Eveleth, MN

The Waterview Woods LLC

1-star overall rating with 2-star inspections with $72,115 in total fines with 15 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

601 Grant Avenue, Eveleth, MN

(218) 744-9803

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

2 / 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

65

Certified beds

Average residents

56

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Monarch Healthcare Management

Operator or chain grouping

Approved since

1985-04-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

45 facilities

Chain averages 2 overall / 2 health / 3 staffing / 3 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

0.30

Registered nurse staffing · state 1.06 · national 0.68

LPN hours / resident day

0.71

Licensed practical nurse staffing · state 0.62 · national 0.87

Aide hours / resident day

1.73

Nurse aide staffing · state 2.56 · national 2.35

Total nurse hours

2.74

All reported nurse hours · state 4.23 · national 3.89

Licensed hours

1.01

RN + LPN hours · state 1.68 · national 1.54

Weekend hours

2.38

Weekend nurse staffing · state 3.68 · national 3.43

Weekend RN hours

0.02

Weekend registered nurse coverage · state 0.68 · national 0.47

Physical therapist

0.03

Reported PT staffing · state 0.08 · national 0.07

Adjusted RN hours

0.34

CMS adjusted RN staffing hours

Adjusted total hours

3.10

CMS adjusted total nurse staffing hours

Case-mix index

1.21

Higher values indicate more complex resident acuity

RN turnover

60%

Annual RN turnover · state 39% · national 45%

Total nurse turnover

44%

Annual nurse turnover · state 42% · national 46%

SNF VBP

Value-based purchasing

Program rank

6,623

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

Performance score

32.24

Composite VBP score used to determine payment impact.

Payment multiplier

0.9870

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

5.16

Baseline 8.80% · Performance 6.64% · Measure score 5.16 · Achievement 3.98 · Improvement 5.16

Total nurse turnover

4.51

Performance 45.24% · Measure score 4.51 · Achievement 4.51 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

0

Baseline 3.15 hours · Performance 3.06 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 9.71%
10.72%
1 pts better
No Different than the National Rate · Eligible stays 41 · Observed rate 4.88% · Lower 95% interval 5.75%
Discharge to community 64.37%
50.57%
13.8 pts better
No Different than the National Rate · Eligible stays 34 · Observed rate 64.71% · Lower 95% interval 46.71%
Medicare spending per beneficiary 0.93
1.02
0.1 pts better
Drug regimen review with follow-up 92.86%
95.27%
2.4 pts worse
Numerator 52 · Denominator 56
Falls with major injury 1.79%
0.77%
1 pts worse
Numerator 1 · Denominator 56
Discharge self-care score 51.52%
53.69%
2.2 pts worse
Numerator 17 · Denominator 33
Discharge mobility score 51.52%
50.94%
0.6 pts better
Numerator 17 · Denominator 33
Pressure ulcers or injuries, new or worsened 7.14%
2.29%
4.8 pts worse
Numerator 4 · Denominator 56 · Adjusted rate 9.08%
Healthcare-associated infections requiring hospitalization 6.65%
7.12%
0.5 pts better
No Different than the National Rate · Eligible stays 27 · Observed rate 3.7% · Lower 95% interval 3.21%
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 49
Staff flu vaccination coverage 6.25%
42%
35.8 pts worse
Numerator 3 · Denominator 48
Discharge function score 54.55%
56.45%
1.9 pts worse
Numerator 18 · Denominator 33
Transfer of health information to provider 100%
95.95%
4 pts better
Numerator 22 · Denominator 22
Transfer of health information to patient 95.24%
96.28%
1 pts worse
Numerator 20 · Denominator 21
Resident COVID-19 vaccinations up to date 59.09%
25.2%
33.9 pts better
Numerator 13 · Denominator 22

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.9%
97.3%
0.6 pts better
93.4%
4.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 95.6% · Q2 98.1% · Q3 97.9% · Q4 100.0% · 4Q avg 97.9%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 94.5%
96.1%
1.6 pts worse
95.5%
1 pts worse
Long Stay · 2024Q3-2025Q2 · 4Q avg 94.5%
Percentage of long-stay residents experiencing one or more falls with major injury 3.2%
3.9%
0.7 pts better
3.3%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 5.8% · Q3 0.0% · Q4 2.2% · 4Q avg 3.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 7.2%
4.3%
2.9 pts worse
11.4%
4.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 9.5% · Q2 9.3% · Q3 2.5% · Q4 7.3% · 4Q avg 7.2%
Percentage of long-stay residents who lose too much weight 6.4%
4.1%
2.3 pts worse
5.4%
1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 6.4% · Q3 9.5% · Q4 4.7% · 4Q avg 6.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 19.9%
12.4%
7.5 pts worse
19.6%
0.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 17.9% · Q2 19.1% · Q3 23.8% · Q4 18.6% · 4Q avg 19.9%
Percentage of long-stay residents who received an antipsychotic medication 20.7%
17.5%
3.2 pts worse
16.7%
4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 20.0% · Q3 25.9% · Q4 22.6% · 4Q avg 20.7% · 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 22.5%
22.5%
About the same
16.3%
6.2 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 22.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 12.7%
18.6%
5.9 pts better
14.9%
2.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 7.0% · Q3 22.5% · Q4 14.6% · 4Q avg 12.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 5.0%
2.3%
2.7 pts worse
1.0%
4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 8.0% · Q3 8.1% · Q4 1.5% · 4Q avg 5.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 1.1%
2.6%
1.5 pts better
1.7%
0.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 0.0% · Q3 2.1% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 17.6%
24.8%
7.2 pts better
19.8%
2.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 20.4% · Q2 21.0% · Q3 14.6% · Q4 14.0% · 4Q avg 17.6%
Percentage of long-stay residents with pressure ulcers 13.0%
5.4%
7.6 pts worse
5.1%
7.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 12.8% · Q2 15.7% · Q3 10.0% · Q4 13.2% · 4Q avg 13.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 92.7%
88.6%
4.1 pts better
81.7%
11 pts better
Short Stay · 2024Q4-2025Q3 · Q1 86.4% · Q2 90.6% · Q3 98.0% · Q4 96.5% · 4Q avg 92.7%
Percentage of short-stay residents who had an outpatient emergency department visit 24.2%
14.0%
10.2 pts worse
12.0%
12.2 pts worse
Short Stay · 20240701-20250630 · Adjusted 24.2% · Observed 24.1% · Expected 11.2% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 3.6%
1.9%
1.7 pts worse
1.6%
2 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 9.1% · Q3 5.4% · Q4 0.0% · 4Q avg 3.6% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 73.6%
82.7%
9.1 pts worse
79.7%
6.1 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 73.6%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 19.4%
23.1%
3.7 pts better
23.9%
4.5 pts better
Short Stay · 20240701-20250630 · Adjusted 19.4% · Observed 20.7% · Expected 25.5% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-11-20 · Fire 2025-11-20

15 health deficiencies

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

5 fire-safety deficiencies

Top issue: Miscellaneous (2 deficiencies)

Cycle 2 Health 2024-10-24 · Fire 2024-10-24

8 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

5 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 3 Health 2024-02-08 · Fire 2024-02-08

16 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

2 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-11-20

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 2026-01-04

F · Potential for more than minimal harm 2025-11-20

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2026-01-04

D · Potential for more than minimal harm 2025-11-20

K162 · Construction Deficiencies

Fire Safety

Have a combustible roofing system that meets safety standards.

Corrected 2026-01-04

D · Potential for more than minimal harm 2025-11-20

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-01-04

D · Potential for more than minimal harm 2025-11-20

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2026-01-04

F · Potential for more than minimal harm 2024-10-24

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-11-14

F · Potential for more than minimal harm 2024-10-24

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-11-14

F · Potential for more than minimal harm 2024-10-24

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-11-14

E · Potential for more than minimal harm 2024-10-24

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 2024-11-14

D · Potential for more than minimal harm 2024-10-24

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-11-14

F · Potential for more than minimal harm 2024-02-08

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-02-06

D · Potential for more than minimal harm 2024-02-08

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-02-06

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-11-20

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 2026-01-04

D · Potential for more than minimal harm 2025-11-20

F554 · Resident Rights Deficiencies

Health

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

Corrected 2026-01-04

D · Potential for more than minimal harm 2025-11-20

F628 · Resident Rights Deficiencies

Health

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Corrected 2026-01-04

D · Potential for more than minimal harm 2025-11-20

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 2026-01-04

D · Potential for more than minimal harm 2025-11-20

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2026-01-04

D · Potential for more than minimal harm 2025-11-20

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2026-01-04

D · Potential for more than minimal harm 2025-11-20

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 2026-01-04

D · Potential for more than minimal harm 2025-11-20

F697 · Quality of Life and Care Deficiencies

Health

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

Corrected 2026-01-04

D · Potential for more than minimal harm 2025-11-20

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 2026-01-04

D · Potential for more than minimal harm 2025-11-20

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2026-01-04

D · Potential for more than minimal harm 2025-11-20

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 2026-01-04

D · Potential for more than minimal harm 2025-11-20

F791 · Quality of Life and Care Deficiencies

Health

Provide or obtain dental services for each resident.

Corrected 2026-01-04

D · Potential for more than minimal harm 2025-11-20

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2026-01-04

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

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 2025-08-08

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

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-08-08

J · Immediate jeopardy 2024-12-31

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 2024-12-23

D · Potential for more than minimal harm 2024-12-31

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 2025-01-20

J · Immediate jeopardy 2024-10-24

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2024-10-14

F · Potential for more than minimal harm 2024-10-24

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 2024-11-15

F · Potential for more than minimal harm 2024-10-24

F809 · Nutrition and Dietary Deficiencies

Health

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Corrected 2024-11-14

F · Potential for more than minimal harm 2024-10-24

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-11-15

D · Potential for more than minimal harm 2024-10-24

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-11-15

D · Potential for more than minimal harm 2024-10-24

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 2024-11-15

G · Actual harm 2024-02-08

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-03-12

G · Actual harm 2024-02-08

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-03-12

F · Potential for more than minimal harm 2024-02-08

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 2024-03-12

E · Potential for more than minimal harm 2024-02-08

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 2024-03-12

D · Potential for more than minimal harm 2024-02-08

F554 · Resident Rights Deficiencies

Health

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

Corrected 2024-03-12

D · Potential for more than minimal harm 2024-02-08

F636 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2024-03-12

D · Potential for more than minimal harm 2024-02-08

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 2024-03-12

D · Potential for more than minimal harm 2024-02-08

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-03-12

D · Potential for more than minimal harm 2024-02-08

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 2024-03-12

D · Potential for more than minimal harm 2024-02-08

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 2024-03-12

D · Potential for more than minimal harm 2024-02-08

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2024-03-12

D · Potential for more than minimal harm 2024-02-08

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-03-12

D · Potential for more than minimal harm 2023-11-28

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 2023-12-11

D · Potential for more than minimal harm 2023-08-25

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 2023-09-18

D · Potential for more than minimal harm 2023-08-25

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2023-09-18

D · Potential for more than minimal harm 2023-08-25

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 2023-09-18

Penalties and ownership

What sits behind the stars

$24,065 2024-12-31

Fine

Fine · fine $24,065

Fine

$24,065 2024-10-24

Fine

Fine · fine $24,065

Fine

$23,985 2024-02-08

Fine

Fine · fine $23,985

Fine

Ownership

Halpert, Marc

5% Or Greater Indirect Ownership Interest · Individual

30% 45 facilities 2019-06-01
Legum, Joshua

5% Or Greater Indirect Ownership Interest · Individual

30% 45 facilities 2019-06-01
Spartan Healthcare LLC

5% Or Greater Direct Ownership Interest · Organization

30% 45 facilities 2019-06-01
Yazoma Holdings, LLC

5% Or Greater Direct Ownership Interest · Organization

30% 44 facilities 2019-06-01
Stern, William

5% Or Greater Indirect Ownership Interest · Individual

20% 45 facilities 2019-06-01
Wbs Holdings LLC

5% Or Greater Direct Ownership Interest · Organization

20% 26 facilities 2019-06-01
Arem, Jeffrey

5% Or Greater Indirect Ownership Interest · Individual

10% 33 facilities 2019-06-01
Jaffa, Noam

5% Or Greater Indirect Ownership Interest · Individual

10% 45 facilities 2019-06-01
Jca Holdings LLC

5% Or Greater Direct Ownership Interest · Organization

10% 8 facilities 2019-06-01
Nij LLC

5% Or Greater Direct Ownership Interest · Organization

10% 44 facilities 2019-06-01
Halpert, Marc

Corporate Officer · Individual

0% 45 facilities 2019-06-01
Jaffa, Noam

Corporate Director · Individual

0% 45 facilities 2019-06-01
Legum, Joshua

Contracted Managing Employee · Individual

0% 45 facilities 2019-06-01
Monarch Healthcare Operating Viii LLC

Operational/Managerial Control · Organization

0% 6 facilities 2019-06-01
Stern, William

Corporate Officer · Individual

0% 45 facilities 2019-06-01

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Staffing
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$21,914

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