Chinook, MT

Sweet Memorial Nursing Home

2-star overall rating with 2-star inspections with abuse icon flag with 17 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

125 Airport Rd, Chinook, MT

(406) 357-2549

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

42

Certified beds

Average residents

37

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1989-09-01

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

0.84

Registered nurse staffing · state 0.94 · national 0.68

LPN hours / resident day

0.23

Licensed practical nurse staffing · state 0.51 · national 0.87

Aide hours / resident day

2.81

Nurse aide staffing · state 2.53 · national 2.35

Total nurse hours

3.88

All reported nurse hours · state 3.97 · national 3.89

Licensed hours

1.07

RN + LPN hours · state 1.44 · national 1.54

Weekend hours

3.38

Weekend nurse staffing · state 3.48 · national 3.43

Weekend RN hours

0.64

Weekend registered nurse coverage · state 0.69 · national 0.47

Physical therapist

0.00

Reported PT staffing · state 0.08 · national 0.07

Adjusted RN hours

0.91

CMS adjusted RN staffing hours

Adjusted total hours

4.20

CMS adjusted total nurse staffing hours

Case-mix index

1.26

Higher values indicate more complex resident acuity

RN turnover

60%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

50%

Annual nurse turnover · state 56% · national 46%

SNF VBP

Value-based purchasing

Program rank

4,743

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

Performance score

38.76

Composite VBP score used to determine payment impact.

Payment multiplier

0.9918

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

Not reported

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

Total nurse turnover

5.51

Baseline 51.43% · Performance 41.18% · Measure score 5.51 · Achievement 5.51 · Improvement 3.36

Adjusted total nurse staffing

2.25

Baseline 4.30 hours · Performance 3.72 hours · Measure score 2.25 · Achievement 2.25 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission Not Available
10.72%
Not Available · Eligible stays 13 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community Not Available
50.57%
Not Available · Eligible stays 11 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary Not Available
1.02
Too few residents or stays to report publicly.
Drug regimen review with follow-up Not Available
95.27%
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Falls with major injury Not Available
0.77%
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened Not Available
2.29%
Numerator Not Available · Denominator 5 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization Not Available
7.12%
Not Available · Eligible stays 8 · 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 63
Staff flu vaccination coverage 30.3%
42%
11.7 pts worse
Numerator 20 · Denominator 66
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 1 · 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 2 · 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 0.9
1.3
0.4 pts better
1.9
1 pts better
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.7 · Expected 1.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.0
2.2
1.2 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 79.4%
94.4%
15 pts worse
93.4%
14 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 77.8% · Q2 65.6% · Q3 90.9% · Q4 82.9% · 4Q avg 79.4%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 88.9%
93.7%
4.8 pts worse
95.5%
6.6 pts worse
Long Stay · 2024Q3-2025Q2 · 4Q avg 88.9%
Percentage of long-stay residents experiencing one or more falls with major injury 8.8%
4.2%
4.6 pts worse
3.3%
5.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 9.4% · Q3 6.1% · Q4 8.6% · 4Q avg 8.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 6.8%
4.7%
2.1 pts worse
11.4%
4.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 8.8% · Q2 6.2% · Q3 3.1% · Q4 8.8% · 4Q avg 6.8%
Percentage of long-stay residents who lose too much weight 12.7%
5.9%
6.8 pts worse
5.4%
7.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 18.8% · Q3 12.1% · Q4 5.9% · 4Q avg 12.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 27.9%
17.4%
10.5 pts worse
19.6%
8.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 27.8% · Q2 25.0% · Q3 33.3% · Q4 25.7% · 4Q avg 27.9%
Percentage of long-stay residents who received an antipsychotic medication 11.7%
20.6%
8.9 pts better
16.7%
5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 13.8% · Q3 6.5% · Q4 6.7% · 4Q avg 11.7% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 2.9%
0.4%
2.5 pts worse
0.1%
2.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 3.1% · Q3 0.0% · Q4 5.7% · 4Q avg 2.9%
Percentage of long-stay residents whose ability to walk independently worsened 26.0%
19.7%
6.3 pts worse
16.3%
9.7 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 26.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 18.9%
19.8%
0.9 pts better
14.9%
4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 17.6% · Q2 28.1% · Q3 21.2% · Q4 9.1% · 4Q avg 18.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.7%
2.6%
0.9 pts better
1.0%
0.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 0.0% · Q3 0.0% · Q4 3.0% · 4Q avg 1.7% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 8.9%
2.9%
6 pts worse
1.7%
7.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 19.4% · Q2 9.4% · Q3 0.0% · Q4 5.9% · 4Q avg 8.9% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 27.9%
25.4%
2.5 pts worse
19.8%
8.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 35.8% · Q2 37.3% · Q3 21.2% · Q4 18.1% · 4Q avg 27.9%
Percentage of long-stay residents with pressure ulcers 5.2%
6.4%
1.2 pts better
5.1%
0.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 2.5% · Q3 5.4% · Q4 9.0% · 4Q avg 5.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 20.0%
78.7%
58.7 pts worse
81.7%
61.7 pts worse
Short Stay · 2024Q4-2025Q3 · 4Q avg 20.0%

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-12-05 · Fire 2024-12-05

17 health deficiencies

Top issue: Resident Assessment and Care Planning (4 deficiencies)

6 fire-safety deficiencies

Top issue: Egress (3 deficiencies)

Cycle 2 Health 2023-12-06 · Fire 2023-12-06

13 health deficiencies

Top issue: Resident Assessment and Care Planning (4 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2022-12-07 · Fire 2022-12-07

9 health deficiencies

Top issue: Resident Assessment and Care Planning (4 deficiencies)

11 fire-safety deficiencies

Top issue: Smoke (7 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-12-05

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2024-12-24

F · Potential for more than minimal harm 2024-12-05

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2024-12-30

E · Potential for more than minimal harm 2024-12-05

K222 · Egress Deficiencies

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 2024-12-24

D · Potential for more than minimal harm 2024-12-05

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 2024-12-24

D · Potential for more than minimal harm 2024-12-05

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-12-24

D · Potential for more than minimal harm 2024-12-05

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2025-01-10

F · Potential for more than minimal harm 2023-12-06

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2024-01-26

E · Potential for more than minimal harm 2023-12-06

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2023-12-27

E · Potential for more than minimal harm 2023-12-06

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 2023-12-27

E · Potential for more than minimal harm 2023-12-06

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-12-27

E · Potential for more than minimal harm 2023-12-06

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-12-27

D · Potential for more than minimal harm 2023-12-06

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2023-12-27

F · Potential for more than minimal harm 2022-12-07

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2023-01-21

F · Potential for more than minimal harm 2022-12-07

K341 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-12-28

F · Potential for more than minimal harm 2022-12-07

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-01-21

F · Potential for more than minimal harm 2022-12-07

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2022-12-28

F · Potential for more than minimal harm 2022-12-07

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 2023-01-21

E · Potential for more than minimal harm 2022-12-07

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-12-28

E · Potential for more than minimal harm 2022-12-07

K374 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-12-28

D · Potential for more than minimal harm 2022-12-07

K222 · Egress Deficiencies

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 2023-01-21

D · Potential for more than minimal harm 2022-12-07

K325 · Smoke Deficiencies

Fire Safety

Have properly installed hallway dispensers for alcohol-based hand rub.

Corrected 2022-12-28

D · Potential for more than minimal harm 2022-12-07

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-12-28

D · Potential for more than minimal harm 2022-12-07

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-12-30

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-08-07

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 2025-09-05

E · Potential for more than minimal harm 2025-08-07

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 2025-09-05

E · Potential for more than minimal harm 2025-08-07

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-09-05

E · Potential for more than minimal harm 2025-08-07

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 2025-09-11

E · Potential for more than minimal harm 2025-08-07

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 2025-09-04

D · Potential for more than minimal harm 2025-08-07

F745 · Quality of Life and Care Deficiencies

Health

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Corrected 2025-08-28

E · Potential for more than minimal harm 2024-12-05

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-12-24

E · Potential for more than minimal harm 2024-12-05

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 2025-01-10

E · Potential for more than minimal harm 2024-12-05

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-01-06

E · Potential for more than minimal harm 2024-12-05

F835 · Administration Deficiencies

Health

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2024-12-24

E · Potential for more than minimal harm 2024-12-05

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-12-24

D · Potential for more than minimal harm 2024-12-05

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 2024-12-31

D · Potential for more than minimal harm 2024-12-05

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 2024-12-30

D · Potential for more than minimal harm 2024-12-05

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 2025-01-10

D · Potential for more than minimal harm 2024-12-05

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-01-10

D · Potential for more than minimal harm 2024-12-05

F687 · Quality of Life and Care Deficiencies

Health

Provide appropriate foot care.

Corrected 2025-01-10

D · Potential for more than minimal harm 2024-12-05

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2024-12-24

D · Potential for more than minimal harm 2024-12-05

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 2024-12-24

D · Potential for more than minimal harm 2024-12-05

F883 · Infection Control Deficiencies

Health

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

Corrected 2024-12-24

F · Potential for more than minimal harm 2023-12-06

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-12-27

F · Potential for more than minimal harm 2023-12-06

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2023-12-27

E · Potential for more than minimal harm 2023-12-06

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2024-01-05

E · Potential for more than minimal harm 2023-12-06

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-01-05

E · Potential for more than minimal harm 2023-12-06

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 2023-12-27

E · Potential for more than minimal harm 2023-12-06

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 2023-12-27

E · Potential for more than minimal harm 2023-12-06

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 2023-12-27

E · Potential for more than minimal harm 2023-12-06

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 2023-12-27

D · Potential for more than minimal harm 2023-12-06

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2023-12-27

D · Potential for more than minimal harm 2023-12-06

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-12-27

D · Potential for more than minimal harm 2023-12-06

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 2023-12-27

D · Potential for more than minimal harm 2023-12-06

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 2023-12-27

E · Potential for more than minimal harm 2022-12-07

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-01-04

D · Potential for more than minimal harm 2022-12-07

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2023-01-21

D · Potential for more than minimal harm 2022-12-07

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2023-01-21

D · Potential for more than minimal harm 2022-12-07

F637 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident when there is a significant change in condition

Corrected 2023-01-21

D · Potential for more than minimal harm 2022-12-07

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2022-12-28

D · Potential for more than minimal harm 2022-12-07

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 2023-01-21

D · Potential for more than minimal harm 2022-12-07

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 2023-01-21

D · Potential for more than minimal harm 2022-12-07

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-01-21

Penalties and ownership

What sits behind the stars

Ownership

Friede, Danny

Corporate Director · Individual

0% 1 facilities 2008-01-01
Kleinjan, Arthur

Corporate Officer · Individual

0% 1 facilities 1984-01-01
Nesslar, Heather

Operational/Managerial Control · Individual

0% 1 facilities 2014-07-29
Overcast, Denny

Corporate Director · Individual

0% 1 facilities 2009-01-01
Robertson, Carley

Operational/Managerial Control · Individual

0% 1 facilities 2013-06-01
Shackelford, Rebecca

Operational/Managerial Control · Individual

0% 1 facilities 2019-12-02

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