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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.
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 54th out of 203 homes in Pennsylvania 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.
| 43m per day | ▼ 7% State avg: 47m 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.
| 1h 6m per day | ▲ 21% 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 17m per day | ▲ 49% State avg: 2h 12m 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 47m per day | ▲ 35% State avg: 3h 32m per day · National avg: 3h 27m 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.
| 1m per day | ▼ 85% State avg: 6m 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.
| 33m per day | ■ Avg State avg: 33m per day · National avg: 29m per day |
Lower than the Pennsylvania average: 78.7%Brethren Village – Village Manor is legally operated by Brethren Village.
In Pennsylvania, the Department of Human Services (for assisted living facilities) and the Department of Health (for nursing homes) conduct unannounced inspections to verify adherence to state regulations.
A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the Pennsylvania state average. The score below shows how many points this facility sits above or below the typical Pennsylvania nursing home score (the benchmark); higher is better.
17 points above the Pennsylvania average for nursing homes (83/100)
Rank #1 / 460 in Pennsylvania Inspection Score — State benchmarked This home is ranked 1st out of 460 homes in Pennsylvania. Shows this facility's inspection score compared to the Pennsylvania average among 460 comparable communities in the ranking pool. Inspection score: 100 out of 100. Letter grade A+. 17 points above the Pennsylvania average for nursing homes (83/100)
A higher number of waivers may indicate the facility relies on staff who don't fully meet standard credential requirements. A lower number may suggest the facility meets staffing qualification standards without exemptions.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Pennsylvania state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | PA Average | vs. PA Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 11 | 63 | This facility has 83% fewer total citations than a typical Pennsylvania nursing home (11 vs. PA avg 63).↓ 83% better Rank #55 / 482 Total citations — State benchmarked This home is ranked 55th out of 482 homes in Pennsylvania. Shows this facility's total citations compared to the Pennsylvania average among 482 comparable communities in the ranking pool. |
|
Citations per year
Average citations per year since 2021.
| 2.2 | 12.6 | This facility has 83% fewer citations per year than a typical Pennsylvania nursing home (2.2 vs. PA avg 12.6).↓ 83% better |
|
Citations per inspection
Average citations per inspection.
| 2.2 | 5.7 | This facility has 61% fewer citations per inspection than a typical Pennsylvania nursing home (2.2 vs. PA avg 5.7).↓ 61% better Rank #95 / 482 Citations per inspection — State benchmarked This home is ranked 95th out of 482 homes in Pennsylvania. Shows this facility's citations per inspection compared to the Pennsylvania average among 482 comparable communities in the ranking pool. |
Inspections
| This Facility | PA Average | vs. PA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 5 | 11 | This facility has 55% fewer total inspections than a typical Pennsylvania nursing home (5 vs. PA avg 11).↓ 55% better |
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 2 | 8 | This facility has 75% fewer inspections with citations than a typical Pennsylvania nursing home (2 vs. PA avg 8).↓ 75% better |
|
Inspection citation rate
Percentage of inspections that resulted in at least one citation.
| 40% | 73% | This facility has 33 percentage points lower inspection citation rate than a typical Pennsylvania nursing home (40% vs. PA avg 73%).↓ 33% better Rank #38 / 482 Inspection citation rate — State benchmarked This home is ranked 38th out of 482 homes in Pennsylvania. Shows this facility's % of inspections with citations compared to the Pennsylvania average among 482 comparable communities in the ranking pool. |
Complaints & Investigations
| This Facility | PA Average | vs. PA Avg |
|---|---|---|---|
|
Total complaints
Formal expressions of concern made by residents, families, or staff.
| 0 | 4 | This facility has 100% fewer total complaints than a typical Pennsylvania nursing home (0 vs. PA avg 4).↓ 100% better Rank #1 / 482 Total complaints — State benchmarked This home is ranked 1st out of 482 homes in Pennsylvania. Shows this facility's complaint inspections compared to the Pennsylvania average among 482 comparable communities in the ranking pool. |
|
Complaints per year
Average complaints per year since 2021.
| 0 | 0.8 | This facility has 100% fewer complaints per year than a typical Pennsylvania nursing home (0 vs. PA avg 0.8).↓ 100% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Pennsylvania average 6.7
Last Health inspection on Aug 2025
Pennsylvania average 31.3
Pennsylvania average 4.4
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
3 of 8 citations resulted from standard inspections; 4 of 8 resulted from complaint investigations; and 1 of 8 came from combined inspections (standard and complaint).
100% better than Pennsylvania averagePennsylvania average: 0.3
567% worse than Pennsylvania averagePennsylvania average: 0.6
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
50% more staff per resident than Pennsylvania average
0% compared with Pennsylvania average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
30 total: 12 full-time employees and 18 contractors.
30
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursAssists with medical care and medications.
62 total: 24 full-time employees and 38 contractors.
62
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursHelps with daily care and mobility.
160 total: 77 full-time employees and 83 contractors.
160
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
12,935 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 77 | 83 | 160 | 33,904 | 92 | 100% | 7.9 |
| Licensed Practical Nurse | 24 | 38 | 62 | 10,355 | 92 | 100% | 8 |
| Registered Nurse | 12 | 18 | 30 | 5,580 | 92 | 100% | 8 |
| Other Dietary Services Staff | 10 | 0 | 10 | 3,162 | 92 | 100% | 7.3 |
| Clinical Nurse Specialist | 6 | 0 | 6 | 1,395 | 65 | 71% | 7.3 |
| Dental Services Staff | 2 | 0 | 2 | 968 | 63 | 68% | 7.9 |
| RN Director of Nursing | 6 | 0 | 6 | 940 | 63 | 68% | 7.1 |
| Nurse Practitioner | 1 | 0 | 1 | 472 | 59 | 64% | 8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 464 | 58 | 63% | 8 |
| Physical Therapy Aide | 0 | 3 | 3 | 427 | 63 | 68% | 4.7 |
| Administrator | 1 | 0 | 1 | 339 | 57 | 62% | 5.9 |
| Speech Language Pathologist | 0 | 3 | 3 | 337 | 64 | 70% | 4.2 |
| Qualified Social Worker | 0 | 1 | 1 | 281 | 63 | 68% | 4.5 |
| Physical Therapy Assistant | 0 | 2 | 2 | 172 | 60 | 65% | 2.6 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 155 | 59 | 64% | 2.2 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 112 | 23 | 25% | 4.8 |
| Qualified Activities Professional | 0 | 1 | 1 | 27 | 6 | 7% | 4.6 |
| Medical Director | 0 | 1 | 1 | 6 | 11 | 12% | 0.5 |
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)
86% lower than Pennsylvania averagePennsylvania average: $59K
52% fewer fines than Pennsylvania averagePennsylvania average: 2.1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Pennsylvania averagePennsylvania average: 0.2
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
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.
10.1
8% better than Pennsylvania averagePennsylvania average: 11.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
25.1
13% worse than Pennsylvania averagePennsylvania average: 22.2
Percent of long-stay residents whose need for help with daily activities has increased
24.4%
29% worse than Pennsylvania averagePennsylvania average: 19.0%
Percent of long-stay residents whose ability to move independently worsened
20.0%
5% better than Pennsylvania averagePennsylvania average: 21.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
31.0%
16% worse than Pennsylvania averagePennsylvania average: 26.7%
Percent of long-stay residents experiencing one or more falls with major injury
1.9%
40% better than Pennsylvania averagePennsylvania average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
2.4%
56% better than Pennsylvania averagePennsylvania average: 5.5%
Percent of long-stay residents with a urinary tract infection
0.5%
73% better than Pennsylvania averagePennsylvania average: 1.8%
Percent of long-stay residents who lose too much weight
1.9%
72% better than Pennsylvania averagePennsylvania average: 6.6%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Pennsylvania averagePennsylvania average: 5.5%
Percent of long-stay residents who received an antipsychotic medication
20.2%
18% worse than Pennsylvania averagePennsylvania average: 17.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
88.8%
In line with Pennsylvania averagePennsylvania average: 86.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.8%
In line with Pennsylvania averagePennsylvania average: 93.5%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
39.6%
42% worse than Pennsylvania averagePennsylvania average: 68.8%
Percent of short-stay residents who newly received an antipsychotic medication
7.9%
414% worse than Pennsylvania averagePennsylvania average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
80.9%
18% better than Pennsylvania averagePennsylvania average: 68.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
25% of new residents, usually for short-term rehab.
74% of new residents, often for short stays.
1% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
107Part of a Continuing Care Retirement Community offering multiple care levels
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 Brethren Village – Village Manor 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 #15 / 205Payroll — State benchmarkedThis home is ranked 15th out of 205 homes in Pennsylvania. Shows total annual staff payroll benchmarked to the Pennsylvania 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.
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
0.0 miles from city center
Estimated distance in miles from Lititz's city center to Brethren Village – Village Manor's address, calculated via Google Maps.
Add your location
Brethren Village – Village Manor is located in LITITZ, Pennsylvania.
Here are the financial assistance programs available to residents in Pennsylvania.
The information below is reported by the Pennsylvania Department of Human Services and Department of Health.
| Lima Estates |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Media | 60
Facility
60
PA AVG
94
Rank
#399 / 555 |
62.3%
Facility
62.3%
PA AVG
78.7%
Rank
#333 / 514 | -21% | 4.54
Facility
4.54
PA AVG
4.15
Rank
#77 / 203 | +122% | +10% | $0
Facility
$0
PA AVG
$61.2k
Rank
#1 / 206 | - | - | - | - | 5 | A+ |
24
Facility
24
PA AVG
46
Rank
#511 / 668 | - | $22.3M
Facility
$22.3M
PA AVG
$32.8M
Rank
#109 / 205 | $8.7M
Facility
$8.7M
PA AVG
$6.7M
Rank
#130 / 205 | 38.9%
Facility
38.9%
PA AVG
40%
Rank
#162 / 205 | 395492 | ||||
| Homestead Village |
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.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Lancaster (Rohrerstown) | 100
Facility
100
PA AVG
94
Rank
#203 / 555 |
57.0%
Facility
57.0%
PA AVG
78.7%
Rank
#388 / 514 | -28% | 5.33
Facility
5.33
PA AVG
4.15
Rank
#25 / 203 | -23% | +29% | $0
Facility
$0
PA AVG
$61.2k
Rank
#1 / 206 | 91
Facility
91
PA AVG
83
Rank
#112 / 460 | 7
Facility
7
PA AVG
31.3
Rank
#44 / 203 | 3.5
Facility
3.5
PA AVG
4.4
Rank
#93 / 203 | - | 51 | - |
16
Facility
16
PA AVG
46
Rank
#559 / 668 | Douglas Motter | $33.3M
Facility
$33.3M
PA AVG
$32.8M
Rank
#55 / 205 | $13.1M
Facility
$13.1M
PA AVG
$6.7M
Rank
#66 / 205 | 39.3%
Facility
39.3%
PA AVG
40%
Rank
#159 / 205 | 395720 | ||||
| Kirkland Village |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Bethlehem | 64
Facility
64
PA AVG
94
Rank
#383 / 555 |
46.9%
Facility
46.9%
PA AVG
78.7%
Rank
#450 / 514 | -40% | 4.30
Facility
4.30
PA AVG
4.15
Rank
#89 / 203 | +46% | +4% | $21.6k
Facility
$21.6k
PA AVG
$61.2k
Rank
#1 / 206 | 84
Facility
84
PA AVG
83
Rank
#220 / 460 | 8
Facility
8
PA AVG
31.3
Rank
#51 / 203 | 4.0
Facility
4.0
PA AVG
4.4
Rank
#111 / 203 | - | 30 | A+ |
12
Facility
12
PA AVG
46
Rank
#591 / 668 | Presbyterian Homes, Inc. | $29.5M
Facility
$29.5M
PA AVG
$32.8M
Rank
#66 / 205 | $9.2M
Facility
$9.2M
PA AVG
$6.7M
Rank
#119 / 205 | 31.2%
Facility
31.2%
PA AVG
40%
Rank
#190 / 205 | 395916 | ||||
| Buckingham Valley Rehabilitation and Nursing 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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Newtown (Durham Road) | 130
Facility
130
PA AVG
94
Rank
#90 / 555 | - | - | 3.31
Facility
3.31
PA AVG
4.15
Rank
#192 / 203 | -29% | -20% | $0
Facility
$0
PA AVG
$61.2k
Rank
#1 / 206 | - | 10
Facility
10
PA AVG
31.3
Rank
#65 / 203 | 2.0
Facility
2.0
PA AVG
4.4
Rank
#29 / 203 | - | 124 | A+ |
15
Facility
15
PA AVG
46
Rank
#568 / 668 | Bpsh Holdings LLC | $37.5M
Facility
$37.5M
PA AVG
$32.8M
Rank
#42 / 205 | $9.1M
Facility
$9.1M
PA AVG
$6.7M
Rank
#120 / 205 | 24.3%
Facility
24.3%
PA AVG
40%
Rank
#202 / 205 | 395188 | ||||
| Brethren Village – Village Manor |
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. | Lititz | 114
Facility
114
PA AVG
94
Rank
#160 / 555 |
64.9%
Facility
64.9%
PA AVG
78.7%
Rank
#312 / 514 | -18% | 4.84
Facility
4.84
PA AVG
4.15
Rank
#54 / 203 | -15% | +17% | $0
Facility
$0
PA AVG
$61.2k
Rank
#141 / 206 | 100
Facility
100
PA AVG
83
Rank
#1 / 460 | 8
Facility
8
PA AVG
31.3
Rank
#51 / 203 | 2.0
Facility
2.0
PA AVG
4.4
Rank
#29 / 203 | 4 | 74 | - |
91
Facility
91
PA AVG
46
Rank
#28 / 668 | Brethren Village | $63.1M
Facility
$63.1M
PA AVG
$32.8M
Rank
#9 / 205 | $22.1M
Facility
$22.1M
PA AVG
$6.7M
Rank
#15 / 205 | 35%
Facility
35%
PA AVG
40%
Rank
#178 / 205 | 395328 |
The legal owner and operator of Brethren Village – Village Manor is Brethren Village.
Brethren Village – Village Manor has a walk score of 91. Walker's paradise. Daily errands do not require a car, with many shops and services nearby.
According to PA state health department records, Brethren Village – Village Manor's license number is 321750.
According to PA state health department records, Brethren Village – Village Manor's license expires on February 1, 2027.
Brethren Village – Village Manor's occupancy is 65%.
Brethren Village – Village Manor is registered as a non-profit in PA.
Brethren Village – Village Manor has 114 beds.
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