Paris, IL

Twin Lakes Extended Care

3-star overall rating with 4-star inspections with $71,455 in total fines with 4 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle

310 Eads Avenue, Paris, IL

(217) 465-5395

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

4 / 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

56

Certified beds

Average residents

39

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Stern Consultants

Operator or chain grouping

Approved since

1983-03-15

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

22 facilities

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

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.51

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.58

Licensed practical nurse staffing · state 0.64 · national 0.87

Aide hours / resident day

2.28

Nurse aide staffing · state 2.13 · national 2.35

Total nurse hours

3.37

All reported nurse hours · state 3.49 · national 3.89

Licensed hours

1.09

RN + LPN hours · state 1.36 · national 1.54

Weekend hours

3.03

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.33

Weekend registered nurse coverage · state 0.56 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.43

CMS adjusted RN staffing hours

Adjusted total hours

2.85

CMS adjusted total nurse staffing hours

Case-mix index

1.62

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

41%

Annual nurse turnover · state 46% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,576

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

Performance score

16.22

Composite VBP score used to determine payment impact.

Payment multiplier

0.9816

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

2.30

Baseline 44.83% · Performance 54.29% · Measure score 2.30 · Achievement 2.30 · Improvement 0

Adjusted total nurse staffing

0.95

Baseline 3.47 hours · Performance 3.35 hours · Measure score 0.95 · Achievement 0.95 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 9.23%
10.72%
1.5 pts better
No Different than the National Rate · Eligible stays 42 · Observed rate 0% · Lower 95% interval 5.57%
Discharge to community 39.85%
50.57%
10.7 pts worse
No Different than the National Rate · Eligible stays 31 · Observed rate 32.26% · Lower 95% interval 27.45%
Medicare spending per beneficiary 1.11
1.02
0.1 pts worse
Drug regimen review with follow-up Not Available
95.27%
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Falls with major injury Not Available
0.77%
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened Not Available
2.29%
Numerator Not Available · Denominator 17 · 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 14 · 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 45
Staff flu vaccination coverage 0%
42%
42 pts worse
Numerator 0 · Denominator 72
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 12 · 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 1.5
2.0
0.5 pts better
1.9
0.4 pts better
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 0.9 · Expected 1.2 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.5
2.3
0.8 pts better
1.8
0.3 pts better
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.1 · Expected 1.3 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
89.6%
10.4 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
91.6%
8.4 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 1.7%
3.3%
1.6 pts better
3.3%
1.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.6% · Q3 3.3% · Q4 0.0% · 4Q avg 1.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 4.4%
50.3%
45.9 pts better
11.4%
7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 16.7% · 4Q avg 4.4%
Percentage of long-stay residents who lose too much weight 18.4%
6.5%
11.9 pts worse
5.4%
13 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 12.5% · Q3 33.3% · Q4 26.9% · 4Q avg 18.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 19.4%
18.5%
0.9 pts worse
19.6%
0.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 20.8% · Q2 25.0% · Q3 16.7% · Q4 15.4% · 4Q avg 19.4%
Percentage of long-stay residents who received an antipsychotic medication 12.8%
22.8%
10 pts better
16.7%
3.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 22.7% · Q4 0.0% · 4Q avg 12.8% · 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 37.4%
17.2%
20.2 pts worse
16.3%
21.1 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 37.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 11.9%
15.0%
3.1 pts better
14.9%
3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 33.3% · Q2 10.0% · Q3 0.0% · Q4 4.3% · 4Q avg 11.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
1.1%
1.1 pts better
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% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.0%
1.7%
1.7 pts better
1.7%
1.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 17.2%
21.3%
4.1 pts better
19.8%
2.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 23.3% · Q2 12.1% · Q3 11.2% · Q4 22.2% · 4Q avg 17.2%
Percentage of long-stay residents with pressure ulcers 2.5%
5.2%
2.7 pts better
5.1%
2.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 2.4% · Q3 4.5% · Q4 0.0% · 4Q avg 2.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 90.8%
68.8%
22 pts better
81.7%
9.1 pts better
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 96.9% · Q3 87.9% · Q4 82.9% · 4Q avg 90.8%
Percentage of short-stay residents who had an outpatient emergency department visit 15.2%
14.0%
1.2 pts worse
12.0%
3.2 pts worse
Short Stay · 20240701-20250630 · Adjusted 15.2% · Observed 14.3% · Expected 10.5% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 2.5%
2.3%
0.2 pts worse
1.6%
0.9 pts worse
Short Stay · 2024Q4-2025Q3 · Q2 5.0% · Q3 0.0% · Q4 0.0% · 4Q avg 2.5% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 77.4%
63.0%
14.4 pts better
79.7%
2.3 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 77.4%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 17.8%
26.2%
8.4 pts better
23.9%
6.1 pts better
Short Stay · 20240701-20250630 · Adjusted 17.8% · Observed 17.9% · Expected 23.9% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-06-25 · Fire 2024-06-25

5 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

8 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2023-05-18 · Fire 2023-05-18

6 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

8 fire-safety deficiencies

Top issue: Emergency Preparedness (6 deficiencies)

Cycle 3 Health 2022-05-17 · Fire 2022-05-17

17 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (5 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-06-25

E26 · Emergency Preparedness Deficiencies

Fire Safety

Establish roles under a Waiver declared by secretary.

Corrected 2024-07-19

F · Potential for more than minimal harm 2024-06-25

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-07-25

F · Potential for more than minimal harm 2024-06-25

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-08-09

F · Potential for more than minimal harm 2024-06-25

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-07-22

F · Potential for more than minimal harm 2024-06-25

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-07-17

F · Potential for more than minimal harm 2024-06-25

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-07-25

E · Potential for more than minimal harm 2024-06-25

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-08-09

E · Potential for more than minimal harm 2024-06-25

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-07-20

F · Potential for more than minimal harm 2023-05-18

E13 · Emergency Preparedness Deficiencies

Fire Safety

Develop Emergency Preparedness policies and procedures.

Corrected 2023-06-10

F · Potential for more than minimal harm 2023-05-18

E29 · Emergency Preparedness Deficiencies

Fire Safety

Develop a communication plan.

Corrected 2023-06-10

F · Potential for more than minimal harm 2023-05-18

E36 · Emergency Preparedness Deficiencies

Fire Safety

Establish emergency prep training and testing.

Corrected 2023-06-10

F · Potential for more than minimal harm 2023-05-18

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2023-06-10

F · Potential for more than minimal harm 2023-05-18

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2023-06-10

F · Potential for more than minimal harm 2023-05-18

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2023-06-10

F · Potential for more than minimal harm 2023-05-18

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-06-10

E · Potential for more than minimal harm 2023-05-18

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-06-10

F · Potential for more than minimal harm 2022-05-17

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-06-01

E · Potential for more than minimal harm 2022-05-17

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-06-01

E · Potential for more than minimal harm 2022-05-17

K913 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure operating rooms are properly protected and written records are maintained and available for inspection.

Corrected 2022-06-01

Inspection history

Recent health citations

D · Potential for more than minimal harm 2024-06-25

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 2024-07-18

D · Potential for more than minimal harm 2024-06-25

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-07-18

D · Potential for more than minimal harm 2024-06-25

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 2024-07-18

D · Potential for more than minimal harm 2024-06-25

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 2024-07-18

B · Minimal harm 2024-06-25

F912 · Environmental Deficiencies

Health

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Corrected 2024-07-18

J · Immediate jeopardy 2023-12-14

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 2024-01-10

F · Potential for more than minimal harm 2023-12-14

F836 · Administration Deficiencies

Health

Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

Corrected 2024-01-10

E · Potential for more than minimal harm 2023-12-14

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2024-01-10

D · Potential for more than minimal harm 2023-12-14

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 2024-01-10

D · Potential for more than minimal harm 2023-12-14

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 2024-01-10

G · Actual harm 2023-09-25

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 2023-10-05

D · Potential for more than minimal harm 2023-09-25

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 2023-10-05

E · Potential for more than minimal harm 2023-08-22

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 2023-08-25

E · Potential for more than minimal harm 2023-08-22

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 2023-08-25

F · Potential for more than minimal harm 2023-05-18

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 2023-06-01

F · Potential for more than minimal harm 2023-05-18

F912 · Environmental Deficiencies

Health

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Corrected 2023-05-30

E · Potential for more than minimal harm 2023-05-18

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 2023-05-30

D · Potential for more than minimal harm 2023-05-18

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-06-01

D · Potential for more than minimal harm 2023-05-18

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-06-01

C · Minimal harm 2023-05-18

F576 · Resident Rights Deficiencies

Health

Ensure residents have reasonable access to and privacy in their use of communication methods.

Corrected 2023-05-31

F · Potential for more than minimal harm 2022-05-17

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 2022-06-01

E · Potential for more than minimal harm 2022-05-17

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 2022-06-01

E · Potential for more than minimal harm 2022-05-17

F909 · Environmental Deficiencies

Health

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

Corrected 2022-06-01

D · Potential for more than minimal harm 2022-05-17

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 2022-06-01

D · Potential for more than minimal harm 2022-05-17

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2022-06-01

D · Potential for more than minimal harm 2022-05-17

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 2022-06-01

D · Potential for more than minimal harm 2022-05-17

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 2022-06-01

C · Minimal harm 2022-05-17

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2022-06-01

Penalties and ownership

What sits behind the stars

$71,455 2023-12-14

Fine

Fine · fine $71,455

Fine

$0 2023-12-14

Payment Denial

Payment Denial · denial start 2024-01-06 · 4 days

4 day denial

Ownership

Etn Family Holdings LLC

5% Or Greater Direct Ownership Interest · Organization

24% 19 facilities 2024-12-01
Tlco Holdings LLC

5% Or Greater Direct Ownership Interest · Organization

24% 13 facilities 2024-12-01
Erblich, Avraham

5% Or Greater Direct Ownership Interest · Individual

16% 21 facilities 2024-12-01
Friedman, Benjamin

5% Or Greater Direct Ownership Interest · Individual

15% 23 facilities 2024-12-01
Com Family Trust

5% Or Greater Indirect Ownership Interest · Organization

12% 12 facilities 2024-12-01
E Newhouse Family Trust

5% Or Greater Indirect Ownership Interest · Organization

12% 17 facilities 2024-12-01
T Newhouse Family Trust

5% Or Greater Indirect Ownership Interest · Organization

12% 17 facilities 2024-12-01
Tlm Family Trust

5% Or Greater Indirect Ownership Interest · Organization

12% 12 facilities 2024-12-01
Sheps, Boruch

5% Or Greater Direct Ownership Interest · Individual

10% 20 facilities 2024-12-01
Dean, Genettia

Operational/Managerial Control · Individual

0% 1 facilities 2024-12-01
Erblich, Avraham

Operational/Managerial Control · Individual

0% 21 facilities 2024-12-01
Etn Family Holdings LLC

Operational/Managerial Control · Organization

0% 19 facilities 2024-12-01
Friedman, Benjamin

Operational/Managerial Control · Individual

0% 23 facilities 2024-12-01
Millman, Chaim

Operational/Managerial Control · Individual

0% 19 facilities 2024-12-01
Newhouse, Eric

Operational/Managerial Control · Individual

0% 10 facilities 2024-12-01
Sheps, Boruch

Operational/Managerial Control · Individual

0% 20 facilities 2024-12-01
The Estate Of Peter Schorr

Operational/Managerial Control · Organization

0% 2 facilities 2024-12-01
Tlco Holdings LLC

Operational/Managerial Control · Organization

0% 13 facilities 2024-12-01
Zaman, Asad

Operational/Managerial Control · Individual

0% 19 facilities 2024-12-01

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