2023-09-22

8 health deficiencies

Top issue: Nutrition and Dietary (4 deficiencies)

8 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2022-09-12 · Fire 2022-09-12

15 health deficiencies

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

10 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-07-11

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 2024-08-21

F · Potential for more than minimal harm 2024-07-11

K346 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2024-08-21

F · Potential for more than minimal harm 2024-07-11

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-08-21

F · Potential for more than minimal harm 2024-07-11

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2024-08-21

F · Potential for more than minimal harm 2024-07-11

K500 · Services Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2024-08-21

F · Potential for more than minimal harm 2024-07-11

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2024-08-21

F · Potential for more than minimal harm 2024-07-11

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Not marked corrected

E · Potential for more than minimal harm 2024-07-11

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 2024-08-21

E · Potential for more than minimal harm 2024-07-11

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-08-21

E · Potential for more than minimal harm 2024-07-11

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-08-21

E · Potential for more than minimal harm 2024-07-11

K925 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that sources of ignition are removed from patients receiving respiratory therapy.

Corrected 2024-08-21

F · Potential for more than minimal harm 2023-09-22

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-11-05

F · Potential for more than minimal harm 2023-09-22

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-11-05

F · Potential for more than minimal harm 2023-09-22

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-11-05

F · Potential for more than minimal harm 2023-09-22

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-11-05

F · Potential for more than minimal harm 2023-09-22

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-11-05

F · Potential for more than minimal harm 2023-09-22

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-11-05

F · Potential for more than minimal harm 2023-09-22

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-11-05

E · Potential for more than minimal harm 2023-09-22

K753 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of highly flammable decorations.

Corrected 2023-11-05

F · Potential for more than minimal harm 2022-09-12

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-10-27

F · Potential for more than minimal harm 2022-09-12

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2022-10-27

F · Potential for more than minimal harm 2022-09-12

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 2022-10-27

F · Potential for more than minimal harm 2022-09-12

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2022-10-27

E · Potential for more than minimal harm 2022-09-12

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2022-10-27

E · Potential for more than minimal harm 2022-09-12

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2022-10-27

E · Potential for more than minimal harm 2022-09-12

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 2022-10-27

E · Potential for more than minimal harm 2022-09-12

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-10-27

E · Potential for more than minimal harm 2022-09-12

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2022-10-27

E · Potential for more than minimal harm 2022-09-12

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2022-10-27

Inspection history

Recent health citations

E · Potential for more than minimal harm 2026-01-14

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.

Not marked corrected

D · Potential for more than minimal harm 2026-01-14

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Not marked corrected

D · Potential for more than minimal harm 2026-01-14

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Not marked corrected

G · Actual harm 2025-09-05

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-08-15

E · Potential for more than minimal harm 2024-07-11

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 2024-08-21

D · Potential for more than minimal harm 2024-07-11

F561 · Resident Rights Deficiencies

Health

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

Corrected 2024-08-21

D · Potential for more than minimal harm 2024-07-11

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-08-21

D · Potential for more than minimal harm 2024-01-11

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-02-16

F · Potential for more than minimal harm 2023-09-22

F801 · Nutrition and Dietary Deficiencies

Health

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2023-11-05

F · Potential for more than minimal harm 2023-09-22

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2023-11-05

F · Potential for more than minimal harm 2023-09-22

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 2023-11-05

F · Potential for more than minimal harm 2023-09-22

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2023-11-05

E · Potential for more than minimal harm 2023-09-22

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-11-05

E · Potential for more than minimal harm 2023-09-22

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2023-11-05

E · Potential for more than minimal harm 2023-09-22

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 2023-11-05

E · Potential for more than minimal harm 2023-09-22

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 2023-11-05

F · Potential for more than minimal harm 2022-09-12

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 2022-10-27

E · Potential for more than minimal harm 2022-09-12

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 2022-10-27

E · Potential for more than minimal harm 2022-09-12

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2022-10-27

E · Potential for more than minimal harm 2022-09-12

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 2022-10-27

E · Potential for more than minimal harm 2022-09-12

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 2022-10-27

E · Potential for more than minimal harm 2022-09-12

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2022-10-27

E · Potential for more than minimal harm 2022-09-12

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 2022-10-27

E · Potential for more than minimal harm 2022-09-12

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 2022-10-27

E · Potential for more than minimal harm 2022-09-12

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 2022-10-27

E · Potential for more than minimal harm 2022-09-12

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2022-10-27

E · Potential for more than minimal harm 2022-09-12

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-10-27

C · Minimal harm 2022-09-12

F575 · Resident Rights Deficiencies

Health

Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.

Corrected 2022-10-27

C · Minimal harm 2022-09-12

F680 · Quality of Life and Care Deficiencies

Health

Ensure the activities program is directed by a qualified professional.

Corrected 2022-10-27

C · Minimal harm 2022-09-12

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2022-10-27

Penalties and ownership

What sits behind the stars

Ownership

Lincoln, James

5% Or Greater Direct Ownership Interest · Individual

50% 57 facilities 2000-05-01
Lincoln, Judy

5% Or Greater Direct Ownership Interest · Individual

50% 56 facilities 2000-05-01
Lawson, Shelia

W-2 Managing Employee · Individual

0% 1 facilities 2005-07-08
Ltc Management Services LLC

Operational/Managerial Control · Organization

0% 38 facilities 2011-10-11

Nearby options

Other facilities in reach

#1

Sunset Health Care Center

Union, MO

2-star overall rating with 2-star inspections with $12,740 in total fines with 7 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

Overall
2 / 5
Health
2 / 5
Staffing
2 / 5
Fines
$12,740
#2

Union Nursing

Union, MO

3-star overall rating with 4-star inspections with 7 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle

Overall
3 / 5
Health
4 / 5
Staffing
1 / 5
Fines
$0
#3

New Haven Care Center

New Haven, MO

4-star overall rating with 5-star inspections with 1 recent health deficiencies

Overall
4 / 5
Health
5 / 5
Staffing
1 / 5
Fines
$0

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