Vestal, NY

Willow Point Rehabilitation And Nursing Center

1-star overall rating with 1-star inspections with $166,364 in total fines with 6 recent health deficiencies with 15 fire-safety deficiencies in the latest cycle

3700 Old Vestal Road, Vestal, NY

(607) 763-4400

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

300

Certified beds

Average residents

250

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1969-07-01

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

0.44

Registered nurse staffing · state 0.70 · national 0.68

LPN hours / resident day

1.32

Licensed practical nurse staffing · state 0.78 · national 0.87

Aide hours / resident day

2.51

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

4.27

All reported nurse hours · state 3.65 · national 3.89

Licensed hours

1.76

RN + LPN hours · state 1.47 · national 1.54

Weekend hours

3.70

Weekend nurse staffing · state 3.16 · national 3.43

Weekend RN hours

0.22

Weekend registered nurse coverage · state 0.47 · national 0.47

Physical therapist

0.07

Reported PT staffing · state 0.11 · national 0.07

Adjusted RN hours

0.45

CMS adjusted RN staffing hours

Adjusted total hours

4.40

CMS adjusted total nurse staffing hours

Case-mix index

1.33

Higher values indicate more complex resident acuity

RN turnover

61%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

57%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

8,469

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

Performance score

26.66

Composite VBP score used to determine payment impact.

Payment multiplier

0.9843

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

5.75

Baseline 19.34% · Performance 18.77% · Measure score 5.75 · Achievement 5.75 · Improvement 1.99

Healthcare-associated infections

0

Baseline 5.91% · Performance 7.94% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

1.19

Baseline 52.49% · Performance 58.80% · Measure score 1.19 · Achievement 1.19 · Improvement 0

Adjusted total nurse staffing

3.72

Baseline 4.20 hours · Performance 4.14 hours · Measure score 3.72 · Achievement 3.72 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 9.66%
10.72%
1.1 pts better
No Different than the National Rate · Eligible stays 255 · Observed rate 8.63% · Lower 95% interval 7.26%
Discharge to community 50.78%
50.57%
0.2 pts better
No Different than the National Rate · Eligible stays 265 · Observed rate 43.4% · Lower 95% interval 43.75%
Medicare spending per beneficiary 0.85
1.02
0.2 pts better
Drug regimen review with follow-up 36.36%
95.27%
58.9 pts worse
Numerator 64 · Denominator 176
Falls with major injury 1.14%
0.77%
0.4 pts worse
Numerator 2 · Denominator 176
Discharge self-care score 48.46%
53.69%
5.2 pts worse
Numerator 63 · Denominator 130
Discharge mobility score 53.08%
50.94%
2.1 pts better
Numerator 69 · Denominator 130
Pressure ulcers or injuries, new or worsened 2.27%
2.29%
About the same
Numerator 4 · Denominator 176 · Adjusted rate 2.31%
Healthcare-associated infections requiring hospitalization 7.94%
7.12%
0.8 pts worse
No Different than the National Rate · Eligible stays 156 · Observed rate 8.33% · Lower 95% interval 5.46%
Staff COVID-19 vaccination coverage 12.78%
8.2%
4.6 pts better
Numerator 29 · Denominator 227
Staff flu vaccination coverage 56.36%
42%
14.4 pts better
Numerator 186 · Denominator 330
Discharge function score 61.54%
56.45%
5.1 pts better
Numerator 80 · Denominator 130
Transfer of health information to provider 66.67%
95.95%
29.3 pts worse
Numerator 28 · Denominator 42
Transfer of health information to patient 100%
96.28%
3.7 pts better
Numerator 77 · Denominator 77
Resident COVID-19 vaccinations up to date 56.88%
25.2%
31.7 pts better
Numerator 62 · Denominator 109

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.8
1.7
0.1 pts worse
1.9
0.1 pts better
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.6 · Expected 1.8 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 2.1
1.3
0.8 pts worse
1.8
0.3 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.0 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
91.2%
8.8 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%
95.3%
4.7 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 5.5%
3.0%
2.5 pts worse
3.3%
2.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 4.7% · Q3 6.5% · Q4 6.1% · 4Q avg 5.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 0.2%
18.5%
18.3 pts better
11.4%
11.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.5% · Q3 0.0% · Q4 0.5% · 4Q avg 0.2%
Percentage of long-stay residents who lose too much weight 3.5%
6.1%
2.6 pts better
5.4%
1.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 2.6% · Q3 4.8% · Q4 3.6% · 4Q avg 3.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 14.2%
13.5%
0.7 pts worse
19.6%
5.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 15.9% · Q2 14.0% · Q3 14.5% · Q4 12.3% · 4Q avg 14.2%
Percentage of long-stay residents who received an antipsychotic medication 18.7%
14.8%
3.9 pts worse
16.7%
2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 22.6% · Q2 19.6% · Q3 16.7% · Q4 15.9% · 4Q avg 18.7% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.2%
0.2 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 23.7%
15.1%
8.6 pts worse
16.3%
7.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 12.3% · Q2 36.7% · Q3 19.3% · Q4 25.1% · 4Q avg 23.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 22.6%
15.5%
7.1 pts worse
14.9%
7.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 19.0% · Q2 32.2% · Q3 20.9% · Q4 18.3% · 4Q avg 22.6% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.7%
0.6%
0.1 pts worse
1.0%
0.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.5% · Q2 0.9% · Q3 1.2% · Q4 0.4% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 3.6%
1.4%
2.2 pts worse
1.7%
1.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 3.0% · Q3 3.0% · Q4 3.1% · 4Q avg 3.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 24.9%
20.8%
4.1 pts worse
19.8%
5.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 33.2% · Q2 25.9% · Q3 15.9% · Q4 24.4% · 4Q avg 24.9%
Percentage of long-stay residents with pressure ulcers 2.6%
6.9%
4.3 pts better
5.1%
2.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 2.5% · Q3 3.9% · Q4 2.9% · 4Q avg 2.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 96.5%
76.7%
19.8 pts better
81.7%
14.8 pts better
Short Stay · 2024Q4-2025Q3 · Q1 96.0% · Q2 96.0% · Q3 96.2% · Q4 97.8% · 4Q avg 96.5%
Percentage of short-stay residents who had an outpatient emergency department visit 13.0%
9.7%
3.3 pts worse
12.0%
1 pts worse
Short Stay · 20240701-20250630 · Adjusted 13.0% · Observed 12.8% · Expected 11.0% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 1.3%
1.2%
0.1 pts worse
1.6%
0.3 pts better
Short Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 0.9% · Q3 0.0% · Q4 0.8% · 4Q avg 1.3% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 95.5%
78.8%
16.7 pts better
79.7%
15.8 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.5%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 25.1%
20.6%
4.5 pts worse
23.9%
1.2 pts worse
Short Stay · 20240701-20250630 · Adjusted 25.1% · Observed 26.8% · Expected 25.5% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-13 · Fire 2025-06-13

6 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

15 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2024-03-29 · Fire 2024-03-29

12 health deficiencies

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

9 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 3 Health 2021-10-29 · Fire 2021-10-29

8 health deficiencies

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

4 fire-safety deficiencies

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

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-06-13

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-08-08

F · Potential for more than minimal harm 2025-06-13

K531 · Services Deficiencies

Fire Safety

Have elevators that firefighters can control in the event of a fire.

Corrected 2025-08-08

F · Potential for more than minimal harm 2025-06-13

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-08-08

F · Potential for more than minimal harm 2025-06-13

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2025-08-08

E · Potential for more than minimal harm 2025-06-13

K133 · Construction Deficiencies

Fire Safety

Install a two-hour-resistant firewall separation.

Corrected 2025-08-08

E · Potential for more than minimal harm 2025-06-13

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2025-08-11

E · Potential for more than minimal harm 2025-06-13

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2025-08-08

E · Potential for more than minimal harm 2025-06-13

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 2025-08-11

E · Potential for more than minimal harm 2025-06-13

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2025-08-12

E · Potential for more than minimal harm 2025-06-13

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2025-08-08

D · Potential for more than minimal harm 2025-06-13

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2025-08-08

D · Potential for more than minimal harm 2025-06-13

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-08-08

D · Potential for more than minimal harm 2025-06-13

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-08-21

D · Potential for more than minimal harm 2025-06-13

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-08-08

C · Minimal harm 2025-06-13

E6 · Emergency Preparedness Deficiencies

Fire Safety

Conduct risk assessment and an All-Hazards approach.

Corrected 2025-08-08

E · Potential for more than minimal harm 2024-03-29

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 2024-05-21

E · Potential for more than minimal harm 2024-03-29

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2024-05-21

D · Potential for more than minimal harm 2024-03-29

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2024-05-21

D · Potential for more than minimal harm 2024-03-29

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 2024-05-21

D · Potential for more than minimal harm 2024-03-29

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2024-05-21

D · Potential for more than minimal harm 2024-03-29

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-05-21

D · Potential for more than minimal harm 2024-03-29

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-05-21

D · Potential for more than minimal harm 2024-03-29

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-05-21

D · Potential for more than minimal harm 2024-03-29

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2024-05-21

E · Potential for more than minimal harm 2021-10-29

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2021-12-27

E · Potential for more than minimal harm 2021-10-29

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2022-02-15

D · Potential for more than minimal harm 2021-10-29

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 2021-12-27

D · Potential for more than minimal harm 2021-10-29

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2021-12-27

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-06-13

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 2025-08-08

D · Potential for more than minimal harm 2025-06-13

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2025-08-08

D · Potential for more than minimal harm 2025-06-13

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 2025-08-08

D · Potential for more than minimal harm 2025-06-13

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 2025-08-08

D · Potential for more than minimal harm 2025-06-13

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 2025-08-08

D · Potential for more than minimal harm 2025-06-13

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-08-08

D · Potential for more than minimal harm 2024-04-30

F561 · Resident Rights Deficiencies

Health

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

Corrected 2024-05-17

D · Potential for more than minimal harm 2024-04-30

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 2024-05-17

D · Potential for more than minimal harm 2024-04-30

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-05-17

L · Immediate jeopardy 2024-03-29

F883 · Infection Control Deficiencies

Health

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

Corrected 2024-05-06

H · Actual harm 2024-03-29

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 2024-05-06

F · Potential for more than minimal harm 2024-03-29

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 2024-05-06

F · Potential for more than minimal harm 2024-03-29

F730 · Nursing and Physician Services Deficiencies

Health

Observe each nurse aide's job performance and give regular training.

Corrected 2024-05-06

F · Potential for more than minimal harm 2024-03-29

F837 · Administration Deficiencies

Health

Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

Corrected 2024-05-06

D · Potential for more than minimal harm 2024-03-29

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-05-06

D · Potential for more than minimal harm 2024-03-29

F694 · Quality of Life and Care Deficiencies

Health

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected 2024-05-06

D · Potential for more than minimal harm 2024-03-29

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-05-06

D · Potential for more than minimal harm 2024-03-29

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-05-06

D · Potential for more than minimal harm 2024-01-02

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 2024-02-02

D · Potential for more than minimal harm 2021-10-29

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2021-12-27

D · Potential for more than minimal harm 2021-10-29

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 2021-12-27

D · Potential for more than minimal harm 2021-10-29

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 2021-12-27

D · Potential for more than minimal harm 2021-10-29

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 2021-12-27

D · Potential for more than minimal harm 2021-10-29

F740 · Quality of Life and Care Deficiencies

Health

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Corrected 2021-12-27

D · Potential for more than minimal harm 2021-10-29

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 2021-12-27

D · Potential for more than minimal harm 2021-10-29

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 2021-12-27

Penalties and ownership

What sits behind the stars

$166,364 2024-03-29

Fine

Fine · fine $166,364

Fine

Ownership

Broome County

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 1967-11-01
Benjamin, Linda

W-2 Managing Employee · Individual

0% 1 facilities 2016-03-28
Gerchman, Jacqueline

W-2 Managing Employee · Individual

0% 1 facilities 2017-01-01
Laclair, Ryan

W-2 Managing Employee · Individual

0% 2 facilities 2017-09-05
Reagan, Steven

W-2 Managing Employee · Individual

0% 1 facilities 2012-01-20

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1-star overall rating with 1-star inspections with $151,625 in total fines with 8 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle

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#3

Vestal Park Rehabilitation And Nursing Center

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2-star overall rating with 1-star inspections with 12 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle

Overall
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Staffing
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Fines
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