Occupancy rate
79%
In line with Delaware averageMostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
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Nursing Home
Cadia Rehabilitation Pike Creek
Overview of Cadia Rehabilitation Pike Creek
For over two decades, Cadia Healthcare has been dedicated to serving the residents of Delaware, Maryland, and neighboring Pennsylvania communities by providing exceptional rehabilitation, skilled nursing, and long-term care services.
As one of Delmarva’s leading rehabilitation and skilled nursing providers, Cadia Healthcare operates 10 state-of-the-art facilities, boasting a total of 1200+ in-patient beds. Committed to comprehensive care, select locations also offer on-site dialysis and out-patient therapy services, ensuring the well-being and convenience of their valued residents.
Quality ratings
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
Nurse Aide
Nurse aide hours per resident per day.
Nurse aide hours per resident per day.
Total Nursing (Weekend)
Total number of nurse staff hours per resident per day on weekends.
Total number of nurse staff hours per resident per day on weekends.
Physical Therapist
Physical therapist staff hours per resident per day.
Physical therapist staff hours per resident per day.
RN (Weekend)
Registered nurse hours per resident per day on weekends.
Registered nurse hours per resident per day on weekends.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
177
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
78.5%
Residents per day (avg)
145
Occupancy rate
78.5%
Residents per day (avg)
145
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
67% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
11% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
22% of new residents, often for long-term daily care.
Typical stay
3 - 4 months
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$33.6M
Profit
$3.2M
Privately-owned community
Operated by a business corporation.
Home revenue
$33,596,202.00
Profit
$3,232,655.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$11.1M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$19.2M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$30.4M
177-bed community
A large-scale community that may provide a wide range of amenities, services, and structured programs.
1 year in operation
A newer community that may feature more recent facilities and programs.
Walk Score: 49 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
About this community
Occupancy
In line with Delaware averageOccupied beds
139 / 177
Average residents
86 per day
License details
Facility type
Nursing Home
Status
Active
Issuance
January 6, 2025
Expiration
May 31, 2026
Additional licensing details
License number:
2348
Ownership & operating entity
Cadia Rehabilitation Pike Creek is administrated by Brandi Wilson.
Staffing
Key information about the people who lead and staff this community.
Leadership
Director of Nursing:
Michelle Amore
Director of Nursing email:
[email protected]
Administrator email:
[email protected]
Care Services
Nursing Services
Rehabilitation Services
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Amenities & Lifestyle
Programs & Activities
Activities
Resident-centered activity programs every day to keep residents socially engaged while having fun.
Specific Programs
Rehabilitation Program, Pulmonary Program, Nursing Program, Dietary Program, Activities Program, Care Transitions/Discharge Program
Dining & Nutrition
Food Description
Chef inspired nutritious entrees made from fresh and seasonal ingredients; restaurant-style dining with multiple options.
Inspection History
In Delaware, the Department of Health and Social Services, Division of Health Care Quality is responsible for the oversight, unannounced inspection, and licensing of all long-term care settings.
13 visits/inspections
Show Inspection Reports
Latest inspection
Date:June 17, 2025
Type:Follow Up
90 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Inspection Report Summary for Cadia Rehabilitation Pike Creek
The most recent inspection on June 17, 2025 found the facility in substantial compliance with no deficiencies identified. Earlier inspections showed a pattern of deficiencies related primarily to resident care, including medication administration, post-fall assessments, abuse investigations, and quality of care, as well as issues with visitation rights, safe environment, and food service. Several complaint investigations were substantiated, particularly concerning care planning, timely notifications, and infection control, but no fines, immediate jeopardy findings, or license actions were listed in the available reports. Most complaints were substantiated, with notable concerns about delayed fall reporting and inadequate abuse investigations. The facility’s recent clean inspection suggests improvement following a period of multiple citations over the past two years.
Health Inspection History
Inspections
Total health inspections
6
Delaware average 4.4
Last Health inspection on Apr 2025
Total health citations
53
Delaware average 38.9
Citations per inspection
8.83
Delaware average 8.72
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
36 of 53 citations resulted from standard inspections; 16 of 53 resulted from complaint investigations; and 1 of 53 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
4
4
344% worse than Delaware averageDelaware average: 0.9
Serious Health citations
2
2
67% worse than Delaware averageDelaware average: 1.2
4 critical citations
2 serious citations
47 moderate citations
0 minor citations
Citations history (last 3 years)
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Apr 18, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Apr 18, 2025
Corrected
Quality of Care critical citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Apr 18, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Apr 18, 2025
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Apr 18, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Apr 18, 2025
Corrected
Quality of Care serious citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Apr 18, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Apr 18, 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.
Compare Nursing Homes around Newark The information below is reported by the Delaware Department of Health and Social Services, Division of Health Care Quality.
Complete Care at Brackenville
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.
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).
Hockessin
104
92.7%
+15%
3.53
-24%
1
40
2
97
6
$15,9M
$4,2M
26.4%
85042
Cadia Rehabilitation Pike Creek
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.
Wilmington
177
81.1%
+1%
3.02
-35%
4
53
6
145
49
$33,6M
$11,1M
33.2%
85054
Excelcare at Newark LLC
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.
Newark
101
-
-
-
-
0
0
0
-
-
-
-
-
-
ProMedica Skilled Nursing And Rehabilitation
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.
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).
Newark
138
-
-
-
-
0
0
0
-
43
-
-
-
-
Places of interest near Cadia Rehabilitation Pike Creek
8.1 miles from city center — 4.88 miles to nearest hospital (VA Medical Center- Wilmington)
3540 Three Little Bakers Blvd, Wilmington, DE 19808
Calculate Travel Distance to Cadia Rehabilitation Pike Creek
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
286
Employees
265
Contractors
21
Staff to resident ratio
1.81:1
13% better than Delaware averageDelaware average ratio: 1.61:1
Avg staff/day
107
Average shift
7.9 hours
0% compared with Delaware averageDelaware average: 7.6 hours
Total staff hours (quarter)
76,969
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
22
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
55
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
112
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
3.3%
2,548 contractor hours this quarter
Licensed Practical Nurse: 9
Registered Nurse: 5
Clinical Nurse Specialist: 2
Qualified Social Worker: 1
Respiratory Therapy Technician: 1
Occupational Therapy Assistant: 1
Medical Director: 1
Administrator: 1
Staff by category
| Certified Nursing Assistant | 112 | 0 | 112 | 30,360 | 91 | 100% | 7.5 |
| Licensed Practical Nurse | 46 | 9 | 55 | 17,225 | 91 | 100% | 8.1 |
| Qualified Activities Professional | 20 | 0 | 20 | 7,208 | 91 | 100% | 9.4 |
| Registered Nurse | 17 | 5 | 22 | 4,638 | 91 | 100% | 8.2 |
| Clinical Nurse Specialist | 9 | 2 | 11 | 3,253 | 81 | 89% | 8.3 |
| Physical Therapy Aide | 8 | 0 | 8 | 2,582 | 65 | 71% | 7.6 |
| Speech Language Pathologist | 11 | 0 | 11 | 2,143 | 81 | 89% | 7.4 |
| Physical Therapy Assistant | 7 | 0 | 7 | 1,769 | 79 | 87% | 7.7 |
| Respiratory Therapy Technician | 8 | 1 | 9 | 1,766 | 78 | 86% | 7.3 |
| RN Director of Nursing | 7 | 0 | 7 | 1,749 | 73 | 80% | 8.4 |
| Mental Health Service Worker | 2 | 0 | 2 | 815 | 63 | 69% | 8 |
| Qualified Social Worker | 7 | 1 | 8 | 727 | 66 | 73% | 7.1 |
| Other Dietary Services Staff | 5 | 0 | 5 | 659 | 66 | 73% | 7.7 |
| Occupational Therapy Aide | 4 | 0 | 4 | 512 | 68 | 75% | 5.6 |
| Nurse Practitioner | 1 | 0 | 1 | 496 | 62 | 68% | 8 |
| Administrator | 0 | 1 | 1 | 480 | 60 | 66% | 8 |
| Dietitian | 1 | 0 | 1 | 445 | 56 | 62% | 7.9 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 84 | 27 | 30% | 3.1 |
| Medical Director | 0 | 1 | 1 | 60 | 12 | 13% | 5 |
112 Certified Nursing Assistant
% of Days
100%
55 Licensed Practical Nurse
% of Days
100%
20 Qualified Activities Professional
% of Days
100%
22 Registered Nurse
% of Days
100%
11 Clinical Nurse Specialist
% of Days
89%
8 Physical Therapy Aide
% of Days
71%
11 Speech Language Pathologist
% of Days
89%
7 Physical Therapy Assistant
% of Days
87%
9 Respiratory Therapy Technician
% of Days
86%
7 RN Director of Nursing
% of Days
80%
2 Mental Health Service Worker
% of Days
69%
8 Qualified Social Worker
% of Days
73%
5 Other Dietary Services Staff
% of Days
73%
4 Occupational Therapy Aide
% of Days
75%
1 Nurse Practitioner
% of Days
68%
1 Administrator
% of Days
66%
1 Dietitian
% of Days
62%
1 Occupational Therapy Assistant
% of Days
30%
1 Medical Director
% of Days
13%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
158 residents
Residents by payment source
Medicare
52 residents (32.9%)
Medicaid
84 residents (53.2%)
Private pay or other
22 residents (13.9%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
5.1
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
5.1
47% better than Delaware averageDelaware average: 9.6
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
6.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
6.9
64% better than Delaware averageDelaware average: 19.0
Long-stay resident measures
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
Percent of long-stay residents whose need for help with daily activities has increased
7.3%
Percent of long-stay residents whose need for help with daily activities has increased
7.3%
53% better than Delaware averageDelaware average: 15.4%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
6.8%
Percent of long-stay residents whose ability to move independently worsened
6.8%
66% better than Delaware averageDelaware average: 19.8%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
6.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
6.7%
70% better than Delaware averageDelaware average: 22.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
1.5%
Percent of long-stay residents experiencing one or more falls with major injury
1.5%
51% better than Delaware averageDelaware average: 3.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
8.4%
Percent of long-stay high risk residents with pressure ulcers
8.4%
88% worse than Delaware averageDelaware average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.5%
Percent of long-stay residents with a urinary tract infection
1.5%
31% better than Delaware averageDelaware average: 2.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
1.5%
Percent of long-stay residents who lose too much weight
1.5%
73% better than Delaware averageDelaware average: 5.8%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
2.3%
Percent of long-stay residents who have depressive symptoms
2.3%
62% better than Delaware averageDelaware average: 6.0%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
1.5%
Percent of long-stay residents who received an antipsychotic medication
1.5%
86% better than Delaware averageDelaware average: 11.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.8%
5% better than Delaware averageDelaware average: 95.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.5%
In line with Delaware averageDelaware average: 97.4%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.63
Number of hospitalizations per 1,000 long-stay resident days.
1.63
11% better than Delaware averageDelaware average: 1.83
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.95
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.95
31% better than Delaware averageDelaware average: 1.37
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.9%
19% better than Delaware averageDelaware average: 82.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.4%
61% better than Delaware averageDelaware average: 0.9%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
92.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
92.2%
11% better than Delaware averageDelaware average: 83.1%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
19.5%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
19.5%
9% better than Delaware averageDelaware average: 21.5%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
7.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
7.2%
36% better than Delaware averageDelaware average: 11.2%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
1.0%
Percentage of SNF residents who experience falls with major injury during their stay.
1.0%
26% worse than Delaware averageDelaware average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
79.2%
Percentage of residents at or above expected ability to care for themselves at discharge.
79.2%
48% better than Delaware averageDelaware average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
67.5%
Rate of successful return to home or community from a skilled nursing facility.
67.5%
33% better than Delaware averageDelaware average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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 (Data as of Jan 2026)
Total fines amount
$181K
85% higher than Delaware averageDelaware average: $98K
Number of fines
4
114% more fines than Delaware averageDelaware average: 1.9
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
329% more payment denials than Delaware averageDelaware average: 0.2
Fines amount comparison
Fines amount comparison
This facility
$181K
Delaware average
$98K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 18, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 18, 2025
$51K
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Apr 18, 2025
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Apr 18, 2025
5 days
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 17, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 17, 2023
$13K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 17, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 17, 2023
$13K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Cadia Rehabilitation Pike Creek based on CMS SNF Cost Reports.
Occupancy Rate
81.1%
↓ 2.8pp vs 2022
Net Income
$3,232,655
↑ ~$401K vs 2022
Total Payroll
$15,055,216
↑ ~$3.4M vs 2022
Profit Margin
9.6%
↓ 1.5pp vs 2022
Loading trend charts...
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