Austin, MN

Sacred Heart Care Center

2-star overall rating with 3-star inspections with 8 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle

1200 12th Street Southwest, Austin, MN

(507) 433-1808

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

59

Certified beds

Average residents

50

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1987-03-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.00

Registered nurse staffing

LPN hours / resident day

0.00

Licensed practical nurse staffing

Aide hours / resident day

0.00

Nurse aide staffing

Total nurse hours

0.00

All reported nurse hours

Licensed hours

0.00

RN + LPN hours

Weekend hours

0.00

Weekend nurse staffing

Weekend RN hours

0.00

Weekend registered nurse coverage

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

0.00

CMS adjusted RN staffing hours

Adjusted total hours

0.00

CMS adjusted total nurse staffing hours

Case-mix index

0.00

Higher values indicate more complex resident acuity

RN turnover

40%

Annual RN turnover · state 39% · national 45%

Total nurse turnover

56%

Annual nurse turnover · state 42% · national 46%

SNF VBP

Value-based purchasing

Program rank

1,087

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

Performance score

60.03

Composite VBP score used to determine payment impact.

Payment multiplier

1.0152

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

2.01

Performance 7.23% · Measure score 2.01 · Achievement 2.01 · This facility did not have sufficient data to calculate a baseline period measure result.

Total nurse turnover

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Adjusted total nurse staffing

10

Baseline 5.45 hours · Performance 6.69 hours · Measure score 10 · Achievement 10 · Improvement 9

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 9.77%
10.72%
1 pts better
No Different than the National Rate · Eligible stays 46 · Observed rate 4.35% · Lower 95% interval 6.38%
Discharge to community 44.41%
50.57%
6.2 pts worse
No Different than the National Rate · Eligible stays 42 · Observed rate 35.71% · Lower 95% interval 31.92%
Medicare spending per beneficiary 1.03
1.02
About the same
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 31 · Denominator 31
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 31
Discharge self-care score 48%
53.69%
5.7 pts worse
Numerator 12 · Denominator 25
Discharge mobility score 36%
50.94%
14.9 pts worse
Numerator 9 · Denominator 25
Pressure ulcers or injuries, new or worsened 9.68%
2.29%
7.4 pts worse
Numerator 3 · Denominator 31 · Adjusted rate 9.7%
Healthcare-associated infections requiring hospitalization 7.24%
7.12%
0.1 pts worse
No Different than the National Rate · Eligible stays 31 · Observed rate 6.45% · Lower 95% interval 3.51%
Staff COVID-19 vaccination coverage 7.5%
8.2%
0.7 pts worse
Numerator 12 · Denominator 160
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 14 · Denominator 25
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.2
1.7
0.5 pts better
1.9
0.7 pts better
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 0.9 · Expected 1.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.0
2.0
1 pts better
1.8
0.8 pts better
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.8 · Expected 1.3 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 96.5%
97.3%
0.8 pts worse
93.4%
3.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 96.0% · Q2 95.9% · Q3 98.0% · Q4 95.9% · 4Q avg 96.5%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
96.1%
3.9 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury 3.5%
3.9%
0.4 pts better
3.3%
0.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 4.1% · Q3 2.0% · Q4 2.0% · 4Q avg 3.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 3.9%
4.3%
0.4 pts better
11.4%
7.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 4.8% · Q3 4.3% · Q4 4.3% · 4Q avg 3.9%
Percentage of long-stay residents who lose too much weight 4.3%
4.1%
0.2 pts worse
5.4%
1.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 5.0% · Q3 7.3% · Q4 0.0% · 4Q avg 4.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 9.0%
12.4%
3.4 pts better
19.6%
10.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 9.5% · Q2 11.9% · Q3 9.5% · Q4 4.9% · 4Q avg 9.0%
Percentage of long-stay residents who received an antipsychotic medication 18.5%
17.5%
1 pts worse
16.7%
1.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 18.5% · Q2 17.9% · Q3 15.6% · Q4 21.9% · 4Q avg 18.5% · 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 17.5%
22.5%
5 pts better
16.3%
1.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 31.8% · Q3 7.0% · Q4 12.8% · 4Q avg 17.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 17.1%
18.6%
1.5 pts better
14.9%
2.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 17.9% · Q2 25.6% · Q3 5.6% · Q4 18.4% · 4Q avg 17.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 3.1%
2.3%
0.8 pts worse
1.0%
2.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 5.1% · Q3 1.6% · Q4 2.1% · 4Q avg 3.1% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 7.7%
2.6%
5.1 pts worse
1.7%
6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 6.4% · Q3 10.2% · Q4 8.3% · 4Q avg 7.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 14.9%
24.8%
9.9 pts better
19.8%
4.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 19.2% · Q2 9.2% · Q3 12.9% · Q4 17.9% · 4Q avg 14.9%
Percentage of long-stay residents with pressure ulcers 4.5%
5.4%
0.9 pts better
5.1%
0.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 4.6% · Q3 2.6% · Q4 4.7% · 4Q avg 4.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 74.5%
88.6%
14.1 pts worse
81.7%
7.2 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 70.8% · Q2 69.0% · Q3 76.2% · Q4 85.0% · 4Q avg 74.5%
Percentage of short-stay residents who had an outpatient emergency department visit 0.0%
14.0%
14 pts better
12.0%
12 pts better
Short Stay · 20240701-20250630 · Adjusted 0.0% · Observed 0.0% · Expected 9.4% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 5.4%
1.9%
3.5 pts worse
1.6%
3.8 pts worse
Short Stay · 2024Q4-2025Q3 · 4Q avg 5.4% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 71.0%
82.7%
11.7 pts worse
79.7%
8.7 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 71.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 31.1%
23.1%
8 pts worse
23.9%
7.2 pts worse
Short Stay · 20240701-20250630 · Adjusted 31.1% · Observed 24.1% · Expected 18.5% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-07-25 · Fire 2025-07-25

8 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

9 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2024-05-02 · Fire 2024-05-02

13 health deficiencies

Top issue: Administration (4 deficiencies)

13 fire-safety deficiencies

Top issue: Smoke (6 deficiencies)

Cycle 3 Health 2023-07-13 · Fire 2023-07-13

8 health deficiencies

Top issue: Infection Control (2 deficiencies)

10 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-07-25

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2025-08-25

F · Potential for more than minimal harm 2025-07-25

K374 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-08-25

F · Potential for more than minimal harm 2025-07-25

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-08-25

F · Potential for more than minimal harm 2025-07-25

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-08-25

F · Potential for more than minimal harm 2025-07-25

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2025-08-25

D · Potential for more than minimal harm 2025-07-25

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2025-08-25

D · Potential for more than minimal harm 2025-07-25

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-08-25

D · Potential for more than minimal harm 2025-07-25

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-08-25

D · Potential for more than minimal harm 2025-07-25

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-08-25

F · Potential for more than minimal harm 2024-05-02

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2024-05-28

F · Potential for more than minimal harm 2024-05-02

K374 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-05-28

F · Potential for more than minimal harm 2024-05-02

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-05-28

F · Potential for more than minimal harm 2024-05-02

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2024-05-28

E · Potential for more than minimal harm 2024-05-02

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2024-05-28

D · Potential for more than minimal harm 2024-05-02

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-05-28

D · Potential for more than minimal harm 2024-05-02

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-05-28

D · Potential for more than minimal harm 2024-05-02

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-05-28

D · Potential for more than minimal harm 2024-05-02

K541 · Services Deficiencies

Fire Safety

Install properly constructed and protected linen or trash chutes.

Corrected 2024-05-28

C · Minimal harm 2024-05-02

K346 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2024-05-28

C · Minimal harm 2024-05-02

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2024-05-28

C · Minimal harm 2024-05-02

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-05-28

C · Minimal harm 2024-05-02

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-05-28

F · Potential for more than minimal harm 2023-07-13

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2023-09-18

F · Potential for more than minimal harm 2023-07-13

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2023-09-06

F · Potential for more than minimal harm 2023-07-13

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-08-25

F · Potential for more than minimal harm 2023-07-13

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-08-25

F · Potential for more than minimal harm 2023-07-13

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-08-25

F · Potential for more than minimal harm 2023-07-13

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2023-08-25

F · Potential for more than minimal harm 2023-07-13

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-09-01

F · Potential for more than minimal harm 2023-07-13

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-08-25

F · Potential for more than minimal harm 2023-07-13

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-08-25

C · Minimal harm 2023-07-13

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-08-25

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-07-25

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 2025-08-25

E · Potential for more than minimal harm 2025-07-25

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 2025-08-25

D · Potential for more than minimal harm 2025-07-25

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2025-08-25

D · Potential for more than minimal harm 2025-07-25

F699 · Quality of Life and Care Deficiencies

Health

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2025-08-25

D · Potential for more than minimal harm 2025-07-25

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-08-25

D · Potential for more than minimal harm 2025-04-29

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2025-05-24

D · Potential for more than minimal harm 2025-04-29

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 2025-05-24

D · Potential for more than minimal harm 2025-04-29

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 2025-05-24

F · Potential for more than minimal harm 2024-05-02

F727 · Nursing and Physician Services Deficiencies

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 2024-05-30

F · Potential for more than minimal harm 2024-05-02

F865 · Administration Deficiencies

Health

Have a plan that describes the process for conducting QAPI and QAA activities.

Corrected 2024-05-30

F · Potential for more than minimal harm 2024-05-02

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-05-30

D · Potential for more than minimal harm 2024-05-02

F554 · Resident Rights Deficiencies

Health

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

Corrected 2024-05-30

D · Potential for more than minimal harm 2024-05-02

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2024-05-30

D · Potential for more than minimal harm 2024-05-02

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 2024-05-30

D · Potential for more than minimal harm 2024-05-02

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-05-30

D · Potential for more than minimal harm 2024-05-02

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-05-30

D · Potential for more than minimal harm 2024-05-02

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2024-05-30

C · Minimal harm 2024-05-02

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2024-05-30

C · Minimal harm 2024-05-02

F851 · Administration Deficiencies

Health

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Corrected 2024-05-30

C · Minimal harm 2024-05-02

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2024-05-30

C · Minimal harm 2024-05-02

F868 · Administration Deficiencies

Health

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2024-05-30

C · Minimal harm 2024-02-28

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2024-03-06

F · Potential for more than minimal harm 2023-07-13

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-09-14

E · Potential for more than minimal harm 2023-07-13

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 2023-09-06

E · Potential for more than minimal harm 2023-07-13

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2023-09-06

D · Potential for more than minimal harm 2023-07-13

F584 · Resident Rights Deficiencies

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 2023-09-08

D · Potential for more than minimal harm 2023-07-13

F661 · Resident Assessment and Care Planning Deficiencies

Health

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Corrected 2023-09-08

D · Potential for more than minimal harm 2023-07-13

F688 · Quality of Life and Care Deficiencies

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 2023-09-08

D · Potential for more than minimal harm 2023-07-13

F813 · Nutrition and Dietary Deficiencies

Health

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Corrected 2023-09-06

Penalties and ownership

What sits behind the stars

Ownership

Sacred Heart Care Center, Inc

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 1997-05-28
Brucker, Marianne

Corporate Officer · Individual

0% 1 facilities 2013-07-01
Garry, Timothy

Corporate Officer · Individual

0% 1 facilities 2014-07-01
Halverson, Rebecca

W-2 Managing Employee · Individual

0% 1 facilities 2010-05-10
Knopik, Charles

Corporate Director · Individual

0% 1 facilities 2011-07-01
Knorr, Paul

Corporate Officer · Individual

0% 1 facilities 2013-07-01
Mallory, Anthony

Corporate Director · Individual

0% 1 facilities 2012-07-01
Wiebelhaus, Eileen

Corporate Officer · Individual

0% 1 facilities 2014-07-01

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