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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.
Located on Crothers Drive in the Madison Parish area of Tallulah, Louisiana, Legacy Nursing and Rehabilitation of Tallulah is a 156-bed skilled nursing facility owned by Paige Grady. The home provides skilled nursing care and post-acute rehabilitation for residents recovering from surgery, stroke, and hospitalization, while also serving individuals who require ongoing long-term nursing support.
Families can use Medicare, Medicaid, or private pay to cover the cost of care. The facility currently operates at 62% occupancy, leaving room for new admissions while maintaining the balance of an established resident community. Residents stay an average of 256 days, including post-acute rehabilitation patients and those receiving longer-term skilled nursing services.
Nursing support is substantial. It averages 3 hours and 36 minutes per resident each day. Registered nurses, licensed practical nurses, and nurse aides make up the care team and provide hands-on assistance throughout the day. This level of direct support is important for residents managing wound care, therapy needs, complex medical conditions, and other clinical requirements commonly associated with skilled nursing care.
Rehabilitation remains a major part of the facility’s services. Specialized programs include a dedicated Rehab to Home pathway, on-site physician services, IV therapy, and rehabilitative management designed for residents working toward a return to independent living. For those who remain at the facility longer, 24-hour skilled nursing care is available.
Residents have access to a wide variety of activities, amenities, and programs. Yoga, tai chi, and jazzercise classes are offered, along with gardening opportunities, music activities, memory-focused programs, and pet therapy. The facility is Music and Memory Certified. Residents can also participate in chapel services, watch late-evening movies, take virtual trips, and enjoy a sampling of culturally diverse meals. These programs contribute to daily engagement and social interaction within the community.
Tallulah has a Walk Score of 29, which falls into the Somewhat Walkable category. Some errands may be possible on foot, but most outings and appointments will require a short drive. The facility also accepts respite-care admissions. This service can make it easier for families to arrange temporary care when a primary caregiver needs a break from full-time caregiving responsibilities.
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 125th out of 182 homes in Louisiana 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.
| 10m per day | ▼ 48% State avg: 19m 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.
| 1h 10m per day | ■ Avg State avg: 1h 11m 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 25m per day | ▲ 4% 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.
| 3h 11m per day | ▼ 3% State avg: 3h 16m 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 | ▼ 76% State avg: 3m 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.
| 6m per day | ▼ 53% State avg: 13m per day · National avg: 28m per day |
Lower than the Louisiana average: 71.8%In Louisiana, the Department of Health, Health Standards Section performs unannounced onsite surveys to verify that healthcare providers meet both state licensing and federal safety rules.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Louisiana state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | LA Average | vs. LA Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 25 | 32 | This facility has 22% fewer total deficiencies than a typical Louisiana nursing home (25 vs. LA avg 32).↓ 22% better |
|
Deficiencies per year
Average deficiencies per year since 2023.
| 8.3 | 10.7 | This facility has 22% fewer deficiencies per year than a typical Louisiana nursing home (8.3 vs. LA avg 10.7).↓ 22% better |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 4.2 | 4 | This facility has 5% more deficiencies per inspection than a typical Louisiana nursing home (4.2 vs. LA avg 4).↑ 5% worse |
Inspections
| This Facility | LA Average | vs. LA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 6 | 8 | This facility has 25% fewer total inspections than a typical Louisiana nursing home (6 vs. LA avg 8).↓ 25% better |
Louisiana average 6.5
Last Health inspection on Apr 2025
Louisiana average 25.7
Louisiana average 3.95
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
17 of 21 citations resulted from standard inspections; and 4 of 21 resulted from complaint investigations.
100% better than Louisiana averageLouisiana average: 1.1
100% better than Louisiana averageLouisiana average: 0.5
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
28% fewer staff per resident than Louisiana average
7% better than Louisiana 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.
7.2 hoursAssists with medical care and medications.
All 19 LPN Staff are full-time employees. No contractors work on this role.
19
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursHelps with daily care and mobility.
All 51 CNA Staff are full-time employees. No contractors work on this role.
51
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
1,924 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 51 | 0 | 51 | 18,633 | 92 | 100% | 9 |
| Licensed Practical Nurse | 19 | 0 | 19 | 7,697 | 92 | 100% | 9.5 |
| RN Director of Nursing | 3 | 0 | 3 | 1,356 | 72 | 78% | 7.7 |
| Other Dietary Services Staff | 3 | 0 | 3 | 974 | 66 | 72% | 7.5 |
| Physical Therapy Aide | 0 | 2 | 2 | 571 | 67 | 73% | 8 |
| Administrator | 1 | 0 | 1 | 500 | 60 | 65% | 8.3 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 497 | 60 | 65% | 8.3 |
| Nurse Practitioner | 1 | 0 | 1 | 487 | 58 | 63% | 8.4 |
| Dental Services Staff | 1 | 0 | 1 | 471 | 62 | 67% | 7.6 |
| Qualified Social Worker | 0 | 2 | 2 | 462 | 57 | 62% | 8.1 |
| Physical Therapy Assistant | 0 | 2 | 2 | 392 | 56 | 61% | 7 |
| Speech Language Pathologist | 0 | 1 | 1 | 337 | 51 | 55% | 6.6 |
| Dietitian | 1 | 0 | 1 | 297 | 54 | 59% | 5.5 |
| Registered Nurse | 4 | 0 | 4 | 290 | 39 | 42% | 7.2 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 93 | 28 | 30% | 3.3 |
| Occupational Therapy Aide | 0 | 1 | 1 | 48 | 6 | 7% | 8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 18 | 6 | 7% | 3 |
| Medical Director | 0 | 1 | 1 | 4 | 2 | 2% | 2 |
Includes penalties issued in 2023
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)
97% lower than Louisiana averageLouisiana average: $103K
51% fewer fines than Louisiana averageLouisiana average: 2.0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Louisiana averageLouisiana average: 0.3
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Dec 11, 2023 · $3K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 11, 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.
12.4
5% worse than Louisiana averageLouisiana average: 11.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
17.4
15% better than Louisiana averageLouisiana average: 20.4
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
25.8%
25% worse than Louisiana averageLouisiana average: 20.5%
Percent of long-stay residents whose ability to move independently worsened
12.3%
48% better than Louisiana averageLouisiana average: 23.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
14.0%
18% better than Louisiana averageLouisiana average: 17.1%
Percent of long-stay residents experiencing one or more falls with major injury
2.3%
33% better than Louisiana averageLouisiana average: 3.5%
Percent of long-stay high risk residents with pressure ulcers
9.2%
45% worse than Louisiana averageLouisiana average: 6.4%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Louisiana averageLouisiana average: 2.7%
Percent of long-stay residents who lose too much weight
12.3%
139% worse than Louisiana averageLouisiana average: 5.1%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Louisiana averageLouisiana average: 1.6%
Percent of long-stay residents who received an antipsychotic medication
18.0%
12% better than Louisiana averageLouisiana average: 20.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.7%
9% better than Louisiana averageLouisiana average: 91.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.3%
In line with Louisiana averageLouisiana average: 94.9%
Number of hospitalizations per 1,000 long-stay resident days.
2.67
In line with Louisiana averageLouisiana average: 2.61
Number of outpatient emergency department visits per 1,000 long-stay resident days.
3.99
44% worse than Louisiana averageLouisiana average: 2.77
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
99.0%
20% better than Louisiana averageLouisiana average: 82.5%
Percent of short-stay residents who newly received an antipsychotic medication
3.5%
14% worse than Louisiana averageLouisiana average: 3.1%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
88.1%
16% better than Louisiana averageLouisiana average: 76.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
21.9%
21% better than Louisiana averageLouisiana average: 27.8%
Percentage of short-stay residents who had an outpatient emergency department visit.
17.2%
17% worse than Louisiana averageLouisiana average: 14.7%
Percentage of SNF residents who experience falls with major injury during their stay.
3.5%
352% worse than Louisiana averageLouisiana average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
91.8%
71% better than Louisiana averageLouisiana average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
50.6%
In line with Louisiana averageLouisiana average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
42% of new residents, usually for short-term rehab.
33% of new residents, often for short stays.
25% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
92Residents 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 Legacy Nursing and Rehabilitation of Tallulah 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 #100 / 186Payroll — State benchmarkedThis home is ranked 100th out of 186 homes in Louisiana. Shows total annual staff payroll benchmarked to the Louisiana 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.
Most residents typically stay for a few weeks or months before returning home or moving on.
1.3 miles from city center
Estimated distance in miles from Tallulah's city center to Legacy Nursing and Rehabilitation of Tallulah's address, calculated via Google Maps.
Add your location
Legacy Nursing and Rehabilitation of Tallulah is located in TALLULAH, Louisiana.
Here are the financial assistance programs available to residents in Louisiana.
The information below is reported by the Louisiana Department of Health, Health Standards Section.
| The Gardens Assisted Living |
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. | Lake Charles | 60
Facility
60
LA AVG
113
Rank
#229 / 262 | - | - | 4.81
Facility
4.81
LA AVG
4.14
Rank
#18 / 182 | -66% | +16% | $0
Facility
$0
LA AVG
$107.9k
Rank
#104 / 187 | 16
Facility
16
LA AVG
25.7
Rank
#42 / 187 | 2.7
Facility
2.7
LA AVG
3.9
Rank
#28 / 187 | 1 | 42 | A+ |
14
Facility
14
LA AVG
37
Rank
#302 / 368 | Justin Wilcoxon | $6.8M
Facility
$6.8M
LA AVG
$9.6M
Rank
#148 / 186 | $4.4M
Facility
$4.4M
LA AVG
$3.9M
Rank
#111 / 186 | 63.9%
Facility
63.9%
LA AVG
42%
Rank
#34 / 186 | 195636 | ||||
| Landmark South Nursing and Rehabilitation Center |
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.
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. | Baton Rouge (Saint George) | 144
Facility
144
LA AVG
113
Rank
#63 / 262 | - | - | 3.87
Facility
3.87
LA AVG
4.14
Rank
#91 / 182 | -19% | -7% | $10.0k
Facility
$10.0k
LA AVG
$107.9k
Rank
#91 / 187 | 12
Facility
12
LA AVG
25.7
Rank
#21 / 187 | 2.4
Facility
2.4
LA AVG
3.9
Rank
#16 / 187 | 1 | 139 | A+ |
38
Facility
38
LA AVG
37
Rank
#178 / 368 | James Smith | $12.2M
Facility
$12.2M
LA AVG
$9.6M
Rank
#48 / 186 | $8.2M
Facility
$8.2M
LA AVG
$3.9M
Rank
#14 / 186 | 67.1%
Facility
67.1%
LA AVG
42%
Rank
#24 / 186 | 195480 | ||||
| Avalon Place of Monroe |
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.
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. | Monroe (Lamkin) | 113
Facility
113
LA AVG
113
Rank
#133 / 262 | - | - | 3.73
Facility
3.73
LA AVG
4.14
Rank
#115 / 182 | -64% | -10% | $0
Facility
$0
LA AVG
$107.9k
Rank
#1 / 187 | 28
Facility
28
LA AVG
25.7
Rank
#124 / 187 | 5.6
Facility
5.6
LA AVG
3.9
Rank
#162 / 187 | - | 70 | A+ |
22
Facility
22
LA AVG
37
Rank
#264 / 368 | Dcz Healthcare Investments, LLC | $6.4M
Facility
$6.4M
LA AVG
$9.6M
Rank
#153 / 186 | $4.3M
Facility
$4.3M
LA AVG
$3.9M
Rank
#115 / 186 | 67.1%
Facility
67.1%
LA AVG
42%
Rank
#24 / 186 | 195492 | ||||
| Legacy Nursing and Rehabilitation of Tallulah |
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. | Tallulah (Madison Parish) | 156
Facility
156
LA AVG
113
Rank
#37 / 262 |
62.2%
Facility
62.2%
LA AVG
71.8%
Rank
#140 / 194 | -13% | 3.61
Facility
3.61
LA AVG
4.14
Rank
#125 / 182 | -15% | -13% | $3.1k
Facility
$3.1k
LA AVG
$107.9k
Rank
#77 / 187 | 21
Facility
21
LA AVG
25.7
Rank
#73 / 187 | 3.5
Facility
3.5
LA AVG
3.9
Rank
#73 / 187 | - | 84 | - |
29
Facility
29
LA AVG
37
Rank
#225 / 368 | Paige Grady | $9.1M
Facility
$9.1M
LA AVG
$9.6M
Rank
#106 / 186 | $4.5M
Facility
$4.5M
LA AVG
$3.9M
Rank
#100 / 186 | 49.8%
Facility
49.8%
LA AVG
42%
Rank
#78 / 186 | 195443 | ||||
| Pilgrim Manor Skilled 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.
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. | Bossier City | 155
Facility
155
LA AVG
113
Rank
#38 / 262 |
74.7%
Facility
74.7%
LA AVG
71.8%
Rank
#88 / 194 | +4% | 2.44
Facility
2.44
LA AVG
4.14
Rank
#180 / 182 | -34% | -41% | $186.3k
Facility
$186.3k
LA AVG
$107.9k
Rank
#169 / 187 | 21
Facility
21
LA AVG
25.7
Rank
#73 / 187 | 2.6
Facility
2.6
LA AVG
3.9
Rank
#26 / 187 | 6 | 123 | A+ |
67
Facility
67
LA AVG
37
Rank
#42 / 368 | James Almond | $13.6M
Facility
$13.6M
LA AVG
$9.6M
Rank
#36 / 186 | $4.4M
Facility
$4.4M
LA AVG
$3.9M
Rank
#107 / 186 | 32.2%
Facility
32.2%
LA AVG
42%
Rank
#177 / 186 | 195594 |
Legacy Nursing and Rehabilitation of Tallulah is in the Madison Parish neighborhood of TALLULAH.
The legal owner and operator of Legacy Nursing and Rehabilitation of Tallulah is Tallulah Opco Llc.
Legacy Nursing and Rehabilitation of Tallulah has a walk score of 29. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Legacy Nursing and Rehabilitation of Tallulah's occupancy is 62%.
Legacy Nursing and Rehabilitation of Tallulah is registered as a for-profit in LA.
Legacy Nursing and Rehabilitation of Tallulah received a 3-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
Legacy Nursing and Rehabilitation of Tallulah has 156 beds.
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