Green Hill
Nursing Home & Assisted Living · West Orange, NJ
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.

Green Hill

Nursing Home & Assisted Living · West Orange, NJ
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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Green Hill accepts Medicare, Medicaid, and private pay.

Inspection History

In New Jersey, the Department of Health, Health Facilities Evaluation and Licensing conducts mandatory unannounced surveys to ensure facilities provide safe and effective resident care.

Since 2021 · 5 years of data 30 deficiencies 12 inspections

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

Since 2021 vs. New Jersey state average
Overall vs. NJ average 4 Worse Metrics worse than New Jersey average:
• Total deficiencies (67% above)
• Deficiencies per year (67% above)
• Deficiencies per inspection (25% above)
• Total inspections (33% above)
0 Better No metrics in this bucket.
Latest Inspection November 19, 2025

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

This FacilityNJ Averagevs. NJ Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 3018 This facility has 67% more total deficiencies than a typical New Jersey nursing home (30 vs. NJ avg 18).↑ 67% worse
Deficiencies per year Info Average deficiencies per year since 2021. 63.6 This facility has 67% more deficiencies per year than a typical New Jersey nursing home (6 vs. NJ avg 3.6).↑ 67% worse
Deficiencies per inspection Info Average deficiencies per inspection. 2.52 This facility has 25% more deficiencies per inspection than a typical New Jersey nursing home (2.5 vs. NJ avg 2).↑ 25% worse

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityNJ Averagevs. NJ Avg
Total inspections Info Combined count of all routine and focused inspections. Excludes complaint investigations. 129 This facility has 33% more total inspections than a typical New Jersey nursing home (12 vs. NJ avg 9).↑ 33% 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 February 24, 2025 cited 17 deficiencies but documented corrective actions with plans mostly due by March 24, 2025.
  • Deficiencies in February 2025 included medication errors, life safety code violations, staffing shortages, and failure to complete timely and accurate Minimum Data Set assessments.
  • Prior inspections from 2021 to 2024 showed recurring issues with medication administration, fire safety maintenance, and care planning, indicating a consistent pattern of compliance challenges.

Health Inspection History

Inspections since 2021
Total health inspections 4

New Jersey average 4


Last Health inspection on Oct 2025

Total health citations
25 Rank #201 / 296Health citations — State benchmarkedThis home is ranked 201st out of 296 homes in New Jersey. Shows this facility's total health deficiency citations benchmarked to the New Jersey State average, with a ranking across all 296 NJ facilities. Lower citation counts earn a better rank.Rankings are based only on facilities in New Jersey 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.

New Jersey average 20.9

Citations per inspection
6.25 Rank #210 / 296Citations per inspection — State benchmarkedThis home is ranked 210th out of 296 homes in New Jersey. Shows average deficiency citations per CMS inspection for this facility versus the New Jersey mean across 296 facilities with citation data. Lower is better.Rankings are based only on facilities in New Jersey 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.

New Jersey average 5.35


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

17 of 25 citations resulted from standard inspections; 6 of 25 resulted from complaint investigations; and 2 of 25 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 5 years)
Critical health citations
0
100% better than New Jersey average

New Jersey average: 0.7


Serious health citations
1
150% worse than New Jersey average

New Jersey average: 0.4

0 critical citations New Jersey average: 0.7

1 serious citation New Jersey average: 0.4

24 moderate citations New Jersey average: 19.3

0 minor citations New Jersey average: 0.5
Citations history (last 5 years)
Abuse/Neglect moderate citation Oct 29, 2025

Nutrition moderate citation Oct 29, 2025

Quality of Care moderate citation Oct 29, 2025

Quality of Care moderate citation Oct 29, 2025

Staffing Data

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

Total staff 289
Employees 88
Contractors 201
Staff to resident ratio 3.36 : 1
87% more staff per resident than New Jersey average
New Jersey average ratio: 1.79 : 1 New Jersey average ratio: 1.79 : 1See full New Jersey ranking
Avg staff/day 63
Average shift 7.6 hours
5% worse than New Jersey average
New Jersey average: 8 hours New Jersey average shift: 8 hoursSee full New Jersey ranking
Total staff hours (quarter) 43,887

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 30 total: 15 full-time employees and 15 contractors. 30
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.9 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 78 total: 6 full-time employees and 72 contractors. 78
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.1 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 145 total: 32 full-time employees and 113 contractors. 145
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.3 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

41%

18,004 contractor hours this quarter

Certified Nursing Assistant: 113 Licensed Practical Nurse: 72 Registered Nurse: 15 Speech Language Pathologist: 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 Assistant3211314520,16392100%7.3
Licensed Practical Nurse672789,75392100%8.1
Registered Nurse1515303,80692100%7.9
Other Dietary Services Staff6061,70692100%7.3
Clinical Nurse Specialist6061,3247986%7.8
Physical Therapy Assistant3031,0238087%6.9
Speech Language Pathologist1121,0056672%8.4
Respiratory Therapist3039626773%7.7
Respiratory Therapy Technician3038706368%7
Qualified Social Worker2026135762%9.3
Mental Health Service Worker2024856368%7.3
Administrator1014736368%7.5
Nurse Practitioner1014406166%7.2
Nurse Aide in Training2023814549%7.5
Dietitian1013555964%6
Dental Services Staff1012683639%7.5
RN Director of Nursing3032623538%6.9
145 Certified Nursing Assistant
% of Days 100%
78 Licensed Practical Nurse
% of Days 100%
30 Registered Nurse
% of Days 100%
6 Other Dietary Services Staff
% of Days 100%
6 Clinical Nurse Specialist
% of Days 86%
3 Physical Therapy Assistant
% of Days 87%
2 Speech Language Pathologist
% of Days 72%
3 Respiratory Therapist
% of Days 73%
3 Respiratory Therapy Technician
% of Days 68%
2 Qualified Social Worker
% of Days 62%
2 Mental Health Service Worker
% of Days 68%
1 Administrator
% of Days 68%
1 Nurse Practitioner
% of Days 66%
2 Nurse Aide in Training
% of Days 49%
1 Dietitian
% of Days 64%
1 Dental Services Staff
% of Days 39%
3 RN Director of Nursing
% of Days 38%

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 (Data as of Jan 2026)

Total fines amount $52K Rank #1 / 297Federal fines — State benchmarkedThis home is ranked 1st out of 297 homes in New Jersey. Shows this facility's cumulative CMS federal fine dollars versus the New Jersey average among facilities with fines, and where it ranks among 297 facilities in the pool. Lower total dollars mean a better rank.Rankings are based only on facilities in New Jersey 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.
33% lower than New Jersey average

New Jersey average: $77K

Number of fines 1
50% fewer fines than New Jersey average

New Jersey average: 2.0

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than New Jersey average

New Jersey average: 0.1

Fines amount comparison
Fines amount comparison
This facility $52K
New Jersey average $77K

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. 7.7
13% worse than New Jersey average

New Jersey average: 6.8

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 15.0
20% worse than New Jersey average

New Jersey average: 12.4

Long-stay resident measures
Significantly above average New Jersey avg: 4.5 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 14.4%
43% worse than New Jersey average

New Jersey average: 10.1%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 7.9%
28% better than New Jersey average

New Jersey average: 11.0%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 22.6%
42% worse than New Jersey average

New Jersey average: 16.0%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 2.3%
7% better than New Jersey average

New Jersey average: 2.4%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 10.7%
75% worse than New Jersey average

New Jersey average: 6.1%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.6%
39% better than New Jersey average

New Jersey average: 1.0%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 3.1%
32% better than New Jersey average

New Jersey average: 4.6%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 6.8%
40% better than New Jersey average

New Jersey average: 11.3%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 5.3%
52% better than New Jersey average

New Jersey average: 11.1%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 82.5%
11% worse than New Jersey average

New Jersey average: 93.0%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 94.2%
In line with New Jersey average

New Jersey average: 97.2%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 2.36
13% worse than New Jersey average

New Jersey average: 2.08

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.66
48% worse than New Jersey average

New Jersey average: 1.12

Short-stay resident measures
Above average New Jersey avg: 3.8 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 58.1%
26% worse than New Jersey average

New Jersey average: 78.9%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.9%
20% better than New Jersey average

New Jersey average: 1.2%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 71.9%
10% worse than New Jersey average

New Jersey average: 80.1%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 28.5%
12% worse than New Jersey average

New Jersey average: 25.4%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 7.9%
In line with New Jersey average

New Jersey average: 8.2%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.6%
23% better than New Jersey average

New Jersey average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 62.2%
16% better than New Jersey average

New Jersey average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 58.4%
15% better than New Jersey average

New Jersey average: 50.6%

Breakdown by payment type

Medicare

76% of new residents, usually for short-term rehab.

Typical stay 25 days

Private pay

12% of new residents, often for short stays.

Typical stay 6 - 7 months

Medicaid

12% of new residents, often for long-term daily care.

Typical stay 10 - 11 months

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 86
Medicare
28
32.6% of residents
Medicaid
34
39.5% of residents
Private pay or other
24
27.9% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Governmental community
Operated by a subsidized facility district.
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."
$12.3M
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."
-$3.0M
Governmental community Operated by a subsidized facility district.
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."
$12.3M Rank #233 / 292Revenue — State benchmarkedThis home is ranked 233rd out of 292 homes in New Jersey. Shows this facility's annual revenue compared to the New Jersey average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in New Jersey 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."
-$3.0M
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.
$473.2K
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 #220 / 292Payroll — State benchmarkedThis home is ranked 220th out of 292 homes in New Jersey. Shows total annual staff payroll benchmarked to the New Jersey average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in New Jersey 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.
$7.2M 58.1% 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 #82 / 292Payroll % — State benchmarkedThis home is ranked 82nd out of 292 homes in New Jersey. Shows payroll as a percentage of revenue versus the New Jersey average. Well-run New Jersey facilities typically land around 55–65% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in New Jersey 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).
$8.2M
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).
$15.3M

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Most new residents arrive under Medicare (76% of admissions), and a typical Medicare stay runs around 25 days.

Admissions
281 total

Coverage residents most often arrive under.

Medicare 76%
Private pay 12%
Medicaid 12%
Discharges
273 total

Coverage residents most often leave under.

Medicare 60%
Private pay 20%
Medicaid 20%

Places of interest near Green Hill

Address 1.6 miles from city center Info Estimated distance in miles from West Orange's city center to Green Hill's address, calculated via Google Maps.

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Financial Assistance for
Nursing Home in New Jersey

Green Hill is located in West Orange, New Jersey.
Here are the financial assistance programs available to residents in New Jersey.

Get Financial aid guidance

Managed Long Term Services and Supports

NJ Medicaid MLTSS

Age 65+ or disabled
General New Jersey resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
NJ

High urban demand; managed care model.

Benefits
In-home care (5-7 hours/day) Assisted living Respite (240 hours/year) Medical services

JACC (Jersey Assistance for Community Caregiving)

NJ JACC

Age 60+
General New Jersey resident, at risk of nursing home.
Income Limits ~$2,500/month individual, varies
Asset Limits $40,000 individual
NJ

Higher asset limit; limited funding.

Benefits
In-home care (3-5 hours/week) Respite (up to 10 days/year) Home modifications (~$1,000 avg.)

Pharmaceutical Assistance to the Aged and Disabled (PAAD)

New Jersey PAAD

Age 65+
General NJ resident, enrolled in Medicare Part D or eligible.
Income Limits (2025) ~$42,142/year (individual), ~$49,209/year (couple).
Asset Limits Not assessed.
NJ

Copays $5 (generic), $7 (brand); covers Part D premiums up to benchmark.

Benefits
Prescription cost reduction ($500-$1,000/year savings) Premium assistance ($20/month above benchmark)

Senior Gold Prescription Discount Program

New Jersey Senior Gold

Age 65+
General NJ resident, enrolled in Medicare Part D or eligible.
Income Limits (2025) ~$42,142-$52,142/year (individual), ~$49,209-$59,209/year (couple).
Asset Limits Not assessed.
NJ

Copays $15 + 50% of remaining cost; no premium assistance.

Benefits
Prescription cost reduction (~$300-$800/year savings)

Medicare Savings Program (MSP)

New Jersey Medicare Savings Program

Age 65+ or disabled
General NJ resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
NJ

Three tiers; no waitlist; includes Extra Help for Part D.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Senior Freeze (Property Tax Reimbursement)

New Jersey Senior Freeze

Age 65+ by Dec 31 prior year
General NJ resident, homeowner, paid property taxes.
Income Limits (2025) ~$150,000/year combined household, projected
Asset Limits Not assessed; home ownership required.
NJ

Combines with ANCHOR/Stay NJ via PAS-1; annual application.

Benefits
Tax reimbursement (~$500-$2,000/year) for increases since base year

ANCHOR (Affordable NJ Communities for Homeowners and Renters)

New Jersey ANCHOR

Age 65+ prioritized
General NJ resident, homeowner/renter, paid property taxes/rent.
Income Limits (2025) ~$150,000/year (homeowners), ~$75,000/year (renters).
Asset Limits Not assessed.
NJ

Combines with Senior Freeze/Stay NJ; broader than prior Homestead program.

Benefits
Tax relief (~$700-$1,500/year homeowners, ~$250-$450 renters)

Stay NJ

New Jersey Stay NJ

Age 65+ by Dec 31 prior year
General NJ resident, homeowner, lived in home 10+ years.
Income Limits (2025) ~$500,000/year projected, subject to final regs
Asset Limits Not assessed; home ownership required.
NJ

Up to 50% tax credit (max $6,500); phased implementation.

Benefits
Tax credit (~$3,000-$6,500/year, projected) starting 2026

Universal Service Fund (USF)

New Jersey Universal Service Fund

Age 65+ prioritized
General NJ resident, utility customer, low-income.
Income Limits (2025) ~$3,970/month individual, 185% FPL
Asset Limits Not assessed; income-focused.
NJ

Must owe >$25 on bill; combines with LIHEAP if eligible.

Benefits
Bill credits (~$300-$1,500/year) to cap energy costs at 6% of income

NJ Family Caregiver Support Program (via NFCSP)

New Jersey Family Caregiver Support Program

Age
General Caregivers of 60+ needing care or 55+ caregivers of others; NJ resident; functional needs (2+ ADLs).
Income Limits (2025) Prioritizes ~$24,980/year (individual); no strict cap.
Asset Limits Not assessed; need-based.
NJ

21 AAAs; rural/low-income priority.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($60/day) Training Supplies (~$500/year)

VA Aid and Attendance (A&A) and Housebound Benefits

New Jersey VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General NJ resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
NJ

High veteran demand in urban/rural areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Frequently Asked Questions about Green Hill

Is Green Hill in a walkable area?

Green Hill has a walk score of 50. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Green Hill?

According to NJ state health department records, Green Hill's license number is 30707.

When does Green Hill's license expire?

According to NJ state health department records, Green Hill's license expires on April 30, 2026.

What is the occupancy rate at Green Hill?

Green Hill's occupancy is 68%.

Who is the administrator of Green Hill?

Mr. MOSHE BIRNBAUM is the administrator of Green Hill.

How many beds does Green Hill have?

Green Hill has 127 beds.

What is the address of Green Hill?

Green Hill is located at 103 Pleasant Valley Way, West Orange, NJ 07052.

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