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1/5
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.
1/5
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.
Lakeview Post Acute is a 120-bed skilled nursing home in Florissant, Missouri, run by owner Kalvin Stewart, operator Florissant Skilled Nursing LLC, and administrator Thomas Pilkington. Resident accounts are handled through three standard payment tracks: Medicare, Medicaid, and private pay. For visitors, the surrounding suburban area holds a walkability score of 63 out of 100, which means the layout is moderately pedestrian-friendly and family members can complete a few basic tasks on foot.
The facility runs at a 79 percent occupancy rate, and an average resident stay of 38 days confirms an operational focus centered on short-term post-acute therapy rather than traditional long-term nursing care. Daily clinical and personal care needs are managed through a 24-hour shift schedule that averages 3 hours and 47 minutes of total nursing care per resident each day. This shared workload includes 15 minutes from registered nurses, 53 minutes from licensed practical nurses, and 1 hour and 49 minutes from nurse aides.
Files from state health departments monitor the property’s recurring regulatory compliance records. Public administrative charts verify that the building’s everyday operational logs and clinical procedures remain within standard legal boundaries, keeping the home’s long-term cumulative citations-per-inspection rate at zero.
Individuals can access a clinical infrastructure configured for complex wound management, physical rehabilitation loops, and hospice care. The everyday schedule combines these specialized medical treatments with structured meal setups, regular room cleaning, and laundry assistance. Family members can contact the administrative office directly to arrange a walk-through of the care wings and review the short-stay recovery timelines.
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 124th 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.
| 18m per day | ▼ 35% 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.
| 55m per day | ▲ 35% 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.
| 1h 54m per day | ▼ 18% 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 49m per day | ▼ 8% 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.
| 9m per day | ▲ 347% 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.
| 16m per day | ▼ 21% State avg: 20m per day · National avg: 28m per day |
Higher than the Missouri average: 66.6%Lakeview Post Acute is legally operated by Florissant Skilled Nursing Llc, and administrated by Thomas Pilkington.
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.
| 175 | 35 | This facility has 400% more total deficiencies than a typical Missouri nursing home (175 vs. MO avg 35).↑ 400% worse |
|
Deficiencies per year
Average deficiencies per year since 2018.
| 21.9 | 4.4 | This facility has 398% more deficiencies per year than a typical Missouri nursing home (21.9 vs. MO avg 4.4).↑ 398% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 6 | 5 | This facility has 20% more deficiencies per inspection than a typical Missouri nursing home (6 vs. MO avg 5).↑ 20% worse |
Inspections
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 29 | 7 | This facility has 314% more total inspections than a typical Missouri nursing home (29 vs. MO avg 7).↑ 314% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Missouri average 6.6
Last Health inspection on Jun 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.
34 of 93 citations resulted from standard inspections; 45 of 93 resulted from complaint investigations; and 14 of 93 came from combined inspections (standard and complaint).
186% worse than Missouri averageMissouri average: 0.7
400% worse than Missouri averageMissouri average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
64% more staff per resident than Missouri average
12% better than Missouri average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
11 total: 7 full-time employees and 4 contractors.
11
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursAssists with medical care and medications.
69 total: 19 full-time employees and 50 contractors.
69
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.2 hoursHelps with daily care and mobility.
134 total: 32 full-time employees and 102 contractors.
134
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,494 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 32 | 102 | 134 | 14,002 | 92 | 100% | 9.7 |
| Licensed Practical Nurse | 19 | 50 | 69 | 7,696 | 92 | 100% | 10.2 |
| Medication Aide/Technician | 10 | 8 | 18 | 2,971 | 91 | 99% | 8.4 |
| Registered Nurse | 7 | 4 | 11 | 2,197 | 91 | 99% | 8.2 |
| Qualified Activities Professional | 9 | 0 | 9 | 2,093 | 91 | 99% | 8.8 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 1,325 | 67 | 73% | 7.9 |
| Speech Language Pathologist | 5 | 0 | 5 | 1,223 | 74 | 80% | 7.1 |
| Physical Therapy Aide | 7 | 0 | 7 | 1,125 | 73 | 79% | 7 |
| Qualified Social Worker | 4 | 0 | 4 | 1,006 | 71 | 77% | 7.5 |
| Nurse Practitioner | 3 | 0 | 3 | 512 | 64 | 70% | 8 |
| RN Director of Nursing | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Dietitian | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Administrator | 2 | 0 | 2 | 480 | 60 | 65% | 8 |
| Physical Therapy Assistant | 4 | 0 | 4 | 147 | 25 | 27% | 5.2 |
| Dental Services Staff | 1 | 0 | 1 | 48 | 6 | 7% | 8 |
| Occupational Therapy Aide | 0 | 2 | 2 | 15 | 1 | 1% | 7.4 |
Includes penalties issued in 2023-2024
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)
166% higher than Missouri averageMissouri average: $73K
18% fewer fines than Missouri averageMissouri average: 2.4
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
3
336% more payment denials than Missouri averageMissouri average: 0.7
Penalties are imposed by CMS for violations of federal nursing home regulations.
4 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Oct 21, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Mar 8, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 24, 2023
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Aug 24, 2023Last updated: Jan 2026
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.
10.0
9% better than Missouri averageMissouri average: 10.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.0
In line with 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
21.2%
7% worse than Missouri averageMissouri average: 19.8%
Percent of long-stay residents whose ability to move independently worsened
14.1%
32% better than Missouri averageMissouri average: 20.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.8%
20% worse than Missouri averageMissouri average: 18.1%
Percent of long-stay residents experiencing one or more falls with major injury
1.9%
52% better than Missouri averageMissouri average: 4.0%
Percent of long-stay high risk residents with pressure ulcers
10.5%
108% worse than Missouri averageMissouri average: 5.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Missouri averageMissouri average: 2.7%
Percent of long-stay residents who lose too much weight
2.1%
62% better than Missouri averageMissouri average: 5.6%
Percent of long-stay residents who have depressive symptoms
63.3%
393% worse than Missouri averageMissouri average: 12.8%
Percent of long-stay residents who received an antipsychotic medication
12.9%
41% better than Missouri averageMissouri average: 22.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
70.4%
17% worse than Missouri averageMissouri average: 85.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
56.4%
38% worse than Missouri averageMissouri average: 90.9%
Number of hospitalizations per 1,000 long-stay resident days.
2.07
In line with Missouri averageMissouri average: 2.08
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.94
25% worse 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
68.6%
In line with Missouri averageMissouri average: 66.6%
Percent of short-stay residents who newly received an antipsychotic medication
6.3%
186% worse than Missouri averageMissouri average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
60.4%
5% worse than Missouri averageMissouri average: 63.5%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
30.0%
19% worse than Missouri averageMissouri average: 25.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
15.1%
13% worse than Missouri averageMissouri average: 13.4%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Missouri averageMissouri average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
45.8%
15% worse than Missouri averageMissouri average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
46.8%
7% worse than Missouri averageMissouri average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
43% of new residents, usually for short-term rehab.
51% of new residents, often for short stays.
6% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
99Residents meet regularly to discuss policies, care quality, and activities
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 Lakeview Post Acute from 2011–2023, based on CMS SNF Cost Reports.
Based on the 2023 CMS SNF Cost Report.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #278 / 286Payroll — State benchmarkedThis home is ranked 278th 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.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Most new residents arrive under private pay (51% of admissions), and a typical private pay stay runs around 24 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Florissant's city center to Lakeview Post Acute's address, calculated via Google Maps.
Add your location
Lakeview Post Acute is located in FLORISSANT, 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.
| Heisinger Bluffs |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
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. | Jefferson City | 111
Facility
111
MO AVG
97
Rank
#156 / 454 |
49.5%
Facility
49.5%
MO AVG
66.6%
Rank
#370 / 428 | -26% | 3.36
Facility
3.36
MO AVG
3.74
Rank
#184 / 276 | +42% | -10% | $8.1k
Facility
$8.1k
MO AVG
$76.9k
Rank
#206 / 283 | 17
Facility
17
MO AVG
36.5
Rank
#61 / 281 | 5.7
Facility
5.7
MO AVG
5.7
Rank
#169 / 281 | - | 56 | - |
32
Facility
32
MO AVG
45
Rank
#376 / 563 | Hb Operations Holdco LLC | $5.4M
Facility
$5.4M
MO AVG
$8.4M
Rank
#183 / 286 | $3.7M
Facility
$3.7M
MO AVG
$3.3M
Rank
#138 / 286 | 68.1%
Facility
68.1%
MO AVG
45.6%
Rank
#43 / 286 | 265794 | ||||
| Cottages of Lake St. Louis |
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). | Lake St Louis (Lake Saint Louis) | 60
Facility
60
MO AVG
97
Rank
#343 / 454 |
81.7%
Facility
81.7%
MO AVG
66.6%
Rank
#95 / 428 | +23% | 6.04
Facility
6.04
MO AVG
3.74
Rank
#6 / 276 | -32% | +62% | $17.7k
Facility
$17.7k
MO AVG
$76.9k
Rank
#195 / 283 | 11
Facility
11
MO AVG
36.5
Rank
#25 / 281 | 2.8
Facility
2.8
MO AVG
5.7
Rank
#22 / 281 | 2 | 55 | - |
13
Facility
13
MO AVG
45
Rank
#486 / 563 | Cottages Master LLC | $9.9M
Facility
$9.9M
MO AVG
$8.4M
Rank
#74 / 286 | $5.5M
Facility
$5.5M
MO AVG
$3.3M
Rank
#67 / 286 | 55.4%
Facility
55.4%
MO AVG
45.6%
Rank
#133 / 286 | 265860 | ||||
| Breeze Park – Lutheran Senior Services |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Weldon Spring | 50
Facility
50
MO AVG
97
Rank
#390 / 454 |
74.9%
Facility
74.9%
MO AVG
66.6%
Rank
#146 / 428 | +12% | 5.01
Facility
5.01
MO AVG
3.74
Rank
#31 / 276 | -16% | +34% | $41.3k
Facility
$41.3k
MO AVG
$76.9k
Rank
#222 / 283 | 16
Facility
16
MO AVG
36.5
Rank
#55 / 281 | 4.0
Facility
4.0
MO AVG
5.7
Rank
#75 / 281 | 2 | 46 | A+ |
2
Facility
2
MO AVG
45
Rank
#545 / 563 | Holly Stevens | $20.9M
Facility
$20.9M
MO AVG
$8.4M
Rank
#17 / 286 | $12.2M
Facility
$12.2M
MO AVG
$3.3M
Rank
#6 / 286 | 58.6%
Facility
58.6%
MO AVG
45.6%
Rank
#105 / 286 | 265767 | ||||
| Armour Oaks Senior Living Community |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Kansas City (Waldo Homes) | 38
Facility
38
MO AVG
97
Rank
#424 / 454 |
100.0%
Facility
100.0%
MO AVG
66.6%
Rank
#1 / 428 | +50% | 3.03
Facility
3.03
MO AVG
3.74
Rank
#230 / 276 | -27% | -19% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 283 | 39
Facility
39
MO AVG
36.5
Rank
#183 / 281 | 6.5
Facility
6.5
MO AVG
5.7
Rank
#200 / 281 | - | 100 | A+ |
73
Facility
73
MO AVG
45
Rank
#70 / 563 | Womens Christian Association Of Kansas City Missouri | $2.9M
Facility
$2.9M
MO AVG
$8.4M
Rank
#264 / 286 | $2.4M
Facility
$2.4M
MO AVG
$3.3M
Rank
#221 / 286 | 81.6%
Facility
81.6%
MO AVG
45.6%
Rank
#13 / 286 | 265802 | ||||
| Lakeview Post Acute |
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).
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. | Florissant (Old Town Florissant) | 120
Facility
120
MO AVG
97
Rank
#89 / 454 |
79.2%
Facility
79.2%
MO AVG
66.6%
Rank
#116 / 428 | +19% | 3.79
Facility
3.79
MO AVG
3.74
Rank
#124 / 276 | -48% | +1% | $194.5k
Facility
$194.5k
MO AVG
$76.9k
Rank
#267 / 283 | 93
Facility
93
MO AVG
36.5
Rank
#275 / 281 | 5.5
Facility
5.5
MO AVG
5.7
Rank
#163 / 281 | 7 | 97 | A+ |
63
Facility
63
MO AVG
45
Rank
#141 / 563 | Kalvin Stewart | $2.6M
Facility
$2.6M
MO AVG
$8.4M
Rank
#269 / 286 | $1.2M
Facility
$1.2M
MO AVG
$3.3M
Rank
#278 / 286 | 46%
Facility
46%
MO AVG
45.6%
Rank
#215 / 286 | 265838 |
Lakeview Post Acute is in the Old Town Florissant neighborhood of FLORISSANT.
The legal owner and operator of Lakeview Post Acute is Florissant Skilled Nursing Llc.
Lakeview Post Acute has a walk score of 63. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to MO state health department records, Lakeview Post Acute's license number is 052643.
According to MO state health department records, Lakeview Post Acute's license expires on January 25, 2027.
Lakeview Post Acute's occupancy is 79%.
Thomas Pilkington is the administrator of Lakeview Post Acute.
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