Show Inspection Reports
Total health inspections
3
Florida average 4.3
Last Health inspection on Apr 2024
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.
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Nursing Home in Jacksonville
CMS overall rating
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.
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.
Fountains Rehabilitation at Mill Cove
Nursing Home in Jacksonville
CMS overall rating
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.
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.
Fountains Rehabilitation at Mill Cove
Overview of Fountains Rehabilitation at Mill Cove
Fountains at Mill Cove, situated in Jacksonville, Florida, excels as an exceptional senior living community offering independent living, assisted living, memory care, and skilled nursing services – a complete package for residents seeking peace of mind. Its strategic location ensures a tranquil environment, complemented by secure entrances and exits, along with round-the-clock emergency response services.
The interiors boast light palettes, exuding style and relaxation, creating an inviting atmosphere for residents. Seniors can also engage in a variety of activities, including offsite trips for dining, entertainment, and shopping. This community definitely crafts a lifestyle where residents’ golden years are filled with enriching experiences and a sense of belonging.
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
High-capacity home
May provide extensive amenities, services and programs.
Total beds
221
This home is often near full
That suggests steady demand, but availability may be limited.
Occupancy rate
95.5%
Residents per day (avg)
77
Occupancy rate
95.5%
Residents per day (avg)
77
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
49% of new residents, usually for short-term rehab.
Typical stay
21 days
Private pay
50% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
1% of new residents, often for long-term daily care.
Typical stay
5 years
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$21.1M
Profit
$191.3K
Privately-owned community
Operated by a business corporation.
Home revenue
$21.1M
Profit
$191.3K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$9.0M
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.
$11.9M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$20.9M
221-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: 44 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
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
How BBB ratings work
Payment Types
About this community
Facility TypeAssisted Living Facility
StatusLicensed
IssuanceSeptember 1, 2024
ExpirationAugust 31, 2026
CountyDuval
License Number7109
Accreditations5-Star Rated Nursing Home by CMS
Fountains Rehabilitation at Mill Cove is legally operated by Atrium Alf Operating Llc, and administrated by Russell Theodore Ward.
Profit StatusFor-Profit
Staffing
Key information about the people who lead and staff this community.
English
Spanish
Rehabilitation Services
Respite Care
Short-Term Rehab
Skilled Nursing
24-Hour Staffing
Continuing Care Retirement Community (CCRC)
Specific ProgramsAssisted & Independent Living, Memory Care, Skilled Nursing, Amenities, Independent & Assisted Living Amenities, Memory Care Amenities, Skilled Nursing Amenities, Floors Plans, Careers, About Us, Gallery, Contact Us, Book a Tour
Activities in this home
- Arts and Crafts
- Cooking Classes
- Dancing
- Exercise Classes
- Games & Cards
- Gardening
- Music Programs
- Shopping
- Social Events & Outings
- Theater & Movies
What does this home offer?
Minimum Age: 62
Pets Allowed: Yes, Pets Allowed
Types of Care at Fountains Rehabilitation at Mill Cove
Assisted Living
Independent Living
Memory Care
Nursing Home
Inspection History
In Florida, the Agency for Health Care Administration (AHCA) is the primary authority that conducts unannounced inspections and completes official health quality reports for all healthcare facilities.
35 visits/inspections
Results
22 with citations
13 without citations
Florida average: 16 inspections with citations
Latest inspection
Date
September 19, 2024
Routine31 total citations
Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.
Florida average: 33 citations
25 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Florida average: 19 deficiencies
3 fines
Florida average: 5 fines
Total amount fined: $2,000.00
Florida average: $11,623.53
3 Legal actions
Florida average: 3 legal actions
May 15, 2023: Fine resulted from BGS Rapback.
A fine of $500.00 was formally imposed on August 8, 2023.
June 8, 2017: Fine resulted from Survey.
A fine of $1,000.00 was formally imposed on November 27, 2018.
Inspection Report Summary for Fountains Rehabilitation at Mill Cove
The most recent inspection on September 19, 2024, found no deficiencies. Earlier inspections showed a mix of deficiency findings, including issues related primarily to staffing standards, medication management, and staff records. Complaint investigations did not result in substantiated findings, and no fines or enforcement actions were listed in the available reports. Prior reports included some Class 3 and Class 4 deficiencies but no license suspensions or fines were noted. The overall trend suggests improvement, with the latest inspection showing no cited deficiencies after past issues were addressed.
Health Inspection History
Inspections
Total health citations
8
Florida average 19.7
Citations per inspection
2.67
Florida average 4.48
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 8 citations resulted from standard inspections.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Florida averageFlorida average: 0.8
Serious Health citations
0
0
100% better than Florida averageFlorida average: 0.4
0 critical citations
0 serious citations
8 moderate citations
0 minor citations
Citations history (last 3 years)
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Apr 11, 2024
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Apr 11, 2024
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Apr 11, 2024
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Apr 11, 2024
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Apr 28, 2022
Issues related to medication management, including how drugs are stored, administered, and monitored.
Apr 28, 2022
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 28, 2022
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Apr 28, 2022
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 Jacksonville The information below is reported by the Florida Agency for Health Care Administration (AHCA).
Filter by care type
River Garden Senior Services
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.
Jacksonville (Del Rio)
180
89.2%
+6%
5.45
+35%
0
2
2.0
0
159
-
13
River Garden Hebrew Home For The Aged
$34.6M
$13.7M
39.6%
105016
Fountains Rehabilitation at Mill Cove
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
Jacksonville (Regency)
84
95.5%
+13%
3.81
-6%
0
8
2.7
0
77
A-
44
Atrium Snf Holdings Llc
$21.1M
$9.0M
42.7%
105927
Cathedral Care
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.
Jacksonville (Downtown)
120
63.8%
-24%
3.75
-7%
0
16
4.0
0
103
-
88
Ashley Street Snf Intermediary Holdings Llc
$2.3M
$1.3M
56.7%
105834
Signature HealthCARE of Jacksonville
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.
Jacksonville (Southwest)
180
72.6%
-14%
4.31
+7%
1
12
3.0
4
172
-
55
Jacksonville Rehabilitation And Nursing Member Llc
$15.4M
$6.4M
41.5%
105287
Bartram Crossing Skilled Nursing – Brooks Rehabilitation
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.
Jacksonville (Southside)
-
-
-
-
-
0
0
0.0
0
-
-
21
-
-
-
-
-
Living Spaces & Floor Plans
Studio Apartment – St. Johns
1 Bedroom – Amelia
2 Bedroom – Vilano
Studio – Brooklyn
1 Bedroom – San Marco
Places of interest near Fountains Rehabilitation at Mill Cove
7.0 miles from city center — 4.46 miles to nearest hospital (Publix Pharmacy at Deerwood Lake Commons)
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
120
Employees
117
Contractors
3
Staff to resident ratio
1.52:1
0% compared with Florida averageFlorida average ratio: 1.52:1
Avg staff/day
48
Average shift
7.9 hours
0% compared with Florida averageFlorida average: 7.9 hours
Total staff hours (quarter)
34,480
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
10
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
18
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
64
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
4.3%
1,499 contractor hours this quarter
Registered Nurse: 2
Certified Nursing Assistant: 1
Staff by category
| Certified Nursing Assistant | 63 | 1 | 64 | 16,081 | 91 | 100% | 8 |
| Licensed Practical Nurse | 18 | 0 | 18 | 6,012 | 91 | 100% | 8.5 |
| Registered Nurse | 8 | 2 | 10 | 3,741 | 91 | 100% | 9.1 |
| Speech Language Pathologist | 5 | 0 | 5 | 1,284 | 77 | 85% | 7.1 |
| Dietitian | 3 | 0 | 3 | 1,138 | 86 | 95% | 6.6 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 993 | 64 | 70% | 8 |
| Dental Services Staff | 2 | 0 | 2 | 941 | 66 | 73% | 7.7 |
| RN Director of Nursing | 2 | 0 | 2 | 904 | 64 | 70% | 8 |
| Respiratory Therapist | 3 | 0 | 3 | 882 | 73 | 80% | 6.6 |
| Physical Therapy Assistant | 2 | 0 | 2 | 657 | 77 | 85% | 6 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 480 | 69 | 76% | 7 |
| Administrator | 1 | 0 | 1 | 472 | 59 | 65% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 410 | 55 | 60% | 7.5 |
| Occupational Therapy Aide | 1 | 0 | 1 | 262 | 74 | 81% | 3.5 |
| Qualified Social Worker | 3 | 0 | 3 | 224 | 52 | 57% | 3.9 |
64 Certified Nursing Assistant
% of Days
100%
18 Licensed Practical Nurse
% of Days
100%
10 Registered Nurse
% of Days
100%
5 Speech Language Pathologist
% of Days
85%
3 Dietitian
% of Days
95%
2 Clinical Nurse Specialist
% of Days
70%
2 Dental Services Staff
% of Days
73%
2 RN Director of Nursing
% of Days
70%
3 Respiratory Therapist
% of Days
80%
2 Physical Therapy Assistant
% of Days
85%
3 Respiratory Therapy Technician
% of Days
76%
1 Administrator
% of Days
65%
1 Nurse Practitioner
% of Days
60%
1 Occupational Therapy Aide
% of Days
81%
3 Qualified Social Worker
% of Days
57%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
79 residents
Residents by payment source
Medicare
35 residents (44.3%)
Medicaid
38 residents (48.1%)
Private pay or other
6 residents (7.6%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
CCRC
Part of a Continuing Care Retirement Community offering multiple care levels
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.
7.2
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.2
In line with Florida averageFlorida average: 7.4
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.2
47% worse than Florida averageFlorida average: 12.4
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
11.1%
Percent of long-stay residents whose need for help with daily activities has increased
11.1%
6% worse than Florida averageFlorida average: 10.5%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
11.3%
Percent of long-stay residents whose ability to move independently worsened
11.3%
13% better than Florida averageFlorida average: 12.9%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
32.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
32.3%
138% worse than Florida averageFlorida average: 13.5%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than Florida averageFlorida average: 2.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
4.5%
Percent of long-stay high risk residents with pressure ulcers
4.5%
16% better than Florida averageFlorida average: 5.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Florida averageFlorida average: 0.9%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
9.0%
Percent of long-stay residents who lose too much weight
9.0%
51% worse than Florida averageFlorida average: 6.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
6.0%
Percent of long-stay residents who have depressive symptoms
6.0%
78% worse than Florida averageFlorida average: 3.3%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
0.7%
Percent of long-stay residents who received an antipsychotic medication
0.7%
92% better than Florida averageFlorida average: 8.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.4%
In line with Florida averageFlorida average: 97.7%
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 Florida averageFlorida average: 99.2%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
2.91
Number of hospitalizations per 1,000 long-stay resident days.
2.91
39% worse than Florida averageFlorida average: 2.10
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.02
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.02
71% worse than Florida averageFlorida average: 1.18
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
97.6%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.6%
In line with Florida averageFlorida average: 94.0%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.3%
Percent of short-stay residents who newly received an antipsychotic medication
1.3%
16% better than Florida averageFlorida average: 1.5%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
92.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
92.9%
In line with Florida averageFlorida average: 94.7%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
28.5%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
28.5%
9% worse than Florida averageFlorida average: 26.2%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
7.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
7.9%
15% better than Florida averageFlorida average: 9.3%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.6%
Percentage of SNF residents who experience falls with major injury during their stay.
0.6%
27% better than Florida averageFlorida average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
51.2%
Percentage of residents at or above expected ability to care for themselves at discharge.
51.2%
5% worse than Florida averageFlorida average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
56.4%
Rate of successful return to home or community from a skilled nursing facility.
56.4%
12% better than Florida averageFlorida average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Fountains Rehabilitation at Mill Cove based on CMS SNF Cost Reports.
Occupancy Rate
95.5%
↑ 3.1pp vs 2022
Net Income
$191.3K
↑ ~$413.0K vs 2022
Total Payroll
$10.1M
↑ ~$1.0M vs 2022
Profit Margin
0.9%
↑ 2.0pp vs 2022
Loading trend charts...
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