Clarence Nursing Home
Nursing Home, Assisted Living, Independent Living & Skilled Nursing · Clarence, IA
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.

Clarence Nursing Home

Nursing Home, Assisted Living, Independent Living & Skilled Nursing · Clarence, IA
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.
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Clarence Nursing Home accepts Medicare, Medicaid, and private pay.

Overview of Clarence Nursing Home

Clarence Nursing Home manages a 46-bed skilled medical building at 409 Lombard Street in Clarence, Iowa, operating as a core element of the local Clarence Senior Living Campus since 1968. Overseen by Clarence Nursing Home Inc and administrator Jason Tjaden, the facility sustains a 91 percent occupancy rate. Financial processing integrates individual private payments with standard state Medicaid and federal Medicare network credentials. Stays average 292 days, which reflects a steady operational balance between transitional post-hospital physical therapy and permanent clinical housing.

The daily floor plan delivers an average of 4 hours and 2 minutes of direct hands-on care to each individual. Certified nursing assistants, licensed practical nurses, and registered nurses split these 24-hour shift rotations to provide bedside medical assistance and structured physical rehabilitation routines. For community transit, the surrounding rural neighborhood scores a 34 out of 100 for walkability, which means visiting guests and staff members rely on cars to handle most regional errands.

Official compliance documentation indicates that the building functions in substantial compliance with public health regulations and maintains a deficiency rate that tracks favorably against broader Iowa nursing property averages. Local coordinators analyze these regular health evaluation logs to verify internal procedural safety and align staff clinical training protocols with current state operating guidelines.

Interested individuals can call the main desk to verify active room layouts, request information regarding campus physical therapy options, or schedule an afternoon walkthrough of the property.

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 2m per day
Rank #147 / 245Nurse hours — State benchmarkedThis home is ranked 147th out of 245 homes in Iowa for Nurse Hours. Shows adjusted nurse hours per resident per day benchmarked to the Iowa average, with a ranking across 245 Iowa facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa 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
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. 35m 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. 21m 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 22m 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 59m 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. 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. 32m 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.
292 days
Bed community size
46-bed community Rank #273 / 406Bed count — State benchmarkedThis home is ranked 273rd out of 406 homes in Iowa for Bed Count. Shows this facility's certified or reported bed count compared to other Iowa facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa 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: 34 / 100 Rank #341 / 528Walk Score — State benchmarkedThis home is ranked 341st out of 528 homes in Iowa for Walk Score. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Iowa facilities. Higher scores benefit residents, families, and staff.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa 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.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
BBB Rating
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work

About this community

Occupancy

Occupancy rate
91%
Rank #44 / 379Occupancy rate — State benchmarkedThis home is ranked 44th out of 379 homes in Iowa for Occupancy. Shows this facility's occupancy rate versus the Iowa average, with its Statewide rank out of 379. Higher occupancy signals strong local demand and financial stability.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa 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.
Higher than the Iowa average: 75.4%
Occupied beds
42 / 46
Average occupied beds in Iowa homes 51 beds

License Details

Facility TypeFree Standing Nursing Facility / Skilled Nursing Facility
StatusActive
IssuanceApril 27, 1988
ExpirationMarch 6, 2027
CountyCedar
License Number160149
CMS Certification Number165590
Certification TypeFALSE

Ownership & Operating Entity

Clarence Nursing Home is administered by Jason Tjaden.

Staffing

Key information about the people who lead and staff this community.

Leadership

ContactJason Tjaden, CEO (per BBB, record updated Jul 2026)

Therapy & Rehabilitation

1 service
Rehabilitation Services

Contact Information

Fax5634523848

Additional Policies & Features

Pets not allowed

Contact Clarence Nursing Home

Inspection History

In Iowa, the Department of Inspections, Appeals, and Licensing conducts unannounced health and safety surveys to monitor compliance and protect residents in long-term care settings.

Since 2020 · 6 years of data 13 deficiencies 18 inspections

Inspection Scorecard Info This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2020 vs. Iowa state average
Overall vs. IA average 0 Worse No metrics in this bucket. 3 Better Metrics better than Iowa average:
• Total deficiencies (52% below)
• Deficiencies per year (51% below)
• Deficiencies per inspection (61% below)
Latest Inspection November 12, 2025

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityIA Averagevs. IA Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 1327 This facility has 52% fewer total deficiencies than a typical Iowa assisted living residence (13 vs. IA avg 27).↓ 52% better
Deficiencies per year Info Average deficiencies per year since 2020. 2.24.5 This facility has 51% fewer deficiencies per year than a typical Iowa assisted living residence (2.2 vs. IA avg 4.5).↓ 51% better
Deficiencies per inspection Info Average deficiencies per inspection. 0.71.8 This facility has 61% fewer deficiencies per inspection than a typical Iowa assisted living residence (0.7 vs. IA avg 1.8).↓ 61% better

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityIA Averagevs. IA Avg
Total inspections Info Combined count of all routine and focused inspections. Excludes complaint investigations. 1815 This facility has had 20% more total inspections than the Iowa average (18 vs. IA avg 15). More inspections can mean more regulatory scrutiny rather than worse care.↑ 20% more

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 November 12, 2025 found the facility in substantial compliance with an unsubstantiated complaint investigation.
  • The July 9, 2025 annual survey cited one deficiency for failing to complete and sign resident assessments on time for all residents reviewed.
  • The August 19, 2024 inspection found two deficiencies in infection control, including missing Infection Preventionist at QAPI meetings and failure to use PPE during tube feeding.

Health Inspection History

Inspections since 2024
Total health inspections 3

State average N/A


Last Health inspection on Jul 2025

Total health citations
7 Rank #36 / 244Health citations — State benchmarkedThis home is ranked 36th out of 244 homes in Iowa for Health Citations. Shows this facility's total health deficiency citations benchmarked to the Iowa State average, with a ranking across all 244 IA facilities. Lower citation counts earn a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa 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 #44 / 244Citations per inspection — State benchmarkedThis home is ranked 44th out of 244 homes in Iowa for Citations Per Inspection. Shows average deficiency citations per CMS inspection for this facility versus the Iowa mean across 244 facilities with citation data. Lower is better.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa 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 2 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

7 moderate citations State average: N/A

0 minor citations State average: N/A
Citations history (last 2 years)
Care Planning moderate citation Jul 09, 2025
Corrected

Administration moderate citation Aug 22, 2024
Corrected

Infection Control moderate citation Aug 22, 2024
Corrected

Abuse/Neglect moderate citation Jan 04, 2024
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 77
Employees 56
Contractors 21
Staff to resident ratio 1.83 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 26
Average shift 6.7 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 15,946

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 10 RN Staff are full-time employees. No contractors work on this role. 10
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.3 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. 7.2 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 33 CNA Staff are full-time employees. No contractors work on this role. 33
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.4 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

3.9%

626 contractor hours this quarter

Speech Language Pathologist: 7 Respiratory Therapy Technician: 6 Qualified Social Worker: 2 Physical Therapy Assistant: 2 Physical Therapy Aide: 1 Occupational Therapy Assistant: 1 Occupational Therapy Aide: 1 Medical Director: 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 Assistant330339,24692100%7.4
Registered Nurse100101,90592100%8.3
Licensed Practical Nurse3039548188%7.2
Administrator2026165863%7.8
Dietitian2025996874%6.8
Mental Health Service Worker1014645863%8
RN Director of Nursing1014485661%8
Nurse Practitioner1014405560%8
Medication Aide/Technician2023714448%8
Other Dietary Services Staff1012773841%7.3
Respiratory Therapy Technician0662435560%2.7
Physical Therapy Assistant0221435257%2
Speech Language Pathologist0771116267%1.5
Qualified Social Worker022574650%1.2
Physical Therapy Aide011411820%2.3
Occupational Therapy Aide0112133%7
Occupational Therapy Assistant011933%3
Medical Director011222%1
33 Certified Nursing Assistant
% of Days 100%
10 Registered Nurse
% of Days 100%
3 Licensed Practical Nurse
% of Days 88%
2 Administrator
% of Days 63%
2 Dietitian
% of Days 74%
1 Mental Health Service Worker
% of Days 63%
1 RN Director of Nursing
% of Days 61%
1 Nurse Practitioner
% of Days 60%
2 Medication Aide/Technician
% of Days 48%
1 Other Dietary Services Staff
% of Days 41%
6 Respiratory Therapy Technician
% of Days 60%
2 Physical Therapy Assistant
% of Days 57%
7 Speech Language Pathologist
% of Days 67%
2 Qualified Social Worker
% of Days 50%
1 Physical Therapy Aide
% of Days 20%
1 Occupational Therapy Aide
% of Days 3%
1 Occupational Therapy Assistant
% of Days 3%
1 Medical Director
% of Days 2%

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. 10.9
7% worse than State average

State average: 10.2

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 22.6
In line with State average

State average: 21.6

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 26.2%
40% worse than State average

State average: 18.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 17.4%
12% better than State average

State average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 24.3%
8% better than State average

State average: 26.2%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 5.3%
46% worse than State average

State average: 3.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 0.0%
100% better than State average

State average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.6%
77% better than State average

State average: 2.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 5.8%
17% worse than State average

State average: 5.0%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than State average

State average: 3.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 12.3%
35% better than State average

State average: 19.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
6% better than State average

State average: 94.4%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
5% better than State average

State average: 95.3%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 94.4%
11% better than State average

State average: 85.1%

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%

Breakdown by payment type

Medicare

36% of new residents, usually for short-term rehab.

Typical stay 16 days

Private pay

48% of new residents, often for short stays.

Typical stay 1 years

Medicaid

16% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Facility Characteristics

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

Total residents 42
Medicare
2
4.8% of residents
Medicaid
12
28.6% of residents
Private pay or other
28
66.7% of residents
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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

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."
$5.2M
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."
-$32.1K
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."
$5.2M Rank #138 / 246Revenue — State benchmarkedThis home is ranked 138th out of 246 homes in Iowa for Revenue. Shows this facility's annual revenue compared to the Iowa average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa 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."
-$32.1K
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.
$693.8K
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 #137 / 246Payroll — State benchmarkedThis home is ranked 137th out of 246 homes in Iowa for Payroll. Shows total annual staff payroll benchmarked to the Iowa average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa 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.
$3.3M 63.8% 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 #115 / 246Payroll % — State benchmarkedThis home is ranked 115th out of 246 homes in Iowa for Payroll %. Shows payroll as a percentage of revenue versus the Iowa average. Well-run Iowa facilities typically land around 61–69% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa 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).
$1.9M
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).
$5.2M

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

New residents most often arrive under private pay (48% of admissions), and a typical private pay stay runs around 1 years.

Admissions
56 total

Coverage residents most often arrive under.

Medicare 36%
Private pay 48%
Medicaid 16%
Discharges
56 total

Coverage residents most often leave under.

Medicare 41%
Private pay 45%
Medicaid 14%

Places of interest near Clarence Nursing Home

Address 0.0 miles from city center Info Estimated distance in miles from Clarence's city center to Clarence Nursing Home's address, calculated via Google Maps.

Calculate Travel Distance to Clarence Nursing Home

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Address

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The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.

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Frequently Asked Questions about Clarence Nursing Home

Is Clarence Nursing Home in a walkable area?

Clarence Nursing Home has a walk score of 34. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of Clarence Nursing Home?

According to IA state health department records, Clarence Nursing Home's license number is 160149.

When does Clarence Nursing Home's license expire?

According to IA state health department records, Clarence Nursing Home's license expires on March 6, 2027.

What is the occupancy rate at Clarence Nursing Home?

Clarence Nursing Home's occupancy is 91%.

Are pets allowed at Clarence Nursing Home?

No, Clarence Nursing Home has a no-pet policy.

What is the best email address for Clarence Nursing Home?

The team at Clarence Nursing Home can be reached at cnhcla@netins.net.

Does Clarence Nursing Home operate as a for-profit or non-profit?

Clarence Nursing Home is registered as a for-profit in IA.

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