Grand Junction, CO

Larchwood Inn

1-star overall rating with 2-star inspections with abuse icon flag with $37,680 in total fines with 21 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

2845 N 15th St, Grand Junction, CO

(970) 245-0022

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

130

Certified beds

Average residents

101

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1994-09-22

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.00

Registered nurse staffing

LPN hours / resident day

0.00

Licensed practical nurse staffing

Aide hours / resident day

0.00

Nurse aide staffing

Total nurse hours

0.00

All reported nurse hours

Licensed hours

0.00

RN + LPN hours

Weekend hours

0.00

Weekend nurse staffing

Weekend RN hours

0.00

Weekend registered nurse coverage

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

0.00

CMS adjusted RN staffing hours

Adjusted total hours

0.00

CMS adjusted total nurse staffing hours

Case-mix index

0.00

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

0%

Annual nurse turnover

SNF VBP

Value-based purchasing

Program rank

4,462

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

Performance score

39.87

Composite VBP score used to determine payment impact.

Payment multiplier

0.9928

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

4.22

Performance 19.47% · Measure score 4.22 · Achievement 4.22 · This facility did not have sufficient data to calculate a baseline period measure result.

Healthcare-associated infections

5.44

Baseline 5.58% · Performance 6.21% · Measure score 5.44 · Achievement 5.44 · Improvement 0

Total nurse turnover

1.33

Baseline 50.50% · Performance 58.26% · Measure score 1.33 · Achievement 1.33 · Improvement 0

Adjusted total nurse staffing

4.96

Baseline 4.88 hours · Performance 4.49 hours · Measure score 4.96 · Achievement 4.96 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 9.31%
10.72%
1.4 pts better
No Different than the National Rate · Eligible stays 109 · Observed rate 5.5% · Lower 95% interval 6.92%
Discharge to community 54.99%
50.57%
4.4 pts better
No Different than the National Rate · Eligible stays 85 · Observed rate 57.65% · Lower 95% interval 45.46%
Medicare spending per beneficiary 0.83
1.02
0.2 pts better
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 89 · Denominator 89
Falls with major injury 1.12%
0.77%
0.4 pts worse
Numerator 1 · Denominator 89
Discharge self-care score 57.53%
53.69%
3.8 pts better
Numerator 42 · Denominator 73
Discharge mobility score 65.75%
50.94%
14.8 pts better
Numerator 48 · Denominator 73
Pressure ulcers or injuries, new or worsened 2.25%
2.29%
About the same
Numerator 2 · Denominator 89 · Adjusted rate 3.12%
Healthcare-associated infections requiring hospitalization 6.21%
7.12%
0.9 pts better
No Different than the National Rate · Eligible stays 79 · Observed rate 3.8% · Lower 95% interval 3.33%
Staff COVID-19 vaccination coverage 2.94%
8.2%
5.3 pts worse
Numerator 6 · Denominator 204
Staff flu vaccination coverage 87.92%
42%
45.9 pts better
Numerator 233 · Denominator 265
Discharge function score 69.86%
56.45%
13.4 pts better
Numerator 51 · Denominator 73
Transfer of health information to provider 100%
95.95%
4 pts better
Numerator 40 · Denominator 40
Transfer of health information to patient 95.83%
96.28%
0.5 pts worse
Numerator 23 · Denominator 24
Resident COVID-19 vaccinations up to date 9.76%
25.2%
15.4 pts worse
Numerator 4 · Denominator 41

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.5
1.3
0.2 pts worse
1.9
0.4 pts better
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.4 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 0.8
1.7
0.9 pts better
1.8
1 pts better
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.7 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 90.3%
93.5%
3.2 pts worse
93.4%
3.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 83.5% · Q2 91.6% · Q3 92.6% · Q4 93.9% · 4Q avg 90.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 82.8%
94.7%
11.9 pts worse
95.5%
12.7 pts worse
Long Stay · 2024Q3-2025Q2 · 4Q avg 82.8%
Percentage of long-stay residents experiencing one or more falls with major injury 5.7%
3.4%
2.3 pts worse
3.3%
2.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 7.2% · Q3 6.2% · Q4 6.1% · 4Q avg 5.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 2.6%
7.4%
4.8 pts better
11.4%
8.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 0.0% · Q3 0.0% · Q4 9.4% · 4Q avg 2.6%
Percentage of long-stay residents who lose too much weight 3.0%
5.0%
2 pts better
5.4%
2.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 1.7% · Q3 1.8% · Q4 4.9% · 4Q avg 3.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 7.1%
11.2%
4.1 pts better
19.6%
12.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 6.8% · Q3 8.6% · Q4 8.2% · 4Q avg 7.1%
Percentage of long-stay residents who received an antipsychotic medication 13.8%
20.6%
6.8 pts better
16.7%
2.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 13.0% · Q2 14.8% · Q3 14.0% · Q4 13.5% · 4Q avg 13.8% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.3%
0.1%
0.2 pts worse
0.1%
0.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.2% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3%
Percentage of long-stay residents whose ability to walk independently worsened 47.5%
15.2%
32.3 pts worse
16.3%
31.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 63.8% · 4Q avg 47.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 31.1%
14.6%
16.5 pts worse
14.9%
16.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 48.2% · Q2 32.7% · Q3 26.8% · Q4 17.2% · 4Q avg 31.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 6.3%
0.8%
5.5 pts worse
1.0%
5.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 6.7% · Q3 5.9% · Q4 7.4% · 4Q avg 6.3% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 4.6%
1.5%
3.1 pts worse
1.7%
2.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 4.9% · Q3 2.5% · Q4 6.1% · 4Q avg 4.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 34.1%
22.4%
11.7 pts worse
19.8%
14.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 39.4% · Q2 39.4% · Q3 27.5% · Q4 30.0% · 4Q avg 34.1%
Percentage of long-stay residents with pressure ulcers 4.2%
3.7%
0.5 pts worse
5.1%
0.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 3.7% · Q3 5.4% · Q4 5.0% · 4Q avg 4.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 78.8%
76.4%
2.4 pts better
81.7%
2.9 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 80.5% · Q2 86.0% · Q3 72.2% · Q4 76.6% · 4Q avg 78.8%
Percentage of short-stay residents who had an outpatient emergency department visit 18.7%
12.8%
5.9 pts worse
12.0%
6.7 pts worse
Short Stay · 20240701-20250630 · Adjusted 18.7% · Observed 17.2% · Expected 10.3% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 1.1%
1.5%
0.4 pts better
1.6%
0.5 pts better
Short Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.4% · Q3 0.0% · Q4 1.4% · 4Q avg 1.1% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 66.9%
75.6%
8.7 pts worse
79.7%
12.8 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 66.9%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 22.7%
20.3%
2.4 pts worse
23.9%
1.2 pts better
Short Stay · 20240701-20250630 · Adjusted 22.7% · Observed 20.7% · Expected 21.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-04-11 · Fire 2024-04-11

21 health deficiencies

Top issue: Resident Rights (10 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2022-12-22 · Fire 2022-12-22

4 health deficiencies

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

5 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 3 Health 2021-08-26 · Fire 2021-08-26

13 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)

10 fire-safety deficiencies

Top issue: Smoke (6 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-04-11

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-05-30

F · Potential for more than minimal harm 2024-04-11

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-05-30

D · Potential for more than minimal harm 2024-04-11

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 2024-05-30

D · Potential for more than minimal harm 2024-04-11

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-05-30

D · Potential for more than minimal harm 2024-04-11

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2024-05-30

F · Potential for more than minimal harm 2022-12-22

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2023-02-20

F · Potential for more than minimal harm 2022-12-22

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-02-20

E · Potential for more than minimal harm 2022-12-22

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-02-20

D · Potential for more than minimal harm 2022-12-22

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2023-02-20

D · Potential for more than minimal harm 2022-12-22

K331 · Smoke Deficiencies

Fire Safety

Construct fire resistant interior walls.

Corrected 2023-02-20

E · Potential for more than minimal harm 2021-08-26

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2021-10-11

E · Potential for more than minimal harm 2021-08-26

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2021-10-11

E · Potential for more than minimal harm 2021-08-26

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2021-10-11

E · Potential for more than minimal harm 2021-08-26

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2021-10-11

D · Potential for more than minimal harm 2021-08-26

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2021-10-11

D · Potential for more than minimal harm 2021-08-26

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2021-10-11

D · Potential for more than minimal harm 2021-08-26

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2021-10-11

D · Potential for more than minimal harm 2021-08-26

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2021-10-11

D · Potential for more than minimal harm 2021-08-26

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2021-10-11

D · Potential for more than minimal harm 2021-08-26

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2021-10-11

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-12-09

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 2025-12-19

D · Potential for more than minimal harm 2025-12-09

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 2025-12-19

D · Potential for more than minimal harm 2025-12-05

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 2025-12-15

D · Potential for more than minimal harm 2025-12-05

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 2025-12-15

D · Potential for more than minimal harm 2025-12-05

F791 · Quality of Life and Care Deficiencies

Health

Provide or obtain dental services for each resident.

Corrected 2025-12-15

D · Potential for more than minimal harm 2025-08-21

F627 · Resident Rights Deficiencies

Health

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Corrected 2025-09-14

D · Potential for more than minimal harm 2025-08-21

F628 · Resident Rights Deficiencies

Health

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Corrected 2025-09-14

D · Potential for more than minimal harm 2025-04-24

F573 · Resident Rights Deficiencies

Health

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

Corrected 2025-05-09

E · Potential for more than minimal harm 2025-03-11

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 2025-04-04

F · Potential for more than minimal harm 2024-04-11

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 2024-05-05

E · Potential for more than minimal harm 2024-04-11

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2024-05-05

E · Potential for more than minimal harm 2024-04-11

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-05-05

E · Potential for more than minimal harm 2024-04-11

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 2024-05-05

E · Potential for more than minimal harm 2024-04-11

F805 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2024-05-05

D · Potential for more than minimal harm 2024-04-11

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 2024-05-05

D · Potential for more than minimal harm 2024-04-11

F553 · Resident Rights Deficiencies

Health

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Corrected 2024-05-05

D · Potential for more than minimal harm 2024-04-11

F677 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-05-05

D · Potential for more than minimal harm 2024-04-11

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-05-05

D · Potential for more than minimal harm 2024-04-11

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-05-05

D · Potential for more than minimal harm 2024-04-11

F791 · Quality of Life and Care Deficiencies

Health

Provide or obtain dental services for each resident.

Corrected 2024-05-05

B · Minimal harm 2024-04-11

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2024-05-05

G · Actual harm 2024-01-03

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 2024-02-01

E · Potential for more than minimal harm 2024-01-03

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 2024-02-01

G · Actual harm 2022-12-22

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 2023-01-16

G · Actual harm 2022-12-22

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-01-13

F · Potential for more than minimal harm 2022-12-22

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-01-24

D · Potential for more than minimal harm 2022-12-22

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-01-12

G · Actual harm 2021-08-26

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 2021-09-20

F · Potential for more than minimal harm 2021-08-26

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 2021-09-20

E · Potential for more than minimal harm 2021-08-26

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 2021-09-20

E · Potential for more than minimal harm 2021-08-26

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2021-09-20

E · Potential for more than minimal harm 2021-08-26

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 2021-09-20

E · Potential for more than minimal harm 2021-08-26

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2021-09-20

D · Potential for more than minimal harm 2021-08-26

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2021-09-20

D · Potential for more than minimal harm 2021-08-26

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2021-09-20

D · Potential for more than minimal harm 2021-08-26

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 2021-09-20

D · Potential for more than minimal harm 2021-08-26

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 2021-09-20

D · Potential for more than minimal harm 2021-08-26

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2021-09-20

Penalties and ownership

What sits behind the stars

$26,500 2025-08-21

Fine

Fine · fine $26,500

Fine

$11,180 2024-01-03

Fine

Fine · fine $11,180

Fine

Ownership

Jiles, Jeanane

5% Or Greater Direct Ownership Interest · Individual

50% 1 facilities 2014-12-01
Jiles, Jon

5% Or Greater Direct Ownership Interest · Individual

50% 1 facilities 2014-12-01
Jiles, Jeanane

Corporate Director · Individual

0% 1 facilities 2014-12-01
Jiles, Jon

Corporate Director · Individual

0% 1 facilities 2014-12-01
Jiles, Jon

Corporate Officer · Individual

0% 1 facilities 2014-12-01
Wood, Melissa K.

Operational/Managerial Control · Individual

0% 2 facilities 2012-01-31
Wood, Melissa K.

Corporate Director · Individual

0% 2 facilities 2012-01-31

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Staffing
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Fines
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