Cycle 1
Health 2024-10-01 · Fire 2024-10-01
18 health deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Pekin, IL
Hallmark Healthcare Of Pekin
1-star overall rating with 2-star inspections with $67,579 in total fines with 12 recent health deficiencies
2501 Allentown Road, Pekin, IL
(309) 347-3121
Overall
1 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
71
Certified beds
Average residents
62
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Crest Healthcare Consulting
Operator or chain grouping
Approved since
1991-03-04
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
13 facilities
Chain averages 2 overall / 2 health / 1 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
0.70
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.54
Licensed practical nurse staffing · state 0.64 · national 0.87
Aide hours / resident day
1.91
Nurse aide staffing · state 2.13 · national 2.35
Total nurse hours
3.14
All reported nurse hours · state 3.49 · national 3.89
Licensed hours
1.23
RN + LPN hours · state 1.36 · national 1.54
Weekend hours
2.66
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.54
Weekend registered nurse coverage · state 0.56 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.56
CMS adjusted RN staffing hours
Adjusted total hours
2.50
CMS adjusted total nurse staffing hours
Case-mix index
1.72
Higher values indicate more complex resident acuity
RN turnover
63%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
67%
Annual nurse turnover · state 46% · national 46%
SNF VBP
Value-based purchasing
Program rank
13,147
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
7.92
Composite VBP score used to determine payment impact.
Payment multiplier
0.9807
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
2.89
Baseline 21.92% · Performance 20.26% · Measure score 2.89 · Achievement 2.53 · Improvement 2.89
Healthcare-associated infections
0
Baseline 7.63% · Performance 8.58% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
0.27
Baseline 66.15% · Performance 62.96% · Measure score 0.27 · Achievement 0 · Improvement 0.27
Adjusted total nurse staffing
0
Baseline 2.65 hours · Performance 2.39 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.5% |
10.72%
0.8 pts worse
|
No Different than the National Rate · Eligible stays 128 · Observed rate 13.28% · Lower 95% interval 8.82% |
| Discharge to community | 36.72% |
50.57%
13.9 pts worse
|
Worse than the National Rate · Eligible stays 128 · Observed rate 30.47% · Lower 95% interval 28.53% |
| Medicare spending per beneficiary | 1.09 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 80 · Denominator 80 |
| Falls with major injury | 1.25% |
0.77%
0.5 pts worse
|
Numerator 1 · Denominator 80 |
| Discharge self-care score | 20.34% |
53.69%
33.3 pts worse
|
Numerator 12 · Denominator 59 |
| Discharge mobility score | 35.59% |
50.94%
15.3 pts worse
|
Numerator 21 · Denominator 59 |
| Pressure ulcers or injuries, new or worsened | 1.25% |
2.29%
1 pts better
|
Numerator 1 · Denominator 80 · Adjusted rate 1.25% |
| Healthcare-associated infections requiring hospitalization | 8.58% |
7.12%
1.5 pts worse
|
No Different than the National Rate · Eligible stays 85 · Observed rate 11.76% · Lower 95% interval 5.64% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 46 |
| Staff flu vaccination coverage | 2.67% |
42%
39.3 pts worse
|
Numerator 2 · Denominator 75 |
| Discharge function score | 42.37% |
56.45%
14.1 pts worse
|
Numerator 25 · Denominator 59 |
| Transfer of health information to provider | 90.7% |
95.95%
5.2 pts worse
|
Numerator 39 · Denominator 43 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 17.5% |
25.2%
7.7 pts worse
|
Numerator 7 · Denominator 40 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.9 |
2.0
0.1 pts better
|
1.9
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.8 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.1 |
2.3
0.2 pts better
|
1.8
0.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.0 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 53.2% |
89.6%
36.4 pts worse
|
93.4%
40.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 45.1% · Q2 51.9% · Q3 66.0% · Q4 50.0% · 4Q avg 53.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 64.3% |
91.6%
27.3 pts worse
|
95.5%
31.2 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 64.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.4% |
3.3%
1.1 pts worse
|
3.3%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 1.9% · Q3 4.0% · Q4 7.7% · 4Q avg 4.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 71.7% |
50.3%
21.4 pts worse
|
11.4%
60.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 81.6% · Q2 49.0% · Q3 65.9% · Q4 89.8% · 4Q avg 71.7% |
| Percentage of long-stay residents who lose too much weight | 4.5% |
6.5%
2 pts better
|
5.4%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.8% · Q2 2.5% · Q3 4.9% · Q4 0.0% · 4Q avg 4.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 37.3% |
18.5%
18.8 pts worse
|
19.6%
17.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.6% · Q2 30.0% · Q3 47.6% · Q4 39.5% · 4Q avg 37.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 8.1% |
22.8%
14.7 pts better
|
16.7%
8.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.7% · Q2 9.7% · Q3 8.3% · Q4 3.6% · 4Q avg 8.1% · 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 | 14.0% |
17.2%
3.2 pts better
|
16.3%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 14.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 7.7% |
15.0%
7.3 pts better
|
14.9%
7.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 17.9% · Q3 2.5% · Q4 9.3% · 4Q avg 7.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
1.1%
1.1 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
1.7%
1.7 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 | 26.3% |
21.3%
5 pts worse
|
19.8%
6.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 36.3% · Q2 18.8% · Q3 17.7% · Q4 32.9% · 4Q avg 26.3% |
| Percentage of long-stay residents with pressure ulcers | 6.8% |
5.2%
1.6 pts worse
|
5.1%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 6.5% · Q3 8.3% · Q4 4.3% · 4Q avg 6.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 59.7% |
68.8%
9.1 pts worse
|
81.7%
22 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 81.7% · Q2 65.7% · Q3 55.6% · Q4 36.6% · 4Q avg 59.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 22.6% |
14.0%
8.6 pts worse
|
12.0%
10.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 22.6% · Observed 22.4% · Expected 11.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
2.3%
2.3 pts better
|
1.6%
1.6 pts better
|
Short 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 short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 55.4% |
63.0%
7.6 pts worse
|
79.7%
24.3 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 55.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.0% |
26.2%
4.2 pts better
|
23.9%
1.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.0% · Observed 23.9% · Expected 25.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-08-24 · Fire 2023-08-24
11 health deficiencies
Top issue: Resident Rights (3 deficiencies)
1 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Cycle 3
Health 2022-09-09 · Fire 2022-09-09
14 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
1 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2023-08-24
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-09-22
F · Potential for more than minimal harm
2022-09-09
E37 · Emergency Preparedness Deficiencies
Fire Safety
Establish staff and initial training requirements.
Corrected 2022-10-07
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-09-17
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-10-01
J · Immediate jeopardy
2025-06-06
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 2025-05-13
G · Actual harm
2025-06-06
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 2025-05-13
G · Actual harm
2025-06-06
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-05-13
D · Potential for more than minimal harm
2025-06-06
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 2025-06-09
D · Potential for more than minimal harm
2025-06-06
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2025-06-09
D · Potential for more than minimal harm
2025-06-06
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-06-09
D · Potential for more than minimal harm
2025-04-30
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-05-14
E · Potential for more than minimal harm
2024-11-01
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 2024-11-11
F · Potential for more than minimal harm
2024-10-01
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 2024-10-23
F · Potential for more than minimal harm
2024-10-01
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2024-10-23
F · Potential for more than minimal harm
2024-10-01
F944 · Administration Deficiencies
Health
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected 2024-10-23
E · Potential for more than minimal harm
2024-10-01
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-11-11
E · Potential for more than minimal harm
2024-10-01
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-11-12
D · Potential for more than minimal harm
2024-10-01
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 2024-10-23
D · Potential for more than minimal harm
2024-10-01
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-11-11
D · Potential for more than minimal harm
2024-10-01
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 2024-10-23
D · Potential for more than minimal harm
2024-10-01
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 2024-11-11
C · Minimal harm
2024-10-01
F847 · Administration Deficiencies
Health
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected 2024-10-23
D · Potential for more than minimal harm
2024-01-31
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 2024-02-25
G · Actual harm
2023-12-07
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 2024-01-07
F · Potential for more than minimal harm
2023-12-07
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 2024-01-07
F · Potential for more than minimal harm
2023-12-07
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 2024-01-07
F · Potential for more than minimal harm
2023-12-07
F838 · Administration Deficiencies
Health
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected 2024-01-07
E · Potential for more than minimal harm
2023-12-07
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 2024-01-07
E · Potential for more than minimal harm
2023-12-07
F676 · Quality of Life and Care Deficiencies
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2024-01-07
G · Actual harm
2023-08-24
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 2023-09-23
F · Potential for more than minimal harm
2023-08-24
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 2023-09-23
F · Potential for more than minimal harm
2023-08-24
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2023-09-23
F · Potential for more than minimal harm
2023-08-24
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-09-23
F · Potential for more than minimal harm
2023-08-24
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 2023-09-23
D · Potential for more than minimal harm
2023-08-24
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2023-09-23
D · Potential for more than minimal harm
2023-08-24
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 2023-09-23
D · Potential for more than minimal harm
2023-08-24
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-09-23
D · Potential for more than minimal harm
2023-08-24
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 2023-09-23
D · Potential for more than minimal harm
2023-08-24
F847 · Administration Deficiencies
Health
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected 2023-09-23
D · Potential for more than minimal harm
2022-09-09
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 2022-09-26
D · Potential for more than minimal harm
2022-09-09
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 2022-09-26
D · Potential for more than minimal harm
2022-09-09
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-09-26
D · Potential for more than minimal harm
2022-09-09
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 2022-09-26
D · Potential for more than minimal harm
2022-09-09
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-09-26
D · Potential for more than minimal harm
2022-09-09
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 2022-09-26
D · Potential for more than minimal harm
2022-09-09
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-09-26
Penalties and ownership
What sits behind the stars
$14,015
2025-06-06
Fine
Fine · fine $14,015
Fine
$14,015
2025-06-06
Fine
Fine · fine $14,015
Fine
$22,925
2025-06-06
Fine
Fine · fine $22,925
Fine
$16,624
2023-12-07
Fine
Fine · fine $16,624
Fine
$0
2023-12-07
Payment Denial
Payment Denial · denial start 2024-01-05 · 2 days
2 day denial
Ownership
Crest Illinois Holdco Ii LLC
5% Or Greater Direct Ownership Interest · Organization
Fejcc Trust
5% Or Greater Indirect Ownership Interest · Organization
Lichtman, Shalom
5% Or Greater Indirect Ownership Interest · Individual
Mdatas Trust
5% Or Greater Indirect Ownership Interest · Organization
Mrs Family Trust
5% Or Greater Indirect Ownership Interest · Organization
Weintraub, Moshe
5% Or Greater Indirect Ownership Interest · Individual
Clark, Eric
5% Or Greater Direct Ownership Interest · Individual
Capital Finance LLC
5% Or Greater Security Interest · Organization
Friedman, Yisrael
5% Or Greater Indirect Ownership Interest · Individual
Friedman, Yisrael
Corporate Officer · Individual
Lichtman, Shalom
Corporate Officer · Individual
Singer, Meir
5% Or Greater Indirect Ownership Interest · Individual
Singer, Meir
Corporate Officer · Individual
Weintraub, Moshe
W-2 Managing Employee · Individual
Nearby options
Other facilities in reach
#1
Timbercreek Rehab and Health Care Center
Pekin, IL
1-star overall rating with 1-star inspections with abuse icon flag with $213,731 in total fines with 23 recent health deficiencies
#2
Pekin Manor
Pekin, IL
4-star overall rating with 4-star inspections with $14,015 in total fines with 8 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#3
Arcadia Care Morton
Morton, IL
1-star overall rating with 1-star inspections with $412,671 in total fines with 18 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
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