Bishop Gadsden Episcopal Retirement Community

Nursing Home in Charleston

CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Bishop Gadsden Episcopal Retirement Community

Nursing Home in Charleston

CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
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Bishop Gadsden Episcopal Retirement Community accepts Medicare and private pay.

Overview of Bishop Gadsden Episcopal Retirement Community

Bishop Gadsden Episcopal Retirement Community is a vibrant life plan community located in Charleston, SC. It offers a range of services including independent living, assisted living, skilled care, and memory support. The community is known for its exceptional architecture, design, and approach to care, providing residents with a fulfilling lifestyle.
(843) 762-3300

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
5/5 ▲ 2.1 South Carolina average: 2.9/5
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
4/5 ▲ 1.3 South Carolina average: 2.8/5
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
5/5 ▲ 2.1 South Carolina average: 3.0/5
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
5/5 ▲ 1.5 South Carolina average: 3.5/5

Staffing hours breakdown

Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day — compared to South Carolina state averages

Total nursing care / resident Info This home is ranked 7th out of 104 homes in South Carolina.

Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
5h 34m per day
Rank #7 / 104Nurse hours — state benchmarkedThis home is ranked 7th out of 104 homes in South Carolina.Shows adjusted nurse hours per resident per day benchmarked to the South Carolina average, with a ranking across 104 South Carolina SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
This facility South Carolina avg (4h 5m per day)
vs South Carolina avg
+36%

0 of 6 metrics below state avg

Standout metric RN (Weekend) is +183% above state avg
Staff typeHours / dayvs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. 1h 29m per day ▲ 134% State avg: 38m per day · National avg: 41m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. 1h 13m per day ▲ 20% State avg: 1h 1m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 3h 5m per day ▲ 39% State avg: 2h 13m per day · National avg: 2h 21m per day
Total Nursing (Weekend) Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours. 4h 56m per day ▲ 48% State avg: 3h 20m per day · National avg: 3h 26m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation. 14m per day ▲ 180% State avg: 5m per day · National avg: 4m per day
RN (Weekend) Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent. 1h 8m per day ▲ 183% State avg: 24m per day · National avg: 29m per day

Capacity and availability

Avg. Length of Stay
20 days

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Breakdown by payment type

Medicare

63% of new residents, usually for short-term rehab.

Typical stay 19 days

Private pay

37% of new residents, often for short stays.

Typical stay 5 - 6 months

Finances and operations

Voluntary non-profit community
Home revenue
$71.1M
Surplus of revenue
$1.1M
Voluntary non-profit community
Home revenue
$71.1M Rank #1 / 108Revenue — state benchmarkedThis home is ranked 1st out of 108 homes in South Carolina.Shows this facility's annual revenue compared to the South Carolina SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.
Surplus of revenue
$1.1M
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations. Rank #1 / 108Payroll — state benchmarkedThis home is ranked 1st out of 108 homes in South Carolina.Shows total annual staff payroll benchmarked to the South Carolina average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
$26.5M
37.3% of revenue Rank #36 / 108Payroll % — state benchmarkedThis home is ranked 36th out of 108 homes in South Carolina.Shows payroll as a percentage of revenue versus the South Carolina average. Well-run SNFs often land around 55–65%. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$43.5M
Total costs $70.0M
Bed community size
123-bed community
A larger shared setting that may offer more common spaces and organized community services.

About this community

Occupancy

Occupancy rate
17%
Rank #107 / 107Occupancy rate — state benchmarkedThis home is ranked 107th out of 107 homes in South Carolina.Shows this facility's occupancy rate versus the South Carolina average, with its statewide rank out of 107. Higher occupancy signals strong local demand and financial stability.
Lower than the South Carolina average: 82.1%
Occupied beds
21 / 123
Average residents 90 per day

License Details

Facility TypeCommunity Residential Care Facilities
StatusActive
License NumberCRC-0451
CMS Certification Number425411

Ownership & Operating Entity

Bishop Gadsden Episcopal Retirement Community is administrated by Cook, Jonna.

Owner NameBISHOP GADSDEN EPISCOPAL RETIREMENT COMMUNITY

Staffing

Key information about the people who lead and staff this community.

Leadership

ContactC. William Trawick

Staff Composition

Total Employees
190
Full-Time Employees
190

Therapy & Rehabilitation

2 services
Rehabilitation Services
Respite Care

Staffing & Medical

1 service
24-Hour Staffing

Contact Information

Amenities & Lifestyle

Wellness Center
Spa
Community Garden
Nature Trails
Croquet Court
On-Site Clinic
Pharmacy
Dining Options
ActivitiesBishop Gadsden offers a calendar of events and activities for residents.
Specific ProgramsSkilled Care, Memory Support, Short Term Rehab, BG Therapy, BG At Home, The Embark Program, Calendar of Events, Culinary
Religious ServicesYes
Volunteer ProgramsYes

Dining & Nutrition

Food DescriptionBishop Gadsden offers a variety of dining options, including a café and fine dining, with a focus on fresh and locally sourced ingredients.

Contact Bishop Gadsden Episcopal Retirement Community

Inspection History

In South Carolina, the Department of Public Health, Bureau of Healthcare Quality conducts unannounced inspections to ensure care providers meet all health and safety codes.

4 visits/inspections Info Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.

Latest inspection

Date April 25, 2025
Routine

11 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

South Carolina average: 12 deficiencies

Inspection Report Summary for Bishop Gadsden Episcopal Retirement Community

The most recent inspection on April 25, 2025, identified deficiencies related to individualized care plans for urinary catheter bulb size, wander guard monitoring, pain management documentation, and following physician orders for oxygen therapy. Earlier inspections showed a mix of issues including medication administration errors, food safety violations, and oversight of psychotropic medication use, with one prior report noting immediate jeopardy related to COVID-19 screening that was resolved after corrective actions. Complaint investigations were not listed in the available reports. The main themes across deficiencies involved medication management, care planning, and food safety practices. The facility’s inspection history shows some recurring challenges, but the most recent findings focus more on individualized resident care and documentation.

Health Inspection History

Inspections
Total health inspections 3

South Carolina average 3.9


Last Health inspection on Apr 2025

Total health citations
10 Rank #45 / 106Health citations — state benchmarkedThis home is ranked 45th out of 106 homes in South Carolina.Shows this facility's total health deficiency citations benchmarked to the South Carolina state average, with a ranking across all 106 SC SNFs. Lower citation counts earn a better rank.

South Carolina average 13.7

Citations per inspection
3.33 Rank #60 / 106Citations per inspection — state benchmarkedThis home is ranked 60th out of 106 homes in South Carolina.Shows average deficiency citations per CMS inspection for this facility versus the South Carolina mean across 106 SNFs with citation data. Lower is better.

South Carolina average 3.44


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

All 10 citations resulted from standard inspections.

Breakdown of citation severity (last 3 years)
Critical Health citations More info
1
In line with South Carolina average

South Carolina average: 1


Serious Health citations More info 0
100% better than South Carolina average

South Carolina average: 0.3

1 critical citation More info South Carolina average: 1

0 serious citations More info South Carolina average: 0.3

9 moderate citations More info South Carolina average: 12.3

0 minor citations More info South Carolina average: 0.1
Citations history (last 3 years)
Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Apr 25, 2025
Corrected

Care Planning moderate citation Info Issues related to creating and updating personalized care plans for residents based on their needs and conditions. Apr 25, 2025
Corrected

Care Planning moderate citation Info Issues related to creating and updating personalized care plans for residents based on their needs and conditions. Apr 25, 2025
Corrected

Nursing Services moderate citation Info Issues related to the availability and quality of nursing staff and the care they provide. Mar 20, 2024
Corrected

Financial Assistance for
Nursing Home in South Carolina

Bishop Gadsden Episcopal Retirement Community is located in CHARLESTON, South Carolina.
Here are the financial assistance programs available to residents in South Carolina.

Get Financial aid guidance

Community Long Term Care (CLTC)

SC Medicaid CLTC

Age 65+ or disabled
General South Carolina resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
SC

High rural demand; waitlists possible.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care ($60/day) Home modifications ($1,500 avg.)

South Carolina Respite Care Program

SC NFCSP Respite

Age Caregiver of someone 60+ (or with dementia)
General South Carolina resident.
Income Limits No strict limit; prioritizes low-income.
Asset Limits Not applicable.
SC

Limited slots; rural/urban balance.

Benefits
In-home respite (4-6 hours/day) Adult day care (~$60/day) Short-term facility care (up to 5 days)

Medicare Savings Program (MSP)

South Carolina Medicare Savings Program

Age 65+ or disabled
General SC resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
SC

Three tiers; includes Extra Help for Part D; no waitlist.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Low-Income Home Energy Assistance Program (LIHEAP)

South Carolina LIHEAP

Age 60+ prioritized
General SC resident, low-income household.
Income Limits (2025) ~$3,970/month individual, 185% FPL
Asset Limits Not assessed; income-focused.
SC

Covers gas, electric, oil; emergency aid via ECAP (~$500 max).

Benefits
Heating/cooling aid (~$300-$1,000/season) Emergency aid Weatherization

Senior Community Service Employment Program (SCSEP)

South Carolina SCSEP

Age 55+
General unemployed, low-income, SC resident.
Income Limits (2025) ~$1,983/month 125% FPL
Asset Limits Not specified; income-focused.
SC

Priority for veterans, rural residents; Goodwill/AARP partnership.

Benefits
Paid training (~20 hours/week at ~$7.25/hour) Job placement

VA Aid and Attendance (A&A) and Housebound Benefits

South Carolina VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General SC resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
SC

High veteran population; supports rural/urban care needs.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Senior Farmers’ Market Nutrition Program (SFMNP)

South Carolina SFMNP

Age 60+
General SC resident, low-income.
Income Limits (2025) ~$2,322/month individual, 185% FPL
Asset Limits Not assessed.
SC

Vouchers (~$50/season); serves ~20,000 annually via 10 AAAs.

Benefits
Vouchers (~$50/season) for fresh produce at approved markets

Homestead Exemption Program

South Carolina Homestead Exemption

Age 65+ (or disabled/blind)
General SC resident 1+ year, homeowner.
Income Limits (2025) None; tax-based eligibility.
Asset Limits Not assessed; home-focused.
SC

Saves ~$500-$1,000/year avg.; applies to primary residence.

Benefits
Property tax exemption (~$50,000 value, ~$500-$1,000/year savings)

Elderly Simplified Application Project (ESAP)

South Carolina ESAP (SNAP for Seniors)

Age 60+
General SC resident, no earned income, not on SCCAP.
Income Limits (2025) ~$1,732/month 133% FPL, individual
Asset Limits $4,250 individual, higher than standard SNAP
SC

Simplified process; serves ~50,000 seniors annually.

Benefits
EBT card for food (~$100-$300/month based on income)

Places of interest near Bishop Gadsden Episcopal Retirement Community

Address 4744.7 miles from city center Info Estimated distance in miles from CHARLESTON's city center to Bishop Gadsden Episcopal Retirement Community's address, calculated via Google Maps.

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 216
Employees 161
Contractors 55
Staff to resident ratio 9.82:1
447% better than South Carolina average

South Carolina average ratio: 1.80:1

Avg staff/day 72
Average shift 2.4 hours
70% worse than South Carolina average

South Carolina average: 7.9 hours

Total staff hours (quarter) 15,620
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 31
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 3.2 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 42
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 2.7 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 103
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 2.2 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

5.8%

903 contractor hours this quarter

Certified Nursing Assistant: 29 Licensed Practical Nurse: 19 Medical Director: 2 Feeding Assistant: 2 Registered Nurse: 1 Qualified Social Worker: 1 Occupational Therapy Assistant: 1
Staff by category
Certified Nursing Assistant74291036,87591100%2.2
Registered Nurse301313,14491100%3.2
Licensed Practical Nurse2319422,22591100%2.7
Respiratory Therapy Technician8085867886%2.3
Speech Language Pathologist6064817481%1.9
Qualified Social Worker4153847582%2
RN Director of Nursing2022646369%2.2
Mental Health Service Worker2022516470%2.2
Respiratory Therapist3032337380%1.9
Physical Therapy Assistant3031748088%1.7
Clinical Nurse Specialist1011496571%2.3
Feeding Assistant0221496571%2.1
Nurse Practitioner1011396369%2.2
Dietitian1011396369%2.2
Occupational Therapy Aide1011336066%2.2
Other Dietary Services Staff1011255965%2.1
Administrator1011135257%2.2
Medical Director022562224%2.2
Occupational Therapy Assistant011111%1.3
103 Certified Nursing Assistant
% of Days 100%
31 Registered Nurse
% of Days 100%
42 Licensed Practical Nurse
% of Days 100%
8 Respiratory Therapy Technician
% of Days 86%
6 Speech Language Pathologist
% of Days 81%
5 Qualified Social Worker
% of Days 82%
2 RN Director of Nursing
% of Days 69%
2 Mental Health Service Worker
% of Days 70%
3 Respiratory Therapist
% of Days 80%
3 Physical Therapy Assistant
% of Days 88%
1 Clinical Nurse Specialist
% of Days 71%
2 Feeding Assistant
% of Days 71%
1 Nurse Practitioner
% of Days 69%
1 Dietitian
% of Days 69%
1 Occupational Therapy Aide
% of Days 66%
1 Other Dietary Services Staff
% of Days 65%
1 Administrator
% of Days 57%
2 Medical Director
% of Days 24%
1 Occupational Therapy Assistant
% of Days 1%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 22
Medicare
22
100% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

CCRC

Part of a Continuing Care Retirement Community offering multiple care levels

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

Short-stay resident measures
Significantly above average South Carolina avg: 2.8 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.9%
26% better than South Carolina average

South Carolina average: 79.5%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.9%
47% better than South Carolina average

South Carolina average: 1.7%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 92.0%
18% better than South Carolina average

South Carolina average: 78.0%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 20.1%
19% better than South Carolina average

South Carolina average: 24.7%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 14.9%
6% worse than South Carolina average

South Carolina average: 14.1%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.7%
10% better than South Carolina average

South Carolina average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 72.7%
35% better than South Carolina average

South Carolina average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 65.1%
29% better than South Carolina average

South Carolina average: 50.6%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Compare Nursing Homes around Charleston The information below is reported by the South Carolina Department of Public Health, Bureau of Healthcare Quality.

5 facilities compared · CMS & SC Dept. of Health data · Updated Apr 2026

Filter by care type
Bishop Gadsden Episcopal Retirement Community
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Charleston123 79.7% -3%5.57 +48%+39%0103.3126-Kerrison, Lynne L$71.1M$26.5M37.3%425411
Kempton of Charleston
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Charleston89 60.5% -26%4.44 -42%+11%742.0021--$7.7M$4.3M56.1%425418
Ashley River Healthcare -
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Charleston125--------000.00-------
Bishop Gadsden-Gadsden Glen Center for Health and Rehab -
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Charleston100--------000.00-------
Indigo Hall -
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Charleston179--------000.00-------

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