27 health deficiencies
Top issue: Quality of Life and Care (10 deficiencies)
9 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Saint Louis, MO
1-star overall rating with 1-star inspections with abuse icon flag with $213,244 in total fines with 27 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
3421 Gasconade, Saint Louis, MO
(314) 832-4700
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
120
Certified beds
Average residents
88
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1997-03-12
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
RN hours / resident day
0.20
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
0.69
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
2.23
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.12
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
0.89
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
2.65
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
0.18
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.17
CMS adjusted RN staffing hours
Adjusted total hours
2.72
CMS adjusted total nurse staffing hours
Case-mix index
1.57
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.57% |
10.72%
0.2 pts better
|
No Different than the National Rate · Eligible stays 31 · Observed rate 9.68% · Lower 95% interval 6.32% |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 7 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | 0.66 |
1.02
0.4 pts better
|
|
| Drug regimen review with follow-up | 86.96% |
95.27%
8.3 pts worse
|
Numerator 20 · Denominator 23 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 23 |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | 8.7% |
2.29%
6.4 pts worse
|
Numerator 2 · Denominator 23 · Adjusted rate 5.71% |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 16 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 44 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.2 |
2.1
1.1 pts worse
|
1.9
1.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.2 · Observed 2.7 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.5 |
2.3
0.8 pts better
|
1.8
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.5 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 59.5% |
84.8%
25.3 pts worse
|
93.4%
33.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 72.9% · Q3 48.1% · Q4 29.4% · 4Q avg 59.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 89.2% |
90.9%
1.7 pts worse
|
95.5%
6.3 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 89.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
4.1%
4.1 pts better
|
3.3%
3.3 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 who have depressive symptoms | 12.4% |
14.7%
2.3 pts better
|
11.4%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 6.7% · Q3 3.4% · Q4 34.3% · 4Q avg 12.4% |
| Percentage of long-stay residents who lose too much weight | 2.9% |
5.5%
2.6 pts better
|
5.4%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 4.8% · Q3 2.6% · Q4 0.0% · 4Q avg 2.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.6% |
25.3%
7.7 pts better
|
19.6%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 31.7% · Q2 17.9% · Q3 13.0% · Q4 11.2% · 4Q avg 17.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 17.7% |
25.0%
7.3 pts better
|
16.7%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.2% · Q2 18.8% · Q3 21.2% · Q4 13.0% · 4Q avg 17.7% · 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 | 17.1% |
20.3%
3.2 pts better
|
16.3%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.9% · Q2 24.6% · Q3 18.5% · Q4 10.0% · 4Q avg 17.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.8% |
19.8%
7 pts better
|
14.9%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 23.2% · Q2 21.3% · Q3 6.0% · Q4 4.1% · 4Q avg 12.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.6% |
1.4%
0.8 pts better
|
1.0%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.4% · Q3 0.9% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.3% |
2.6%
2.3 pts better
|
1.7%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.2% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 19.5% |
18.1%
1.4 pts worse
|
19.8%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.3% · Q2 22.9% · Q3 22.0% · Q4 19.6% · 4Q avg 19.5% |
| Percentage of long-stay residents with pressure ulcers | 6.0% |
5.0%
1 pts worse
|
5.1%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.9% · Q2 5.1% · Q3 3.4% · Q4 4.9% · 4Q avg 6.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 52.9% |
66.4%
13.5 pts worse
|
81.7%
28.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 54.1% · Q3 35.0% · Q4 29.0% · 4Q avg 52.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.0% |
13.4%
3.4 pts better
|
12.0%
2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.0% · Observed 12.5% · Expected 13.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
2.2%
2.2 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q2 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 | 58.5% |
63.5%
5 pts worse
|
79.7%
21.2 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 58.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 34.5% |
25.3%
9.2 pts worse
|
23.9%
10.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 34.5% · Observed 45.8% · Expected 31.7% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (10 deficiencies)
9 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Top issue: Quality of Life and Care (9 deficiencies)
17 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Quality of Life and Care (7 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-03-25
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-03-25
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2024-03-25
Fire Safety
Install proper backup exit lighting.
Corrected 2024-03-25
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2024-03-25
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 2024-03-25
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-03-25
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-03-25
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-03-25
Fire Safety
List the names and contact information of those in the facility.
Corrected 2022-01-22
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2022-01-22
Fire Safety
Implement emergency and standby power systems.
Corrected 2022-01-22
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-01-22
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2022-01-22
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-12-08
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 2022-01-22
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2022-01-22
Fire Safety
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Corrected 2022-01-22
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2022-03-16
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2022-03-16
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2022-01-22
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-01-22
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2022-01-22
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2022-01-22
Fire Safety
Install properly constructed and protected linen or trash chutes.
Corrected 2022-01-22
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2022-01-22
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2019-10-18
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2019-10-18
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-10-18
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2019-10-18
Inspection history
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2025-12-13
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-12-13
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Not marked corrected
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Not marked corrected
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-06-23
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 2025-05-03
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-05-03
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-04-22
Health
Provide and implement an infection prevention and control program.
Corrected 2025-05-02
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-04-22
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-05-03
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 2025-05-03
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-03-05
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2025-03-05
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-06-29
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-06-15
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-03-29
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-03-29
Health
Honor the resident's right to manage his or her financial affairs.
Corrected 2024-03-29
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2024-03-29
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-03-29
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2024-03-29
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2024-03-29
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 2024-03-29
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2024-03-29
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-03-29
Health
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Corrected 2024-03-29
Health
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected 2024-03-29
Health
Ensure the activities program is directed by a qualified professional.
Corrected 2024-03-29
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2023-03-20
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-01-22
Health
Provide activities to meet all resident's needs.
Corrected 2022-01-22
Health
Ensure the activities program is directed by a qualified professional.
Corrected 2022-01-22
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2022-04-30
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 2022-01-22
Health
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2022-01-22
Health
Provide and implement an infection prevention and control program.
Corrected 2022-01-22
Health
Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges.
Corrected 2022-01-22
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 2022-01-22
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 2022-01-22
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-01-22
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-04-30
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 2022-01-22
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2022-04-30
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2022-01-22
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 2022-04-30
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2022-01-22
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2022-01-22
Health
Implement a program that monitors antibiotic use.
Corrected 2022-01-22
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2022-04-30
Health
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2022-04-30
Health
Respond appropriately to all alleged violations.
Corrected 2022-04-30
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-04-30
Health
Provide appropriate foot care.
Corrected 2022-01-22
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2022-01-22
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2022-01-22
Health
Provide or get specialized rehabilitative services as required for a resident.
Corrected 2022-01-22
Health
Post nurse staffing information every day.
Corrected 2022-01-22
Health
Ensure staff are vaccinated for COVID-19
Corrected 2022-04-30
Health
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2019-10-18
Health
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2019-10-18
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 2019-10-18
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2019-10-18
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 2019-10-18
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 2019-10-18
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2019-10-18
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2019-10-30
Health
Provide activities to meet all resident's needs.
Corrected 2019-10-18
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2019-10-18
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 2019-10-18
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2019-10-18
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2019-10-18
Health
Provide and implement an infection prevention and control program.
Corrected 2019-10-18
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2019-10-18
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2019-10-18
Health
Ensure each resident receives an accurate assessment.
Corrected 2019-10-18
Penalties and ownership
Fine · fine $19,135
Fine
Fine · fine $40,066
Fine
Payment Denial · denial start 2025-04-10 · 23 days
23 day denial
Fine · fine $136,952
Fine
Payment Denial · denial start 2024-06-14 · 1 days
1 day denial
Fine · fine $17,091
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Mortgage Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Nearby options
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