Pioneer Care and Rehabilitation
Nursing Home · Montana, MT
CMS overall rating Info 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.

Pioneer Care and Rehabilitation

Nursing Home · Montana, MT
CMS overall rating Info 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.
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Pioneer Care and Rehabilitation accepts Medicare, Medicaid, and private pay.

Inspection History

In Montana, the Department of Public Health and Human Services, Quality Assurance Division is the state body responsible for inspecting and licensing all senior residential care facilities.

Since 2023 · 3 years of data 61 deficiencies 10 inspections

Inspection Scorecard Info This scorecard compares key inspection, citation, and complaint metrics at this facility against the Montana state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2023 vs. Montana state average
Overall vs. MT average 4 Worse Metrics worse than Montana average:
• Total deficiencies (190% above)
• Deficiencies per year (190% above)
• Deficiencies per inspection (45% above)
• Total inspections (100% above)
0 Better No metrics in this bucket.
Latest Inspection December 31, 2025 Complaint Investigation

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This Facility MT Average vs. MT Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 61 21 This facility has 190% more total deficiencies than a typical Montana nursing home (61 vs. MT avg 21).↑ 190% worse
Deficiencies per year Info Average deficiencies per year since 2023. 20.3 7 This facility has 190% more deficiencies per year than a typical Montana nursing home (20.3 vs. MT avg 7).↑ 190% worse
Deficiencies per inspection Info Average deficiencies per inspection. 6.1 4.2 This facility has 45% more deficiencies per inspection than a typical Montana nursing home (6.1 vs. MT avg 4.2).↑ 45% worse

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This Facility MT Average vs. MT Avg
Total inspections Info Combined count of all routine and focused inspections. Excludes complaint investigations. 10 5 This facility has 100% more total inspections than a typical Montana nursing home (10 vs. MT avg 5).↑ 100% worse

Read the full inspection reports for this facility, including detailed findings and corrective actions.

Show Inspection Reports

Health Inspection History

Inspections since 2023
Total health inspections 10

Montana average 5.1


Last Health inspection on May 2025

Total health citations
58 Rank #32 / 35Health citations — State benchmarkedThis home is ranked 32nd out of 35 homes in Montana. Shows this facility's total health deficiency citations benchmarked to the Montana State average, with a ranking across all 35 MT 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.

Montana average 29.7

Citations per inspection
5.8 Rank #20 / 35Citations per inspection — State benchmarkedThis home is ranked 20th out of 35 homes in Montana. Shows average deficiency citations per CMS inspection for this facility versus the Montana mean across 35 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.

Montana average 5.72


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

36 of 58 citations resulted from standard inspections; 18 of 58 resulted from complaint investigations; and 4 of 58 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical health citations
1
233% worse than Montana average

Montana average: 0.3


Serious health citations
8
264% worse than Montana average

Montana average: 2.2

1 critical citation Montana average: 0.3

8 serious citations Montana average: 2.2

48 moderate citations Montana average: 26.5

1 minor citation Montana average: 0.7
Citations history (last 3 years)
Abuse/Neglect moderate citation May 08, 2025
Corrected

Abuse/Neglect moderate citation May 08, 2025
Corrected

Administration moderate citation May 08, 2025
Corrected

Infection Control moderate citation May 08, 2025
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 101
Employees 101
Contractors 0
Staff to resident ratio 1.87:1
0% compared with Montana average
Montana average ratio: 1.86:1 Montana average ratio: 1.86:1See full Montana ranking
Avg staff/day 37
Average shift 7.9 hours
8% worse than Montana average
Montana average: 8.6 hours Montana average shift: 8.6 hoursSee full Montana ranking
Total staff hours (quarter) 26,782

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info 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 9
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.8 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff 14
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.7 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff 43
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.4 hours

No contractors work on this role.

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

0%

0 contractor hours this quarter

No contractor roles were reported this quarter.

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant 43 0 43 12,567 92 100% 7.4
Licensed Practical Nurse 14 0 14 3,774 92 100% 9.7
Registered Nurse 9 0 9 2,739 92 100% 8.8
Nurse Aide in Training 15 0 15 2,582 91 99% 7.5
Physical Therapy Assistant 2 0 2 957 64 70% 7.8
Qualified Activities Professional 4 0 4 677 46 50% 11.1
Administrator 1 0 1 520 65 71% 8
Qualified Social Worker 2 0 2 518 62 67% 7.4
Nurse Practitioner 1 0 1 512 64 70% 8
Dental Services Staff 1 0 1 481 62 67% 7.8
Dietitian 1 0 1 430 61 66% 7
Respiratory Therapy Technician 1 0 1 387 45 49% 8.6
Other Dietary Services Staff 2 0 2 337 47 51% 7.2
Speech Language Pathologist 1 0 1 136 17 18% 8
Occupational Therapy Aide 1 0 1 72 14 15% 5.1
Occupational Therapy Assistant 1 0 1 41 11 12% 3.7
Medical Director 1 0 1 35 43 47% 0.8
Physical Therapy Aide 1 0 1 19 4 4% 4.8
43 Certified Nursing Assistant
% of Days 100%
14 Licensed Practical Nurse
% of Days 100%
9 Registered Nurse
% of Days 100%
15 Nurse Aide in Training
% of Days 99%
2 Physical Therapy Assistant
% of Days 70%
4 Qualified Activities Professional
% of Days 50%
1 Administrator
% of Days 71%
2 Qualified Social Worker
% of Days 67%
1 Nurse Practitioner
% of Days 70%
1 Dental Services Staff
% of Days 67%
1 Dietitian
% of Days 66%
1 Respiratory Therapy Technician
% of Days 49%
2 Other Dietary Services Staff
% of Days 51%
1 Speech Language Pathologist
% of Days 18%
1 Occupational Therapy Aide
% of Days 15%
1 Occupational Therapy Assistant
% of Days 12%
1 Medical Director
% of Days 47%
1 Physical Therapy Aide
% of Days 4%

Penalties and fines

Includes penalties issued in 2024-2025

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 $201K Rank #34 / 35Federal fines — State benchmarkedThis home is ranked 34th out of 35 homes in Montana. Shows this facility's cumulative CMS federal fine dollars versus the Montana average among facilities with fines, and where it ranks among 35 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.
131% higher than Montana average

Montana average: $87K

Number of fines 6
158% more fines than Montana average

Montana average: 2.3

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Montana average

Montana average: 0.2

Fines amount comparison
Fines amount comparison
This facility $201K
Montana average $87K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

5 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. May 8, 2025
$75K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Dec 5, 2024
$19K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Aug 27, 2024
$29K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. May 21, 2024
$41K

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 Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 4.6
59% better than Montana average

Montana average: 11.2

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 9.5
56% better than Montana average

Montana average: 21.8

Long-stay resident measures
Above average Montana avg: 3.0 Info 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 Info Percent of long-stay residents whose need for help with daily activities has increased 5.9%
69% better than Montana average

Montana average: 19.4%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 5.2%
75% better than Montana average

Montana average: 20.8%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 17.4%
31% better than Montana average

Montana average: 25.2%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 4.3%
In line with Montana average

Montana average: 4.3%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 1.8%
72% better than Montana average

Montana average: 6.3%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.6%
80% better than Montana average

Montana average: 2.8%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 5.9%
In line with Montana average

Montana average: 6.1%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 12.1%
156% worse than Montana average

Montana average: 4.7%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 22.0%
15% worse than Montana average

Montana average: 19.1%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 83.2%
11% worse than Montana average

Montana average: 93.8%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96.2%
In line with Montana average

Montana average: 93.7%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 2.40
89% worse than Montana average

Montana average: 1.27

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 4.22
94% worse than Montana average

Montana average: 2.17

Short-stay resident measures
Significantly below average Montana avg: 2.3 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 41.6%
46% worse than Montana average

Montana average: 76.4%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 3.5%
98% worse than Montana average

Montana average: 1.8%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 41.2%
44% worse than Montana average

Montana average: 73.8%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 21.5%
11% worse than Montana average

Montana average: 19.4%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 27.1%
81% worse than Montana average

Montana average: 15.0%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 3.6%
373% worse than Montana average

Montana average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 40.5%
24% worse than Montana average

Montana average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 40.0%
21% worse than Montana average

Montana average: 50.6%

Breakdown by payment type

Medicare

61% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

19% of new residents, often for short stays.

Typical stay 8 - 9 months

Medicaid

20% of new residents, often for long-term daily care.

Typical stay 2 years

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 54
Medicare
8
14.8% of residents
Medicaid
44
81.5% of residents
Private pay or other
2
3.7% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Finances and operations

Privately-owned community
Home revenue
$6.9M
Profit
$2.6M
Privately-owned community
Home revenue
$6.9M Rank #16 / 31Revenue — State benchmarkedThis home is ranked 16th out of 31 homes in Montana. Shows this facility's annual revenue compared to the Montana 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.
Profit
$2.6M
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations. Rank #11 / 31Payroll — State benchmarkedThis home is ranked 11th out of 31 homes in Montana. Shows total annual staff payroll benchmarked to the Montana 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.
$5.0M
71.9% of revenue Rank #3 / 31Payroll % — State benchmarkedThis home is ranked 3rd out of 31 homes in Montana. Shows payroll as a percentage of revenue versus the Montana average. Well-run Montana SNFs typically land around 65–71% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
-$668.8K
Total costs $4.3M

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Places of interest near Pioneer Care and Rehabilitation

Address 0.0 miles from city center Info Estimated distance in miles from Dillon's city center to Pioneer Care and Rehabilitation's address, calculated via Google Maps.

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Financial Assistance for
Nursing Home in Montana

Pioneer Care and Rehabilitation is located in Dillon, Montana.
Here are the financial assistance programs available to residents in Montana.

Get Financial aid guidance

Big Sky Waiver

Montana Medicaid Big Sky Waiver

Age 65+ or disabled
General Montana resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
MT

Rural state; limited providers in some areas.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Home modifications ($1,500 avg.) Meals ($6/meal)

Montana Community First Choice

MT CFC

Age 65+ or disabled
General Montana resident, Medicaid- eligible.
Income Limits ~$1,732/month individual, Medicaid threshold
Asset Limits $2,000 individual
MT

Less intensive than waiver; rural focus.

Benefits
Personal care (up to 40 hours/month) Homemaker services Respite (varies)

Big Sky Rx

Montana Big Sky Rx

Age 65+ or disabled
General Montana resident, enrolled in Medicare Part D, income below limit.
Income Limits (2025) ~$2,510/month (individual), ~$3,380/month (couple).
Asset Limits Not assessed.
MT

Covers up to $38.75/month premium; statewide via AAAs.

Benefits
Prescription drug premium assistance (~$465/year) Reducing out-of-pocket costs

Medicare Savings Program (MSP)

Montana Medicare Savings Program

Age 65+ or disabled
General Montana resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
MT

Three tiers; no waitlist; includes Extra Help for Part D.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Montana Caregiver Support Program (via NFCSP)

Montana Caregiver Support Program

Age
General Caregivers of 60+ needing care or 55+ caregivers of others; Montana resident; functional needs (2+ ADLs).
Income Limits (2025) Prioritizes ~$24,980/year (individual); no strict cap.
Asset Limits Not assessed; need-based.
MT

10 AAAs; prioritizes low-income, rural caregivers.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($50/day) Training Supplies (~$500/year)

VA Aid and Attendance (A&A) and Housebound Benefits

Montana VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General Montana resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
MT

High veteran demand in rural areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Compare Nursing Home around Montana

The information below is reported by the Montana Department of Public Health and Human Services, Quality Assurance Division.

5 facilities compared · CMS & MT Dept. of Health data

Filter by care type
Timbers And Reflections At The Grandview At Benefis
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Great Falls 71 - - 4.36 +8% -4% $0 21 5.3 - 26 A+ 26 - - - - 275157
The Living Centre
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

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.

Stevensville (Main Street) 50 61.3% -1% 4.87 -41% +8% $37.5k 15 2.5 2 38 A+ 38 Living Centre Limited $5.9M $4.2M 71.1% 275125
Kindred Transitional Care & Rehab – Park Place
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Great Falls 189 44.3% -28% 3.79 +13% -16% $208.1k 43 5.4 6 141 - 46 Reid Crickmore $11.5M $4.7M 40.8% 275030
Yellowstone River Nursing and Rehabilitation
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Billings (East Central) 160 1.3% -98% 3.57 +50% -21% $61.2k 49 6.1 5 2 - 67 Sarah Caldwell $7.6M $4.6M 60.4% 275029
Pioneer Care and Rehabilitation
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Dillon 87 26.4% -57% 3.25 -43% -28% $213.2k 58 5.8 9 23 - 77 Madison Boesch $6.9M $5.0M 71.9% 275124

Frequently Asked Questions about Pioneer Care and Rehabilitation

Is Pioneer Care and Rehabilitation in a walkable area?

Pioneer Care and Rehabilitation has a walk score of 77. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

What is the license number of Pioneer Care and Rehabilitation?

According to MT state health department records, Pioneer Care and Rehabilitation's license number is 13567.

What is the occupancy rate at Pioneer Care and Rehabilitation?

Pioneer Care and Rehabilitation's occupancy is 26%.

Who is the administrator of Pioneer Care and Rehabilitation?

Zachary Degn is the administrator of Pioneer Care and Rehabilitation.

How many beds does Pioneer Care and Rehabilitation have?

Pioneer Care and Rehabilitation has 87 beds.

What is the address of Pioneer Care and Rehabilitation?

Pioneer Care and Rehabilitation is located at Dillon, MT 59725.

What is the phone number of Pioneer Care and Rehabilitation?

(406) 683-5105 will put you in contact with the team at Pioneer Care and Rehabilitation.

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