Total health inspections
5
Texas average 7.4
Last Health inspection on Nov 2025
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Madisonville Assisted Living
Nursing Home · Texas, TX
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Madisonville Assisted Living
Nursing Home · Texas, TX
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Madisonville Assisted Living accepts Medicaid, Medicare, and private pay.
Madisonville Assisted Living is an assisted living community in Madisonville, Texas, offering assisted living and nursing services. Managed by Madisonville III Enterprises, LLC in Madison County, this licensed Type A community has a 106-bed capacity and also accepts Medicaid and Medicare.
The most recent evaluation of the community in November 2020 concluded with a single finding involving a Life Safety Code deficiency regarding the documentation of fire drills, which was resolved in roughly two weeks. No Health Code deficiencies were cited during that particular review period. While historical records indicate 36 total findings, which is much higher than the Texas state average of six, linked to a solitary past event rather than a current trend. No enforcement actions were recorded in relation to the 2020 check. However, families are encouraged to examine the complete history of inspections to better understand the community’s regulatory history.
This community accommodates both Medicaid and Medicare, which increases availability for those who depend on government funding, a notable characteristic among Texas assisted living locations. Chef-prepared meals are provided every day, along with transit assistance, cable or satellite television, hair and barber services, housekeeping, laundry, and waste collection. Medical services, security, and alert systems are provided on the premises, and the community performs regular sanitization in accordance with CDC guidelines.
Madisonville Assisted Living is an ideal match for older adults who need assisted living with nursing-level standards and require Medicare or Medicaid to help with expenses. Its domestic atmosphere and focus on daily schedules, including organized dining, social events, and helpful staff, also appeal to those who thrive in a steady and caring environment.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
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.
Total nursing care / resident
This home is ranked 76th out of 289 homes in Texas. 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.
This home is ranked 76th out of 289 homes in Texas. 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.
3h 53m per day
Rank #76 / 289Nurse hours — State benchmarkedThis home is ranked 76th out of 289 homes in Texas. Shows adjusted nurse hours per resident per day benchmarked to the Texas average, with a ranking across 289 Texas SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Texas avg
+3%
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
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 55m per day | ■ Avg State avg: 2h 58m per day · National avg: 3h 25m per day |
Capacity and availability
Avg. Length of Stay
47 days
106-bed community Rank #332 / 987Bed count — State benchmarkedThis home is ranked 332nd out of 987 homes in Texas. Shows this facility's certified or reported bed count compared to other Texas SNFs. Larger communities may offer more amenities, programs, and on-site services for residents and families.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
Walk Score: 54 / 100 Rank #409 / 1392Walk Score — State benchmarkedThis home is ranked 409th out of 1392 homes in Texas. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Texas SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
About this community
Facility TypeType A
StatusLicensed
CountyMadison
QualificationNursing
Madisonville Assisted Living is legally operated by Madisonville Iii Enterprises, Llc.
OwnerMadisonville II Enterprises, LLC
Owner NameMadisonville III Enterprises, LLC
Emergency SystemsYes
No Alzheimer's certification
Transportation Services
Daily Chef-Prepared Gourmet Meals
Satellite Or Cable Tv
Beauty & Barber Services
Routine Disinfection And Cleaning Aligned With Cdc Standards
Housekeeping
Laundry
And Trash Services Available
Clinical Services Available
Specific ProgramsFAQ
Food DescriptionHealthy, nutritious, and delicious meals prepared for residents daily.
Inspection History
In Texas, the Health and Human Services Commission (HHSC) is the primary regulatory body that conducts unannounced inspections and publishes quality reports for all long-term care homes.
Inspection Scorecard
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Texas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Overall vs. TX average
3 Worse
Metrics worse than Texas average:
• Total citations (500% above)
• Health citations (1700% above)
• Life safety citations (500% above) 1 At Avg Metrics at Texas average:
• Inspections with citations (at TX avg) 0 Better No metrics in this bucket.
• Total citations (500% above)
• Health citations (1700% above)
• Life safety citations (500% above) 1 At Avg Metrics at Texas average:
• Inspections with citations (at TX avg) 0 Better No metrics in this bucket.
Citations
| This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 36 | 6 | This facility has 500% more total citations than a typical Texas nursing home (36 vs. TX avg 6).↑ 500% worse |
|
Health citations
Violations related to resident care, clinical practices, and day-to-day operations.
| 36 | 2 | This facility has 1700% more health citations than a typical Texas nursing home (36 vs. TX avg 2).↑ 1700% worse |
|
Life safety citations
Violations related to building safety — fire prevention, emergency egress, and similar.
| 36 | 6 | This facility has 500% more life safety citations than a typical Texas nursing home (36 vs. TX avg 6).↑ 500% worse |
Inspections
| This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 1 | 1 | This facility has inspections with citations in line with the Texas average (1 vs. TX avg 1).— At avg |
Inspection Reports Summary
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Madisonville Assisted Living underwent a comprehensive inspection on November 17, 2020, resulting in one violation of state standards. The single deficiency cited was related to fire safety and building maintenance, as the facility failed to conduct and document fire drills in compliance with licensing standards for assisted living facilities. This issue was corrected by December 3, 2020. Notably, no Health Code deficiencies were listed during this inspection. Both the Health Code and Life Safety Code were present at the facility, but only one deficiency was cited under both codes, indicating a single overarching issue related to fire safety protocols. No enforcement actions were found in relation to this inspection.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsHealth Inspection History
Inspections
Total health citations
17
Rank #89 / 292Health citations — State benchmarkedThis home is ranked 89th out of 292 homes in Texas. Shows this facility's total health deficiency citations benchmarked to the Texas State average, with a ranking across all 292 TX SNFs. Lower citation counts earn a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Texas average 25.9
Citations per inspection
3.4
Rank #163 / 292Citations per inspection — State benchmarkedThis home is ranked 163rd out of 292 homes in Texas. Shows average deficiency citations per CMS inspection for this facility versus the Texas mean across 292 SNFs with citation data. Lower is better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Texas average 3.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
15 of 17 citations resulted from standard inspections; and 2 of 17 resulted from complaint investigations.
Breakdown of citation severity (last 7 years)
Critical health citations
2
In line with Texas averageTexas average: 2
Serious health citations
0
100% better than Texas averageTexas average: 0.4
Citations history (last 7 years)
Quality of Care critical citation
Nov 07, 2025
Care Planning moderate citation
Feb 17, 2025
Corrected
Infection Control moderate citation
Dec 19, 2024
Corrected
Resident Rights moderate citation
Dec 19, 2024
Corrected
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Total staff
70
Employees
69
Contractors
1
Staff to resident ratio
3.04:1
106% better than Texas average
Avg staff/day
24
Average shift
8.8 hours
9% better than Texas average
Total staff hours (quarter)
19,401
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
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
6
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
LPN Staff
11
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
20
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursNo contractors work on this role.
Contractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
0%
6 contractor hours this quarter
Medical Director: 1
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 20 | 0 | 20 | 7,072 | 92 | 100% | 9.2 |
| Licensed Practical Nurse | 11 | 0 | 11 | 2,588 | 92 | 100% | 9.1 |
| Registered Nurse | 6 | 0 | 6 | 1,964 | 86 | 93% | 8.9 |
| Medication Aide/Technician | 5 | 0 | 5 | 1,840 | 92 | 100% | 11.5 |
| Nurse Aide in Training | 9 | 0 | 9 | 1,497 | 77 | 84% | 10.1 |
| Speech Language Pathologist | 2 | 0 | 2 | 766 | 68 | 74% | 7.7 |
| RN Director of Nursing | 2 | 0 | 2 | 613 | 67 | 73% | 7.9 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 519 | 56 | 61% | 9.3 |
| Dietitian | 1 | 0 | 1 | 477 | 60 | 65% | 8 |
| Nurse Practitioner | 2 | 0 | 2 | 444 | 57 | 62% | 7.8 |
| Administrator | 1 | 0 | 1 | 344 | 43 | 47% | 8 |
| Qualified Social Worker | 2 | 0 | 2 | 342 | 54 | 59% | 6.3 |
| Physical Therapy Assistant | 2 | 0 | 2 | 331 | 55 | 60% | 4.6 |
| Dental Services Staff | 1 | 0 | 1 | 307 | 51 | 55% | 6 |
| Physical Therapy Aide | 1 | 0 | 1 | 176 | 22 | 24% | 8 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 90 | 35 | 38% | 2.6 |
| Occupational Therapy Aide | 1 | 0 | 1 | 24 | 5 | 5% | 4.8 |
| Medical Director | 0 | 1 | 1 | 6 | 3 | 3% | 2 |
20 Certified Nursing Assistant
% of Days
100%
11 Licensed Practical Nurse
% of Days
100%
6 Registered Nurse
% of Days
93%
5 Medication Aide/Technician
% of Days
100%
9 Nurse Aide in Training
% of Days
84%
2 Speech Language Pathologist
% of Days
74%
2 RN Director of Nursing
% of Days
73%
1 Clinical Nurse Specialist
% of Days
61%
1 Dietitian
% of Days
65%
2 Nurse Practitioner
% of Days
62%
1 Administrator
% of Days
47%
2 Qualified Social Worker
% of Days
59%
2 Physical Therapy Assistant
% of Days
60%
1 Dental Services Staff
% of Days
55%
1 Physical Therapy Aide
% of Days
24%
2 Respiratory Therapy Technician
% of Days
38%
1 Occupational Therapy Aide
% of Days
5%
1 Medical Director
% of Days
3%
Penalties and fines
Includes penalties issued in 2025
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
$13K Rank #1 / 294Federal fines — State benchmarkedThis home is ranked 1st out of 294 homes in Texas. Shows this facility's cumulative CMS federal fine dollars versus the Texas average among facilities with fines, and where it ranks among 294 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
84% lower than Texas averageTexas average: $80K
Number of fines
1
60% fewer fines than Texas averageTexas average: 2.5
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Texas averageTexas average: 0.2
Fines amount comparison
Fines amount comparison
This facility
$13K
Texas average
$80K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Nov 7, 2025 · $13K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 7, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 7, 2025
$13K
Last updated: Jan 2026
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.6
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.6
11% worse than Texas averageTexas average: 8.6
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.2
5% better than Texas averageTexas average: 16.0
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
18.0%
Percent of long-stay residents whose need for help with daily activities has increased
18.0%
11% worse than Texas averageTexas average: 16.2%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
15.0%
Percent of long-stay residents whose ability to move independently worsened
15.0%
8% better than Texas averageTexas average: 16.2%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
12.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
12.8%
18% better than Texas averageTexas average: 15.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
6.6%
Percent of long-stay residents experiencing one or more falls with major injury
6.6%
103% worse than Texas averageTexas average: 3.2%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
6.2%
Percent of long-stay high risk residents with pressure ulcers
6.2%
40% worse than Texas averageTexas average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
3.5%
Percent of long-stay residents with a urinary tract infection
3.5%
338% worse than Texas averageTexas average: 0.8%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
2.3%
Percent of long-stay residents who lose too much weight
2.3%
35% better than Texas averageTexas average: 3.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
5.6%
Percent of long-stay residents who have depressive symptoms
5.6%
94% worse than Texas averageTexas average: 2.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
3.6%
Percent of long-stay residents who received an antipsychotic medication
3.6%
55% better than Texas averageTexas average: 7.9%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Texas averageTexas average: 97.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Texas averageTexas average: 97.9%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
11% better than Texas averageTexas average: 90.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
4.7%
Percent of short-stay residents who newly received an antipsychotic medication
4.7%
221% worse than Texas averageTexas average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
14% better than Texas averageTexas average: 88.0%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Breakdown by payment type
Medicare
22% of new residents, usually for short-term rehab.
Typical stay
10 - 11 months
Private pay
59% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
18% of new residents, often for long-term daily care.
Typical stay
2 - 3 months
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
23
Medicaid
23
100% of residents
Programs & Services
CCRC
Part of a Continuing Care Retirement Community offering multiple care levels
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Financial Trends
Historical financial and operational data for Madisonville Assisted Living based on CMS SNF Cost Reports.
Occupancy Rate
N/A
Net Income
-$1.3M
↓ ~$803.7K vs 2022
Total Payroll
$118.4K
↓ ~$849.0K vs 2022
Profit Margin
-27,498.0%
↓ 27,463.7pp vs 2022
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$414.2K
Operating loss
-$1.3M
Privately-owned community
Operated by a business corporation.
Home revenue
$414.2K Rank #297 / 297Revenue — State benchmarkedThis home is ranked 297th out of 297 homes in Texas. Shows this facility's annual revenue compared to the Texas SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Operating loss
-$1.3M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #297 / 297Payroll — State benchmarkedThis home is ranked 297th out of 297 homes in Texas. Shows total annual staff payroll benchmarked to the Texas 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.
$118.4K
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #297 / 297Payroll — State benchmarkedThis home is ranked 297th out of 297 homes in Texas. Shows total annual staff payroll benchmarked to the Texas 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.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$1.6M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$1.7M
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
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Estimated distance in miles from Madisonville's city center to Madisonville Assisted Living's address, calculated via Google Maps.
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Financial Assistance for
Nursing Home in Texas
Madisonville Assisted Living is located in MADISONVILLE, Texas.
Here are the financial assistance programs available to residents in Texas.
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The information below is reported by the Texas Health and Human Services Commission.
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Frequently Asked Questions about Madisonville Assisted Living
Who is the owner of Madisonville Assisted Living?
The legal owner and operator of Madisonville Assisted Living is Madisonville Iii Enterprises, Llc.
Is Madisonville Assisted Living in a walkable area?
Madisonville Assisted Living has a walk score of 54. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
How many beds does Madisonville Assisted Living have?
Madisonville Assisted Living has 106 beds.
Has Madisonville Assisted Living had any recent deficiencies or citations?
Madisonville Assisted Living has had 36 recently reported deficiencies.
Are there photos of Madisonville Assisted Living?
Yes — there are 11 photos of Madisonville Assisted Living in the photo gallery on this page.
What is the address of Madisonville Assisted Living?
Madisonville Assisted Living is located at 410 EAST COLLARD STREET.
What is the phone number of Madisonville Assisted Living?
(936) 348-3985 will put you in contact with the team at Madisonville Assisted Living.
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What type of senior care service are you looking for?
3
What budget do you have in mind for senior care?
4
How soon do you need to find care?
5
Additional details
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