Total health inspections
1
South Dakota average 4.5
Last Health inspection on Dec 2023
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Estelline Nursing and Care Center
Nursing Home · South Dakota, SD
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.
Estelline Nursing and Care Center
Nursing Home · South Dakota, SD
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.
Estelline Nursing and Care Center accepts Medicare, Medicaid, and private pay.
Estelline Nursing and Care Center is located in Estelline, South Dakota. It provides various medical services and care options for residents. The center is committed to enhancing the quality of life for its 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.
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.
| 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.
| 44m per day | ▼ 8% State avg: 48m 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.
| 19m per day | ▼ 34% 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.
| 2h 10m per day | ▼ 17% State avg: 2h 37m 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.
| 2h 34m per day | ▼ 23% State avg: 3h 19m per day · National avg: 3h 26m 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.
| 25m per day | ▼ 19% State avg: 31m per day · National avg: 28m per day |
Capacity and availability
This home usually has limited availability
Occupancy between 85% and 95% suggests balanced demand.
Occupancy rate
87.1%
Rank #24 / 54Occupancy rate — State benchmarkedThis home is ranked 24th out of 54 homes in South Dakota. Shows this facility's occupancy rate versus the South Dakota average, with its Statewide rank out of 54. 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
1,004 days
Occupancy rate
87.1%
Rank #24 / 54Occupancy rate — State benchmarkedThis home is ranked 24th out of 54 homes in South Dakota. Shows this facility's occupancy rate versus the South Dakota average, with its Statewide rank out of 54. 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
1,004 days
60-bed community Rank #54 / 117Bed count — State benchmarkedThis home is ranked 54th out of 117 homes in South Dakota. Shows this facility's certified or reported bed count compared to other South Dakota SNFs. Larger communities may offer more amenities, programs, and on-site services for residents and families.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: 22 / 100 Rank #108 / 158Walk Score — State benchmarkedThis home is ranked 108th out of 158 homes in South Dakota. Shows how walkable this facility's neighborhood is compared to the average Walk Score across South Dakota 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.
Car-dependent. Most errands require a car, with limited nearby walkable options.
About this community
Facility TypeNursing Home
StatusActive
IssuanceJuly 1, 2025
CountyHamlin
License Number10617
CMS Certification Number435099
Estelline Nursing and Care Center is administrated by Jason Hanssen.
Specific ProgramsMedical services, Sanford Clinic
Health Inspection History
Inspections
Total health citations
1
Rank #1 / 59Health citations — State benchmarkedThis home is ranked 1st out of 59 homes in South Dakota. Shows this facility's total health deficiency citations benchmarked to the South Dakota State average, with a ranking across all 59 SD SNFs. Lower citation counts earn a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
South Dakota average 14.8
Citations per inspection
1
Rank #1 / 59Citations per inspection — State benchmarkedThis home is ranked 1st out of 59 homes in South Dakota. Shows average deficiency citations per CMS inspection for this facility versus the South Dakota mean across 59 SNFs with citation data. Lower is better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
South Dakota average 3.34
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 1 citation resulted from standard inspections.
Breakdown of citation severity (last 3 years)
Critical Health citations
1
233% worse than South Dakota averageSouth Dakota average: 0.3
Serious Health citations
0
100% better than South Dakota averageSouth Dakota average: 1.8
Citations history (last 3 years)
Nutrition critical citation
Dec 14, 2023
Corrected
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Total staff
73
Employees
66
Contractors
7
Staff to resident ratio
1.35:1
30% worse than South Dakota average
Avg staff/day
29
Average shift
7.1 hours
8% worse than South Dakota average
Total staff hours (quarter)
18,953
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
9
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
LPN Staff
5
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.
Certified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
38
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 hoursNo contractors work on this role.
Contractor 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
1.3%
249 contractor hours this quarter
Qualified Social Worker: 1
Physical Therapy Aide: 1
Respiratory Therapy Technician: 1
Physician Assistant: 1
Occupational Therapy Aide: 1
Occupational Therapy Assistant: 1
Medical Director: 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 | 38 | 0 | 38 | 10,193 | 92 | 100% | 7 |
| Registered Nurse | 9 | 0 | 9 | 2,884 | 92 | 100% | 7.4 |
| Licensed Practical Nurse | 5 | 0 | 5 | 1,610 | 87 | 95% | 7.5 |
| Other Dietary Services Staff | 3 | 0 | 3 | 1,188 | 92 | 100% | 7.6 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 910 | 63 | 68% | 8.8 |
| Dietitian | 1 | 0 | 1 | 480 | 66 | 72% | 7.3 |
| Speech Language Pathologist | 1 | 0 | 1 | 478 | 65 | 71% | 7.3 |
| Mental Health Service Worker | 1 | 0 | 1 | 466 | 59 | 64% | 7.9 |
| Administrator | 1 | 0 | 1 | 448 | 56 | 61% | 8 |
| Physician Assistant | 0 | 1 | 1 | 58 | 10 | 11% | 5.8 |
| Respiratory Therapy Technician | 2 | 1 | 3 | 58 | 30 | 33% | 1.9 |
| Physical Therapy Aide | 0 | 1 | 1 | 54 | 28 | 30% | 1.9 |
| Occupational Therapy Aide | 0 | 1 | 1 | 45 | 17 | 18% | 2.6 |
| Medical Director | 0 | 1 | 1 | 25 | 3 | 3% | 8.3 |
| Physical Therapy Assistant | 2 | 0 | 2 | 24 | 21 | 23% | 1 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 18 | 2 | 2% | 9.1 |
| Qualified Social Worker | 1 | 1 | 2 | 14 | 12 | 13% | 1.2 |
38 Certified Nursing Assistant
% of Days
100%
9 Registered Nurse
% of Days
100%
5 Licensed Practical Nurse
% of Days
95%
3 Other Dietary Services Staff
% of Days
100%
2 Clinical Nurse Specialist
% of Days
68%
1 Dietitian
% of Days
72%
1 Speech Language Pathologist
% of Days
71%
1 Mental Health Service Worker
% of Days
64%
1 Administrator
% of Days
61%
1 Physician Assistant
% of Days
11%
3 Respiratory Therapy Technician
% of Days
33%
1 Physical Therapy Aide
% of Days
30%
1 Occupational Therapy Aide
% of Days
18%
1 Medical Director
% of Days
3%
2 Physical Therapy Assistant
% of Days
23%
1 Occupational Therapy Assistant
% of Days
2%
2 Qualified Social Worker
% of Days
13%
Penalties and fines
Includes penalties issued in 2023
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
$17K Rank #28 / 59Federal fines — State benchmarkedThis home is ranked 28th out of 59 homes in South Dakota. Shows this facility's cumulative CMS federal fine dollars versus the South Dakota average among facilities with fines, and where it ranks among 59 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.
58% lower than South Dakota averageSouth Dakota average: $40K
Number of fines
1
51% fewer fines than South Dakota averageSouth Dakota average: 2.0
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 
In line with South Dakota averageSouth Dakota average: 0.0
Fines amount comparison
Fines amount comparison
This facility
$17K
South Dakota average
$40K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Dec 14, 2023 · $17K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 14, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 14, 2023
$17K
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.
7.0
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.0
42% better than South Dakota averageSouth Dakota average: 12.0
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.2
41% better than South Dakota averageSouth Dakota average: 23.9
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
11.9%
Percent of long-stay residents whose need for help with daily activities has increased
11.9%
47% better than South Dakota averageSouth Dakota average: 22.3%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
14.5%
Percent of long-stay residents whose ability to move independently worsened
14.5%
36% better than South Dakota averageSouth Dakota average: 22.8%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
16.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
16.2%
39% better than South Dakota averageSouth Dakota average: 26.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
5.2%
Percent of long-stay residents experiencing one or more falls with major injury
5.2%
In line with South Dakota averageSouth Dakota average: 5.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
0.7%
Percent of long-stay high risk residents with pressure ulcers
0.7%
85% better than South Dakota averageSouth Dakota average: 4.5%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.9%
Percent of long-stay residents with a urinary tract infection
1.9%
45% better than South Dakota averageSouth Dakota average: 3.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
2.6%
Percent of long-stay residents who lose too much weight
2.6%
52% better than South Dakota averageSouth Dakota average: 5.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than South Dakota averageSouth Dakota average: 4.1%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
22.8%
Percent of long-stay residents who received an antipsychotic medication
22.8%
7% better than South Dakota averageSouth Dakota average: 24.4%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
5% better than South Dakota averageSouth Dakota average: 95.7%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with South Dakota averageSouth Dakota average: 96.9%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
0.94
Number of hospitalizations per 1,000 long-stay resident days.
0.94
38% better than South Dakota averageSouth Dakota average: 1.51
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.04
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.04
44% better than South Dakota averageSouth Dakota average: 1.85
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
18% better than South Dakota averageSouth Dakota average: 84.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
3.2%
Percent of short-stay residents who newly received an antipsychotic medication
3.2%
84% worse than South Dakota averageSouth Dakota average: 1.8%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than South Dakota averageSouth Dakota average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
28.0%
Percentage of residents at or above expected ability to care for themselves at discharge.
28.0%
48% worse than South Dakota averageSouth Dakota average: 53.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Breakdown by payment type
Medicare
79% of new residents, usually for short-term rehab.
Typical stay
20 days
Private pay
15% of new residents, often for short stays.
Typical stay
3 - 4 years
Medicaid
7% of new residents, often for long-term daily care.
Typical stay
4 - 5 years
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
54
Medicare
2
3.7% of residents
Medicaid
18
33.3% of residents
Private pay or other
34
63% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Financial Trends
Historical financial and operational data for Estelline Nursing and Care Center based on CMS SNF Cost Reports.
Occupancy Rate
87.1%
↑ 1.8pp vs 2022
Net Income
$492.5K
↑ ~$147.4K vs 2022
Total Payroll
$3.6M
↑ ~$148.5K vs 2022
Profit Margin
10.1%
↑ 2.3pp vs 2022
Finances and operations
Voluntary non-profit community
Home revenue
$5.0M
Surplus of revenue
$492.5K
Voluntary non-profit community
Home revenue
$5.0M Rank #41 / 55Revenue — State benchmarkedThis home is ranked 41st out of 55 homes in South Dakota. Shows this facility's annual revenue compared to the South Dakota 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.
Surplus of revenue
$492.5K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #27 / 55Payroll — State benchmarkedThis home is ranked 27th out of 55 homes in South Dakota. Shows total annual staff payroll benchmarked to the South Dakota average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$3.6M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #27 / 55Payroll — State benchmarkedThis home is ranked 27th out of 55 homes in South Dakota. Shows total annual staff payroll benchmarked to the South Dakota average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.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.
$914.5K
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$4.5M
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near Estelline Nursing and Care Center
0.0 miles from city center
Estimated distance in miles from Estelline's city center to Estelline Nursing and Care Center's address, calculated via Google Maps.
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Financial Assistance for
Nursing Home in South Dakota
Estelline Nursing and Care Center is located in Estelline, South Dakota.
Here are the financial assistance programs available to residents in South Dakota.
Compare Nursing Home around South Dakota
The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.
Filter by care type
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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. | Rapid City | 10 | 87.3% | +9% | 3.82 | -2% | -12% | $32.3k | 11 | 1.6 | 2 | 86 | 16 | - | $8.8M | $4.4M | 50.3% | 435110 | ||||
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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.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
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. | Aberdeen | 81 | - | - | 4.62 | -24% | +6% | $20.6k | 12 | 1.7 | 3 | 77 | 31 | - | - | - | - | 435042 | ||||
| Estelline Nursing and Care 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. | Estelline (Estelline Township) | 60 | 87.1% | +9% | - | +11% | - | $16.8k | 1 | 1.0 | 1 | 55 | 22 | City Of Estelline | $5.0M | $3.6M | 72% | 435099 |
Frequently Asked Questions about Estelline Nursing and Care Center
What neighborhood is Estelline Nursing and Care Center in?
Estelline Nursing and Care Center is in the Estelline Township neighborhood of Estelline.
Is Estelline Nursing and Care Center in a walkable area?
Estelline Nursing and Care Center has a walk score of 22. Car-dependent. Most errands require a car, with limited nearby walkable options.
What is the license number of Estelline Nursing and Care Center?
According to SD state health department records, Estelline Nursing and Care Center's license number is 10617.
Who is the administrator of Estelline Nursing and Care Center?
Jason Hanssen is the administrator of Estelline Nursing and Care Center.
How many beds does Estelline Nursing and Care Center have?
Estelline Nursing and Care Center has 60 beds.
Are there photos of Estelline Nursing and Care Center?
Yes — there is 1 photo of Estelline Nursing and Care Center in the photo gallery on this page.
What is the address of Estelline Nursing and Care Center?
Estelline Nursing and Care Center is located at 205 Fjerestad Ave E.
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