Lumberton, NJ

Mount Holly Rehabilitation & Healthcare Center

1-star overall rating with 1-star inspections with abuse icon flag with $34,584 in total fines with 14 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle

62 Richmond Avenue, Lumberton, NJ

(609) 914-8800

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

180

Certified beds

Average residents

155

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Marquis Health Services

Operator or chain grouping

Approved since

1971-06-16

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

81 facilities

Chain averages 3 overall / 3 health / 2 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.39

Registered nurse staffing · state 0.69 · national 0.68

LPN hours / resident day

0.96

Licensed practical nurse staffing · state 0.94 · national 0.87

Aide hours / resident day

2.21

Nurse aide staffing · state 2.23 · national 2.35

Total nurse hours

3.56

All reported nurse hours · state 3.86 · national 3.89

Licensed hours

1.35

RN + LPN hours · state 1.62 · national 1.54

Weekend hours

3.25

Weekend nurse staffing · state 3.45 · national 3.43

Weekend RN hours

0.23

Weekend registered nurse coverage · state 0.49 · national 0.47

Physical therapist

0.04

Reported PT staffing · state 0.11 · national 0.07

Adjusted RN hours

0.41

CMS adjusted RN staffing hours

Adjusted total hours

3.78

CMS adjusted total nurse staffing hours

Case-mix index

1.29

Higher values indicate more complex resident acuity

RN turnover

40%

Annual RN turnover · state 39% · national 45%

Total nurse turnover

37%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

7,837

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

Performance score

28.64

Composite VBP score used to determine payment impact.

Payment multiplier

0.9851

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

3.12

Baseline 28.36% · Performance 24.25% · Measure score 3.12 · Achievement 0 · Improvement 3.12

Healthcare-associated infections

2.28

Baseline 8.51% · Performance 7.53% · Measure score 2.28 · Achievement 1.02 · Improvement 2.28

Total nurse turnover

5.05

Performance 43.06% · Measure score 5.05 · Achievement 5.05 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

1.01

Baseline 4.58 hours · Performance 3.36 hours · Measure score 1.01 · Achievement 1.01 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 12.93%
10.72%
2.2 pts worse
No Different than the National Rate · Eligible stays 398 · Observed rate 14.82% · Lower 95% interval 10.47%
Discharge to community 51.62%
50.57%
1 pts better
No Different than the National Rate · Eligible stays 410 · Observed rate 44.63% · Lower 95% interval 45.65%
Medicare spending per beneficiary 1.08
1.02
0.1 pts worse
Drug regimen review with follow-up 40.37%
95.27%
54.9 pts worse
Numerator 109 · Denominator 270
Falls with major injury 1.11%
0.77%
0.3 pts worse
Numerator 3 · Denominator 270
Discharge self-care score 71.13%
53.69%
17.4 pts better
Numerator 69 · Denominator 97
Discharge mobility score 73.2%
50.94%
22.3 pts better
Numerator 71 · Denominator 97
Pressure ulcers or injuries, new or worsened 0.37%
2.29%
1.9 pts better
Numerator 1 · Denominator 270 · Adjusted rate 0.2%
Healthcare-associated infections requiring hospitalization 7.53%
7.12%
0.4 pts worse
No Different than the National Rate · Eligible stays 182 · Observed rate 7.69% · Lower 95% interval 4.65%
Staff COVID-19 vaccination coverage 1.71%
8.2%
6.5 pts worse
Numerator 4 · Denominator 234
Staff flu vaccination coverage 89.74%
42%
47.7 pts better
Numerator 210 · Denominator 234
Discharge function score 79.38%
56.45%
22.9 pts better
Numerator 77 · Denominator 97
Transfer of health information to provider 98.88%
95.95%
2.9 pts better
Numerator 88 · Denominator 89
Transfer of health information to patient 95.83%
96.28%
0.5 pts worse
Numerator 115 · Denominator 120
Resident COVID-19 vaccinations up to date 33.33%
25.2%
8.1 pts better
Numerator 56 · Denominator 168

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 3.1
2.1
1 pts worse
1.9
1.2 pts worse
Long Stay · 20240701-20250630 · Adjusted 3.1 · Observed 3.1 · Expected 1.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.3
1.1
0.2 pts worse
1.8
0.5 pts better
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.2 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 94.8%
93.0%
1.8 pts better
93.4%
1.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 95.9% · Q2 94.6% · Q3 94.4% · Q4 94.4% · 4Q avg 94.8%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95.7%
97.2%
1.5 pts worse
95.5%
0.2 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.7%
Percentage of long-stay residents experiencing one or more falls with major injury 3.6%
2.4%
1.2 pts worse
3.3%
0.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 3.1% · Q3 2.4% · Q4 4.0% · 4Q avg 3.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 23.0%
11.4%
11.6 pts worse
11.4%
11.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 27.3% · Q2 32.7% · Q3 18.4% · Q4 13.8% · 4Q avg 23.0%
Percentage of long-stay residents who lose too much weight 2.7%
4.6%
1.9 pts better
5.4%
2.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 1.8% · Q3 2.6% · Q4 3.6% · 4Q avg 2.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 21.8%
19.0%
2.8 pts worse
19.6%
2.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 23.9% · Q2 23.5% · Q3 20.7% · Q4 19.0% · 4Q avg 21.8%
Percentage of long-stay residents who received an antipsychotic medication 1.2%
13.5%
12.3 pts better
16.7%
15.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 2.4% · Q3 0.0% · Q4 1.2% · 4Q avg 1.2% · 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 5.4%
9.8%
4.4 pts better
16.3%
10.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 0.0% · Q3 13.2% · Q4 5.7% · 4Q avg 5.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 10.7%
9.7%
1 pts worse
14.9%
4.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.9% · Q3 21.7% · Q4 20.0% · 4Q avg 10.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.2%
0.7%
0.5 pts better
1.0%
0.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.7% · 4Q avg 0.2% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.0%
0.8%
0.8 pts better
1.7%
1.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 28.5%
15.9%
12.6 pts worse
19.8%
8.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 31.0% · Q2 25.8% · Q3 29.4% · Q4 27.9% · 4Q avg 28.5%
Percentage of long-stay residents with pressure ulcers 5.2%
6.0%
0.8 pts better
5.1%
0.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 5.7% · Q3 5.1% · Q4 6.4% · 4Q avg 5.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 77.1%
78.7%
1.6 pts worse
81.7%
4.6 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 75.3% · Q2 74.6% · Q3 77.6% · Q4 80.7% · 4Q avg 77.1%
Percentage of short-stay residents who had an outpatient emergency department visit 11.1%
8.2%
2.9 pts worse
12.0%
0.9 pts better
Short Stay · 20240701-20250630 · Adjusted 11.1% · Observed 11.4% · Expected 11.4% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.5%
1.2%
0.7 pts better
1.6%
1.1 pts better
Short Stay · 2024Q4-2025Q3 · Q1 0.6% · Q2 0.5% · Q3 0.0% · Q4 1.1% · 4Q avg 0.5% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 55.9%
80.1%
24.2 pts worse
79.7%
23.8 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 55.9%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 31.4%
25.4%
6 pts worse
23.9%
7.5 pts worse
Short Stay · 20240701-20250630 · Adjusted 31.4% · Observed 34.1% · Expected 25.9% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-07 · Fire 2025-02-07

14 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

8 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2023-05-20 · Fire 2023-05-20

17 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

1 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 3 Health 2021-05-12 · Fire 2021-05-12

4 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-02-07

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2025-03-31

F · Potential for more than minimal harm 2025-02-07

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2025-03-31

F · Potential for more than minimal harm 2025-02-07

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 2025-03-31

F · Potential for more than minimal harm 2025-02-07

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-03-31

F · Potential for more than minimal harm 2025-02-07

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-03-31

F · Potential for more than minimal harm 2025-02-07

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-03-31

F · Potential for more than minimal harm 2025-02-07

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2025-03-31

F · Potential for more than minimal harm 2025-02-07

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-03-31

F · Potential for more than minimal harm 2023-05-20

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-06-27

F · Potential for more than minimal harm 2021-05-12

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2021-07-30

D · Potential for more than minimal harm 2021-05-12

K352 · Smoke Deficiencies

Fire Safety

Properly install and monitor supervisory attachments on automatic sprinkler systems.

Corrected 2021-07-30

D · Potential for more than minimal harm 2021-05-12

K374 · Smoke Deficiencies

Fire Safety

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

Corrected 2021-05-14

Inspection history

Recent health citations

G · Actual harm 2025-02-07

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-03-25

G · Actual harm 2025-02-07

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 2025-03-25

F · Potential for more than minimal harm 2025-02-07

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2025-03-25

F · Potential for more than minimal harm 2025-02-07

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-03-25

F · Potential for more than minimal harm 2025-02-07

F847 · Administration Deficiencies

Health

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Corrected 2025-03-25

F · Potential for more than minimal harm 2025-02-07

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2025-03-25

E · Potential for more than minimal harm 2025-02-07

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-03-25

E · Potential for more than minimal harm 2025-02-07

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-03-25

E · Potential for more than minimal harm 2025-02-07

F676 · Quality of Life and Care Deficiencies

Health

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2025-03-25

E · Potential for more than minimal harm 2025-02-07

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 2025-03-25

E · Potential for more than minimal harm 2025-02-07

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-03-25

E · Potential for more than minimal harm 2025-02-07

F804 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2025-03-25

D · Potential for more than minimal harm 2025-02-07

F565 · Resident Rights Deficiencies

Health

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2025-03-25

D · Potential for more than minimal harm 2025-02-07

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 2025-03-25

D · Potential for more than minimal harm 2025-02-07

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-03-25

D · Potential for more than minimal harm 2025-02-07

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2025-03-25

D · Potential for more than minimal harm 2025-02-07

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-03-25

J · Immediate jeopardy 2023-05-20

F808 · Nutrition and Dietary Deficiencies

Health

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

Corrected 2023-06-27

G · Actual harm 2023-05-20

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-06-27

G · Actual harm 2023-05-20

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2023-06-27

D · Potential for more than minimal harm 2023-05-20

F554 · Resident Rights Deficiencies

Health

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

Corrected 2023-06-27

D · Potential for more than minimal harm 2023-05-20

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 2023-06-27

D · Potential for more than minimal harm 2023-05-20

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 2023-06-27

D · Potential for more than minimal harm 2023-05-20

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2023-06-27

D · Potential for more than minimal harm 2023-05-20

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2023-06-27

D · Potential for more than minimal harm 2023-05-20

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 2023-06-27

D · Potential for more than minimal harm 2023-05-20

F676 · Quality of Life and Care Deficiencies

Health

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2023-06-27

D · Potential for more than minimal harm 2023-05-20

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-06-27

D · Potential for more than minimal harm 2023-05-20

F700 · Quality of Life and Care Deficiencies

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 2023-06-27

D · Potential for more than minimal harm 2023-05-20

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2023-06-27

D · Potential for more than minimal harm 2023-05-20

F770 · Administration Deficiencies

Health

Provide timely, quality laboratory services/tests to meet the needs of residents.

Corrected 2023-06-27

D · Potential for more than minimal harm 2023-03-02

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 2023-04-12

D · Potential for more than minimal harm 2023-03-02

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-04-12

D · Potential for more than minimal harm 2023-03-02

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 2023-04-12

B · Minimal harm 2021-05-12

F582 · Resident Rights Deficiencies

Health

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

Corrected 2021-05-19

Penalties and ownership

What sits behind the stars

$34,584 2023-05-20

Fine

Fine · fine $34,584

Fine

Ownership

Quinto Nexgen LLC

5% Or Greater Direct Ownership Interest · Organization

79% 40 facilities 2022-04-28
Ukr Nexgen LLC

5% Or Greater Direct Ownership Interest · Organization

20% 43 facilities 2022-04-28
Bollampally, Soumya

Operational/Managerial Control · Individual

0% 1 facilities 2022-04-28
Dallos, Timothy

Operational/Managerial Control · Individual

0% 2 facilities 2024-10-01
Dallos, Timothy

Corporate Director · Individual

0% 2 facilities 2024-10-01
Marquis Limited LLC

Operational/Managerial Control · Organization

0% 65 facilities 2022-04-28
Nfr 2020 Irrv Tr

5% Or Greater Indirect Ownership Interest · Organization

0% 70 facilities 2022-04-28
Nutraco LLC

Operational/Managerial Control · Organization

0% 33 facilities 2024-09-12
Posen, Mindee

Corporate Officer · Individual

0% 81 facilities 2022-04-28
Reliant Pro Rehab LLC

Operational/Managerial Control · Organization

0% 65 facilities 2022-04-28
Rsbrmk Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 71 facilities 2022-04-28
Sk Nexgen Tr

5% Or Greater Indirect Ownership Interest · Organization

0% 43 facilities 2022-04-28
Td Bank N.a.

5% Or Greater Security Interest · Organization

0% 4 facilities 2022-04-28
Tryko Nexgen Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 42 facilities 2022-04-28
Uak 2020 Irrv Tr

5% Or Greater Indirect Ownership Interest · Organization

0% 70 facilities 2022-04-28
Yk Nexgen Tr

5% Or Greater Indirect Ownership Interest · Organization

0% 42 facilities 2022-04-28
Yr Nexgen Tr

5% Or Greater Indirect Ownership Interest · Organization

0% 41 facilities 2022-04-28

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1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $86,411 in total fines with 8 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle

Overall
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Staffing
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Fines
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