26 health deficiencies
Top issue: Quality of Life and Care (10 deficiencies)
8 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Richland, WA
2-star overall rating with 2-star inspections with $115,310 in total fines with 25 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
44 Goethals Drive, Richland, WA
(509) 943-1117
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
104
Certified beds
Average residents
66
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Life Care Centers Of America
Operator or chain grouping
Approved since
1979-07-10
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
194 facilities
Chain averages 4 overall / 3 health / 3 staffing / 5 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
RN hours / resident day
0.59
Registered nurse staffing · state 0.88 · national 0.68
LPN hours / resident day
1.15
Licensed practical nurse staffing · state 0.81 · national 0.87
Aide hours / resident day
2.17
Nurse aide staffing · state 2.69 · national 2.35
Total nurse hours
3.91
All reported nurse hours · state 4.39 · national 3.89
Licensed hours
1.74
RN + LPN hours · state 1.70 · national 1.54
Weekend hours
2.95
Weekend nurse staffing · state 3.79 · national 3.43
Weekend RN hours
0.34
Weekend registered nurse coverage · state 0.63 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.52
CMS adjusted RN staffing hours
Adjusted total hours
3.45
CMS adjusted total nurse staffing hours
Case-mix index
1.55
Higher values indicate more complex resident acuity
RN turnover
58%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
58%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
4,349
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
40.32
Composite VBP score used to determine payment impact.
Payment multiplier
0.9932
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
4.40
Baseline 16.16% · Performance 19.39% · Measure score 4.40 · Achievement 4.40 · Improvement 0
Healthcare-associated infections
8.72
Baseline 7.91% · Performance 5.23% · Measure score 8.72 · Achievement 8.72 · Improvement 8.70
Total nurse turnover
1.75
Baseline 53.45% · Performance 56.52% · Measure score 1.75 · Achievement 1.75 · Improvement 0
Adjusted total nurse staffing
1.25
Baseline 4.22 hours · Performance 3.43 hours · Measure score 1.25 · Achievement 1.25 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.42% |
10.72%
0.3 pts better
|
No Different than the National Rate · Eligible stays 247 · Observed rate 10.12% · Lower 95% interval 8.02% |
| Discharge to community | 54.83% |
50.57%
4.3 pts better
|
No Different than the National Rate · Eligible stays 256 · Observed rate 49.61% · Lower 95% interval 48.65% |
| Medicare spending per beneficiary | 1.05 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 96.43% |
95.27%
1.2 pts better
|
Numerator 162 · Denominator 168 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 168 |
| Discharge self-care score | 68.85% |
53.69%
15.2 pts better
|
Numerator 84 · Denominator 122 |
| Discharge mobility score | 65.57% |
50.94%
14.6 pts better
|
Numerator 80 · Denominator 122 |
| Pressure ulcers or injuries, new or worsened | 0.6% |
2.29%
1.7 pts better
|
Numerator 1 · Denominator 168 · Adjusted rate 0.65% |
| Healthcare-associated infections requiring hospitalization | 5.23% |
7.12%
1.9 pts better
|
No Different than the National Rate · Eligible stays 166 · Observed rate 3.01% · Lower 95% interval 3.26% |
| Staff COVID-19 vaccination coverage | 1.25% |
8.2%
6.9 pts worse
|
Numerator 1 · Denominator 80 |
| Staff flu vaccination coverage | 35.54% |
42%
6.5 pts worse
|
Numerator 43 · Denominator 121 |
| Discharge function score | 63.93% |
56.45%
7.5 pts better
|
Numerator 78 · Denominator 122 |
| Transfer of health information to provider | 94.83% |
95.95%
1.1 pts worse
|
Numerator 55 · Denominator 58 |
| Transfer of health information to patient | 97.87% |
96.28%
1.6 pts better
|
Numerator 92 · Denominator 94 |
| Resident COVID-19 vaccinations up to date | 27.78% |
25.2%
2.6 pts better
|
Numerator 25 · Denominator 90 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.0% |
96.0%
2 pts better
|
93.4%
4.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 90.6% · Q3 100.0% · Q4 100.0% · 4Q avg 98.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 87.2% |
93.8%
6.6 pts worse
|
95.5%
8.3 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 87.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.4% |
2.6%
1.2 pts better
|
3.3%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.8% · Q4 2.3% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 5.1% |
16.3%
11.2 pts better
|
11.4%
6.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 3.4% · Q3 6.1% · Q4 7.5% · 4Q avg 5.1% |
| Percentage of long-stay residents who lose too much weight | 5.7% |
5.8%
0.1 pts better
|
5.4%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 13.8% · Q3 2.9% · Q4 2.4% · 4Q avg 5.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.9% |
12.1%
5.8 pts worse
|
19.6%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 18.8% · Q3 16.7% · Q4 16.7% · 4Q avg 17.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 19.7% |
15.9%
3.8 pts worse
|
16.7%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 26.1% · Q3 21.4% · Q4 13.9% · 4Q avg 19.7% · 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 | 20.4% |
20.0%
0.4 pts worse
|
16.3%
4.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 20.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 11.3% |
15.8%
4.5 pts better
|
14.9%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 16.7% · Q3 14.3% · Q4 7.3% · 4Q avg 11.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.2% |
1.2%
About the same
|
1.0%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.4% · Q4 2.0% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.1% |
1.7%
0.4 pts worse
|
1.7%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 0.0% · Q3 2.9% · Q4 2.4% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 29.1% |
23.5%
5.6 pts worse
|
19.8%
9.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.0% · Q2 61.9% · Q3 24.8% · Q4 11.0% · 4Q avg 29.1% |
| Percentage of long-stay residents with pressure ulcers | 2.0% |
4.7%
2.7 pts better
|
5.1%
3.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 2.2% · Q3 2.0% · Q4 1.7% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.1% |
87.7%
11.4 pts better
|
81.7%
17.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 97.8% · Q3 98.9% · Q4 100.0% · 4Q avg 99.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.8% |
13.2%
2.4 pts better
|
12.0%
1.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.8% · Observed 11.2% · Expected 11.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.5% |
1.4%
0.1 pts worse
|
1.6%
0.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 2.3% · Q3 2.5% · Q4 0.0% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 83.5% |
82.0%
1.5 pts better
|
79.7%
3.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 83.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.2% |
19.9%
5.3 pts worse
|
23.9%
1.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.2% · Observed 26.5% · Expected 25.1% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (10 deficiencies)
8 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Top issue: Quality of Life and Care (8 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Quality of Life and Care (9 deficiencies)
6 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Fire safety
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-08-15
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 2025-08-15
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-08-15
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-08-15
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-08-15
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 2025-08-15
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-08-15
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-08-15
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-08-13
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-08-13
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-08-13
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-08-13
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-08-13
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-08-13
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 2024-08-13
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-08-13
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-08-13
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-08-13
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-08-13
Fire Safety
Meet other general requirements.
Corrected 2024-08-13
Fire Safety
Establish staff and initial training requirements.
Corrected 2023-07-17
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-07-17
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 2023-07-17
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-07-17
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-07-17
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-07-17
Inspection history
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2026-02-18
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2026-02-18
Health
Provide or get specialized rehabilitative services as required for a resident.
Corrected 2026-02-18
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2026-01-02
Health
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected 2026-01-02
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-01-02
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 2026-01-02
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-09-02
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-08-20
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-08-20
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 2025-08-20
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2025-08-20
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2025-08-20
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-08-20
Health
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2025-08-20
Health
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected 2025-08-20
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 2025-08-20
Health
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2025-08-20
Health
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected 2025-08-20
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-08-20
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-08-20
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 2025-08-20
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-08-20
Health
Provide or get specialized rehabilitative services as required for a resident.
Corrected 2025-08-20
Health
Implement a program that monitors antibiotic use.
Corrected 2025-08-20
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-04-08
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2025-01-10
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-01-10
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-11-18
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-11-18
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-11-18
Health
Respond appropriately to all alleged violations.
Corrected 2024-11-18
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2024-08-22
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-08-22
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-08-22
Health
Respond appropriately to all alleged violations.
Corrected 2024-08-22
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2024-08-22
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-08-22
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-08-22
Health
Provide and implement an infection prevention and control program.
Corrected 2024-08-22
Health
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2024-08-22
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2024-08-22
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-08-22
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-08-22
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 2024-08-22
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2024-08-22
Health
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2024-08-22
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-08-22
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2024-08-22
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-08-22
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 2024-08-22
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 2024-08-22
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-08-22
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-07-03
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-05-24
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-05-24
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-05-24
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-02-15
Health
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2024-02-15
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-11-06
Health
Provide and implement an infection prevention and control program.
Corrected 2023-11-06
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-11-06
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-10-17
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-07-24
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-07-24
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-07-24
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-07-24
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 2023-07-24
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 2023-07-24
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-07-24
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-07-24
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-05-30
Health
Provide and implement an infection prevention and control program.
Corrected 2023-05-30
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-05-30
Health
Perform COVID19 testing on residents and staff.
Corrected 2023-05-30
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-04-12
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2023-04-18
Penalties and ownership
Fine · fine $51,610
Fine
Fine · fine $63,700
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Corporate Officer · Individual
Operational/Managerial Control · Organization
W-2 Managing Employee · Individual
Corporate Officer · Individual
Nearby options
Richland, WA
5-star overall rating with 4-star inspections with $59,762 in total fines with 10 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
Pasco, WA
2-star overall rating with 2-star inspections with $63,388 in total fines with 23 recent health deficiencies with 18 fire-safety deficiencies in the latest cycle
Kennewick, WA
3-star overall rating with 2-star inspections with $67,689 in total fines with 17 recent health deficiencies with 21 fire-safety deficiencies in the latest cycle
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