Cycle 1
Health 2025-02-26 · Fire 2025-02-26
14 health deficiencies
Top issue: Infection Control (4 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Poteau, OK
The Oaks Healthcare Center
1-star overall rating with 2-star inspections with 14 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
1501 Clayton Avenue, Poteau, OK
(918) 647-8236
Overall
1 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
158
Certified beds
Average residents
103
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1994-04-01
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
0.17
Registered nurse staffing · state 0.34 · national 0.68
LPN hours / resident day
0.85
Licensed practical nurse staffing · state 0.92 · national 0.87
Aide hours / resident day
2.25
Nurse aide staffing · state 2.57 · national 2.35
Total nurse hours
3.26
All reported nurse hours · state 3.84 · national 3.89
Licensed hours
1.02
RN + LPN hours · state 1.27 · national 1.54
Weekend hours
3.34
Weekend nurse staffing · state 3.49 · national 3.43
Weekend RN hours
0.16
Weekend registered nurse coverage · state 0.29 · national 0.47
Physical therapist
0.00
Reported PT staffing · state 0.03 · national 0.07
Adjusted RN hours
0.22
CMS adjusted RN staffing hours
Adjusted total hours
4.28
CMS adjusted total nurse staffing hours
Case-mix index
1.04
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
60%
Annual nurse turnover · state 56% · national 46%
SNF VBP
Value-based purchasing
Program rank
13,257
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
7.12
Composite VBP score used to determine payment impact.
Payment multiplier
0.9807
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 20.33% · Performance 24.29% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 7.91% · Performance 11.35% · Measure score 0 · Achievement 0 · Improvement 0
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
2.14
Baseline 3.41 hours · Performance 3.69 hours · Measure score 2.14 · Achievement 2.14 · Improvement 0.65
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 14.01% |
10.72%
3.3 pts worse
|
Worse than the National Rate · Eligible stays 215 · Observed rate 19.07% · Lower 95% interval 10.85% |
| Discharge to community | 37.66% |
50.57%
12.9 pts worse
|
Worse than the National Rate · Eligible stays 161 · Observed rate 29.19% · Lower 95% interval 30.25% |
| Medicare spending per beneficiary | 1.3 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 172 · Denominator 172 |
| Falls with major injury | 1.16% |
0.77%
0.4 pts worse
|
Numerator 2 · Denominator 172 |
| Discharge self-care score | 72.92% |
53.69%
19.2 pts better
|
Numerator 70 · Denominator 96 |
| Discharge mobility score | 68.75% |
50.94%
17.8 pts better
|
Numerator 66 · Denominator 96 |
| Pressure ulcers or injuries, new or worsened | 4.65% |
2.29%
2.4 pts worse
|
Numerator 8 · Denominator 172 · Adjusted rate 4.85% |
| Healthcare-associated infections requiring hospitalization | 11.35% |
7.12%
4.2 pts worse
|
Worse than the National Rate · Eligible stays 127 · Observed rate 17.32% · Lower 95% interval 7.9% |
| Staff COVID-19 vaccination coverage | 59.82% |
8.2%
51.6 pts better
|
Numerator 67 · Denominator 112 |
| Staff flu vaccination coverage | 9.16% |
42%
32.8 pts worse
|
Numerator 12 · Denominator 131 |
| Discharge function score | 69.79% |
56.45%
13.3 pts better
|
Numerator 67 · Denominator 96 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 98 · Denominator 98 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 24.69% |
25.2%
0.5 pts worse
|
Numerator 20 · Denominator 81 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.4 |
2.3
0.1 pts worse
|
1.9
0.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 3.0 · Expected 2.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 4.4 |
2.9
1.5 pts worse
|
1.8
2.6 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 4.4 · Observed 4.8 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.7% |
90.3%
9.4 pts better
|
93.4%
6.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.9% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 93.6% |
94.6%
1 pts worse
|
95.5%
1.9 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 93.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.2% |
4.5%
1.7 pts worse
|
3.3%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 4.8% · Q3 5.7% · Q4 6.7% · 4Q avg 6.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 5.8% |
3.3%
2.5 pts worse
|
11.4%
5.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 7.9% · Q3 2.7% · Q4 3.8% · 4Q avg 5.8% |
| Percentage of long-stay residents who lose too much weight | 6.5% |
3.6%
2.9 pts worse
|
5.4%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.8% · Q2 7.6% · Q3 4.4% · Q4 2.9% · 4Q avg 6.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 25.3% |
25.3%
About the same
|
19.6%
5.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.5% · Q2 22.2% · Q3 31.0% · Q4 28.0% · 4Q avg 25.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 18.4% |
18.6%
0.2 pts better
|
16.7%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.8% · Q2 25.5% · Q3 17.8% · Q4 8.9% · 4Q avg 18.4% · 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 | 27.8% |
15.5%
12.3 pts worse
|
16.3%
11.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 40.7% · Q2 29.8% · Q3 22.6% · Q4 15.8% · 4Q avg 27.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 24.6% |
14.1%
10.5 pts worse
|
14.9%
9.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 35.1% · Q2 24.3% · Q3 20.0% · Q4 18.1% · 4Q avg 24.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 7.0% |
2.1%
4.9 pts worse
|
1.0%
6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 4.6% · Q3 6.9% · Q4 8.0% · 4Q avg 7.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.0% |
2.8%
0.2 pts worse
|
1.7%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 3.9% · Q3 4.8% · Q4 1.2% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.2% |
17.8%
0.4 pts worse
|
19.8%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 25.6% · Q3 18.6% · Q4 12.4% · 4Q avg 18.2% |
| Percentage of long-stay residents with pressure ulcers | 10.1% |
5.1%
5 pts worse
|
5.1%
5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 8.8% · Q3 11.7% · Q4 11.4% · 4Q avg 10.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.6% |
75.0%
22.6 pts better
|
81.7%
15.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 93.7% · Q2 98.7% · Q3 98.7% · Q4 98.6% · 4Q avg 97.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 23.9% |
17.1%
6.8 pts worse
|
12.0%
11.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 23.9% · Observed 26.2% · Expected 12.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.6% |
1.9%
1.3 pts better
|
1.6%
1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.3% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 72.2% |
74.0%
1.8 pts worse
|
79.7%
7.5 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 72.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 31.2% |
27.0%
4.2 pts worse
|
23.9%
7.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 31.2% · Observed 33.6% · Expected 25.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-10-27 · Fire 2023-10-27
17 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Cycle 3
Health 2022-07-13 · Fire 2022-07-13
6 health deficiencies
Top issue: Infection Control (3 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-02-26
K344 · Smoke Deficiencies
Fire Safety
Have an alternate power supply for its alarm system.
Corrected 2025-04-15
F · Potential for more than minimal harm
2025-02-26
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-04-15
F · Potential for more than minimal harm
2025-02-26
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-04-15
F · Potential for more than minimal harm
2025-02-26
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-04-15
E · Potential for more than minimal harm
2025-02-26
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-04-15
E · Potential for more than minimal harm
2023-10-27
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-05-22
E · Potential for more than minimal harm
2023-10-27
K912 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2024-05-22
C · Minimal harm
2023-10-27
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 2024-05-22
E · Potential for more than minimal harm
2022-07-13
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 2022-08-05
E · Potential for more than minimal harm
2022-07-13
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-08-05
E · Potential for more than minimal harm
2022-07-13
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2022-08-05
E · Potential for more than minimal harm
2022-07-13
K741 · Miscellaneous Deficiencies
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2022-08-05
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-12-03
F849 · Administration Deficiencies
Health
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Not marked corrected
E · Potential for more than minimal harm
2025-08-21
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-09-17
E · Potential for more than minimal harm
2025-08-21
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-09-17
E · Potential for more than minimal harm
2025-02-26
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 2025-04-08
E · Potential for more than minimal harm
2025-02-26
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-04-08
E · Potential for more than minimal harm
2025-02-26
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 2025-04-08
E · Potential for more than minimal harm
2025-02-26
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 2025-04-08
E · Potential for more than minimal harm
2025-02-26
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-04-08
E · Potential for more than minimal harm
2025-02-26
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-04-08
E · Potential for more than minimal harm
2025-02-26
F887 · Infection Control Deficiencies
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 2025-04-08
D · Potential for more than minimal harm
2025-02-26
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-04-08
D · Potential for more than minimal harm
2025-02-26
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 2025-04-08
D · Potential for more than minimal harm
2025-02-26
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-04-08
D · Potential for more than minimal harm
2025-02-26
F770 · Administration Deficiencies
Health
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2025-04-08
D · Potential for more than minimal harm
2024-11-01
F622 · Resident Rights Deficiencies
Health
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected 2024-12-04
D · Potential for more than minimal harm
2024-08-23
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 2024-09-25
D · Potential for more than minimal harm
2024-07-11
F585 · Resident Rights Deficiencies
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2024-08-20
D · Potential for more than minimal harm
2024-07-11
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 2024-08-20
D · Potential for more than minimal harm
2024-07-11
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2024-08-20
D · Potential for more than minimal harm
2024-07-11
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-08-20
D · Potential for more than minimal harm
2024-07-11
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-08-20
E · Potential for more than minimal harm
2023-10-27
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 2023-12-11
E · Potential for more than minimal harm
2023-10-27
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 2023-12-11
E · Potential for more than minimal harm
2023-10-27
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-12-11
E · Potential for more than minimal harm
2023-10-27
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 2023-12-11
E · Potential for more than minimal harm
2023-10-27
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 2023-12-11
E · Potential for more than minimal harm
2023-10-27
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 2023-12-11
E · Potential for more than minimal harm
2023-10-27
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-12-11
D · Potential for more than minimal harm
2023-10-27
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-12-11
D · Potential for more than minimal harm
2023-10-27
F678 · Quality of Life and Care Deficiencies
Health
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2023-12-11
D · Potential for more than minimal harm
2023-10-27
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 2023-12-11
E · Potential for more than minimal harm
2022-07-13
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 2022-08-15
E · Potential for more than minimal harm
2022-07-13
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 2022-08-15
E · Potential for more than minimal harm
2022-07-13
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 2022-08-15
E · Potential for more than minimal harm
2022-07-13
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-08-15
E · Potential for more than minimal harm
2022-07-13
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2022-08-15
E · Potential for more than minimal harm
2022-07-13
F888 · Infection Control Deficiencies
Health
Ensure staff are vaccinated for COVID-19
Corrected 2022-08-15
Penalties and ownership
What sits behind the stars
Ownership
Grant Rhodes Revocable Trust
5% Or Greater Direct Ownership Interest · Organization
Jeffrey W Young Revocable Trust Dated July 27, 2017
5% Or Greater Direct Ownership Interest · Organization
Rhodes, Jonathan
5% Or Greater Indirect Ownership Interest · Individual
Young, Jeffrey
5% Or Greater Indirect Ownership Interest · Individual
Bedlam Properties Ho LLC
Operational/Managerial Control · Organization
Lietzke, Mark
Operational/Managerial Control · Individual
Matrix Provider Solutions LLC
Operational/Managerial Control · Organization
Snow, Larry
Corporate Officer · Individual
Nearby options
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Heavener Nursing & Rehab
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#3
Pocola Health and Rehab
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1-star overall rating with 1-star inspections with abuse icon flag with $14,069 in total fines with 18 recent health deficiencies
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