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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.
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.
Cascade Terrace Post Acute is a 105-bed post-acute skilled nursing and memory care facility at 5601 SE 122nd Avenue, Portland, Multnomah County, Oregon, 8.3 miles from downtown. Operated by Cascade Terrace SNF Healthcare, LLC, the community provides 24-hour skilled nursing with rehabilitation, memory care, therapy and assessment services six to seven days weekly, case management, discharge planning, and specialized programs including joint replacement and orthopedic rehabilitation, stroke rehabilitation, cardiac rehabilitation with CHF protocol, fall prevention, pulmonary care, post-operative care, pain management, infusion therapy, vascular wound management, renal disease services, tracheostomy care, cancer recovery, bariatric care, LVAD support, and palliative and hospice care.
The regulatory record documents severe and persistent care quality and operational failures spanning medication management, staffing, abuse prevention, and compliance systems. Over two years, Cascade Terrace logged 61 deficiencies; 30.5 annually, 355 percent above Oregon’s 6.7-deficiency benchmark.
A January 31, 2024, complaint investigation and state licensure survey revealed twenty-one deficiencies spanning vaccine consent, reasonable accommodations, change notification, abuse prevention and injury investigation, care plan implementation and revision, elopement prevention, accident hazards, staffing sufficiency, nurse aide training, behavioral health services, medication error prevention, binding arbitration, infection control, and in-service training. Several immediate jeopardy situations were identified and abated during this inspection. An April 28, 2025, complaint investigation documented twenty-one deficiencies in medication self-administration assessment, privacy and confidentiality, comprehensive and timely assessments, accurate MDS coding, ADL care, activity programming, quality of care, accident hazards, dialysis, RN staffing, medication storage, dietary needs, infection control, and payroll-based journal reporting; many were corrected by follow-up but some persisted uncorrected.
A January 23, 2025, survey cited five deficiencies in ADL care, quality of care, and fall prevention care plan implementation with partial correction. A November 6, 2025, survey identified four deficiencies including failure to clarify chemotherapy medication orders resulting in adverse outcomes, with multiple citations uncorrected at visit. Complaint surveys on September 23, 2025, March 6, 2025, August 21, 2024, and March 12, 2024, noted citations uncorrected at visit. Two January 2024 focused surveys cited COVID-19 NHSN reporting failures.
The January 2024 immediate jeopardy findings, the April 2025 twenty-one deficiency cluster, and the November 2025 chemotherapy medication order failure resulting in patient harm, constitute a pattern of fundamental care and systems failure.
While some facility responsiveness to revisit audits was documented, the persistence of uncorrected deficiencies across complaint investigations from January 2024 through November 2025 indicates incomplete corrective implementation and sustained operational fragmentation. No fines or license actions are recorded.
The facility provides post-acute and skilled nursing care with rehabilitation, memory care, and specialized services. Private pay is required; Medicaid and Medicare are not accepted. Families should obtain the January 31, 2024 immediate jeopardy documentation and the April 28, 2025 twenty-one deficiency report, addressing medication management, staffing, care planning, and abuse prevention, and require on-site verification of corrective implementation.
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.
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.
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.
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.
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.
This home is ranked 58th out of 92 homes in Oregon for nurse hours. 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
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.
| 33m per day | ▼ 18% State avg: 41m per day · National avg: 41m per day |
|
LPN / LVN
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.
| 50m per day | ▼ 8% State avg: 54m per day · National avg: 52m per day |
|
Nurse Aide
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 16m per day | ▼ 3% State avg: 3h 22m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
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 16m per day | ▼ 3% State avg: 4h 23m per day · National avg: 3h 26m per day |
|
Physical Therapist
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.
| 12m per day | ▲ 138% State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
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.
| 19m per day | ▼ 25% State avg: 26m per day · National avg: 28m per day |
Lower than the Oregon average: 65.7%Cascade Terrace Post Acute is administrated by Blake Epp.
In Oregon, the Department of Human Services, Aging and People with Disabilities performs unannounced surveys and regular inspections to ensure resident safety in all care settings.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Oregon state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | OR Average | vs. OR Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 41 | 31 | This facility has 32% more total deficiencies than a typical Oregon nursing home (41 vs. OR avg 31).↑ 32% worse |
|
Deficiencies per year
Average deficiencies per year since 2024.
| 20.5 | 15.5 | This facility has 32% more deficiencies per year than a typical Oregon nursing home (20.5 vs. OR avg 15.5).↑ 32% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 4.1 | 4.4 | This facility has 7% fewer deficiencies per inspection than a typical Oregon nursing home (4.1 vs. OR avg 4.4).↓ 7% better |
Inspections
| This Facility | OR Average | vs. OR Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 10 | 7 | This facility has 43% more total inspections than a typical Oregon nursing home (10 vs. OR avg 7).↑ 43% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Oregon average 5.1
Last Health inspection on Nov 2025
Oregon average 34
Oregon average 6.86
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
19 of 42 citations resulted from standard inspections; 3 of 42 resulted from complaint investigations; and 20 of 42 came from combined inspections (standard and complaint).
500% worse than Oregon averageOregon average: 0.5
17% better than Oregon averageOregon average: 1.2
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
12% fewer staff per resident than Oregon average
0% compared with Oregon average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
15 total: 7 full-time employees and 8 contractors.
15
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hoursAssists with medical care and medications.
47 total: 15 full-time employees and 32 contractors.
47
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.9 hoursHelps with daily care and mobility.
89 total: 58 full-time employees and 31 contractors.
89
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
3,441 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 58 | 31 | 89 | 20,010 | 92 | 100% | 7 |
| Licensed Practical Nurse | 15 | 32 | 47 | 6,341 | 92 | 100% | 9.9 |
| Medication Aide/Technician | 9 | 18 | 27 | 4,065 | 92 | 100% | 7.8 |
| Registered Nurse | 7 | 8 | 15 | 3,130 | 92 | 100% | 10 |
| Respiratory Therapy Technician | 1 | 2 | 3 | 1,522 | 67 | 73% | 7.8 |
| Nurse Aide in Training | 8 | 0 | 8 | 1,049 | 81 | 88% | 5.7 |
| Dental Services Staff | 2 | 0 | 2 | 1,017 | 64 | 70% | 8.7 |
| Speech Language Pathologist | 2 | 0 | 2 | 971 | 77 | 84% | 7.8 |
| Physical Therapy Assistant | 2 | 0 | 2 | 743 | 68 | 74% | 6.7 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 645 | 60 | 65% | 7.1 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Dietitian | 1 | 0 | 1 | 488 | 59 | 64% | 8.3 |
| Other Dietary Services Staff | 1 | 0 | 1 | 479 | 63 | 68% | 7.6 |
| Qualified Activities Professional | 1 | 0 | 1 | 424 | 61 | 66% | 7 |
| Qualified Social Worker | 1 | 0 | 1 | 336 | 58 | 63% | 5.8 |
| Feeding Assistant | 0 | 1 | 1 | 157 | 25 | 27% | 6.3 |
| Medical Director | 0 | 1 | 1 | 36 | 9 | 10% | 3.9 |
| Physical Therapy Aide | 1 | 0 | 1 | 8 | 1 | 1% | 7.7 |
Includes penalties issued in 2024-2025
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 (Data as of Jan 2026)
211% higher than Oregon averageOregon average: $60K
18% more fines than Oregon averageOregon average: 1.7
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Oregon averageOregon average: 0.1
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 28, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 31, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.4
In line with Oregon averageOregon average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
23.4
11% worse than Oregon averageOregon average: 21.1
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
10.7%
34% better than Oregon averageOregon average: 16.3%
Percent of long-stay residents whose ability to move independently worsened
34.8%
40% worse than Oregon averageOregon average: 24.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
24.6%
9% worse than Oregon averageOregon average: 22.6%
Percent of long-stay residents experiencing one or more falls with major injury
0.5%
77% better than Oregon averageOregon average: 2.4%
Percent of long-stay high risk residents with pressure ulcers
5.4%
22% better than Oregon averageOregon average: 6.9%
Percent of long-stay residents with a urinary tract infection
1.1%
47% better than Oregon averageOregon average: 2.1%
Percent of long-stay residents who lose too much weight
0.7%
87% better than Oregon averageOregon average: 5.3%
Percent of long-stay residents who have depressive symptoms
5.4%
17% worse than Oregon averageOregon average: 4.6%
Percent of long-stay residents who received an antipsychotic medication
15.1%
14% worse than Oregon averageOregon average: 13.2%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.9%
In line with Oregon averageOregon average: 95.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.3%
In line with Oregon averageOregon average: 95.2%
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.6%
11% better than Oregon averageOregon average: 86.2%
Percent of short-stay residents who newly received an antipsychotic medication
3.6%
94% worse than Oregon averageOregon average: 1.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
90.1%
11% better than Oregon averageOregon average: 81.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
32.9%
52% worse than Oregon averageOregon average: 21.6%
Percentage of short-stay residents who had an outpatient emergency department visit.
7.9%
48% better than Oregon averageOregon average: 15.1%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Oregon averageOregon average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
48.8%
9% worse than Oregon averageOregon average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
59.6%
18% better than Oregon averageOregon average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
9% of new residents, usually for short-term rehab.
73% of new residents, often for short stays.
17% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
80Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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.
Historical financial and operational data for Cascade Terrace Post Acute based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #26 / 88Payroll — State benchmarkedThis home is ranked 26th out of 88 homes in Oregon. Shows total annual staff payroll benchmarked to the Oregon average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents stay long-term, while a smaller portion are admitted for short-term rehab.
8.3 miles from city center
Estimated distance in miles from Portland's city center to Cascade Terrace Post Acute's address, calculated via Google Maps.
Add your location
Cascade Terrace Post Acute is located in Portland, Oregon.
Here are the financial assistance programs available to residents in Oregon.
The information below is reported by the Oregon Department of Human Services, Aging and People with Disabilities.
| Mirabella Portland |
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. | Portland (Southwest Portland) | 27
Facility
27
OR AVG
67
Rank
#316 / 351 |
93.2%
Facility
93.2%
OR AVG
65.7%
Rank
#3 / 90 | +42% | 5.83
Facility
5.83
OR AVG
5.24
Rank
#14 / 92 | +70% | +11% | $0
Facility
$0
OR AVG
$62.3k
Rank
#1 / 93 | 14
Facility
14
OR AVG
34.0
Rank
#10 / 90 | 4.7
Facility
4.7
OR AVG
6.9
Rank
#24 / 90 | - | 24 | A+ |
81
Facility
81
OR AVG
55
Rank
#82 / 476 | Linda Dinan | $24.8M
Facility
$24.8M
OR AVG
$12.6M
Rank
#5 / 88 | $13.0M
Facility
$13.0M
OR AVG
$4.5M
Rank
#6 / 88 | 52.3%
Facility
52.3%
OR AVG
38%
Rank
#23 / 88 | 385274 | ||||
| Marquis Vermont Hills |
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. | Portland (Southwest Portland) | 73
Facility
73
OR AVG
67
Rank
#133 / 351 |
47.1%
Facility
47.1%
OR AVG
65.7%
Rank
#80 / 90 | -28% | 5.30
Facility
5.30
OR AVG
5.24
Rank
#34 / 92 | -65% | +1% | $0
Facility
$0
OR AVG
$62.3k
Rank
#1 / 93 | 16
Facility
16
OR AVG
34.0
Rank
#13 / 90 | 5.3
Facility
5.3
OR AVG
6.9
Rank
#34 / 90 | - | 48 | - |
37
Facility
37
OR AVG
55
Rank
#351 / 476 | - | $12.4M
Facility
$12.4M
OR AVG
$12.6M
Rank
#42 / 88 | $4.2M
Facility
$4.2M
OR AVG
$4.5M
Rank
#64 / 88 | 33.5%
Facility
33.5%
OR AVG
38%
Rank
#83 / 88 | 385218 | ||||
| Gateway Care & Retirement Center |
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. | Portland (Hazelwood) | 59
Facility
59
OR AVG
67
Rank
#193 / 351 | - | - | 5.98
Facility
5.98
OR AVG
5.24
Rank
#11 / 92 | -67% | +14% | $0
Facility
$0
OR AVG
$62.3k
Rank
#1 / 93 | 34
Facility
34
OR AVG
34.0
Rank
#48 / 90 | 3.8
Facility
3.8
OR AVG
6.9
Rank
#10 / 90 | - | 57 | - |
82
Facility
82
OR AVG
55
Rank
#73 / 476 | Sapphire At Gateway LLC | $14.4M
Facility
$14.4M
OR AVG
$12.6M
Rank
#33 / 88 | $6.0M
Facility
$6.0M
OR AVG
$4.5M
Rank
#33 / 88 | 41.9%
Facility
41.9%
OR AVG
38%
Rank
#57 / 88 | 385268 | ||||
| Evergreen Post Acute |
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. | Portland | 55
Facility
55
OR AVG
67
Rank
#208 / 351 |
70.0%
Facility
70.0%
OR AVG
65.7%
Rank
#36 / 90 | +6% | 5.58
Facility
5.58
OR AVG
5.24
Rank
#19 / 92 | -45% | +6% | $4.2k
Facility
$4.2k
OR AVG
$62.3k
Rank
#44 / 93 | 41
Facility
41
OR AVG
34.0
Rank
#59 / 90 | 6.8
Facility
6.8
OR AVG
6.9
Rank
#52 / 90 | 1 | 53 | - |
58
Facility
58
OR AVG
55
Rank
#234 / 476 | - | $9.7M
Facility
$9.7M
OR AVG
$12.6M
Rank
#60 / 88 | $4.1M
Facility
$4.1M
OR AVG
$4.5M
Rank
#65 / 88 | 42.8%
Facility
42.8%
OR AVG
38%
Rank
#51 / 88 | 385258 | ||||
| Cascade Terrace Post Acute |
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. | Portland | 105
Facility
105
OR AVG
67
Rank
#44 / 351 |
55.8%
Facility
55.8%
OR AVG
65.7%
Rank
#63 / 90 | -15% | 4.97
Facility
4.97
OR AVG
5.24
Rank
#58 / 92 | -21% | -5% | $185.9k
Facility
$185.9k
OR AVG
$62.3k
Rank
#91 / 93 | 42
Facility
42
OR AVG
34.0
Rank
#62 / 90 | 8.4
Facility
8.4
OR AVG
6.9
Rank
#67 / 90 | 4 | 84 | - |
10
Facility
10
OR AVG
55
Rank
#443 / 476 | - | $15.4M
Facility
$15.4M
OR AVG
$12.6M
Rank
#31 / 88 | $6.6M
Facility
$6.6M
OR AVG
$4.5M
Rank
#26 / 88 | 42.7%
Facility
42.7%
OR AVG
38%
Rank
#53 / 88 | 385187 |
The legal owner and operator of Cascade Terrace Post Acute is Cascade Terrace Snf Healthcare, LLC.
Cascade Terrace Post Acute has a walk score of 10. Car-dependent. Most errands require a car, with limited nearby walkable options.
Cascade Terrace Post Acute's occupancy is 56%.
The team at Cascade Terrace Post Acute can be reached at [email protected].
Blake Epp is the administrator of Cascade Terrace Post Acute.
Cascade Terrace Post Acute has 105 beds.
Cascade Terrace Post Acute has had 41 recently reported deficiencies.
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