Show Inspection Reports
Total health inspections
5
Texas average 7.4
Last Health inspection on Nov 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 Hidalgo County
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.
Grand Terrace Rehabilitation and Healthcare
Nursing Home in Hidalgo County
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.
Grand Terrace Rehabilitation and Healthcare
Overview of Grand Terrace Rehabilitation and Healthcare
Enticing seniors with a relaxing environment, Grand Terrace Rehabilitation and Healthcare is an outstanding senior living community located in the serene neighborhood of West Houston Avenue, McAllen, TX, that offers skilled nursing and in-house therapy. With its dedication to seniors’ well-being, the community strives to provide the highest quality of care and support around the clock. Grand Terrace Rehabilitation and Healthcare ensures the utmost comfort and healing of residents with a team of compassionate and highly trained professionals.
Pursue the lifestyle of your dreams while receiving the right assistance for your ever-changing needs. With a wide array of care options offered in the community, residents can ease their minds and do the things they love. Grand Terrace Rehabilitation and Healthcare promotes a lively and inviting environment for seniors to easily adapt into the community and have a smooth healing journey.
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
Smaller home
May offer a more intimate, personalized care environment.
Total beds
93
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
77.3%
Residents per day (avg)
81
Occupancy rate
77.3%
Residents per day (avg)
81
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
22% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
51% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
27% of new residents, often for long-term daily care.
Typical stay
9 months
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$12.2M
Profit
$1.4M
Privately-owned community
Operated by a business corporation.
Home revenue
$12.2M
Profit
$1.4M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.4M
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.
$6.3M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$10.7M
93-bed community
A larger shared setting that may offer more common spaces and organized community services.
35 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score: 76 / 100
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Services
About this community
Facility TypeNursing
IssuanceJanuary 12, 2023
ExpirationJanuary 12, 2026
CountyHIDALGO
License Number311781
Year Opened3/31/1991
Grand Terrace Rehabilitation and Healthcare is administrated by Nefi Guzman.
Management CompanyMCALLEN CARE ASSOCIATES, INC
OwnerFANNIN COUNTY HOSPITAL AUTHORITY
Ownership TypeHOSPITAL DISTRICT/AUTHORITY
Medicaid and Medicare
93 units
Total beds
93 units
Staffing
Key information about the people who lead and staff this community.
Administrator Email
[email protected]
Rehabilitation Services
Skilled Nursing
24-Hour Staffing
Specific ProgramsIn-House Therapy, Skilled Nursing, Stay Active
What does this home offer?
Building Type: Single-story
Transportation Services
Fitness and Recreation
Types of Care at Grand Terrace Rehabilitation and Healthcare
Nursing Home
Skilled Nursing
Respite Care
Inspection History
In Texas, the Health and Human Services Commission (HHSC) is the primary regulatory body that conducts unannounced inspections and publishes quality reports for all long-term care homes.
7 visits/inspections
4 visits/inspections triggered by complaints
1 routine inspections
Results
7 with issues
0 without issues
Latest inspection
Date
December 8, 2025
Complaint Investigation12 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Texas average: 32 deficiencies
Health Inspection History
Inspections
Total health citations
9
Texas average 25.9
Citations per inspection
1.8
Texas average 3.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
6 of 9 citations resulted from standard inspections; 2 of 9 resulted from complaint investigations; and 1 of 9 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Texas averageTexas average: 2
Serious Health citations
0
0
100% better than Texas averageTexas average: 0.4
0 critical citations
0 serious citations
9 moderate citations
0 minor citations
Citations history (last 3 years)
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Nov 20, 2024
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Nov 20, 2024
Corrected
Environmental moderate citation
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Nov 08, 2024
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Nov 08, 2024
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Aug 31, 2023
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Aug 31, 2023
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Aug 31, 2023
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Aug 31, 2023
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 Hidalgo County The information below is reported by the Texas Health and Human Services Commission.
Filter by care type
Grand Terrace Rehabilitation and Healthcare
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).
RC
Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.
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).
Mcallen
93
77.3%
+22%
2.79
-23%
0
9
1.8
0
81
-
76
Mcallen Care Associates, Inc.
$12.2M
$4.4M
36.5%
455586
Alfredo Gonzalez Texas State Veterans Home
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.
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).
RC
Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.
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).
Mcallen
160
95.3%
+50%
3.73
+3%
1
16
3.2
1
152
-
6
Sears Methodist Retirement System, Inc.
$18.9M
$5.8M
30.8%
676063
Hidalgo Nursing and Rehabilitation Center
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.
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).
RC
Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.
Edinburg
126
61.0%
-4%
2.74
-24%
1
17
2.8
1
97
-
29
Regency Ihs Of Hidalgo Llc
$13.4M
$5.3M
39.5%
676346
Mission Valley Nursing and Transitional Care
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.
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).
RC
Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.
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).
Mission
120
96.7%
+52%
3.33
-8%
0
17
2.8
3
116
-
11
Mission Valley Nursing And Transitional Care Llc
$13.3M
$4.8M
36.1%
676446
Village Healthcare and 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).
RC
Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.
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).
Mcallen
112
76.8%
+21%
3.31
-9%
2
16
2.0
3
95
-
66
Mcallen Community Healthcare, Inc.
$17.2M
$5.5M
32.1%
675689
Places of interest near Grand Terrace Rehabilitation and Healthcare
27.0 miles from city center
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
125
Employees
124
Contractors
1
Staff to resident ratio
1.60:1
6% better than Texas averageTexas average ratio: 1.51:1
Avg staff/day
51
Average shift
7.7 hours
5% worse than Texas averageTexas average: 8.1 hours
Total staff hours (quarter)
35,515
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
12
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
13
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 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
36
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
0.1%
45 contractor hours this quarter
Medical Director: 1
Staff by category
| Certified Nursing Assistant | 36 | 0 | 36 | 11,645 | 91 | 100% | 7.3 |
| Licensed Practical Nurse | 13 | 0 | 13 | 3,551 | 91 | 100% | 8.7 |
| Registered Nurse | 12 | 0 | 12 | 3,455 | 91 | 100% | 8.1 |
| Medication Aide/Technician | 7 | 0 | 7 | 2,474 | 91 | 100% | 7.7 |
| Qualified Activities Professional | 7 | 0 | 7 | 2,281 | 91 | 100% | 9.3 |
| Speech Language Pathologist | 8 | 0 | 8 | 2,039 | 65 | 71% | 7.6 |
| Physical Therapy Aide | 7 | 0 | 7 | 1,677 | 65 | 71% | 6.7 |
| RN Director of Nursing | 5 | 0 | 5 | 1,517 | 65 | 71% | 8.9 |
| Qualified Social Worker | 7 | 0 | 7 | 1,323 | 65 | 71% | 6.9 |
| Dental Services Staff | 3 | 0 | 3 | 1,007 | 64 | 70% | 8 |
| Physical Therapy Assistant | 2 | 0 | 2 | 769 | 65 | 71% | 6.8 |
| Nurse Practitioner | 1 | 0 | 1 | 560 | 63 | 69% | 8.9 |
| Dietitian | 1 | 0 | 1 | 516 | 60 | 66% | 8.6 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 497 | 64 | 70% | 5.9 |
| Therapeutic Recreation Specialist | 1 | 0 | 1 | 459 | 60 | 66% | 7.6 |
| Other Dietary Services Staff | 3 | 0 | 3 | 452 | 58 | 64% | 7.6 |
| Administrator | 1 | 0 | 1 | 432 | 54 | 59% | 8 |
| Nurse Aide in Training | 1 | 0 | 1 | 425 | 59 | 65% | 7.2 |
| Clinical Nurse Specialist | 6 | 0 | 6 | 391 | 46 | 51% | 7.4 |
| Medical Director | 0 | 1 | 1 | 45 | 33 | 36% | 1.4 |
36 Certified Nursing Assistant
% of Days
100%
13 Licensed Practical Nurse
% of Days
100%
12 Registered Nurse
% of Days
100%
7 Medication Aide/Technician
% of Days
100%
7 Qualified Activities Professional
% of Days
100%
8 Speech Language Pathologist
% of Days
71%
7 Physical Therapy Aide
% of Days
71%
5 RN Director of Nursing
% of Days
71%
7 Qualified Social Worker
% of Days
71%
3 Dental Services Staff
% of Days
70%
2 Physical Therapy Assistant
% of Days
71%
1 Nurse Practitioner
% of Days
69%
1 Dietitian
% of Days
66%
3 Respiratory Therapy Technician
% of Days
70%
1 Therapeutic Recreation Specialist
% of Days
66%
3 Other Dietary Services Staff
% of Days
64%
1 Administrator
% of Days
59%
1 Nurse Aide in Training
% of Days
65%
6 Clinical Nurse Specialist
% of Days
51%
1 Medical Director
% of Days
36%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
78 residents
Residents by payment source
Medicare
20 residents (25.6%)
Medicaid
57 residents (73.1%)
Private pay or other
1 resident (1.3%)
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.
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.
15.1
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
15.1
75% worse than Texas averageTexas average: 8.6
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
23.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
23.8
49% worse than Texas averageTexas average: 16.0
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
23.1%
Percent of long-stay residents whose need for help with daily activities has increased
23.1%
43% worse than Texas averageTexas average: 16.2%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
30.7%
Percent of long-stay residents whose ability to move independently worsened
30.7%
89% worse than Texas averageTexas average: 16.2%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.8%
14% worse than Texas averageTexas average: 15.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.7%
Percent of long-stay residents experiencing one or more falls with major injury
2.7%
17% better than Texas averageTexas average: 3.2%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.2%
Percent of long-stay high risk residents with pressure ulcers
2.2%
50% better than Texas averageTexas average: 4.4%
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 Texas averageTexas average: 0.8%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
16.7%
Percent of long-stay residents who lose too much weight
16.7%
381% worse than Texas averageTexas average: 3.5%
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 Texas averageTexas average: 2.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
8.3%
Percent of long-stay residents who received an antipsychotic medication
8.3%
5% worse than Texas averageTexas average: 7.9%
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%
In line with Texas averageTexas average: 97.3%
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 Texas averageTexas average: 97.9%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
2.74
Number of hospitalizations per 1,000 long-stay resident days.
2.74
29% worse than Texas averageTexas average: 2.13
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.91
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.91
41% worse than Texas averageTexas average: 2.07
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
100.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
11% better than Texas averageTexas average: 90.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.1%
Percent of short-stay residents who newly received an antipsychotic medication
1.1%
28% better than Texas averageTexas average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
98.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
98.9%
12% better than Texas averageTexas average: 88.0%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
24.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
24.8%
In line with Texas averageTexas average: 25.9%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
17.1%
Percentage of short-stay residents who had an outpatient emergency department visit.
17.1%
43% worse than Texas averageTexas average: 12.0%
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 Texas averageTexas average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
60.9%
Percentage of residents at or above expected ability to care for themselves at discharge.
60.9%
13% better than Texas averageTexas average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
54.3%
Rate of successful return to home or community from a skilled nursing facility.
54.3%
7% better than Texas averageTexas 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 Grand Terrace Rehabilitation and Healthcare based on CMS SNF Cost Reports.
Occupancy Rate
77.3%
↑ 11.9pp vs 2022
Net Income
$1.4M
↑ ~$36.6K vs 2022
Total Payroll
$5.0M
↑ ~$869.0K vs 2022
Profit Margin
11.8%
↓ 2.1pp vs 2022
Loading trend charts...
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