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Arbor Care Centers-Countryside LLC
Nursing Home, Hospice Care, Palliative Care & Skilled Nursing · Madison, NE
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Arbor Care Centers-Countryside LLC

Nursing Home, Hospice Care, Palliative Care & Skilled Nursing · Madison, NE
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
703 North Main Street, Madison, NE 68748 View map Calculator: See prices in your area
Arbor Care Centers-Countryside LLC accepts Medicaid, Medicare, and private pay.
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Arbor Care Centers-Countryside LLC accepts Medicaid, Medicare, and private pay.

Overview of Arbor Care Centers-Countryside

Arbor Care Centers-Countryside is a 70-bed skilled nursing facility in Madison, Nebraska, offering long-term care, post-acute rehabilitation, and memory care through a 17-bed Alzheimer’s Special Care Unit, privately owned and operated by Arbor Care Centers-Countryside under Joseph Kezzar. It accepts both Medicare and Medicaid.

The facility’s 2-star CMS rating is mainly due to staffing levels. Nurse staffing averages 68.2% below the Nebraska average, the defining figure in the overall rating. Health inspection and quality measure performance are above the state average, which narrows but does not close the gap.

Over 11 years of inspection history, the facility averaged 4.1 deficiencies per year — close to Nebraska’s average of 4.2. There have been no deficiencies cited during renewal inspections since 2019, a consistent record of compliance.

Earlier years carried citations for life safety code issues, infection control, and fall prevention. A 2018 complaint investigation substantiated findings in fall evaluation, infection control, and motorized equipment competency; more recent complaint investigations have been unsubstantiated. No fines or enforcement actions appear in the record.

With an occupancy rate of 94% compared with the state’s average of 70.3%, the facility operates near capacity. Services include post-acute rehabilitation, IV therapy, fall prevention programming, outpatient therapy, and on-site registered dietitian support. Private and semi-private rooms are also available.

The facility is for residents seeking long-term skilled nursing care or short-term post-acute rehabilitation in a small-city Nebraska setting, with a dedicated memory care unit suited for individuals in earlier to mid-stage Alzheimer’s or dementia.

Facility Direct Line (402) 454-3373
Facility Direct Line (402) 454-3373

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.
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.
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.
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.

Capacity and availability

Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
241 days
Bed community size
70-bed community Rank #99 / 228Bed count — State benchmarkedThis home is ranked 99th out of 228 homes in Nebraska for Bed Count. Shows this facility's certified or reported bed count compared to other Nebraska facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score
Walk Score: 38 / 100 Rank #191 / 296Walk Score — State benchmarkedThis home is ranked 191st out of 296 homes in Nebraska for Walk Score. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Nebraska facilities. Higher scores benefit residents, families, and staff.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate
94%
Rank #13 / 183Occupancy rate — State benchmarkedThis home is ranked 13th out of 183 homes in Nebraska for Occupancy. Shows this facility's occupancy rate versus the Nebraska average, with its Statewide rank out of 183. Higher occupancy signals strong local demand and financial stability.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Higher than the Nebraska average: 70.3%
Occupied beds
66 / 70
Average occupied beds in Nebraska homes 54 beds

License Details

Facility TypeNursing Home
CountyMadison
CMS Certification Number285207
Certification TypeCertification

Ownership & Operating Entity

Arbor Care Centers-Countryside LLC is administered by Administrator Roger Bayliff.

Owner NameArbor Care Centers-Countryside LLC

Payment & Insurance

2 services
Accept Medicaid
Accept Medicare

Therapy & Rehabilitation

1 service
Rehabilitation Services

Additional Services

3 services
Skilled Nursing Care
Rehabilitation Therapy
Hospice/Palliative Care

Contact Information

Fax(402) 454-9021

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Beauty Salon
Registered Dietitian
Cable
Complimentary Wireless Internet
Private And Semi-Private Rooms
Housekeeping And Laundry Services
Flexible Visiting Hours
Transportation Services
Meals And Dining Services
Specific ProgramsIndividual Treatment Plans, Medical Examinations, Medical Director, Infection Management, Outpatient Therapy, Post-Acute Rehabilitation, Fall Prevention, IV Therapy, Post-Surgical Care, Nutrition Education and Counseling Services
Touring HoursMonday-Sunday: 9am-5pm

Contact Arbor Care Centers-Countryside LLC

Inspection History

In Nebraska, the Department of Health and Human Services, Division of Public Health conducts regular inspections to ensure nursing and assisted living facilities meet state and federal standards.

Since 2011 · 15 years of data 45 deficiencies

Inspection Scorecard Info This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Nebraska state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2011 vs. Nebraska state average
Overall vs. NE average 0 Worse No metrics in this bucket. 2 Better Metrics better than Nebraska average:
• Total deficiencies (13% below)
• Deficiencies per year (14% below)
Latest Inspection March 13, 2024 Renewal

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityNE Averagevs. NE Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 4552 This facility has 13% fewer total deficiencies than a typical Nebraska assisted living residence (45 vs. NE avg 52).↓ 13% better
Deficiencies per year Info Average deficiencies per year since 2011. 33.5 This facility has 14% fewer deficiencies per year than a typical Nebraska assisted living residence (3 vs. NE avg 3.5).↓ 14% better

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • The most recent inspection on March 13, 2024, found no deficiencies or violations and confirmed licensure renewal for 70 beds.
  • The October 2018 complaint investigation found five deficiencies including failure to evaluate fall causes, infection control lapses, and inadequate resident supervision causing injury.
  • The facility was placed on 90-day probation in November 2018 for accident hazards, food preparation, and infection control violations but later returned to compliance.
Show Inspection Reports

Health Inspection History

Inspections since 2022
Total health inspections 5

State average N/A

Last Health inspection on Dec 2024

Total health citations
23 Rank #93 / 131Health citations — State benchmarkedThis home is ranked 93rd out of 131 homes in Nebraska for Health Citations. Shows this facility's total health deficiency citations benchmarked to the Nebraska State average, with a ranking across all 131 NE facilities. Lower citation counts earn a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
4.6 Rank #89 / 131Citations per inspection — State benchmarkedThis home is ranked 89th out of 131 homes in Nebraska for Citations Per Inspection. Shows average deficiency citations per CMS inspection for this facility versus the Nebraska mean across 131 facilities with citation data. Lower is better.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

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

17 of 23 citations resulted from standard inspections; 4 of 23 resulted from complaint investigations; and 2 of 23 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 4 years)
Critical health citations
0
In line with State average

State average: N/A

Serious health citations
1
In line with State average

State average: N/A

0 critical citations State average: N/A
1 serious citation State average: N/A
20 moderate citations State average: N/A
2 minor citations State average: N/A
Citations history (last 4 years)
Abuse/Neglect minor citation Dec 05, 2024
Corrected
Infection Control moderate citation Dec 05, 2024
Corrected
Infection Control moderate citation Dec 05, 2024
Corrected
Nursing Services moderate citation Dec 05, 2024
Corrected

Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 61
Employees 35
Contractors 26
Staff to resident ratio 1.79 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 18
Average shift 7.3 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 12,120

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 11 total: 2 full-time employees and 9 contractors. 11
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10.1 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 5 total: 1 full-time employee and 4 contractors. 5
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.1 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 18 CNA Staff are full-time employees. No contractors work on this role. 18
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.8 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

24.5%

2,968 contractor hours this quarter

Registered Nurse: 9 Licensed Practical Nurse: 4 Respiratory Therapy Technician: 3 Physical Therapy Assistant: 3 Speech Language Pathologist: 2 Qualified Social Worker: 1 Nurse Practitioner: 1 Occupational Therapy Assistant: 1 Medical Director: 1 Occupational Therapy Aide: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant180184,51192100%7.8
Medication Aide/Technician9092,82492100%7.7
Registered Nurse29111,3019098%10.1
Licensed Practical Nurse1456776672%8.1
Mental Health Service Worker1015346166%8.8
Nurse Practitioner0115046368%8
Administrator1014966267%8
Speech Language Pathologist0223276368%4.8
Physical Therapy Assistant0333236874%4.8
Respiratory Therapy Technician0332675358%5
Clinical Nurse Specialist2021682729%6
Qualified Social Worker0111556571%2.4
Dietitian1011422%6.8
Occupational Therapy Assistant0111233%4
Occupational Therapy Aide011511%5
Medical Director011333%1
18 Certified Nursing Assistant
% of Days 100%
9 Medication Aide/Technician
% of Days 100%
11 Registered Nurse
% of Days 98%
5 Licensed Practical Nurse
% of Days 72%
1 Mental Health Service Worker
% of Days 66%
1 Nurse Practitioner
% of Days 68%
1 Administrator
% of Days 67%
2 Speech Language Pathologist
% of Days 68%
3 Physical Therapy Assistant
% of Days 74%
3 Respiratory Therapy Technician
% of Days 58%
2 Clinical Nurse Specialist
% of Days 29%
1 Qualified Social Worker
% of Days 71%
1 Dietitian
% of Days 2%
1 Occupational Therapy Assistant
% of Days 3%
1 Occupational Therapy Aide
% of Days 1%
1 Medical Director
% of Days 3%
View All Staffing Data

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

No penalties in the past 3 years

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

Quality of care over time

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

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 14.9
32% worse than State average

State average: 11.3

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 35.8
53% worse than State average

State average: 23.3

Long-stay resident measures
Above average State avg: 2.8 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 31.6%
52% worse than State average

State average: 20.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 34.9%
58% worse than State average

State average: 22.1%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 40.9%
52% worse than State average

State average: 26.9%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 1.6%
65% better than State average

State average: 4.5%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 5.3%
23% worse than State average

State average: 4.3%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.8%
74% better than State average

State average: 3.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 1.0%
82% better than State average

State average: 5.4%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than State average

State average: 4.4%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 22.6%
14% worse than State average

State average: 19.8%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 73.6%
21% worse than State average

State average: 93.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 84.2%
12% worse than State average

State average: 96.1%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.62
10% better than State average

State average: 1.80

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 0.69
65% better than State average

State average: 1.95

Short-stay resident measures
Average State avg: 2.2 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 25.0%
69% worse than State average

State average: 80.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.9%
22% better than State average

State average: 2.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 27.3%
64% worse than State average

State average: 75.9%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than State average

State 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. 60.0%
12% better than State average

State average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 39.9%
21% worse than State average

State average: 50.6%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

Breakdown by payment type

Medicare

39% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

58% of new residents, often for short stays.

Typical stay 7 - 8 months

Medicaid

3% of new residents, often for long-term daily care.

Typical stay 8 years

Facility Characteristics

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

Total residents 34
Medicaid
15
44.1% of residents
Private pay or other
19
55.9% of residents
Programs & Services
Residents Group

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

Active Resident Council

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

Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 06/2024.

For-profit
Operated by a partnership between two or more business owners.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$3.9M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$748.1K
For-profit Operated by a partnership between two or more business owners.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$3.9M Rank #109 / 129Revenue — State benchmarkedThis home is ranked 109th out of 129 homes in Nebraska for Revenue. Shows this facility's annual revenue compared to the Nebraska average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$748.1K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$336
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #93 / 129Payroll — State benchmarkedThis home is ranked 93rd out of 129 homes in Nebraska for Payroll. Shows total annual staff payroll benchmarked to the Nebraska average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$2.8M 71.9% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #17 / 129Payroll % — State benchmarkedThis home is ranked 17th out of 129 homes in Nebraska for Payroll %. Shows payroll as a percentage of revenue versus the Nebraska average. Well-run Nebraska facilities typically land around 66–74% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$1.9M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$4.7M
How we calculate these figures

This home is administered by Administrator Roger Bayliff.

This home is owned by Joseph Kezzar

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 285207

Show certification details

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Most new residents arrive under private pay (58% of admissions), and a typical private pay stay runs around 7 - 8 months.

Admissions
59 total

Coverage residents most often arrive under.

Medicare 39%
Private pay 58%
Medicaid 3%
Discharges
57 total

Coverage residents most often leave under.

Medicare 18%
Private pay 67%
Medicaid 16%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near Arbor Care Centers-Countryside LLC

Address 0.0 miles from city center Info Estimated distance in miles from Madison's city center to Arbor Care Centers-Countryside LLC's address, calculated via Google Maps.

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Address

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Frequently Asked Questions about Arbor Care Centers-Countryside LLC

Is Arbor Care Centers-Countryside LLC in a walkable area?

Arbor Care Centers-Countryside LLC has a walk score of 38. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the occupancy rate at Arbor Care Centers-Countryside LLC?

Arbor Care Centers-Countryside LLC's occupancy is 94%.

Are pets allowed at Arbor Care Centers-Countryside LLC?

No, Arbor Care Centers-Countryside LLC has a no-pet policy.

Does Arbor Care Centers-Countryside LLC operate as a for-profit or non-profit?

Arbor Care Centers-Countryside LLC is registered as a for-profit in NE.

Who is the administrator of Arbor Care Centers-Countryside LLC?

Administrator Roger Bayliff is the administrator of Arbor Care Centers-Countryside LLC.

How many beds does Arbor Care Centers-Countryside LLC have?

Arbor Care Centers-Countryside LLC has 70 beds.

Are there photos of Arbor Care Centers-Countryside LLC?

Yes — there are 5 photos of Arbor Care Centers-Countryside LLC in the photo gallery on this page.

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