Total health inspections
3
North Carolina average 4
Last Health inspection on Feb 2025
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Piedmont Crossing
Assisted Living in Thomasville
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.
Piedmont Crossing
Assisted Living in Thomasville
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.
Piedmont Crossing accepts Medicare, Medicaid, and private pay.
Overview of Piedmont Crossing
Set in 61 acres of beautifully landscaped grounds at Thomasville, NC, Piedmont Crossing is a charming senior living community that offers independent living, assisted living, and comprehensive continuing care services. A variety of beautifully designed cottages, villas, and apartments await residents, providing them a variety of options to choose their ideal residence. The community offers extensive services, including healthcare, memory care, and rehabilitation to ensure residents are provided compassionate care that meets their physical and safety needs.
With 24-hour emergency system and night security services, as well as access to continuum of care, residents can freely focus on continuing an active lifestyle, with plenty of activities and amenities to explore on-site. Explore your favorite hobbies or try something new with a wide array of activities, classes, and resident programs offered. A variety of dining options with menus developed to meet resident preferences and overseen by a registered dietician, is offered to ensure residents always have the energy to stay active and engaged.
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 9th out of 60 homes in North Carolina.
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 9th out of 60 homes in North Carolina.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.
5h 54m per day
Rank #9 / 60Nurse hours — state benchmarkedThis home is ranked 9th out of 60 homes in North Carolina.Shows adjusted nurse hours per resident per day benchmarked to the North Carolina average, with a ranking across 60 North Carolina SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
vs North Carolina avg
+48%
Standout metric
Total Nursing (Weekend) is +36% above state avg
| Staff type | Hours / day | 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.
| 40m per day | ▲ 14% State avg: 35m 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 2m per day | ▲ 19% State avg: 52m 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.
| 3h 6m per day | ▲ 34% State avg: 2h 19m per day · National avg: 2h 21m 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.
| 4h 32m per day | ▲ 36% State avg: 3h 20m 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.
| 3m per day | ▼ 40% State avg: 5m per day · National avg: 4m 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.
| 18m per day | ▼ 22% State avg: 23m per day · National avg: 29m per day |
Capacity and availability
This home usually has availability
Occupancy lower than 85% suggests more openings may be available.
Occupancy rate
68.1%
Rank #58 / 66Occupancy rate — state benchmarkedThis home is ranked 58th out of 66 homes in North Carolina.Shows this facility's occupancy rate versus the North Carolina average, with its statewide rank out of 66. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
112 days
Occupancy rate
68.1%
Rank #58 / 66Occupancy rate — state benchmarkedThis home is ranked 58th out of 66 homes in North Carolina.Shows this facility's occupancy rate versus the North Carolina average, with its statewide rank out of 66. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
112 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Breakdown by payment type
Medicare
32% of new residents, usually for short-term rehab.
Typical stay
1 months
Private pay
62% of new residents, often for short stays.
Typical stay
4 - 5 months
Medicaid
5% of new residents, often for long-term daily care.
Typical stay
1 - 2 years
Finances and operations
Voluntary non-profit community
Operated by a church.
Home revenue
$20.5M
Surplus of revenue
$608.4K
Voluntary non-profit community
Operated by a church.
Home revenue
$20.5M Rank #19 / 67Revenue — state benchmarkedThis home is ranked 19th out of 67 homes in North Carolina.Shows this facility's annual revenue compared to the North Carolina SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.
Surplus of revenue
$608.4K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #23 / 67Payroll — state benchmarkedThis home is ranked 23rd out of 67 homes in North Carolina.Shows total annual staff payroll benchmarked to the North Carolina average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
$8.0M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #23 / 67Payroll — state benchmarkedThis home is ranked 23rd out of 67 homes in North Carolina.Shows total annual staff payroll benchmarked to the North Carolina average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$11.9M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$19.9M
Walk Score: 4 / 100 Rank #58 / 63Walk Score — state benchmarkedThis home is ranked 58th out of 63 homes in North Carolina.Shows how walkable this facility's neighborhood is compared to the average Walk Score across North Carolina SNFs. Higher scores benefit residents, families, and staff.
Car-dependent. Most errands require a car, with limited nearby walkable options.
About this community
Rehabilitation Services
Respite Care
Short-Term Rehab
Short-Term Rehabilitation
Pets Allowed
Dining Options
Transportation Services
Wellness Programs
Resident Programs
Childcare Services
ActivitiesResidents enjoy a purpose-filled lifestyle with opportunities to volunteer, attend events, and participate in various activities.
Specific ProgramsContinuing Care Services, Special Programs, Wellness & Fitness
Operating HoursMonday-Friday: 6:30am-5:30pm
Food DescriptionPiedmont Crossing offers several options for dining, including a full menu with table service in the Hearth Dining Room and lunch options in the Bistro.
What does this home offer?
Housing Options: 1 Bed / 2 Bed
Building Type: Two-story
Fitness and Recreation
Types of Care at Piedmont Crossing
Assisted Living
Independent Living
Memory Care
Nursing Home
Health Inspection History
Inspections
Total health citations
11
Rank #25 / 65Health citations — state benchmarkedThis home is ranked 25th out of 65 homes in North Carolina.Shows this facility's total health deficiency citations benchmarked to the North Carolina state average, with a ranking across all 65 NC SNFs. Lower citation counts earn a better rank.
North Carolina average 20.9
Citations per inspection
3.67
Rank #30 / 65Citations per inspection — state benchmarkedThis home is ranked 30th out of 65 homes in North Carolina.Shows average deficiency citations per CMS inspection for this facility versus the North Carolina mean across 65 SNFs with citation data. Lower is better.
North Carolina average 4.99
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
9 of 11 citations resulted from standard inspections; and 2 of 11 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
100% better than North Carolina averageNorth Carolina average: 1.3
Serious Health citations
0
0
100% better than North Carolina averageNorth Carolina average: 0.9
0 critical citations
0 serious citations
7 moderate citations
4 minor citations
Citations history (last 3 years)
Resident Rights minor citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Feb 14, 2025
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Feb 14, 2025
Corrected
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Feb 14, 2025
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Feb 14, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Oct 13, 2023
Issues related to food quality, meal service, and resident's nutritional needs.
Oct 13, 2023
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Sep 09, 2022
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Sep 09, 2022
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Living Spaces & Floor Plans
Piedmont Crossing P2
Piedmont Crossing P3
Piedmont Crossing P1
Financial Assistance for
Assisted Living in North Carolina
Piedmont Crossing is located in Thomasville, North Carolina.
Here are the financial assistance programs available to residents in North Carolina.
Places of interest near Piedmont Crossing
3.4 miles from city center
Estimated distance in miles from Thomasville's city center to Piedmont Crossing's address, calculated via Google Maps.
Calculate Travel Distance to Piedmont Crossing
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
123
Employees
99
Contractors
24
Staff to resident ratio
1.18:1
36% worse than North Carolina averageNorth Carolina average ratio: 1.85:1
Avg staff/day
49
Average shift
8.4 hours
5% better than North Carolina averageNorth Carolina average: 8 hours
Total staff hours (quarter)
37,521
Nursing staff breakdown
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.
9.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
22
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
47
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
8.3%
3,115 contractor hours this quarter
Qualified Social Worker: 6
Speech Language Pathologist: 5
Physical Therapy Assistant: 4
Respiratory Therapy Technician: 3
Physical Therapy Aide: 3
Occupational Therapy Assistant: 2
Medical Director: 1
Staff by category
| Certified Nursing Assistant | 47 | 0 | 47 | 16,449 | 91 | 100% | 8.1 |
| Licensed Practical Nurse | 22 | 0 | 22 | 8,246 | 91 | 100% | 10 |
| Medication Aide/Technician | 11 | 0 | 11 | 4,431 | 91 | 100% | 8.6 |
| Registered Nurse | 11 | 0 | 11 | 2,010 | 90 | 99% | 9.3 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 1,961 | 65 | 71% | 8.3 |
| Speech Language Pathologist | 0 | 5 | 5 | 987 | 76 | 84% | 7.1 |
| Mental Health Service Worker | 2 | 0 | 2 | 854 | 63 | 69% | 7.9 |
| Qualified Social Worker | 0 | 6 | 6 | 620 | 66 | 73% | 6.5 |
| Physical Therapy Assistant | 0 | 4 | 4 | 523 | 60 | 66% | 7 |
| Physical Therapy Aide | 0 | 3 | 3 | 492 | 68 | 75% | 7 |
| Administrator | 1 | 0 | 1 | 452 | 57 | 63% | 7.9 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 409 | 65 | 71% | 5.5 |
| Occupational Therapy Assistant | 0 | 2 | 2 | 48 | 10 | 11% | 4.8 |
| Medical Director | 0 | 1 | 1 | 36 | 12 | 13% | 3 |
| Other Dietary Services Staff | 1 | 0 | 1 | 4 | 2 | 2% | 2 |
47 Certified Nursing Assistant
% of Days
100%
22 Licensed Practical Nurse
% of Days
100%
11 Medication Aide/Technician
% of Days
100%
11 Registered Nurse
% of Days
99%
4 Clinical Nurse Specialist
% of Days
71%
5 Speech Language Pathologist
% of Days
84%
2 Mental Health Service Worker
% of Days
69%
6 Qualified Social Worker
% of Days
73%
4 Physical Therapy Assistant
% of Days
66%
3 Physical Therapy Aide
% of Days
75%
1 Administrator
% of Days
63%
3 Respiratory Therapy Technician
% of Days
71%
2 Occupational Therapy Assistant
% of Days
11%
1 Medical Director
% of Days
13%
1 Other Dietary Services Staff
% of Days
2%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
104
Medicare
104
100% 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
CCRC
Part of a Continuing Care Retirement Community offering multiple care levels
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.
13.1
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.1
15% worse than North Carolina averageNorth Carolina average: 11.5
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
23.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
23.8
15% worse than North Carolina averageNorth Carolina average: 20.6
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
24.5%
Percent of long-stay residents whose need for help with daily activities has increased
24.5%
40% worse than North Carolina averageNorth Carolina average: 17.5%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
26.0%
Percent of long-stay residents whose ability to move independently worsened
26.0%
12% worse than North Carolina averageNorth Carolina average: 23.3%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.0%
In line with North Carolina averageNorth Carolina average: 21.4%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
1.6%
Percent of long-stay residents experiencing one or more falls with major injury
1.6%
57% better than North Carolina averageNorth Carolina average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
4.4%
Percent of long-stay high risk residents with pressure ulcers
4.4%
30% better than North Carolina averageNorth Carolina average: 6.3%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.6%
Percent of long-stay residents with a urinary tract infection
1.6%
39% better than North Carolina averageNorth Carolina average: 2.6%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
9.1%
Percent of long-stay residents who lose too much weight
9.1%
24% worse than North Carolina averageNorth Carolina average: 7.4%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
5.1%
Percent of long-stay residents who have depressive symptoms
5.1%
16% worse than North Carolina averageNorth Carolina average: 4.4%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
9.2%
Percent of long-stay residents who received an antipsychotic medication
9.2%
31% better than North Carolina averageNorth Carolina average: 13.4%
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%
9% better than North Carolina averageNorth Carolina average: 91.6%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
90.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
90.7%
In line with North Carolina averageNorth Carolina average: 94.1%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
2.44
Number of hospitalizations per 1,000 long-stay resident days.
2.44
38% worse than North Carolina averageNorth Carolina average: 1.77
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.57
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.57
14% better than North Carolina averageNorth Carolina average: 1.82
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
99.4%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.4%
24% better than North Carolina averageNorth Carolina average: 79.9%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.4%
Percent of short-stay residents who newly received an antipsychotic medication
1.4%
9% better than North Carolina averageNorth Carolina average: 1.5%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.5%
22% better than North Carolina averageNorth Carolina average: 78.1%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
17.4%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
17.4%
24% better than North Carolina averageNorth Carolina average: 22.9%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
6.0%
Percentage of short-stay residents who had an outpatient emergency department visit.
6.0%
55% better than North Carolina averageNorth Carolina average: 13.2%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
1.5%
Percentage of SNF residents who experience falls with major injury during their stay.
1.5%
91% worse than North Carolina averageNorth Carolina average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
70.2%
Percentage of residents at or above expected ability to care for themselves at discharge.
70.2%
31% better than North Carolina averageNorth Carolina average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
54.1%
Rate of successful return to home or community from a skilled nursing facility.
54.1%
7% better than North Carolina averageNorth Carolina 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
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
Compare Assisted Living around Thomasville The information below is reported by the North Carolina Department of Health and Human Services, Division of Health Service Regulation.
Filter by care type
| Piedmont Crossing |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
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). | Thomasville (Hedrick Drive) | 134 | No | 4 | 68.1% | 1 Bed / 2 Bed |
Financial Trends
Historical financial and operational data for Piedmont Crossing based on CMS SNF Cost Reports.
Occupancy Rate
68.1%
↑ 9.3pp vs 2022
Net Income
$608.4K
↑ ~$547.8K vs 2022
Total Payroll
$10.4M
↑ ~$818.0K vs 2022
Profit Margin
3.1%
↑ 2.7pp vs 2022
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