Total staff
75
Employees
73
Contractors
2
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Laramie Health and Rehabilitation
Nursing Home & Assisted Living · Laramie, WY
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Laramie Health and Rehabilitation
Nursing Home & Assisted Living · Laramie, WY
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Laramie Health and Rehabilitation accepts Medicare, Medicaid, and private pay.
Overview of Laramie Health and Rehabilitation
Located at 503 South 18th Street in Laramie, Wyoming, Laramie Health and Rehabilitation operates as a 105-bed nursing facility under private management by Stellar Laramie Management, LLC. The single-story facility, formerly identified as Cottonwood Health & Rehabilitation, provides nursing home and assisted living services. The facility accepts all three major payer types: Medicare (58% of new admissions, averaging 1–2 months), private pay (26%, typically 8–9 months), and Medicaid (16%, often 2 years or longer). Current occupancy reaches 52.9%, considerably below Wyoming’s 69.2% state average, reflecting available admission capacity.
The facility holds a 1-star overall rating, performing 66% below the Wyoming average. Health inspection standing sits 30.5% below state norms. Staffing metrics show 3 hours 42 minutes of total nursing care daily per resident; 18% below the state average and ranking 10th of 13 Wyoming skilled nursing facilities. Quality measure performance drops 68.3% below Wyoming benchmarks. Two federal civil money penalties were issued recently: $36,000 in May 2024 and $8,000 in July 2023.
Walking ability declined in 28% of long-stay residents, 46% worse than the Wyoming average, among the most serious functional metrics. Pressure ulcers developed in 11.8% of high-risk residents, 138% worse than the state typical. Vaccination rates fall substantially short: pneumococcal coverage reached 64.3% and influenza 77.6%, compared to Wyoming standards of approximately 94%.
Short-stay resident measures earned a 1-star rating reflecting below-average outcomes. At discharge, only 47.7% of residents maintained or exceeded expected self-care abilities (11% below the state average).
The facility employs 75 staff, 4 RNs, 10 LPNs, and 37 CNAs, maintaining a 1.56:1 staff-to-resident ratio.
One family review directly stated the facility is “not a kind place” and cautioned that promotional images do not reflect the actual environment.
Altitude Medical Center sits 0.93 miles away.
Laramie Health and Rehabilitation serves Laramie-area residents, accepting nursing care referrals, though substantial quality and outcome concerns warrant thorough evaluation before admission.
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.
Staffing hours breakdown
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.
Total nursing care / resident
This home is ranked 10th out of 13 homes in Wyoming. 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.
This home is ranked 10th out of 13 homes in Wyoming. 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 42m per day
Rank #10 / 13Nurse hours — State benchmarkedThis home is ranked 10th out of 13 homes in Wyoming. Shows adjusted nurse hours per resident per day benchmarked to the Wyoming average, with a ranking across 13 Wyoming SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Wyoming avg
-18%
Standout metric
Physical Therapist is +100% above state avg
| 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.
| 30m per day | ▼ 44% State avg: 54m 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.
| 48m per day | ▲ 66% State avg: 29m 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.
| 1h 50m per day | ▼ 26% State avg: 2h 28m per day · National avg: 2h 21m 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.
| 3h 3m per day | ▼ 8% State avg: 3h 18m per day · National avg: 3h 26m 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.
| 6m per day | ▲ 100% State avg: 3m 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.
| 14m per day | ▼ 62% State avg: 37m per day · National avg: 29m per day |
Capacity and availability
This home usually has availability
Occupancy rate
52.9%
Rank #21 / 24Occupancy rate — State benchmarkedThis home is ranked 21st out of 24 homes in Wyoming. Shows this facility's occupancy rate versus the Wyoming average, with its Statewide rank out of 24. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
137 days
Walk Score: 69 / 100 Rank #8 / 55Walk Score — State benchmarkedThis home is ranked 8th out of 55 homes in Wyoming. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Wyoming SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Staff to resident ratio
1.56:1
0% compared with Wyoming average
Avg staff/day
26
Average shift
7.4 hours
12% worse than Wyoming average
Total staff hours (quarter)
17,776
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
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
All 4 RN Staff are full-time employees. No contractors work on this role.
4
All 4 RN Staff are full-time employees. No contractors work on this role.
4
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursLicensed Practical Nurse
Assists with medical care and medications.
LPN Staff
All 10 LPN Staff are full-time employees. No contractors work on this role.
10
All 10 LPN Staff are full-time employees. No contractors work on this role.
10
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursCertified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
All 37 CNA Staff are full-time employees. No contractors work on this role.
37
All 37 CNA Staff are full-time employees. No contractors work on this role.
37
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7 hoursContractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
0.3%
57 contractor hours this quarter
Occupational Therapy Aide: 1
Occupational Therapy Assistant: 1
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 37 | 0 | 37 | 7,638 | 92 | 100% | 7 |
| Licensed Practical Nurse | 10 | 0 | 10 | 3,099 | 92 | 100% | 8.7 |
| Registered Nurse | 4 | 0 | 4 | 1,500 | 92 | 100% | 8.8 |
| Other Dietary Services Staff | 3 | 0 | 3 | 1,177 | 90 | 98% | 7.7 |
| Medication Aide/Technician | 4 | 0 | 4 | 625 | 58 | 63% | 7.7 |
| Administrator | 2 | 0 | 2 | 528 | 66 | 72% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| RN Director of Nursing | 2 | 0 | 2 | 506 | 55 | 60% | 8.1 |
| Mental Health Service Worker | 1 | 0 | 1 | 485 | 62 | 67% | 7.8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 472 | 59 | 64% | 8 |
| Speech Language Pathologist | 1 | 0 | 1 | 437 | 61 | 66% | 7.2 |
| Respiratory Therapist | 1 | 0 | 1 | 425 | 65 | 71% | 6.5 |
| Physical Therapy Assistant | 3 | 0 | 3 | 159 | 51 | 55% | 2.7 |
| Qualified Social Worker | 1 | 0 | 1 | 120 | 28 | 30% | 4.3 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 39 | 7 | 8% | 5.5 |
| Occupational Therapy Aide | 1 | 1 | 2 | 22 | 13 | 14% | 1.7 |
| Nurse Aide in Training | 1 | 0 | 1 | 18 | 3 | 3% | 5.9 |
37 Certified Nursing Assistant
% of Days
100%
10 Licensed Practical Nurse
% of Days
100%
4 Registered Nurse
% of Days
100%
3 Other Dietary Services Staff
% of Days
98%
4 Medication Aide/Technician
% of Days
63%
2 Administrator
% of Days
72%
1 Nurse Practitioner
% of Days
72%
2 RN Director of Nursing
% of Days
60%
1 Mental Health Service Worker
% of Days
67%
1 Clinical Nurse Specialist
% of Days
64%
1 Speech Language Pathologist
% of Days
66%
1 Respiratory Therapist
% of Days
71%
3 Physical Therapy Assistant
% of Days
55%
1 Qualified Social Worker
% of Days
30%
1 Occupational Therapy Assistant
% of Days
8%
2 Occupational Therapy Aide
% of Days
14%
1 Nurse Aide in Training
% of Days
3%
Penalties and fines
Includes penalties issued in 2023-2024
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
$59K Rank #12 / 13Federal fines — State benchmarkedThis home is ranked 12th out of 13 homes in Wyoming. Shows this facility's cumulative CMS federal fine dollars versus the Wyoming average among facilities with fines, and where it ranks among 13 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
49% higher than Wyoming averageWyoming average: $40K
Number of fines
3
12% more fines than Wyoming averageWyoming average: 2.7
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0 
100% fewer payment denials than Wyoming averageWyoming average: 0.2
Fines amount comparison
Fines amount comparison
This facility
$59K
Wyoming average
$40K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 22, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 22, 2024
$36K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 27, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 27, 2023
$8K
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.7
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.7
26% worse than Wyoming averageWyoming average: 10.9
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.4
18% worse than Wyoming averageWyoming average: 20.8
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
22.7%
Percent of long-stay residents whose need for help with daily activities has increased
22.7%
13% worse than Wyoming averageWyoming average: 20.0%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
28.0%
Percent of long-stay residents whose ability to move independently worsened
28.0%
46% worse than Wyoming averageWyoming average: 19.1%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.6%
In line with Wyoming averageWyoming average: 23.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
1.7%
Percent of long-stay residents experiencing one or more falls with major injury
1.7%
66% better than Wyoming averageWyoming average: 4.9%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
11.8%
Percent of long-stay high risk residents with pressure ulcers
11.8%
138% worse than Wyoming averageWyoming average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
2.3%
Percent of long-stay residents with a urinary tract infection
2.3%
27% better than Wyoming averageWyoming average: 3.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
4.4%
Percent of long-stay residents who lose too much weight
4.4%
33% better than Wyoming averageWyoming average: 6.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
1.4%
Percent of long-stay residents who have depressive symptoms
1.4%
79% better than Wyoming averageWyoming average: 6.4%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
18.3%
Percent of long-stay residents who received an antipsychotic medication
18.3%
20% better than Wyoming averageWyoming average: 22.7%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
64.3%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
64.3%
32% worse than Wyoming averageWyoming average: 94.1%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
77.6%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
77.6%
18% worse than Wyoming averageWyoming average: 94.3%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.06
Number of hospitalizations per 1,000 long-stay resident days.
1.06
18% better than Wyoming averageWyoming average: 1.30
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.46
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.46
33% better than Wyoming averageWyoming average: 2.19
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
49.8%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
49.8%
33% worse than Wyoming averageWyoming average: 74.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
2.4%
Percent of short-stay residents who newly received an antipsychotic medication
2.4%
5% worse than Wyoming averageWyoming average: 2.3%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
60.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
60.0%
22% worse than Wyoming averageWyoming average: 77.0%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
21.6%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
21.6%
In line with Wyoming averageWyoming average: 20.8%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
13.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
13.3%
In line with Wyoming averageWyoming average: 13.7%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
1.1%
Percentage of SNF residents who experience falls with major injury during their stay.
1.1%
40% worse than Wyoming averageWyoming average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
47.7%
Percentage of residents at or above expected ability to care for themselves at discharge.
47.7%
11% worse than Wyoming averageWyoming average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
48.7%
Rate of successful return to home or community from a skilled nursing facility.
48.7%
In line with Wyoming averageWyoming 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
58% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
26% of new residents, often for short stays.
Typical stay
8 - 9 months
Medicaid
16% of new residents, often for long-term daily care.
Typical stay
2 years
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
48
Medicare
6
12.5% of residents
Medicaid
24
50% of residents
Private pay or other
18
37.5% 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.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Financial Trends
Historical financial and operational data for Laramie Health and Rehabilitation based on CMS SNF Cost Reports.
Occupancy Rate
52.9%
↓ 0.7pp vs 2022
Net Income
-$740.3K
↓ ~$200.1K vs 2022
Total Payroll
$4.6M
↑ ~$19.0K vs 2022
Profit Margin
-8.9%
↓ 2.9pp vs 2022
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$8.3M
Operating loss
-$740.3K
Privately-owned community
Operated by a business corporation.
Home revenue
$8.3M Rank #8 / 12Revenue — State benchmarkedThis home is ranked 8th out of 12 homes in Wyoming. Shows this facility's annual revenue compared to the Wyoming SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Operating loss
-$740.3K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #9 / 12Payroll — State benchmarkedThis home is ranked 9th out of 12 homes in Wyoming. Shows total annual staff payroll benchmarked to the Wyoming 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.
$4.6M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #9 / 12Payroll — State benchmarkedThis home is ranked 9th out of 12 homes in Wyoming. Shows total annual staff payroll benchmarked to the Wyoming 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.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.5M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$9.0M
What does this home offer?
Building Type: Single-story
Housekeeping Services
Rehabilitative Support
On-site Medical Care and Health Services
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Laramie Health and Rehabilitation Reviews
Terri
The pictures are certainly not true. Go inside. Not a kind place. There is a reason they are a one-star with Medicare.gov.
Places of interest near Laramie Health and Rehabilitation
1.4 miles from city center
Estimated distance in miles from Laramie's city center to Laramie Health and Rehabilitation's address, calculated via Google Maps.
— 0.93 miles to nearest hospital (Altitude Medical Center)
Calculate Travel Distance to Laramie Health and Rehabilitation
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Financial Assistance for
Nursing Home in Wyoming
Laramie Health and Rehabilitation is located in Laramie, Wyoming.
Here are the financial assistance programs available to residents in Wyoming.
Frequently Asked Questions about Laramie Health and Rehabilitation
Is Laramie Health and Rehabilitation in a walkable area?
Laramie Health and Rehabilitation has a walk score of 69. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Are there photos of Laramie Health and Rehabilitation?
Yes — there are 7 photos of Laramie Health and Rehabilitation in the photo gallery on this page.
What is the phone number of Laramie Health and Rehabilitation?
(307) 742-3728 will put you in contact with the team at Laramie Health and Rehabilitation.
Is Laramie Health and Rehabilitation Medicare or Medicaid certified?
Yes — Laramie Health and Rehabilitation is a CMS-certified provider of Medicare and Medicaid.
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