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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.
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.
James River Nursing and Rehabilitation is a 120-bed skilled nursing facility at 3550 East Battlefield, Springfield, Greene County, Missouri, operated by Jrnrc Ops Inc under the administration of Kelsey Long. The facility provides short-term rehabilitation, long-term care, and respite care for Medicare, Medicaid, and private-pay residents.
The most significant finding in the recent inspection record is a November 2025 complaint investigation that revealed systemic problems with basic hygiene and staff scheduling. Prior complaint investigation in July 2024 identified 18 deficiencies across multiple categories. A health inspection in July 2024 found 7 deficiencies. The September 2022 health inspection documented failures to post daily nurse staffing information prominently and deficiencies in food storage protocols.
The facility remains subject to ongoing compliance monitoring.
LPNs provide 48 minutes/resident/day, 17% above the average of 41 minutes. Registered Nurses provide only 21 minutes/resident/day, 25% below the average of 28 minutes. Certified Nursing Aides provide 2 hours 15 minutes/resident/day, 3% below average. Weekend nursing total drops to 2 hours 35 minutes/resident/day, 15% below the average of 3 hours 3 minutes.
Weekend RN coverage falls to 12 minutes/resident/day, 40% below the average of 20 minutes. Physical therapy is minimal at 1 minute/resident/day, 50% below the average of 2 minutes.
The payroll ratio of 43.9% to revenue falls well below the 60-71% range considered adequate for Missouri SNFs.
Long-stay hospitalization rates are concerning at 3.61/1,000 resident days, 74% worse than the average of 2.08/1,000 days. Pressure ulcer rates in high-risk long-stay residents stand at 7.8%, 56% worse than the average of 5.0%. Long-stay emergency department visits are 1.92/1,000 resident days, 18% better than average. Falls with major injury affect 3.3% of long-stay residents, 18% better than the average of 4.0%.
Pneumococcal and influenza vaccination rates for long-stay residents reach 99.7% and 100% respectively, both significantly above average. Short-stay residents show discharge functional ability in 60.8% of cases, 13% better than the average. Short-stay re-hospitalization is 27.2%, 8% worse than the average of 25.3%.
CMS rates the facility 3 stars overall, placing it 14.1% above the Missouri average. Health Inspection is rated 3/5, marginally above average. The standout strength is Staffing, rated 5/5 and 38.9% above average. Quality Measures are rated 5/5, 43.4% above state average.
The facility provides 24-hour staffing with licensed nurses and certified nursing assistants on site. Therapeutic services include rehabilitation services and physical therapy. Resident amenities include a communal dining space, activity area, outdoor courtyard with gazebo, therapy gym, and salon services.
James River Nursing and Rehabilitation holds a A+ rating from the Better Business Bureau and occupies a highly walkable neighborhood with a walk score of 94.
Occupancy is strong at 83%, 25% above the Missouri average, with 64.4% of current residents on Medicaid.
The facility has been in operation for 26 years and maintains 120 licensed beds. No civil money penalties or payment denials were reported in the past three years.
Families evaluating James River should scrutinize the November 2025 complaint findings regarding shower frequency and staffing adequacy and assess weekend RN coverage.
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.
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.
This home is ranked 141st out of 276 homes in Missouri for nurse hours. 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 22m per day | ▼ 22% State avg: 28m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 44m per day | ▲ 7% State avg: 41m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 7m per day | ▼ 9% State avg: 2h 19m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 46m per day | ▼ 9% State avg: 3h 3m per day · National avg: 3h 26m per day |
|
Physical Therapist
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.
| 1m per day | ▼ 70% State avg: 2m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 19m per day | ▼ 7% State avg: 20m per day · National avg: 28m per day |
Higher than the Missouri average: 66.6%James River Nursing and Rehabilitation is legally operated by Jrnrc Ops Inc, and administrated by Kelsey Long.
Key information about the people who lead and staff this community.
In Missouri, the Department of Health and Senior Services, Division of Regulation and Licensure performs the inspections and unannounced surveys required for all long-term care providers.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 63 | 35 | This facility has 80% more total deficiencies than a typical Missouri nursing home (63 vs. MO avg 35).↑ 80% worse |
|
Deficiencies per year
Average deficiencies per year since 2018.
| 7.9 | 4.4 | This facility has 80% more deficiencies per year than a typical Missouri nursing home (7.9 vs. MO avg 4.4).↑ 80% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 3.5 | 5 | This facility has 30% fewer deficiencies per inspection than a typical Missouri nursing home (3.5 vs. MO avg 5).↓ 30% better |
Inspections
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 18 | 7 | This facility has 157% more total inspections than a typical Missouri nursing home (18 vs. MO avg 7).↑ 157% worse |
Missouri average 6.6
Last Health inspection on Nov 2025
Missouri average 36.5
Missouri average 5.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
22 of 28 citations resulted from standard inspections; 5 of 28 resulted from complaint investigations; and 1 of 28 came from combined inspections (standard and complaint).
100% better than Missouri averageMissouri average: 0.7
100% better than Missouri averageMissouri average: 1
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
32% fewer staff per resident than Missouri average
0% compared with Missouri average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 4 RN Staff are full-time employees. No contractors work on this role.
4
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursAssists with medical care and medications.
All 15 LPN Staff are full-time employees. No contractors work on this role.
15
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursHelps with daily care and mobility.
All 54 CNA Staff are full-time employees. No contractors work on this role.
54
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,641 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 54 | 0 | 54 | 13,435 | 92 | 100% | 9 |
| Licensed Practical Nurse | 15 | 0 | 15 | 5,316 | 92 | 100% | 9.4 |
| Medication Aide/Technician | 14 | 0 | 14 | 3,894 | 92 | 100% | 9.1 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 1,760 | 92 | 100% | 9.2 |
| Mental Health Service Worker | 3 | 0 | 3 | 1,452 | 68 | 74% | 8.1 |
| RN Director of Nursing | 2 | 0 | 2 | 1,040 | 68 | 74% | 8.5 |
| Other Dietary Services Staff | 2 | 0 | 2 | 1,035 | 78 | 85% | 8.1 |
| Nurse Aide in Training | 2 | 0 | 2 | 981 | 74 | 80% | 9.1 |
| Registered Nurse | 4 | 0 | 4 | 893 | 70 | 76% | 8.7 |
| Physical Therapy Aide | 0 | 3 | 3 | 624 | 68 | 74% | 5.6 |
| Speech Language Pathologist | 0 | 2 | 2 | 593 | 68 | 74% | 5.2 |
| Nurse Practitioner | 1 | 0 | 1 | 511 | 64 | 70% | 8 |
| Administrator | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Qualified Social Worker | 0 | 3 | 3 | 195 | 60 | 65% | 2.6 |
| Physical Therapy Assistant | 0 | 1 | 1 | 141 | 43 | 47% | 3.3 |
| Respiratory Therapy Technician | 0 | 5 | 5 | 88 | 47 | 51% | 1.7 |
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.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.9
27% better than Missouri averageMissouri average: 10.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.8
19% better than Missouri averageMissouri average: 19.5
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
15.9%
19% better than Missouri averageMissouri average: 19.8%
Percent of long-stay residents whose ability to move independently worsened
11.3%
45% better than Missouri averageMissouri average: 20.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.2%
12% worse than Missouri averageMissouri average: 18.1%
Percent of long-stay residents experiencing one or more falls with major injury
3.3%
18% better than Missouri averageMissouri average: 4.0%
Percent of long-stay high risk residents with pressure ulcers
7.8%
56% worse than Missouri averageMissouri average: 5.0%
Percent of long-stay residents with a urinary tract infection
0.9%
69% better than Missouri averageMissouri average: 2.7%
Percent of long-stay residents who lose too much weight
1.3%
76% better than Missouri averageMissouri average: 5.6%
Percent of long-stay residents who have depressive symptoms
3.3%
74% better than Missouri averageMissouri average: 12.8%
Percent of long-stay residents who received an antipsychotic medication
5.5%
75% better than Missouri averageMissouri average: 22.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.7%
17% better than Missouri averageMissouri average: 85.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
10% better than Missouri averageMissouri average: 90.9%
Number of hospitalizations per 1,000 long-stay resident days.
3.61
74% worse than Missouri averageMissouri average: 2.08
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.92
18% better than Missouri averageMissouri average: 2.35
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
77.0%
16% better than Missouri averageMissouri average: 66.6%
Percent of short-stay residents who newly received an antipsychotic medication
0.8%
64% better than Missouri averageMissouri average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
59.1%
7% worse than Missouri averageMissouri average: 63.5%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
27.2%
8% worse than Missouri averageMissouri average: 25.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
11.9%
11% better than Missouri averageMissouri average: 13.4%
Percentage of SNF residents who experience falls with major injury during their stay.
0.8%
8% worse than Missouri averageMissouri average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
60.8%
13% better than Missouri averageMissouri average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
51.6%
In line with Missouri averageMissouri average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
26% of new residents, usually for short-term rehab.
64% of new residents, often for short stays.
10% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
101Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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.
Historical financial and operational data for James River Nursing and Rehabilitation based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #70 / 286Payroll — State benchmarkedThis home is ranked 70th out of 286 homes in Missouri. Shows total annual staff payroll benchmarked to the Missouri average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
0.0 miles from city center
Estimated distance in miles from Springfield's city center to James River Nursing and Rehabilitation's address, calculated via Google Maps.
Add your location
James River Nursing and Rehabilitation is located in SPRINGFIELD, Missouri.
Here are the financial assistance programs available to residents in Missouri.
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
| Wilson’s Creek Nursing &Amp; Rehab |
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. | Springfield (Downtown Springfield) | 172
Facility
172
MO AVG
97
Rank
#33 / 454 |
74.4%
Facility
74.4%
MO AVG
66.6%
Rank
#150 / 428 | +12% | 3.87
Facility
3.87
MO AVG
3.74
Rank
#111 / 276 | +46% | +3% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 283 | 21
Facility
21
MO AVG
36.5
Rank
#80 / 281 | 5.3
Facility
5.3
MO AVG
5.7
Rank
#149 / 281 | 1 | 128 | A+ |
94
Facility
94
MO AVG
45
Rank
#5 / 563 | Michael Huffman | $8.3M
Facility
$8.3M
MO AVG
$8.4M
Rank
#96 / 286 | $4.6M
Facility
$4.6M
MO AVG
$3.3M
Rank
#90 / 286 | 55%
Facility
55%
MO AVG
45.6%
Rank
#139 / 286 | 265161 | ||||
| The Manor at Elfindale |
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. | Springfield (Fassnight) | 100
Facility
100
MO AVG
97
Rank
#177 / 454 |
93.0%
Facility
93.0%
MO AVG
66.6%
Rank
#26 / 428 | +40% | 5.08
Facility
5.08
MO AVG
3.74
Rank
#26 / 276 | -1% | +36% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 283 | 3
Facility
3
MO AVG
36.5
Rank
#1 / 281 | 3.0
Facility
3.0
MO AVG
5.7
Rank
#23 / 281 | - | 93 | A+ |
51
Facility
51
MO AVG
45
Rank
#241 / 563 | Vetter Senior Living | $13.3M
Facility
$13.3M
MO AVG
$8.4M
Rank
#51 / 286 | $8.1M
Facility
$8.1M
MO AVG
$3.3M
Rank
#22 / 286 | 60.8%
Facility
60.8%
MO AVG
45.6%
Rank
#84 / 286 | 265804 | ||||
| Brookhaven Nursing &Amp; Rehab |
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. | Springfield (Downtown Springfield) | 90
Facility
90
MO AVG
97
Rank
#227 / 454 |
77.8%
Facility
77.8%
MO AVG
66.6%
Rank
#130 / 428 | +17% | 4.79
Facility
4.79
MO AVG
3.74
Rank
#35 / 276 | -44% | +28% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 283 | 36
Facility
36
MO AVG
36.5
Rank
#173 / 281 | 6.0
Facility
6.0
MO AVG
5.7
Rank
#180 / 281 | - | 70 | A+ |
94
Facility
94
MO AVG
45
Rank
#5 / 563 | Adam Knapp | $5.6M
Facility
$5.6M
MO AVG
$8.4M
Rank
#178 / 286 | $3.1M
Facility
$3.1M
MO AVG
$3.3M
Rank
#175 / 286 | 55.3%
Facility
55.3%
MO AVG
45.6%
Rank
#135 / 286 | 265835 | ||||
| James River Nursing 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).
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. | Springfield (Downtown Springfield) | 120
Facility
120
MO AVG
97
Rank
#89 / 454 |
80.0%
Facility
80.0%
MO AVG
66.6%
Rank
#84 / 428 | +20% | 3.74
Facility
3.74
MO AVG
3.74
Rank
#141 / 276 | -56% | 0% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 283 | 28
Facility
28
MO AVG
36.5
Rank
#124 / 281 | 4.7
Facility
4.7
MO AVG
5.7
Rank
#112 / 281 | - | 94 | A+ |
94
Facility
94
MO AVG
45
Rank
#5 / 563 | Jrnrc Ops Inc | $12.2M
Facility
$12.2M
MO AVG
$8.4M
Rank
#60 / 286 | $5.3M
Facility
$5.3M
MO AVG
$3.3M
Rank
#70 / 286 | 43.9%
Facility
43.9%
MO AVG
45.6%
Rank
#231 / 286 | 265664 | ||||
| Springfield Villa |
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. | Springfield (Downtown Springfield) | 146
Facility
146
MO AVG
97
Rank
#62 / 454 |
84.2%
Facility
84.2%
MO AVG
66.6%
Rank
#84 / 428 | +26% | 4.17
Facility
4.17
MO AVG
3.74
Rank
#75 / 276 | -70% | +12% | $69.6k
Facility
$69.6k
MO AVG
$76.9k
Rank
#1 / 283 | 36
Facility
36
MO AVG
36.5
Rank
#173 / 281 | 3.3
Facility
3.3
MO AVG
5.7
Rank
#34 / 281 | 3 | 123 | A+ |
94
Facility
94
MO AVG
45
Rank
#5 / 563 | N & R Of Springfield Montclair, LLC | $7.4M
Facility
$7.4M
MO AVG
$8.4M
Rank
#118 / 286 | $4.5M
Facility
$4.5M
MO AVG
$3.3M
Rank
#101 / 286 | 60.2%
Facility
60.2%
MO AVG
45.6%
Rank
#94 / 286 | 265814 |
James River Nursing and Rehabilitation is in the Downtown Springfield neighborhood of SPRINGFIELD.
The legal owner and operator of James River Nursing and Rehabilitation is Jrnrc Ops Inc.
James River Nursing and Rehabilitation has a walk score of 94. Walker's paradise. Daily errands do not require a car, with many shops and services nearby.
According to MO state health department records, James River Nursing and Rehabilitation's license number is 053312.
According to MO state health department records, James River Nursing and Rehabilitation's license expires on January 16, 2028.
James River Nursing and Rehabilitation's occupancy is 80%.
Kelsey Long is the administrator of James River Nursing and Rehabilitation.
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