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Aurora Brule Nursing Home Inc.
Nursing Home, Assisted Living, Hospice Care, Respite Care & Skilled Nursing · White Lake, SD
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.

Aurora Brule Nursing Home Inc.

Nursing Home, Assisted Living, Hospice Care, Respite Care & Skilled Nursing · White Lake, SD
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.
408 S Johnston St, White Lake, SD 57383 View map Calculator: See prices in your area
Aurora Brule Nursing Home Inc. accepts Medicaid, Medicare, and private pay.
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Aurora Brule Nursing Home Inc. accepts Medicaid, Medicare, and private pay.

Overview of Aurora Brule Nursing Home

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Located on Johnston Street in White Lake, South Dakota, Aurora Brule Nursing Home is a 50-bed skilled nursing facility. The home accepts Medicare, Medicaid, and private pay, giving families several ways to cover short-term rehabilitation and longer-term nursing care. The facility has an occupancy rate of 62%. Residents stay an average of 176 days, including those receiving post-acute rehabilitation and needing longer-term care.

Rehabilitation is a key part of the facility’s services. Inpatient and outpatient therapy are available. There’s also respite care for families needing temporary support. A doctor is on staff, and the home provides 24-hour nursing care.

Residents receive an average of 3 hours and 27 minutes of nursing care each day. Registered nurses provide 30 minutes of that daily care. This level of staffing supports residents recovering from surgery, illness, or a hospital stay and provides their ongoing medical needs.

White Lake is a rural community with a Walk Score of 17, so the area is car-dependent. Most errands and visits require transportation. Some families may appreciate the quieter small-town setting and slower pace of the area.

Families considering Aurora Brule Nursing Home should ask about rehabilitation services, daily care routines, and recent resident experiences to determine whether the facility’s services match a loved one’s care and recovery needs.

Facility Direct Line (605) 249-2216
Facility Direct Line (605) 249-2216 Kathy.styles@aurorabrulehome.com
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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.
3h 27m per day
Rank #44 / 65Nurse hours — State benchmarkedThis home is ranked 44th out of 65 homes in South Dakota. Shows adjusted nurse hours per resident per day benchmarked to the South Dakota average, with a ranking across 65 South Dakota 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 South Dakota 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

6 of 6 metrics below 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. 30m per day ▼ 38% State avg: 48m 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. 11m per day ▼ 61% State avg: 29m 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 16m per day ▼ 14% State avg: 2h 37m 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. 2h 20m per day ▼ 29% State avg: 3h 19m 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. 0m per day ▼ 100% 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. 16m per day ▼ 49% State avg: 31m per day · National avg: 28m per day

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.
176 days
Bed community size
50-bed community Rank #68 / 117Bed count — State benchmarkedThis home is ranked 68th out of 117 homes in South Dakota. Shows this facility's certified or reported bed count compared to other South Dakota facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Rankings are based only on facilities in South Dakota 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.
Years in operation
1 year in operation
A newer community that may feature more recent facilities and programs.
Walk Score
Walk Score: 17 / 100 Rank #118 / 159Walk Score — State benchmarkedThis home is ranked 118th out of 159 homes in South Dakota. Shows how walkable this facility's neighborhood is compared to the average Walk Score across South Dakota facilities. Higher scores benefit residents, families, and staff.Rankings are based only on facilities in South Dakota 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.
Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate
62%
Rank #59 / 62Occupancy rate — State benchmarkedThis home is ranked 59th out of 62 homes in South Dakota. Shows this facility's occupancy rate versus the South Dakota average, with its Statewide rank out of 62. Higher occupancy signals strong local demand and financial stability.Rankings are based only on facilities in South Dakota 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.
Lower than the South Dakota average: 79.9%
Occupied beds
31 / 50
Average occupied beds in South Dakota homes 51 beds

License Details

Facility TypeNursing Home
StatusActive
IssuanceJuly 1, 2025
CountyAurora
License Number10709
CMS Certification Number435132
AccreditationsMedicare and Medicaid certified

Ownership & Operating Entity

Aurora Brule Nursing Home Inc. is administered by Kathy Styles.

Payment & Insurance

2 services
Accept Medicaid
Accept Medicare

Therapy & Rehabilitation

2 services
Rehabilitation Services
Respite Care

Staffing & Medical

2 services
Doctor on Staff
24-Hour Staffing

Amenities & Lifestyle

Specific ProgramsInpatient & Outpatient Rehab Services

Contact Aurora Brule Nursing Home Inc.

Health Inspection History

Inspections since 2023
Total health inspections 5

State average N/A

Last Health inspection on Jul 2025

Total health citations
16 Rank #32 / 67Health citations — State benchmarkedThis home is ranked 32nd out of 67 homes in South Dakota. Shows this facility's total health deficiency citations benchmarked to the South Dakota State average, with a ranking across all 67 SD facilities. Lower citation counts earn a better rank.Rankings are based only on facilities in South Dakota 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
3.2 Rank #35 / 67Citations per inspection — State benchmarkedThis home is ranked 35th out of 67 homes in South Dakota. Shows average deficiency citations per CMS inspection for this facility versus the South Dakota mean across 67 facilities with citation data. Lower is better.Rankings are based only on facilities in South Dakota 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.

14 of 16 citations resulted from standard inspections; and 2 of 16 resulted from complaint investigations.

Breakdown of citation severity (last 3 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
15 moderate citations State average: N/A
0 minor citations State average: N/A
Citations history (last 3 years)
Infection Control moderate citation Jul 24, 2025
Corrected
Nutrition moderate citation Jul 24, 2025
Corrected
Pharmacy moderate citation Jul 24, 2025
Corrected
Pharmacy moderate citation Jul 24, 2025
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 38
Employees 32
Contractors 6
Staff to resident ratio 1.15 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 15
Average shift 8.6 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 11,861

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 All 6 RN Staff are full-time employees. No contractors work on this role. 6
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.6 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 3 LPN Staff are full-time employees. No contractors work on this role. 3
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.3 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 24 total: 18 full-time employees and 6 contractors. 24
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 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

14.1%

1,667 contractor hours this quarter

Certified Nursing Assistant: 6

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 Assistant186247,77592100%8
Registered Nurse6061,56492100%9.6
Medication Aide/Technician3031,06092100%9.6
Licensed Practical Nurse3037396065%9.3
Nurse Practitioner1013704650%8
Administrator1013534145%8.6
24 Certified Nursing Assistant
% of Days 100%
6 Registered Nurse
% of Days 100%
3 Medication Aide/Technician
% of Days 100%
3 Licensed Practical Nurse
% of Days 65%
1 Nurse Practitioner
% of Days 50%
1 Administrator
% of Days 45%
View All Staffing Data

Penalties and fines

Includes penalties issued in 2024

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)

Total fines amount $21K Rank #35 / 67Federal fines — State benchmarkedThis home is ranked 35th out of 67 homes in South Dakota. Shows this facility's cumulative CMS federal fine dollars versus the South Dakota average among facilities with fines, and where it ranks among 67 facilities in the pool. Lower total dollars mean a better rank.Rankings are based only on facilities in South Dakota 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.
47% lower than State average

State average: $40K

Number of fines 2
In line with State average

State average: 2.0

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
In line with State average

State average: 0.0

Fines amount comparison
Fines amount comparison
This facility $21K
State average $40K
Penalty History

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

1 penalty in the past 3 years

Mar 6, 2024 · $18K

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Mar 6, 2024
$18K

Last updated: Jan 2026

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. 9.6
20% better than State average

State average: 12.0

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 19.9
17% better than State average

State average: 23.9

Long-stay resident measures
Above average State avg: 2.6 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 17.2%
23% better than State average

State average: 22.3%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 18.2%
20% better than State average

State average: 22.8%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 24.2%
9% better than State average

State average: 26.7%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 0.0%
100% better than State average

State average: 5.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 7.4%
65% worse than State average

State average: 4.5%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 9.6%
175% worse than State average

State average: 3.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 5.0%
9% better than State average

State average: 5.5%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 4.7%
14% worse than State average

State average: 4.1%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 22.0%
10% better than State average

State average: 24.4%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 94.3%
In line with State average

State average: 95.7%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.7%
In line with State average

State average: 96.9%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.15
24% better than State average

State average: 1.51

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 0.83
55% better than State average

State average: 1.85

Short-stay resident measures
Above average State avg: 2.6 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 82.2%
In line with State average

State average: 84.4%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than State average

State average: 1.8%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 34.9%
62% worse than State average

State average: 21.5%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 7.9%
32% better than State average

State average: 11.7%

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. 41.4%
23% worse 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. 39.8%
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

61% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

30% of new residents, often for short stays.

Typical stay 6 days

Medicaid

9% of new residents, often for long-term daily care.

Typical stay 4 years

Facility Characteristics

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

Total residents 33
Medicare
1
3% of residents
Medicaid
15
45.5% of residents
Private pay or other
17
51.5% of residents
Programs & Services
Residents Group

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

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

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 10/2023.

For-profit
Corporation
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."
$3.0M
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."
-$335.3K
For-profit Corporation
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."
$3.0M Rank #58 / 63Revenue — State benchmarkedThis home is ranked 58th out of 63 homes in South Dakota. Shows this facility's annual revenue compared to the South Dakota average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in South Dakota 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."
-$335.3K
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.
$32.1K
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 #52 / 63Payroll — State benchmarkedThis home is ranked 52nd out of 63 homes in South Dakota. Shows total annual staff payroll benchmarked to the South Dakota 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 South Dakota 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.
$1.7M 55.8% 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 #1 / 63Payroll % — State benchmarkedThis home is ranked 1st out of 63 homes in South Dakota. Shows payroll as a percentage of revenue versus the South Dakota average. Well-run South Dakota facilities typically land around 64–73% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in South Dakota 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).
$1.7M
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).
$3.3M
How we calculate these figures

This home is administered by Kathy Styles.

This home is owned by Aurora-Brule Nursing Home

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 435132

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 (61% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Admissions
57 total

Coverage residents most often arrive under.

Medicare 61%
Private pay 30%
Medicaid 9%
Discharges
53 total

Coverage residents most often leave under.

Medicare 51%
Private pay 34%
Medicaid 15%

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 Aurora Brule Nursing Home Inc.

Address 0.0 miles from city center Info Estimated distance in miles from White Lake's city center to Aurora Brule Nursing Home Inc.'s address, calculated via Google Maps.

Calculate Travel Distance to Aurora Brule Nursing Home Inc.

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Nursing Home Explorer

Frequently Asked Questions about Aurora Brule Nursing Home Inc.

What neighborhood is Aurora Brule Nursing Home Inc. in?

Aurora Brule Nursing Home Inc. is in the White Lake Township neighborhood of White Lake.

Is Aurora Brule Nursing Home Inc. in a walkable area?

Aurora Brule Nursing Home Inc. has a walk score of 17. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of Aurora Brule Nursing Home Inc.?

According to SD state health department records, Aurora Brule Nursing Home Inc.'s license number is 10709.

What is the occupancy rate at Aurora Brule Nursing Home Inc.?

Aurora Brule Nursing Home Inc.'s occupancy is 62%.

Does Aurora Brule Nursing Home Inc. operate as a for-profit or non-profit?

Aurora Brule Nursing Home Inc. is registered as a for-profit in SD.

Who is the administrator of Aurora Brule Nursing Home Inc.?

Kathy Styles is the administrator of Aurora Brule Nursing Home Inc..

How many beds does Aurora Brule Nursing Home Inc. have?

Aurora Brule Nursing Home Inc. has 50 beds.

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