Elkridge, MD

Lorien Nursing & Rehab Ctr - Elkridge

4-star overall rating with 4-star inspections with 16 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle

7615 Washington Boulevard, Elkridge, MD

(410) 579-2626

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

70

Certified beds

Average residents

65

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Lorien Health Services

Operator or chain grouping

Approved since

2012-07-16

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

8 facilities

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

Changed ownership

No

Within the last 12 months

Family council

No

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.72

Registered nurse staffing · state 0.81 · national 0.68

LPN hours / resident day

1.19

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

2.14

Nurse aide staffing · state 2.15 · national 2.35

Total nurse hours

4.06

All reported nurse hours · state 3.87 · national 3.89

Licensed hours

1.91

RN + LPN hours · state 1.72 · national 1.54

Weekend hours

3.69

Weekend nurse staffing · state 3.46 · national 3.43

Weekend RN hours

0.60

Weekend registered nurse coverage · state 0.61 · national 0.47

Physical therapist

0.12

Reported PT staffing · state 0.09 · national 0.07

Adjusted RN hours

0.70

CMS adjusted RN staffing hours

Adjusted total hours

3.92

CMS adjusted total nurse staffing hours

Case-mix index

1.42

Higher values indicate more complex resident acuity

RN turnover

69%

Annual RN turnover · state 40% · national 45%

Total nurse turnover

71%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,633

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

Performance score

15.97

Composite VBP score used to determine payment impact.

Payment multiplier

0.9815

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

1.11

Baseline 22.05% · Performance 21.24% · Measure score 1.11 · Achievement 0 · Improvement 1.11

Healthcare-associated infections

2.35

Baseline 7.61% · Performance 7.13% · Measure score 2.35 · Achievement 2.35 · Improvement 1.32

Total nurse turnover

0

Baseline 46.27% · Performance 62.20% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

2.93

Baseline 3.56 hours · Performance 3.91 hours · Measure score 2.93 · Achievement 2.93 · Improvement 1.08

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 11.14%
10.72%
0.4 pts worse
No Different than the National Rate · Eligible stays 366 · Observed rate 10.38% · Lower 95% interval 8.67%
Discharge to community 61.6%
50.57%
11 pts better
Better than the National Rate · Eligible stays 374 · Observed rate 57.75% · Lower 95% interval 57.22%
Medicare spending per beneficiary 0.91
1.02
0.1 pts better
Drug regimen review with follow-up 97.66%
95.27%
2.4 pts better
Numerator 209 · Denominator 214
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 214
Discharge self-care score 52%
53.69%
1.7 pts worse
Numerator 78 · Denominator 150
Discharge mobility score 62%
50.94%
11.1 pts better
Numerator 93 · Denominator 150
Pressure ulcers or injuries, new or worsened 5.61%
2.29%
3.3 pts worse
Numerator 12 · Denominator 214 · Adjusted rate 5.11%
Healthcare-associated infections requiring hospitalization 7.13%
7.12%
About the same
No Different than the National Rate · Eligible stays 243 · Observed rate 6.58% · Lower 95% interval 5.04%
Staff COVID-19 vaccination coverage Not Available
8.2%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Staff flu vaccination coverage Not Available
42%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge function score 56%
56.45%
0.5 pts worse
Numerator 84 · Denominator 150
Transfer of health information to provider 97.87%
95.95%
1.9 pts better
Numerator 46 · Denominator 47
Transfer of health information to patient 92.86%
96.28%
3.4 pts worse
Numerator 130 · Denominator 140
Resident COVID-19 vaccinations up to date 52.78%
25.2%
27.6 pts better
Numerator 57 · Denominator 108

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.7
1.3
1.4 pts worse
1.9
0.8 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 2.6 · Expected 1.8 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 0.9
1.2
0.3 pts better
1.8
0.9 pts better
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.8 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 88.3%
91.9%
3.6 pts worse
93.4%
5.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 84.1% · Q2 90.5% · Q3 90.5% · Q4 88.4% · 4Q avg 88.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 93.2%
96.6%
3.4 pts worse
95.5%
2.3 pts worse
Long Stay · 2024Q3-2025Q2 · 4Q avg 93.2%
Percentage of long-stay residents experiencing one or more falls with major injury 5.3%
2.3%
3 pts worse
3.3%
2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 4.8% · Q3 4.8% · Q4 4.7% · 4Q avg 5.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 1.4%
21.4%
20 pts better
11.4%
10 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.7% · Q4 2.5% · 4Q avg 1.4%
Percentage of long-stay residents who lose too much weight 12.0%
5.7%
6.3 pts worse
5.4%
6.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 5.6% · Q3 24.3% · Q4 19.4% · 4Q avg 12.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 8.2%
16.1%
7.9 pts better
19.6%
11.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 10.0% · Q3 7.7% · Q4 8.3% · 4Q avg 8.2%
Percentage of long-stay residents who received an antipsychotic medication 13.3%
15.3%
2 pts better
16.7%
3.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 18.2% · Q3 9.4% · Q4 12.9% · 4Q avg 13.3% · 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 68.3%
26.6%
41.7 pts worse
16.3%
52 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 68.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 34.3%
22.9%
11.4 pts worse
14.9%
19.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 28.9% · Q2 25.7% · Q3 47.1% · Q4 36.7% · 4Q avg 34.3% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.6%
0.7%
0.1 pts better
1.0%
0.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.1% · Q4 1.2% · 4Q avg 0.6% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 7.9%
1.5%
6.4 pts worse
1.7%
6.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 5.3% · Q3 12.2% · Q4 14.0% · 4Q avg 7.9% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 29.4%
25.4%
4 pts worse
19.8%
9.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 47.2% · Q3 44.6% · Q4 21.8% · 4Q avg 29.4%
Percentage of long-stay residents with pressure ulcers 9.5%
6.3%
3.2 pts worse
5.1%
4.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 9.6% · Q2 10.6% · Q3 10.2% · Q4 7.7% · 4Q avg 9.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 61.8%
78.4%
16.6 pts worse
81.7%
19.9 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 72.7% · Q2 62.7% · Q3 54.4% · Q4 57.1% · 4Q avg 61.8%
Percentage of short-stay residents who had an outpatient emergency department visit 14.4%
9.9%
4.5 pts worse
12.0%
2.4 pts worse
Short Stay · 20240701-20250630 · Adjusted 14.4% · Observed 13.0% · Expected 10.1% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.5%
1.3%
0.8 pts better
1.6%
1.1 pts better
Short Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 1.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 56.6%
80.6%
24 pts worse
79.7%
23.1 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 56.6%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 26.0%
21.2%
4.8 pts worse
23.9%
2.1 pts worse
Short Stay · 20240701-20250630 · Adjusted 26.0% · Observed 24.5% · Expected 22.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-09-23 · Fire 2024-09-23

16 health deficiencies

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

8 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2019-09-06 · Fire 2019-09-06

11 health deficiencies

Top issue: Resident Rights (5 deficiencies)

4 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 3 Health 2018-05-03 · Fire 2018-05-03

2 health deficiencies

Top issue: Pharmacy Service (1 deficiency)

7 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 2024-09-23

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-11-13

F · Potential for more than minimal harm 2024-09-23

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2024-11-13

F · Potential for more than minimal harm 2024-09-23

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-11-13

E · Potential for more than minimal harm 2024-09-23

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2024-11-13

E · Potential for more than minimal harm 2024-09-23

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 2024-11-13

D · Potential for more than minimal harm 2024-09-23

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-11-13

D · Potential for more than minimal harm 2024-09-23

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-11-13

D · Potential for more than minimal harm 2024-09-23

K362 · Smoke Deficiencies

Fire Safety

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Corrected 2024-11-13

D · Potential for more than minimal harm 2019-09-06

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 2019-11-20

D · Potential for more than minimal harm 2019-09-06

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2019-09-06

D · Potential for more than minimal harm 2019-09-06

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2019-09-23

D · Potential for more than minimal harm 2019-09-06

K929 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

Corrected 2019-11-20

D · Potential for more than minimal harm 2018-05-03

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2018-05-12

D · Potential for more than minimal harm 2018-05-03

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2018-05-10

D · Potential for more than minimal harm 2018-05-03

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 2018-05-10

D · Potential for more than minimal harm 2018-05-03

K908 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.

Corrected 2018-05-16

C · Minimal harm 2018-05-03

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2018-05-16

C · Minimal harm 2018-05-03

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2018-06-06

C · Minimal harm 2018-05-03

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2018-06-06

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-04-25

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-05-30

D · Potential for more than minimal harm 2025-04-25

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-05-30

G · Actual harm 2024-09-23

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 2024-11-13

D · Potential for more than minimal harm 2024-09-23

F551 · Resident Rights Deficiencies

Health

Give the resident's representative the ability to exercise the resident's rights.

Corrected 2024-11-13

D · Potential for more than minimal harm 2024-09-23

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-11-13

D · Potential for more than minimal harm 2024-09-23

F578 · Resident Rights Deficiencies

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 2024-11-13

D · Potential for more than minimal harm 2024-09-23

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 2024-11-13

D · Potential for more than minimal harm 2024-09-23

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-11-13

D · Potential for more than minimal harm 2024-09-23

F637 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident when there is a significant change in condition

Corrected 2024-11-13

D · Potential for more than minimal harm 2024-09-23

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-11-13

D · Potential for more than minimal harm 2024-09-23

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2024-11-13

D · Potential for more than minimal harm 2024-09-23

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 2024-11-13

D · Potential for more than minimal harm 2024-09-23

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2024-11-13

D · Potential for more than minimal harm 2024-09-23

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-11-13

D · Potential for more than minimal harm 2024-09-23

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-11-13

D · Potential for more than minimal harm 2024-09-23

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 2024-11-13

D · Potential for more than minimal harm 2024-09-23

F726 · Nursing and Physician Services Deficiencies

Health

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

Corrected 2024-11-13

D · Potential for more than minimal harm 2024-09-23

F728 · Nursing and Physician Services Deficiencies

Health

Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

Corrected 2024-11-13

D · Potential for more than minimal harm 2024-09-23

F776 · Administration Deficiencies

Health

Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

Corrected 2024-11-13

D · Potential for more than minimal harm 2024-09-23

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 2024-11-13

D · Potential for more than minimal harm 2024-09-23

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-11-13

D · Potential for more than minimal harm 2024-09-23

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-11-13

E · Potential for more than minimal harm 2019-09-06

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 2019-10-21

D · Potential for more than minimal harm 2019-09-06

F622 · Resident Rights Deficiencies

Health

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Corrected 2019-10-21

D · Potential for more than minimal harm 2019-09-06

F623 · Resident Rights Deficiencies

Health

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

Corrected 2019-10-21

D · Potential for more than minimal harm 2019-09-06

F625 · Resident Rights Deficiencies

Health

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

Corrected 2019-10-21

D · Potential for more than minimal harm 2019-09-06

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2019-10-21

D · Potential for more than minimal harm 2018-05-03

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2018-06-17

D · Potential for more than minimal harm 2018-05-03

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 2018-06-17

Penalties and ownership

What sits behind the stars

Ownership

Collison, Michele

5% Or Greater Direct Ownership Interest · Individual

10% 8 facilities 1998-12-17
Licata, Linda

5% Or Greater Direct Ownership Interest · Individual

10% 8 facilities 1998-12-17
Mangione, Joanne

5% Or Greater Direct Ownership Interest · Individual

10% 7 facilities 2004-10-18
Mangione, John

5% Or Greater Direct Ownership Interest · Individual

10% 8 facilities 1998-12-17
Mangione, Louis

5% Or Greater Direct Ownership Interest · Individual

10% 8 facilities 1998-12-17
Mangione, Nicholas

5% Or Greater Direct Ownership Interest · Individual

10% 8 facilities 1998-12-17
Mangione, Peter

5% Or Greater Direct Ownership Interest · Individual

10% 8 facilities 1998-12-17
Mangione, Samuel

5% Or Greater Direct Ownership Interest · Individual

10% 8 facilities 1998-12-17
O'keefe, Frances

5% Or Greater Direct Ownership Interest · Individual

10% 8 facilities 1998-12-17
Grimmel, Louis

Corporate Officer · Individual

0% 8 facilities 2006-08-01
Juras, Rosemary

5% Or Greater Direct Ownership Interest · Individual

0% 8 facilities 1998-12-17
Juras, Rosemary

Corporate Officer · Individual

0% 8 facilities 2003-01-01
Licata, Linda

Corporate Officer · Individual

0% 8 facilities 2006-08-01
Mangione, John

Corporate Officer · Individual

0% 8 facilities 1998-12-17
Mangione, John

W-2 Managing Employee · Individual

0% 8 facilities 2012-06-18
Mangione, Louis

Corporate Officer · Individual

0% 8 facilities 1998-12-17
Nkunika, Nkhondo

W-2 Managing Employee · Individual

0% 1 facilities 2017-05-01

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#3

Lorien Health Systems - Columbia

Columbia, MD

2-star overall rating with 2-star inspections with $16,042 in total fines with 29 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle

Overall
2 / 5
Health
2 / 5
Staffing
4 / 5
Fines
$16,042

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