Gold Crest Retirement Center
Nursing Home, Assisted Living, Hospice Care, Memory Care & Skilled Nursing · Adams, NE
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.

Gold Crest Retirement Center

Nursing Home, Assisted Living, Hospice Care, Memory Care & Skilled Nursing · Adams, NE
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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Gold Crest Retirement Center accepts Medicare, Medicaid, and private pay.

Overview of Gold Crest Retirement Center

Jeffrey Fritzen owns and operates Gold Crest Retirement Center, a 35-bed skilled nursing facility in Adams, Nebraska. The billing office handles multiple coverage setups, accepting Medicare, Medicaid, and private pay. For visitors, the surrounding rural neighborhood is car-dependent, meaning family members will rely on a personal vehicle to travel to the property or manage errands.

Residents stay an average of 369 days, reflecting an operational load balanced between long-term residential care and post-acute therapy. The building consistently maximizes its small layout to maintain a stable census. To manage the daily health routine, the nursing department supplies an average of 4 hours and 6 minutes of total care per resident each day, with registered nurses on-site to handle approximately 52 minutes of that daily clinical oversight.

Review files verify that the administration adjusted its operational processes to resolve historical tracking items, yielding zero deficiencies on its most recent renewal applications and keeping the facility’s overall cumulative citations-per-inspection rate at zero.

Prospective representatives will find a facility focused on recovery programs, offering structured rehabilitation services alongside temporary respite stays. The kitchen prepares nutritional daily menus served in a shared community dining room. The daily routine pairs scheduled physical therapy loops and standard personal care support with housekeeping assistance, laundry services, and open visiting times for families.

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 6m per day
Rank #68 / 128Nurse hours — State benchmarkedThis home is ranked 68th out of 128 homes in Nebraska for Nurse Hours. Shows adjusted nurse hours per resident per day benchmarked to the Nebraska average, with a ranking across 128 Nebraska 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 Nebraska 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

2 of 6 metrics below state avg

Standout metric Registered Nurse (RN) is +44% above state 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. 1h 2m per day ▲ 44% State avg: 43m per day · National avg: 41m 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. 19m per day ▼ 57% State avg: 43m per day · National avg: 52m 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. 3h 10m per day ▲ 14% State avg: 2h 46m per day · National avg: 2h 20m 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. 3h 59m per day ▲ 10% State avg: 3h 37m per day · National avg: 3h 26m 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. 0m per day ▼ 100% State avg: 3m per day · National avg: 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. 34m per day ▲ 16% State avg: 29m per day · National avg: 28m 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.
369 days
Bed community size
35-bed community Rank #210 / 228Bed count — State benchmarkedThis home is ranked 210th out of 228 homes in Nebraska for Bed Count. Shows this facility's certified or reported bed count compared to other Nebraska 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 Nebraska 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: 19 / 100 Rank #247 / 296Walk Score — State benchmarkedThis home is ranked 247th out of 296 homes in Nebraska for Walk Score. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Nebraska 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 Nebraska 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.
Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate
100%
Rank #1 / 183Occupancy rate — State benchmarkedThis home is ranked 1st out of 183 homes in Nebraska for Occupancy. Shows this facility's occupancy rate versus the Nebraska average, with its Statewide rank out of 183. 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 Nebraska 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 Nebraska average: 70.3%
Occupied beds
35 / 35
Average occupied beds in Nebraska homes 54 beds

License Details

Facility TypeAssisted Living Facilities
StatusActive
CountyGage
License NumberALF066
CMS Certification Number285065

Ownership & Operating Entity

Gold Crest Retirement Center is administered by Administrator Jennifer Graff.

Owner NameCoffman-Levi Charitable Trust, Inc

Payment & Insurance

1 service
Accept Medicare

Therapy & Rehabilitation

3 services
Rehabilitation Services
Respite Care
Short-Term Rehab

Additional Services

1 service
Short Term Rehabilitation

Contact Information

Fax(402) 988-2087

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Specific ProgramsChildcare, Other Services
Volunteer Program

Contact Gold Crest Retirement Center

Inspection History

In Nebraska, the Department of Health and Human Services, Division of Public Health conducts regular inspections to ensure nursing and assisted living facilities meet state and federal standards.

Since 2010 · 16 years of data 87 deficiencies

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

Since 2010 vs. Nebraska state average
Overall vs. NE average 2 Worse Metrics worse than Nebraska average:
• Total deficiencies (67% above)
• Deficiencies per year (64% above)
0 Better No metrics in this bucket.
Latest Inspection March 25, 2025 Renewal

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

This FacilityNE Averagevs. NE Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 8752 This facility has 67% more total deficiencies than a typical Nebraska assisted living residence (87 vs. NE avg 52).↑ 67% worse
Deficiencies per year Info Average deficiencies per year since 2010. 5.43.3 This facility has 64% more deficiencies per year than a typical Nebraska assisted living residence (5.4 vs. NE avg 3.3).↑ 64% worse

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 March 25, 2025, confirmed Gold Crest Retirement Center met all licensure requirements with no deficiencies or complaints.
  • The February 27, 2019, annual inspection found 18 deficiencies including infection control lapses, unsafe equipment access, inaccurate assessments, and multiple fire safety violations.
  • A December 26, 2017, complaint investigation substantiated resident abuse but no citation was issued due to the facility’s corrective plan.

Health Inspection History

Inspections since 2023
Total health inspections 4

State average N/A


Last Health inspection on Mar 2025

Total health citations
12 Rank #40 / 131Health citations — State benchmarkedThis home is ranked 40th out of 131 homes in Nebraska for Health Citations. Shows this facility's total health deficiency citations benchmarked to the Nebraska State average, with a ranking across all 131 NE 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 Nebraska 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
3 Rank #26 / 131Citations per inspection — State benchmarkedThis home is ranked 26th out of 131 homes in Nebraska for Citations Per Inspection. Shows average deficiency citations per CMS inspection for this facility versus the Nebraska mean across 131 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 Nebraska 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.

11 of 12 citations resulted from standard inspections; and 1 of 12 resulted from complaint investigations.

Breakdown of citation severity (last 3 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

12 moderate citations State average: N/A

0 minor citations State average: N/A
Citations history (last 3 years)
Infection Control moderate citation Mar 12, 2025
Corrected

Pharmacy moderate citation Mar 12, 2025
Corrected

Quality of Care moderate citation Mar 12, 2025
Corrected

Quality of Care moderate citation Apr 02, 2024
Corrected

Staffing Data

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

Total staff 88
Employees 67
Contractors 21
Staff to resident ratio 2.15 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 23
Average shift 7.5 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 15,818

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 8 RN Staff are full-time employees. No contractors work on this role. 8
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.8 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 3 total: 2 full-time employees and 1 contractor. 3
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.3 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 49 total: 32 full-time employees and 17 contractors. 49
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

6.7%

1,059 contractor hours this quarter

Certified Nursing Assistant: 17 Licensed Practical Nurse: 1 Occupational Therapy Aide: 1 Medical Director: 1 Occupational Therapy Assistant: 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 Assistant3217496,85792100%7.4
Medication Aide/Technician140142,63892100%7.4
Registered Nurse8081,9789199%8.8
Other Dietary Services Staff3031,0417582%6.1
Licensed Practical Nurse2139327784%7.3
Clinical Nurse Specialist2027355964%7.3
Administrator1014736368%7.5
Dietitian1014706368%7.5
Nurse Practitioner1013835257%7.4
Mental Health Service Worker1011572022%7.8
Dental Services Staff2021153134%3.6
Occupational Therapy Assistant0111833%6
Occupational Therapy Aide0111844%4.5
Medical Director011633%2
49 Certified Nursing Assistant
% of Days 100%
14 Medication Aide/Technician
% of Days 100%
8 Registered Nurse
% of Days 99%
3 Other Dietary Services Staff
% of Days 82%
3 Licensed Practical Nurse
% of Days 84%
2 Clinical Nurse Specialist
% of Days 64%
1 Administrator
% of Days 68%
1 Dietitian
% of Days 68%
1 Nurse Practitioner
% of Days 57%
1 Mental Health Service Worker
% of Days 22%
2 Dental Services Staff
% of Days 34%
1 Occupational Therapy Assistant
% of Days 3%
1 Occupational Therapy Aide
% of Days 4%
1 Medical Director
% of Days 3%

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. 11.9
5% worse than State average

State average: 11.3

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 25.8
10% worse than State average

State average: 23.3

Long-stay resident measures
Above average State avg: 2.8 Info 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 Info Percent of long-stay residents whose need for help with daily activities has increased 16.8%
19% better than State average

State average: 20.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 25.3%
14% worse than State average

State average: 22.1%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 35.1%
31% worse than State average

State average: 26.9%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 7.1%
57% worse than State average

State average: 4.5%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 3.2%
27% better than State average

State average: 4.3%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 7.2%
134% worse than State average

State average: 3.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 7.2%
33% worse than State average

State average: 5.4%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 5.4%
23% worse than State average

State average: 4.4%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 25.7%
29% worse than State average

State average: 19.8%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 84.6%
9% worse than State average

State average: 93.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95.0%
In line with State average

State average: 96.1%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 0.49
73% better than State average

State average: 1.80

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 0.43
78% better than State average

State average: 1.95

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 74.6%
8% worse than State average

State average: 80.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than State average

State average: 2.4%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 55.0%
9% better than State average

State average: 50.6%

Breakdown by payment type

Medicare

42% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

49% of new residents, often for short stays.

Typical stay 1 years

Medicaid

9% 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 41
Medicare
4
9.8% of residents
Medicaid
18
43.9% of residents
Private pay or other
19
46.3% 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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 06/2024.

Nonprofit
Other Nonprofit
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."
-$858.9K
Nonprofit Other Nonprofit
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 #74 / 129Revenue — State benchmarkedThis home is ranked 74th out of 129 homes in Nebraska for Revenue. Shows this facility's annual revenue compared to the Nebraska 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 Nebraska 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."
-$858.9K
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.
$915.1K
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 #74 / 129Payroll — State benchmarkedThis home is ranked 74th out of 129 homes in Nebraska for Payroll. Shows total annual staff payroll benchmarked to the Nebraska 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 Nebraska 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.
$3.5M 66.3% 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 #75 / 129Payroll % — State benchmarkedThis home is ranked 75th out of 129 homes in Nebraska for Payroll %. Shows payroll as a percentage of revenue versus the Nebraska average. Well-run Nebraska facilities typically land around 66–74% — 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 Nebraska 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).
$2.6M
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).
$6.1M

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 (49% of admissions), and a typical private pay stay runs around 1 years.

Admissions
43 total

Coverage residents most often arrive under.

Medicare 42%
Private pay 49%
Medicaid 9%
Discharges
42 total

Coverage residents most often leave under.

Medicare 26%
Private pay 55%
Medicaid 19%

Places of interest near Gold Crest Retirement Center

Address 0.0 miles from city center Info Estimated distance in miles from Adams's city center to Gold Crest Retirement Center's address, calculated via Google Maps.

Calculate Travel Distance to Gold Crest Retirement Center

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Address

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Frequently Asked Questions about Gold Crest Retirement Center

Who is the owner of Gold Crest Retirement Center?

Gold Crest Retirement Center is legally operated by Coffman-Levi Charitable Trust, Inc, and administered by Administrator Jennifer Graff.

Is Gold Crest Retirement Center in a walkable area?

Gold Crest Retirement Center has a walk score of 19. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of Gold Crest Retirement Center?

According to NE state health department records, Gold Crest Retirement Center's license number is ALF066.

What is the occupancy rate at Gold Crest Retirement Center?

Gold Crest Retirement Center's occupancy is 100%.

Are pets allowed at Gold Crest Retirement Center?

No, Gold Crest Retirement Center has a no-pet policy.

Does Gold Crest Retirement Center operate as a for-profit or non-profit?

Gold Crest Retirement Center is registered as a non-profit in NE.

Who is the administrator of Gold Crest Retirement Center?

Administrator Jennifer Graff is the administrator of Gold Crest Retirement Center.

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