Total health inspections
5
Missouri average 6.6
Last Health inspection on Jan 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Monroe Manor
Nursing Home · Missouri, MO
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.
Monroe Manor
Nursing Home · Missouri, MO
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.
Monroe Manor accepts Medicare, Medicaid, and private pay.
Monroe Manor is a skilled nursing facility located in Paris, Missouri. Established in 1973, it offers a small-town approach to exceptional care, focusing on maintaining an active and independent lifestyle for residents. The facility includes a Skilled Care Cottage designed to create a home-like 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 116th out of 256 homes in Missouri.
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 116th out of 256 homes in Missouri.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 47m per day
Rank #116 / 256Nurse hours — State benchmarkedThis home is ranked 116th out of 256 homes in Missouri.Shows adjusted nurse hours per resident per day benchmarked to the Missouri average, with a ranking across 256 Missouri 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 Missouri avg
+0%
Standout metric
LPN / LVN is +15% above state avg
| 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.
| 14m per day | ▼ 50% 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.
| 47m per day | ▲ 15% 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 21m per day | ■ Avg State avg: 2h 19m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
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 30m per day | ▼ 18% State avg: 3h 3m per day · National avg: 3h 26m per day |
|
RN (Weekend)
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.
| 7m per day | ▼ 65% State avg: 20m per day · National avg: 28m per day |
Capacity and availability
This home usually has availability
Occupancy lower than 85% suggests more openings may be available.
Occupancy rate
59.5%
Rank #196 / 262Occupancy rate — State benchmarkedThis home is ranked 196th out of 262 homes in Missouri.Shows this facility's occupancy rate versus the Missouri average, with its Statewide rank out of 262. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
173 days
Occupancy rate
59.5%
Rank #196 / 262Occupancy rate — State benchmarkedThis home is ranked 196th out of 262 homes in Missouri.Shows this facility's occupancy rate versus the Missouri average, with its Statewide rank out of 262. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
173 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Breakdown by payment type
Medicare
63% of new residents, usually for short-term rehab.
Typical stay
25 days
Private pay
33% of new residents, often for short stays.
Typical stay
7 - 8 months
Medicaid
4% of new residents, often for long-term daily care.
Typical stay
6 - 7 years
Finances and operations
Governmental community
Operated by county authorities.
Home revenue
$5.8M
Operating deficit
-$379.0K
Governmental community
Operated by county authorities.
Home revenue
$5.8M Rank #144 / 263Revenue — State benchmarkedThis home is ranked 144th out of 263 homes in Missouri.Shows this facility's annual revenue compared to the Missouri 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 deficit
-$379.0K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #81 / 263Payroll — State benchmarkedThis home is ranked 81st out of 263 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.
$4.6M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #81 / 263Payroll — State benchmarkedThis home is ranked 81st out of 263 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.
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
$6.2M
119-bed community Rank #101 / 267Bed count — State benchmarkedThis home is ranked 101st out of 267 homes in Missouri.Shows this facility's certified or reported bed count compared to other Missouri 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: 46 / 100 Rank #154 / 264Walk Score — State benchmarkedThis home is ranked 154th out of 264 homes in Missouri.Shows how walkable this facility's neighborhood is compared to the average Walk Score across Missouri 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.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
About this community
Facility TypeSnf
CountyMonroe
Certification TypeMedicare/Medicaid
Monroe Manor is legally operated by Monroe County Nursing Home District, and administrated by Ms Shari Embree.
Owner NameMonroe County Nursing Home District
Rehabilitation Services
Private Accommodations
Private Bedroom
Private Full Bathroom
Zero Entry Shower
24 Hour Care
Large Sun Porch
Spa Room
Specific ProgramsRates, Community Calendar, The Cottage, Application, Scholarships
Operating HoursMonday-Friday: 7:30 a.m. to 4:00 p.m., Closed on holidays
Inspection History
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.
Since 2019 · 7 years of data
0 inspections
Inspection Scorecard
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.
Since 2019 vs. Missouri state average
Inspections
State inspections evaluate whether the facility meets health and safety standards.
| Metric | This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 0 | 7 | This facility has 100% fewer total inspections than a typical Missouri nursing home (0 vs. MO avg 7). Click this badge to view the full Missouri ranking.↓ 100% better |
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsHealth Inspection History
Inspections
Total health citations
13
Rank #31 / 261Health citations — State benchmarkedThis home is ranked 31st out of 261 homes in Missouri.Shows this facility's total health deficiency citations benchmarked to the Missouri State average, with a ranking across all 261 MO 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.
Missouri average 36.5
Citations per inspection
2.6
Rank #17 / 261Citations per inspection — State benchmarkedThis home is ranked 17th out of 261 homes in Missouri.Shows average deficiency citations per CMS inspection for this facility versus the Missouri mean across 261 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.
Missouri average 5.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
10 of 13 citations resulted from standard inspections; and 3 of 13 resulted from complaint investigations.
Breakdown of citation severity (last 7 years)
Critical Health citations
0
100% better than Missouri averageMissouri average: 0.7
Serious Health citations
1
Rank #1 / 119Serious citations (G–I) — State benchmarkedThis home is ranked 1st out of 119 homes in Missouri.Shows G–I scope serious health citations for this facility versus other Missouri SNFs. Lower counts rank better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
In line with Missouri averageMissouri average: 1
Citations history (last 7 years)
Infection Control moderate citation
Jan 14, 2025
Corrected
Care Planning moderate citation
Nov 12, 2024
Corrected
Resident Rights moderate citation
Nov 12, 2024
Corrected
Pharmacy moderate citation
Mar 14, 2024
Corrected
Financial Assistance for
Nursing Home in Missouri
Monroe Manor is located in PARIS, Missouri.
Here are the financial assistance programs available to residents in Missouri.
Places of interest near Monroe Manor
0.0 miles from city center
Estimated distance in miles from Paris's city center to Monroe Manor's address, calculated via Google Maps.
Calculate Travel Distance to Monroe Manor
Add your location
Staffing Data
Reporting period: April 1 – June 30, 2025 (Q2 2025). Source: CMS Payroll-Based Journal report.
Total staff
151
Employees
59
Contractors
92
Staff to resident ratio
2.07:1
21% better than Missouri average
Avg staff/day
29
Average shift
8.9 hours
10% better than Missouri average
Total staff hours (quarter)
23,587
Nursing staff breakdown
Q2 2025 · Apr 1 – Jun 30
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Registered Nurse
Manages medical care and health needs.
Total count
11
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
20
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.3 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
73
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursThis role is partially covered by contractors.
Contractor staffing
Q2 2025 · Apr 1 – Jun 30
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Total hours from contractors
28.3%
6,667 contractor hours this quarter
Certified Nursing Assistant: 60
Medication Aide/Technician: 15
Licensed Practical Nurse: 12
Registered Nurse: 5
Staff by category
Q2 2025 · Apr 1 – Jun 30
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
| Certified Nursing Assistant | 13 | 60 | 73 | 6,976 | 91 | 100% | 9.3 |
| Medication Aide/Technician | 8 | 15 | 23 | 4,302 | 91 | 100% | 10.4 |
| Licensed Practical Nurse | 8 | 12 | 20 | 3,548 | 91 | 100% | 10.3 |
| Other Dietary Services Staff | 11 | 0 | 11 | 2,753 | 91 | 100% | 6.6 |
| RN Director of Nursing | 5 | 0 | 5 | 1,818 | 67 | 74% | 8.3 |
| Nurse Aide in Training | 5 | 0 | 5 | 1,511 | 82 | 90% | 10.4 |
| Registered Nurse | 6 | 5 | 11 | 1,132 | 91 | 100% | 7.4 |
| Nurse Practitioner | 1 | 0 | 1 | 544 | 60 | 66% | 9.1 |
| Administrator | 1 | 0 | 1 | 519 | 62 | 68% | 8.4 |
| Occupational Therapy Aide | 1 | 0 | 1 | 485 | 60 | 66% | 8.1 |
73 Certified Nursing Assistant
% of Days
100%
23 Medication Aide/Technician
% of Days
100%
20 Licensed Practical Nurse
% of Days
100%
11 Other Dietary Services Staff
% of Days
100%
5 RN Director of Nursing
% of Days
74%
5 Nurse Aide in Training
% of Days
90%
11 Registered Nurse
% of Days
100%
1 Nurse Practitioner
% of Days
66%
1 Administrator
% of Days
68%
1 Occupational Therapy Aide
% of Days
66%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
73
Medicare
6
8.2% of residents
Medicaid
32
43.8% of residents
Private pay or other
35
47.9% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Active Resident Council
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.
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.
14.7
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.7
34% worse than Missouri averageMissouri average: 10.9
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.5
5% worse than Missouri averageMissouri average: 19.5
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
22.5%
Percent of long-stay residents whose need for help with daily activities has increased
22.5%
14% worse than Missouri averageMissouri average: 19.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
17.6%
Percent of long-stay residents whose ability to move independently worsened
17.6%
15% better than Missouri averageMissouri average: 20.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.4%
18% worse than Missouri averageMissouri average: 18.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.9%
Percent of long-stay residents experiencing one or more falls with major injury
3.9%
In line with Missouri averageMissouri average: 4.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
21.2%
Percent of long-stay high risk residents with pressure ulcers
21.2%
323% worse than Missouri averageMissouri average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.8%
Percent of long-stay residents with a urinary tract infection
0.8%
70% better than Missouri averageMissouri average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
8.2%
Percent of long-stay residents who lose too much weight
8.2%
47% worse than Missouri averageMissouri average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.4%
Percent of long-stay residents who have depressive symptoms
0.4%
97% better than Missouri averageMissouri average: 12.8%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
20.9%
Percent of long-stay residents who received an antipsychotic medication
20.9%
5% better than Missouri averageMissouri average: 22.0%
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%
17% better than Missouri averageMissouri average: 85.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
92.8%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
92.8%
In line with Missouri averageMissouri average: 90.9%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
2.70
Number of hospitalizations per 1,000 long-stay resident days.
2.70
30% worse than Missouri averageMissouri average: 2.08
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.35
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.35
43% better than Missouri averageMissouri average: 2.35
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.2%
46% better than Missouri averageMissouri average: 66.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.3%
Percent of short-stay residents who newly received an antipsychotic medication
1.3%
41% better than Missouri averageMissouri average: 2.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
69.6%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
69.6%
10% better than Missouri averageMissouri average: 63.5%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
21.7%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
21.7%
14% better than Missouri averageMissouri average: 25.3%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
19.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
19.3%
44% worse than Missouri averageMissouri average: 13.4%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
1.6%
Percentage of SNF residents who experience falls with major injury during their stay.
1.6%
103% worse than Missouri averageMissouri average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
55.6%
Percentage of residents at or above expected ability to care for themselves at discharge.
55.6%
In line with Missouri averageMissouri average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
52.1%
Rate of successful return to home or community from a skilled nursing facility.
52.1%
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.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$35K Rank #205 / 263Federal fines — State benchmarkedThis home is ranked 205th out of 263 homes in Missouri.Shows this facility's cumulative CMS federal fine dollars versus the Missouri average among facilities with fines, and where it ranks among 263 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.
52% lower than Missouri averageMissouri average: $73K
Number of fines
1
59% fewer fines than Missouri averageMissouri average: 2.4
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 Missouri averageMissouri average: 0.7
Fines amount comparison
Fines amount comparison
This facility
$35K
Missouri average
$73K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Mar 14, 2024 · $35K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 14, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 14, 2024
$35K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Monroe Manor based on CMS SNF Cost Reports.
Occupancy Rate
59.5%
↓ 1.3pp vs 2022
Net Income
-$379.0K
↓ ~$317.6K vs 2022
Total Payroll
$4.6M
↓ ~$38.1K vs 2022
Profit Margin
-6.8%
↓ 5.6pp vs 2022
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Frequently Asked Questions about Monroe Manor
Who is the owner of Monroe Manor?
The legal owner and operator of Monroe Manor is Monroe County Nursing Home District.
Is Monroe Manor in a walkable area?
Monroe Manor has a walk score of 46. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Who is the administrator of Monroe Manor?
Ms SHARI EMBREE is the administrator of Monroe Manor.
How many beds does Monroe Manor have?
Monroe Manor has 119 beds.
Are there photos of Monroe Manor?
Yes — there are 5 photos of Monroe Manor in the photo gallery on this page.
What is the address of Monroe Manor?
Monroe Manor is located at 200 SOUTH ST.
What is the phone number of Monroe Manor?
(660) 327-4125 will put you in contact with the team at Monroe Manor.
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