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Accura HealthCare of Hartington
Nursing Home, Hospice Care, Memory Care, Palliative Care & Respite Care · Hartington, 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.
Front entrance of a nursing home facility with flower beds Cozy common area with wicker chairs and decor Cozy resident room with bed and seating area Cozy interior of a common area with flowers on the table Cozy seating area in a facility common space Cozy porch seating with flowers and decorations Cozy shared living space with dining area and kitchenette Private resident room with a bed and bedside table

Accura HealthCare of Hartington

Nursing Home, Hospice Care, Memory Care, Palliative Care & Respite Care · Hartington, 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.
401 W Darlene Street, Hartington, NE 68739 View map Calculator: See prices in your area
Accura HealthCare of Hartington accepts Medicare, Medicaid, and private pay.
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Accura HealthCare of Hartington accepts Medicare, Medicaid, and private pay.

Overview of Accura Healthcare of Hartington

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Accura Healthcare of Hartington provides short-term rehabilitation, skilled nursing, and long-term care in Hartington, NE. The facility is committed to offering exceptional, person-centered healthcare in a supportive environment. Residents can expect a full continuum of care tailored to their individual needs.
Facility Direct Line (402) 254-3905
Facility Direct Line (402) 254-3905
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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.

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 state averages

Total nursing care / resident Info 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.
4h 8m per day
Rank #69 / 130Nurse hours — State benchmarkedThis home is ranked 69th out of 130 homes in Nebraska. Shows adjusted nurse hours per resident per day benchmarked to the Nebraska average, with a ranking across 130 Nebraska facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.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.
vs avg

4 of 6 metrics below state avg

Standout metric Registered Nurse (RN) is +27% above state avg
Staff typeHours / Day / Residentvs 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. 55m per day ▲ 27% State avg: 43m 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. 8m per day ▼ 81% State avg: 43m 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. 2h 32m per day ▼ 9% State avg: 2h 46m per day · National avg: 2h 20m per day
Weekend Total Nursing 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. 3h 11m per day ▼ 12% State avg: 3h 37m 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. 2m per day ▼ 27% State avg: 3m per day · National avg: 4m per day
Weekend RN 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. 37m per day ▲ 26% State avg: 29m per day · National avg: 28m per day

Capacity and availability

Avg. Length of Stay
255 days
Bed community size
47-bed community Rank #171 / 228Bed count — State benchmarkedThis home is ranked 171st out of 228 homes in Nebraska. 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.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: 52 / 100 Rank #129 / 298Walk Score — State benchmarkedThis home is ranked 129th out of 298 homes in Nebraska. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Nebraska facilities. Higher scores benefit residents, families, and staff.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.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate
68%
Rank #130 / 196Occupancy rate — State benchmarkedThis home is ranked 130th out of 196 homes in Nebraska. Shows this facility's occupancy rate versus the Nebraska average, with its Statewide rank out of 196. Higher occupancy signals strong local demand and financial stability.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.
Similar to the Nebraska average: 70.3%
Occupied beds
32 / 47
Average occupied beds in Nebraska homes 54 beds

License Details

Facility TypeNursing Home
CountyCedar
CMS Certification Number285088
Certification TypeCertification

Ownership & Operating Entity

Accura HealthCare of Hartington is administered by Administrator Trishtian Mcneill.

Owner NameAccura Healthcare Of Hartington,

Therapy & Rehabilitation

3 services
Rehabilitation Services
Respite Care
Short-Term Rehab

Staffing & Medical

1 service
24-Hour Staffing

Contact Information

Fax(402) 254-3963

Amenities & Lifestyle

24-Hour Skilled Nursing Care
Respite Care Stays
Life Enrichment Program
Private And Semi-Private Rooms
On-Site Beauty And Barber Shop
Welcoming Common Areas
Community-Wide Wi-Fi
Family Hospice Room
Outdoor Patio And Courtyard
Touring HoursMonday-Friday: 9am-5pm

Contact Accura HealthCare of Hartington

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 52 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 At Avg Metrics at Nebraska average:
• Total deficiencies (at NE avg)
• Deficiencies per year (at NE avg) 0 Better No metrics in this bucket.
Latest Inspection May 1, 2025

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. 5252 This facility has total deficiencies in line with the Nebraska average (52 vs. NE avg 52).— At avg
Deficiencies per year Info Average deficiencies per year since 2011. 3.53.5 This facility has deficiencies per year in line with the Nebraska average (3.5 vs. NE avg 3.5).— At avg

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 May 1, 2025, confirmed the facility met all statutory licensure requirements with no deficiencies or complaints.
  • The November 6, 2018 complaint investigation found 11 deficiencies including failure in resident care, staffing, infection control, and medication storage.
  • Prior inspections from 2016 to 2017 showed recurring issues with fall prevention, medication management, and life safety code violations, with some corrective actions implemented.
Show Inspection Reports

Health Inspection History

Inspections since 2022
Total health inspections 3

State average N/A

Last Health inspection on Feb 2025

Total health citations
7 Rank #14 / 135Health citations — State benchmarkedThis home is ranked 14th out of 135 homes in Nebraska. Shows this facility's total health deficiency citations benchmarked to the Nebraska State average, with a ranking across all 135 NE facilities. Lower citation counts earn a better 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
2.33 Rank #13 / 135Citations per inspection — State benchmarkedThis home is ranked 13th out of 135 homes in Nebraska. Shows average deficiency citations per CMS inspection for this facility versus the Nebraska mean across 135 facilities with citation data. Lower is better.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.

All 7 citations resulted from standard inspections.

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

State average: N/A

Serious health citations
0
In line with State average

State average: N/A

0 critical citations State average: N/A
0 serious citations State average: N/A
6 moderate citations State average: N/A
1 minor citation State average: N/A
Citations history (last 4 years)
Pharmacy moderate citation Feb 03, 2025
Corrected
Pharmacy moderate citation Feb 03, 2025
Corrected
Abuse/Neglect minor citation Jan 31, 2024
Corrected
Nutrition moderate citation Jan 31, 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 73
Employees 59
Contractors 14
Staff to resident ratio 2.21 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 22
Average shift 6.4 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 13,037

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 10 total: 9 full-time employees and 1 contractor. 10
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.1 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 4 total: 3 full-time employees and 1 contractor. 4
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 5.1 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 37 CNA Staff are full-time employees. No contractors work on this role. 37
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 6.1 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

7.9%

1,030 contractor hours this quarter

Respiratory Therapy Technician: 4 Qualified Social Worker: 3 Registered Nurse: 1 Physical Therapy Assistant: 1 Speech Language Pathologist: 1 Medical Director: 1 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1 Licensed Practical Nurse: 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 Assistant370375,92692100%6.1
Registered Nurse91101,87292100%8.1
Medication Aide/Technician5051,5838795%7
Administrator1015126470%8
Mental Health Service Worker1015106470%8
Dietitian1014846267%7.8
Clinical Nurse Specialist1014406267%7.1
Licensed Practical Nurse3144156065%5.1
Nurse Practitioner1013975762%7
Speech Language Pathologist0113606773%5.4
Physical Therapy Assistant0113396773%5.1
Respiratory Therapy Technician0441083538%2.9
Occupational Therapy Aide011351314%2.7
Qualified Social Worker033342123%1.6
Occupational Therapy Assistant0111933%6.3
Medical Director011333%1
37 Certified Nursing Assistant
% of Days 100%
10 Registered Nurse
% of Days 100%
5 Medication Aide/Technician
% of Days 95%
1 Administrator
% of Days 70%
1 Mental Health Service Worker
% of Days 70%
1 Dietitian
% of Days 67%
1 Clinical Nurse Specialist
% of Days 67%
4 Licensed Practical Nurse
% of Days 65%
1 Nurse Practitioner
% of Days 62%
1 Speech Language Pathologist
% of Days 73%
1 Physical Therapy Assistant
% of Days 73%
4 Respiratory Therapy Technician
% of Days 38%
1 Occupational Therapy Aide
% of Days 14%
3 Qualified Social Worker
% of Days 23%
1 Occupational Therapy Assistant
% of Days 3%
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. 11.9
6% 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. 28.9
24% 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 25.0%
20% worse than State average

State average: 20.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 27.0%
22% 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 34.8%
29% 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 1.9%
58% 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 1.9%
56% better than State average

State average: 4.3%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.0%
69% better than State average

State average: 3.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 3.8%
30% better than State average

State average: 5.4%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 2.9%
35% better than State average

State average: 4.4%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 26.5%
34% worse than State average

State average: 19.8%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.1%
6% better than State average

State average: 93.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
In line with State average

State average: 96.1%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.0%
21% better than State average

State average: 80.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.7%
27% better than State average

State average: 2.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 93.6%
23% better 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%

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

Breakdown by payment type

Medicare

71% of new residents, usually for short-term rehab.

Typical stay 22 days

Private pay

25% of new residents, often for short stays.

Typical stay 2 - 3 years

Medicaid

4% of new residents, often for long-term daily care.

Typical stay 5 - 6 years

Facility Characteristics

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

Total residents 33
Medicare
3
9.1% of residents
Medicaid
13
39.4% of residents
Private pay or other
17
51.5% of residents

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 single business entity.
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."
$3.7M
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."
-$124.8K
For-profit Operated by a single business entity.
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."
$3.7M Rank #97 / 133Revenue — State benchmarkedThis home is ranked 97th out of 133 homes in Nebraska. Shows this facility's annual revenue compared to the Nebraska average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.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."
-$124.8K
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.
$846.2K
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 #97 / 133Payroll — State benchmarkedThis home is ranked 97th out of 133 homes in Nebraska. 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.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.
$2.7M 72.7% 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 #65 / 133Payroll % — State benchmarkedThis home is ranked 65th out of 133 homes in Nebraska. 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.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).
$1.1M
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).
$3.8M
How we calculate these figures

This home is administered by Administrator Trishtian Mcneill.

This home is owned by Kenneth Klaasmeyer

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 285088

Show certification details

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.

Most new residents arrive under Medicare (71% of admissions), and a typical Medicare stay runs around 22 days.

Admissions
48 total

Coverage residents most often arrive under.

Medicare 71%
Private pay 25%
Medicaid 4%
Discharges
46 total

Coverage residents most often leave under.

Medicare 50%
Private pay 43%
Medicaid 7%

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 Accura HealthCare of Hartington

Address 0.0 miles from city center Info Estimated distance in miles from Hartington's city center to Accura HealthCare of Hartington's address, calculated via Google Maps.

Calculate Travel Distance to Accura HealthCare of Hartington

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Nursing Home Explorer

Frequently Asked Questions about Accura HealthCare of Hartington

What neighborhood is Accura HealthCare of Hartington in?

Accura HealthCare of Hartington is in the Precinct 9 neighborhood of HARTINGTON.

Is Accura HealthCare of Hartington in a walkable area?

Accura HealthCare of Hartington has a walk score of 52. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the occupancy rate at Accura HealthCare of Hartington?

Accura HealthCare of Hartington's occupancy is 68%.

Does Accura HealthCare of Hartington operate as a for-profit or non-profit?

Accura HealthCare of Hartington is registered as a for-profit in NE.

Who is the administrator of Accura HealthCare of Hartington?

Administrator Trishtian McNeill is the administrator of Accura HealthCare of Hartington.

How many beds does Accura HealthCare of Hartington have?

Accura HealthCare of Hartington has 47 beds.

Are there photos of Accura HealthCare of Hartington?

Yes — there are 8 photos of Accura HealthCare of Hartington in the photo gallery on this page.

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