Deficiencies per Year
16
12
8
4
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Census: 73
Capacity: 73
Deficiencies: 0
Jul 1, 2025
Visit Reason
This visit was conducted for the investigation of Complaint IN00461922.
Findings
No deficiencies related to the allegations in Complaint IN00461922 were cited. The facility was found to be in compliance with applicable regulations.
Complaint Details
Complaint IN00461922 was investigated and found to have no deficiencies related to the allegations.
Report Facts
Medicare residents: 11
Medicaid residents: 53
Other payor residents: 9
Inspection Report
Complaint Investigation
Census: 72
Capacity: 72
Deficiencies: 0
May 28, 2025
Visit Reason
This visit was conducted for the Investigation of Complaint IN00460160.
Findings
No deficiencies related to the allegations in Complaint IN00460160 were cited. The facility was found to be in compliance with applicable regulations.
Complaint Details
Complaint IN00460160 was investigated and found to have no deficiencies related to the allegations.
Report Facts
Medicare residents: 8
Medicaid residents: 53
Other residents: 11
Inspection Report
Complaint Investigation
Census: 78
Capacity: 78
Deficiencies: 0
May 1, 2025
Visit Reason
This visit was conducted for the investigation of two complaints, IN00458016 and IN00455354.
Findings
No deficiencies related to the allegations in either complaint were cited. The facility was found to be in compliance with relevant regulations.
Complaint Details
Complaint IN00458016 and IN00455354 were investigated; no deficiencies related to the allegations were cited.
Report Facts
Census Bed Type: 78
Census Payor Type - Medicare: 55
Census Payor Type - Medicaid: 11
Census Payor Type - Other: 12
Inspection Report
Complaint Investigation
Census: 79
Capacity: 79
Deficiencies: 1
Mar 7, 2025
Visit Reason
This visit was conducted as an investigation of Complaint IN00454046 regarding allegations related to wound care orders for newly admitted residents.
Findings
The facility failed to ensure immediate physician orders for wound care for 2 of 3 residents reviewed (Resident B and Resident C). Deficiencies were related to missing or delayed wound treatment orders upon admission.
Complaint Details
Complaint IN00454046 was substantiated with federal/state deficiencies cited at F635 related to wound care orders for newly admitted residents.
Severity Breakdown
SS=D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failed to ensure a newly admitted resident had immediate orders for wound care for 2 of 3 residents reviewed for wounds (Resident B, Resident C). | SS=D |
Report Facts
Census: 79
Total Capacity: 79
Medicare Census: 13
Medicaid Census: 49
Other Payor Census: 17
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Eric Will | Executive Director | Signed the report |
| Director Of Nursing (DON) | Provided statements regarding nursing responsibilities and wound care orders during the investigation | |
| LPN 2 | Provided information about wound orders and hospital discharge reports | |
| RN 3 | Provided current treatment orders policy and skin integrity & pressure ulcer/injury prevention policy |
Inspection Report
Complaint Investigation
Deficiencies: 0
Mar 7, 2025
Visit Reason
Investigation of Complaints IN00454046 survey ending on March 7, 2025.
Findings
Parkview Care Center was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 in regard to the Investigation of Complaints IN00454046 survey.
Complaint Details
Investigation of Complaints IN00454046 survey; facility found in compliance.
Inspection Report
Follow-Up
Census: 78
Capacity: 108
Deficiencies: 0
Dec 3, 2024
Visit Reason
A Post Survey Revisit (PSR) was conducted to the Emergency Preparedness Survey and the Life Safety Code Recertification and State Licensure Survey originally conducted on 10/09/2024.
Findings
At this Post Survey Revisit, Parkview Care Center was found in compliance with Emergency Preparedness Requirements and Life Safety Code requirements, including Medicare/Medicaid participation standards and fire safety codes.
Report Facts
Certified beds: 99
Licensed capacity: 108
Census: 78
Inspection Report
Life Safety
Census: 81
Capacity: 99
Deficiencies: 14
Oct 9, 2024
Visit Reason
A Life Safety Code Recertification and Emergency Preparedness Survey was conducted at Parkview Care Center on October 9, 2024, by the Indiana Department of Health in accordance with 42 CFR 483.73 and 42 CFR 483.90(a).
Findings
The facility was found not in compliance with Emergency Preparedness Requirements and Life Safety Code requirements, including deficiencies in emergency power system testing and maintenance, exit signage visibility, fire alarm system testing and maintenance, fire watch policies, sprinkler system out-of-service procedures, portable fire extinguisher inspections, fire safety plan completeness, fire drill documentation, smoking area safety, fire door inspections, electrical receptacle testing, generator load testing, and improper use of power strips and extension cords.
Severity Breakdown
SS=E: 4
SS=F: 9
Deficiencies (14)
| Description | Severity |
|---|---|
| Failed to maintain complete written record of monthly generator load testing for 2 of the past 12 months. | — |
| Failed to maintain written record of weekly generator inspections for 5 of 52 weeks. | — |
| Exit signage not visible at 1 of over 10 areas of exit discharge due to bulkhead obstructing view. | SS=E |
| Failed to maintain fire alarm system semi-annual visual inspection documentation for devices such as smoke detectors and heat detectors. | SS=F |
| Failed to provide complete written fire alarm system out-of-service policy including time frames and notification procedures. | SS=F |
| Failed to provide complete written sprinkler system out-of-service policy including time frames and notification procedures. | SS=F |
| Failed to inspect 4 of 36 portable fire extinguishers monthly as required. | SS=F |
| Failed to provide complete facility-specific written fire safety plan addressing all required items including smoke barrier locations and K-class extinguisher use. | SS=F |
| Failed to provide quarterly fire drill documentation for 1 of 3 shifts during 1 of 4 quarters and incomplete documentation of fire alarm transmission for 4 of 11 fire drills. | SS=F |
| Failed to ensure cigarette butts were properly disposed of in the designated smoking area. | SS=E |
| Failed to ensure annual inspection and testing of oxygen room fire door assembly was completed and documented. | SS=E |
| Failed to maintain complete documentation of annual testing of non-hospital-grade electrical receptacles in resident rooms. | SS=F |
| Failed to maintain complete written record of monthly generator load testing and weekly inspections for emergency electrical system generator. | SS=F |
| Used power strips and extension cords as a substitute for fixed wiring in multiple resident and staff rooms. | SS=E |
Report Facts
Certified beds: 99
Census: 81
Deficiencies cited: 13
Fire extinguishers not inspected monthly: 4
Fire drills missing documentation: 1
Fire drills missing alarm transmission documentation: 4
Generator load test missing months: 2
Generator weekly inspections missing weeks: 5
Resident rooms with power strip violations: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Krista Adams | Executive Director | Named in relation to findings and plan of correction |
Inspection Report
Annual Inspection
Census: 76
Capacity: 76
Deficiencies: 9
Sep 26, 2024
Visit Reason
This visit was for a Recertification and State Licensure Survey, including the Investigation of Complaints IN00443638 and IN00440635.
Findings
The facility was found deficient in multiple areas including failure to notify physicians and representatives of changes in residents' medical status, failure to develop comprehensive care plans, inadequate assistance with activities of daily living, incomplete restorative nursing services, improper oxygen concentrator maintenance, inaccurate nurse staffing postings, improper medication storage, incomplete fall documentation, and lack of communication with hospice providers.
Complaint Details
This survey included investigations of Complaint IN00443638 and Complaint IN00440635. Deficiencies related to these complaints were cited at F580, F656, F677.
Severity Breakdown
SS=D: 5
SS=E: 3
SS=C: 1
Deficiencies (9)
| Description | Severity |
|---|---|
| Failed to notify physician and resident representative of changes in a resident's medical status for skin conditions and urinary tract infections (Resident C). | SS=D |
| Failed to develop care plans for residents with urinary tract infections, tube feedings, unnecessary medications, and hospice services (Residents C, N, L, Z, J, V). | SS=E |
| Failed to ensure residents requiring assistance with activities of daily living were bathed or assisted to bathe (Residents V, P, S, T, C). | SS=E |
| Failed to ensure residents with limited range of motion received restorative nursing services to prevent decrease in range of motion (Residents V, 35). | SS=D |
| Failed to ensure oxygen concentrator filter was being cleaned for a resident receiving respiratory care (Resident P). | SS=D |
| Failed to post accurate actual hours worked for licensed and unlicensed nursing staff per shift daily for 5 of 6 days. | SS=C |
| Failed to ensure proper storage of medications; loose pills were observed in medication carts. | SS=E |
| Failed to ensure documentation was completed and accurate for residents' fall documentation (Residents P and 12). | SS=D |
| Failed to ensure communication process with hospice personnel was developed and implemented, including documentation of communication between facility and hospice staff (Resident J). | SS=D |
Report Facts
Census: 76
Total Capacity: 76
Survey Dates: 2024-09-19 to 2024-09-26
Medicare Census: 4
Medicaid Census: 46
Other Payor Census: 26
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brenda Buroker | Director Division of Long Term Care | Named in correspondence related to the survey. |
| Krista Adams | Executive Director | Signed plan of correction response. |
Inspection Report
Plan of Correction
Deficiencies: 0
Sep 26, 2024
Visit Reason
The document relates to paper compliance for the Recertification and State Licensure and Investigation of Complaints IN00443638 and IN00440635 survey ending on September 26, 2024.
Findings
Parkview Care Center was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 regarding the Recertification and State licensure and Investigation of Complaints IN00443638 and IN00440635 survey.
Inspection Report
Complaint Investigation
Census: 74
Capacity: 74
Deficiencies: 0
Aug 8, 2024
Visit Reason
This visit was conducted for the investigation of three complaints: IN00438834, IN00438727, and IN00438399.
Findings
No deficiencies related to the allegations in any of the three complaints were cited. The facility was found to be in compliance with relevant regulations.
Complaint Details
Complaint IN00438834, IN00438727, and IN00438399 were investigated with no deficiencies related to the allegations cited.
Report Facts
Medicare census: 6
Medicaid census: 41
Other census: 27
Inspection Report
Complaint Investigation
Census: 74
Capacity: 74
Deficiencies: 0
Jun 7, 2024
Visit Reason
This visit was conducted for the investigation of Complaint IN00435628.
Findings
No deficiencies related to the complaint allegations were cited. The facility was found to be in compliance with applicable regulations.
Complaint Details
Investigation of Complaint IN00435628 found no deficiencies related to the allegations.
Report Facts
Census: 74
Total Capacity: 74
Medicare Census: 7
Medicaid Census: 50
Other Payor Census: 17
Inspection Report
Complaint Investigation
Census: 73
Capacity: 73
Deficiencies: 0
May 22, 2024
Visit Reason
This visit was for the Investigation of Complaint IN00430947 and IN00432459.
Findings
No deficiencies related to the allegations in complaints IN00430947 and IN00432459 were cited. The facility was found to be in compliance with relevant regulations.
Complaint Details
Complaint IN00430947 and IN00432459 were investigated with no deficiencies related to the allegations cited.
Report Facts
Medicare census: 11
Medicaid census: 42
Other payor census: 20
Inspection Report
Complaint Investigation
Census: 78
Capacity: 78
Deficiencies: 1
Jan 3, 2024
Visit Reason
This visit was conducted as an investigation of complaints IN00418557 and IN00423281 regarding infection control practices at Parkview Care Center.
Findings
The facility failed to ensure proper infection control practices to mitigate the spread of COVID-19, specifically staff entering COVID-19 positive resident rooms without properly donning PPE. Observations showed staff not fastening gowns at the neck and lacking eye protection as required.
Complaint Details
Complaint IN00418557 and IN00423281 were investigated. Federal/state deficiencies related to the allegations were cited at F880. The complaint survey was conducted on January 2 and 3, 2024.
Severity Breakdown
SS=D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to ensure infection control practices were maintained to mitigate the spread of COVID-19; staff entered COVID-19 positive resident rooms without proper PPE or correct donning of PPE. | SS=D |
Report Facts
Census: 78
Total Capacity: 78
Medicare Census: 11
Medicaid Census: 40
Other Payor Census: 27
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Krista Adams | Executive Director | Signed plan of correction and correspondence related to the complaint survey |
| LPN 1 | Observed failing to properly don PPE in COVID-19 isolation rooms | |
| CNA 1 | Observed failing to properly don PPE in COVID-19 isolation rooms |
Inspection Report
Complaint Investigation
Deficiencies: 0
Jan 3, 2024
Visit Reason
Investigation of complaints IN00423281 and IN00418557 survey ending on January 3, 2024.
Findings
Parkview Care Center was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 in regard to the investigation of the complaints.
Complaint Details
Investigation of complaints IN00423281 and IN00418557; facility found in compliance.
Inspection Report
Life Safety
Census: 65
Capacity: 108
Deficiencies: 0
Aug 28, 2023
Visit Reason
A Post Survey Revisit (PSR) to the Life Safety Code Recertification and State Licensure Survey conducted on 07/12/23 by the Indiana Department of Health in accordance with 42 CFR 483.90(a).
Findings
Parkview Care Center was found in compliance with Requirements for Participation in Medicare/Medicaid, Life Safety from Fire, and the 2012 edition of the National Fire Protection Association (NFPA) 101, Life Safety Code (LSC), Chapter 19, Existing Health Care Occupancies and 410 IAC 16.2. The facility was fully sprinklered except for one detached garage used for maintenance and storage.
Inspection Report
Complaint Investigation
Census: 64
Capacity: 64
Deficiencies: 0
Aug 10, 2023
Visit Reason
This visit was conducted for the investigation of Complaint IN00411956.
Findings
No deficiencies related to the allegations of Complaint IN00411956 were cited. The facility was found to be in compliance with applicable regulations.
Complaint Details
Investigation of Complaint IN00411956 found no deficiencies related to the allegations.
Report Facts
Census: 64
Total Capacity: 64
Medicare Residents: 3
Medicaid Residents: 45
Other Payor Residents: 16
Inspection Report
Life Safety
Census: 64
Capacity: 108
Deficiencies: 8
Jul 12, 2023
Visit Reason
A Life Safety Code Recertification and State Licensure Survey was conducted by the Indiana Department of Health in accordance with 42 CFR 483.90(a) and NFPA 101 standards.
Findings
The facility was found not in compliance with Life Safety Code requirements, with deficiencies including failure to document sprinkler system inspections, corrosion on sprinkler heads, unprotected smoke barrier wall penetrations, expired water heater inspection certificates, and incomplete fire drill documentation.
Severity Breakdown
SS=F: 6
SS=E: 1
SS=C: 1
Deficiencies (8)
| Description | Severity |
|---|---|
| Failed to document sprinkler system inspections for pressure gauges during 34 of the past 52 weeks and control valves during 8 of the past 12 months. | SS=F |
| Sprinkler heads in the kitchen were covered with green corrosion and not replaced. | SS=F |
| Smoke barrier wall above doors between 100 and 200 halls had holes not properly fire stopped. | SS=E |
| Six fuel-fired water heaters had expired inspection certificates. | SS=C |
| Failed to provide quarterly fire drill documentation for 1 of 3 shifts during 1 of 4 quarters. | SS=F |
| Three fire drill reports lacked documentation of transmission of fire alarm signal to monitoring company. | SS=F |
| Four fire drill reports lacked complete documentation including staff signatures and drill information. | SS=F |
| Fire drills were not held at varied times for 2 of 3 shifts during 4 of 4 quarters. | SS=F |
Report Facts
Certified beds: 108
Census: 64
Weeks without sprinkler gauge inspection: 34
Months without sprinkler control valve inspection: 8
Number of sprinkler heads corroded: 3
Number of holes in smoke barrier wall: 3
Number of fuel-fired water heaters: 6
Fire drills missing documentation: 1
Fire drills missing alarm transmission documentation: 3
Fire drills missing staff signatures or info: 4
Fire drills with unvaried times: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Krista Adams | Executive Director | Named in relation to findings and plan of correction |
| Brenda Buroker | Director Division of Long Term Care, Indiana State Department of Health | Recipient of survey report |
| Maintenance Director | Interviewed and involved in findings related to sprinkler system, smoke barrier, water heaters, and fire drills |
Inspection Report
Annual Inspection
Census: 64
Capacity: 64
Deficiencies: 6
Jun 26, 2023
Visit Reason
This visit was for a Recertification and State Licensure Survey conducted in conjunction with the Investigation of Complaint IN00411591.
Findings
The facility was found deficient in several areas including timely completion of quarterly Minimum Data Set (MDS) assessments, accuracy of MDS assessments, development and implementation of comprehensive care plans, provision of activities of daily living (ADL) care, and posting of nurse staffing information. No deficiencies were cited related to the complaint investigation.
Complaint Details
Complaint IN00411591 was investigated with no deficiencies cited related to the allegations.
Severity Breakdown
Level D: 3
Level E: 2
Level C: 1
Deficiencies (6)
| Description | Severity |
|---|---|
| Failed to ensure quarterly MDS assessments were completed timely for 3 of 16 residents reviewed. | Level D |
| Failed to ensure MDS assessments were accurate for medications, dental, and pressure ulcers for several residents. | Level E |
| Failed to ensure physician orders and care plan interventions were followed for activities of daily living and mobility for 2 residents. | Level D |
| Failed to ensure care plan conferences were completed and care plans revised for multiple residents. | Level E |
| Failed to provide necessary services to maintain personal hygiene for 2 of 3 residents; dependent residents were not provided showers as scheduled or according to preference. | Level D |
| Failed to ensure posted nurse staffing reflected actual hours worked by staff for 3 of 6 days during the survey. | Level C |
Report Facts
Residents reviewed for quarterly MDS timeliness: 16
Residents reviewed for MDS accuracy: 6
Residents reviewed for ADL and mobility: 2
Residents reviewed for care plan conferences: 5
Residents reviewed for personal hygiene: 3
Residents present: 64
Total licensed capacity: 64
Survey dates: 7
Deficiency severity counts: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Krista Adams | Executive Director | Signed plan of correction and involved in responses |
| Brenda Buroker | Director Division of Long Term Care | Indiana State Department of Health official receiving report |
Inspection Report
Renewal
Deficiencies: 0
Jun 26, 2023
Visit Reason
The inspection was conducted as a Recertification and State Licensure survey ending on June 26, 2023.
Findings
Parkview Care Center was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 in regard to the Recertification and State Licensure survey.
Inspection Report
Complaint Investigation
Census: 64
Capacity: 64
Deficiencies: 0
Jun 26, 2023
Visit Reason
This visit was for the Investigation of Complaint IN00411591 and was conducted in conjunction with the Recertification and State Licensure Survey.
Findings
No deficiencies were cited regarding the allegations in Complaint IN00411591. The facility was found to be in compliance with applicable federal and state regulations.
Complaint Details
Complaint IN00411591 was investigated and no deficiencies were cited regarding the allegations.
Report Facts
Census: 64
Total Capacity: 64
Medicaid Census: 48
Other Census: 16
Inspection Report
Complaint Investigation
Census: 71
Capacity: 71
Deficiencies: 0
May 22, 2023
Visit Reason
This visit was conducted for the investigation of complaints IN00408999 and IN00408210.
Findings
No deficiencies were cited related to the allegations in both complaints. The facility was found to be in compliance with relevant regulations.
Complaint Details
Complaint IN00408999: No deficiencies were cited related to the allegations. Complaint IN00408210: No deficiencies were cited related to the allegations.
Report Facts
Census Bed Type: 71
Medicare Census: 6
Medicaid Census: 49
Other Payor Census: 16
Inspection Report
Complaint Investigation
Deficiencies: 0
Apr 18, 2023
Visit Reason
Investigation of Complaint IN004003004 ending on March 14, 2023.
Findings
Parkview Care Center was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 in regard to the Investigation of Complaint IN004003004 survey.
Complaint Details
Investigation of Complaint IN004003004; facility found in compliance.
Inspection Report
Complaint Investigation
Census: 60
Capacity: 60
Deficiencies: 2
Mar 14, 2023
Visit Reason
This visit was conducted for the investigation of Complaint IN00403004 regarding federal and state deficiencies related to privacy and hospice services.
Findings
The facility failed to ensure dignity and privacy for one resident during care when a privacy curtain was not pulled during a bed bath. Additionally, the facility failed to notify the hospice provider when a resident was sent to the hospital, resulting in a communication lapse.
Complaint Details
Complaint IN00403004 was investigated with deficiencies cited related to privacy and hospice communication. The complaint was substantiated with findings that privacy was not maintained during care and hospice was not notified of hospital transfer.
Severity Breakdown
SS=D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failed to ensure dignity and privacy for 1 of 1 residents observed during care; privacy curtain was not pulled during bed bath. | SS=D |
| Failed to ensure communication of a resident's change in condition to hospice provider; hospice was not notified when resident was sent to hospital. | SS=D |
Report Facts
Census: 60
Total Capacity: 60
Medicare Census: 30
Medicaid Census: 26
Other Payor Census: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Christina Wilson | Executive Director | Signed the report |
| CNA 1 | Observed giving bed bath without pulling privacy curtain | |
| ADON | Assistant Director of Nursing | Provided policy on dignity and privacy; interviewed regarding hospice notification |
| DON | Director of Nursing | Responsible for hospice notification and education on privacy practices |
| LPN 1 | Licensed Practical Nurse | Indicated hospice is normally called before sending resident to ER |
Inspection Report
Complaint Investigation
Deficiencies: 0
Feb 16, 2023
Visit Reason
Investigation of Complaint IN00390375 ending on January 5, 2023.
Findings
Parkview Care Center was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 in regard to the Investigation of Complaint IN00390375 survey.
Complaint Details
Investigation of Complaint IN00390375 ending on January 5, 2023; facility found in compliance.
Inspection Report
Complaint Investigation
Census: 49
Capacity: 49
Deficiencies: 1
Jan 4, 2023
Visit Reason
This visit was conducted for the investigation of Complaint IN00390375, which was substantiated with federal/state deficiencies cited related to the allegations.
Findings
The facility failed to ensure residents remained free of physical restraints for 1 of 1 residents reviewed, specifically a sheet was tied around a resident's waist in a wheelchair. The staff member responsible was suspended and subsequently terminated. No injuries or distress were noted in the resident. The facility implemented corrective actions including re-education of staff and monitoring to prevent recurrence.
Complaint Details
Complaint IN00390375 was substantiated. The complaint involved inappropriate physical restraint use on Resident F, with an incident date of 12/31/22. The staff member involved was suspended and later terminated. Police and responsible parties were notified.
Severity Breakdown
SS=D: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to ensure residents remained free of physical restraints; a sheet was tied around a resident's waist in a wheelchair. | SS=D |
Report Facts
Census: 49
Licensed Capacity: 49
Medicare Residents: 11
Medicaid Residents: 29
Other Residents: 9
Compliance Date: Jan 20, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Heather Keesee | RN, RDCS | Signed the report as Laboratory Director or Provider/Supplier Representative |
Inspection Report
Complaint Investigation
Census: 53
Capacity: 53
Deficiencies: 0
Sep 15, 2022
Visit Reason
This visit was for the Investigation of Complaint IN00389918.
Findings
The complaint IN00389918 was found to be unsubstantiated due to lack of evidence. Parkview Care Center was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 in regard to the investigation.
Complaint Details
Complaint IN00389918 - Unsubstantiated due to lack of evidence.
Report Facts
Medicare census: 12
Medicaid census: 38
Other payor census: 3
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