Prestige Care Center of Nebraska City
Nursing Home, Hospice Care, Memory Care, Palliative Care, Respite Care & Skilled Nursing · Nebraska City, NE
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Prestige Care Center of Nebraska City

Nursing Home, Hospice Care, Memory Care, Palliative Care, Respite Care & Skilled Nursing · Nebraska City, NE
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Prestige Care Center of Nebraska City accepts Medicare, Medicaid, and private pay.

Overview of Prestige Care Center of Nebraska City

Prestige Care Center of Nebraska City is a 64-bed skilled nursing and rehabilitation facility operated by private company Nebraska City Operations LLC at 1420 North 10th Street in Nebraska City, Nebraska, in Otoe County. The facility provides skilled nursing, memory care including a 22-bed Alzheimer’s care unit, rehabilitation, and respite services. Medicare, Medicaid, and private pay are welcome. Occupancy indicates current availability at 64 percent which is below Nebraska’s 70.3 percent average. 24-hour staffing exists.

CMS rates the facility 3 stars, with health inspection and quality measure sub-ratings slightly above Nebraska average. Staffing runs below average: nurse hours at 3h 41m per resident per day are 15 percent below the 4h 20m state average, ranking the facility 85th of 117 Nebraska SNFs. A September 2024 inspection resulted in a 90-day probation from the Nebraska Department of Health for failing to implement practitioner’s medications orders, lab testing, and resident weight monitoring. The facility’s most recent inspection activity through December 2025 includes multiple follow-up visits; individual deficiency counts from those inspections unavailable. The Alzheimer’s care unit serves up to 22 residents in a secured setting.

With a dementia unit and current availability across care levels, Prestige Care Center of Nebraska City suits residents seeking skilled nursing or memory care in Otoe County.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
Health Inspection Info 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.
Staffing Info 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.
Quality Measures Info 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

Info 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.

Hours per resident per day — compared to state averages

Total nursing care / resident Info 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 41m per day
Rank #93 / 128Nurse hours — State benchmarkedThis home is ranked 93rd out of 128 homes in Nebraska for Nurse Hours. Shows adjusted nurse hours per resident per day benchmarked to the Nebraska average, with a ranking across 128 Nebraska facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs avg

6 of 6 metrics below state avg

Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info 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. 34m per day ▼ 22% State avg: 43m per day · National avg: 41m per day
LPN / LVN Info 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. 22m per day ▼ 48% State avg: 43m per day · National avg: 52m per day
Nurse Aide Info 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 31m per day ▼ 9% State avg: 2h 46m per day · National avg: 2h 20m per day
Weekend Total Nursing Info 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. 3h 17m per day ▼ 9% State avg: 3h 37m per day · National avg: 3h 26m per day
Physical Therapist Info 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. 1m per day ▼ 69% State avg: 3m per day · National avg: 4m per day
Weekend RN Info 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. 26m per day ▼ 11% State avg: 29m per day · National avg: 28m per day

Capacity and availability

Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
258 days
Bed community size
64-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score
Walk Score: 83 / 100
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
BBB Rating
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
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About this community

Occupancy

Occupancy rate
64%
Rank #130 / 183Occupancy rate — State benchmarkedThis home is ranked 130th out of 183 homes in Nebraska for Occupancy. Shows this facility's occupancy rate versus the Nebraska average, with its Statewide rank out of 183. Higher occupancy signals strong local demand and financial stability.Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Lower than the Nebraska average: 70.3%
Occupied beds
41 / 64
Average occupied beds in Nebraska homes 54 beds

License Details

Facility TypeNursing Home
CountyOtoe
CMS Certification Number285109
Certification TypeCertification

Ownership & Operating Entity

Prestige Care Center of Nebraska City is administered by Administrator Stephanie Roridon.

Owner NameNebraska City Operations LLC

Safety & Compliance

Safety FeaturesEnhanced with an alarm system for security.

Therapy & Rehabilitation

3 services
Rehabilitation Services
Respite Care
Short-Term Rehab

Staffing & Medical

1 service
24-Hour Staffing

Additional Services

2 services
Short-Term Rehabilitation
Palliative Care

Contact Information

Fax(402) 873-5792

Amenities & Lifestyle

Specific ProgramsComprehensive Care Programs, Rehabilitation and Therapy Services, Dining Experience, Connectivity & Entertainment, Safety & Convenience, Private & Semi-Private Rooms

Contact Prestige Care Center of Nebraska City

Inspection History

In Nebraska, the Department of Health and Human Services, Division of Public Health conducts regular inspections to ensure nursing and assisted living facilities meet state and federal standards.

Since 2010 · 16 years of data 131 deficiencies

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

Since 2010 vs. Nebraska state average
Overall vs. NE average 2 Worse Metrics worse than Nebraska average:
• Total deficiencies (152% above)
• Deficiencies per year (148% above)
0 Better No metrics in this bucket.
Latest Inspection February 25, 2020 Renewal

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

This FacilityNE Averagevs. NE Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 13152 This facility has 152% more total deficiencies than a typical Nebraska assisted living residence (131 vs. NE avg 52).↑ 152% worse
Deficiencies per year Info Average deficiencies per year since 2010. 8.23.3 This facility has 148% more deficiencies per year than a typical Nebraska assisted living residence (8.2 vs. NE avg 3.3).↑ 148% worse

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • The most recent inspection on February 25, 2020, found no deficiencies and confirmed compliance with licensure requirements for a 64-bed skilled nursing facility.
  • The June 25, 2018 survey cited 13 deficiencies including background check failures, fire door and sprinkler system issues, and drug regimen monitoring lapses.
  • A September 10, 2024 disciplinary action placed the facility on 90-day probation for failing to implement practitioner’s orders for medications, lab tests, and obtaining resident weights.

Health Inspection History

Inspections since 2022
Total health inspections 5

State average N/A


Last Health inspection on Sep 2025

Total health citations
33 Rank #116 / 131Health citations — State benchmarkedThis home is ranked 116th out of 131 homes in Nebraska for Health Citations. Shows this facility's total health deficiency citations benchmarked to the Nebraska State average, with a ranking across all 131 NE facilities. Lower citation counts earn a better rank.Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
6.6 Rank #122 / 131Citations per inspection — State benchmarkedThis home is ranked 122nd out of 131 homes in Nebraska for Citations Per Inspection. Shows average deficiency citations per CMS inspection for this facility versus the Nebraska mean across 131 facilities with citation data. Lower is better.Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A


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

23 of 33 citations resulted from standard inspections; 5 of 33 resulted from complaint investigations; and 5 of 33 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 4 years)
Critical health citations
0
In line with State average

State average: N/A


Serious health citations
4
In line with State average

State average: N/A

0 critical citations State average: N/A

4 serious citations State average: N/A

29 moderate citations State average: N/A

0 minor citations State average: N/A
Citations history (last 4 years)
Abuse/Neglect moderate citation Sep 22, 2025
Corrected

Quality of Care moderate citation Sep 22, 2025
Corrected

Resident Rights moderate citation Sep 22, 2025
Corrected

Quality of Care moderate citation Nov 13, 2024
Corrected

Staffing Data

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

Total staff 118
Employees 62
Contractors 56
Staff to resident ratio 2.95 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 18
Average shift 8.7 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 14,474

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 Info 5 total: 2 full-time employees and 3 contractors. 5
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 11.1 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 12 total: 4 full-time employees and 8 contractors. 12
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.8 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 56 total: 21 full-time employees and 35 contractors. 56
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.6 hours

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

25.4%

3,671 contractor hours this quarter

Certified Nursing Assistant: 35 Licensed Practical Nurse: 8 Medication Aide/Technician: 6 Registered Nurse: 3 Medical Director: 1 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1 Administrator: 1

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.
Medication Aide/Technician196255,31692100%9.8
Certified Nursing Assistant2135563,93492100%8.6
Registered Nurse2351,5528693%11.1
Licensed Practical Nurse48121,38192100%8.8
Nurse Practitioner2025126672%7.8
Administrator3144925964%7.9
Dietitian1013504549%7.8
Mental Health Service Worker1012002426%8.3
Speech Language Pathologist2021792628%6.9
Physical Therapy Assistant3031694043%4.1
Medical Director0111082729%4
Occupational Therapy Aide0111082729%4
Occupational Therapy Assistant0111042628%4
Respiratory Therapy Technician202571820%3.1
Qualified Social Worker2021544%3.6
25 Medication Aide/Technician
% of Days 100%
56 Certified Nursing Assistant
% of Days 100%
5 Registered Nurse
% of Days 93%
12 Licensed Practical Nurse
% of Days 100%
2 Nurse Practitioner
% of Days 72%
4 Administrator
% of Days 64%
1 Dietitian
% of Days 49%
1 Mental Health Service Worker
% of Days 26%
2 Speech Language Pathologist
% of Days 28%
3 Physical Therapy Assistant
% of Days 43%
1 Medical Director
% of Days 29%
1 Occupational Therapy Aide
% of Days 29%
1 Occupational Therapy Assistant
% of Days 28%
2 Respiratory Therapy Technician
% of Days 20%
2 Qualified Social Worker
% of Days 4%

Penalties and fines

Includes penalties issued in 2024

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 $16K Rank #108 / 133Federal fines — State benchmarkedThis home is ranked 108th out of 133 homes in Nebraska for Federal Fines. Shows this facility's cumulative CMS federal fine dollars versus the Nebraska average among facilities with fines, and where it ranks among 133 facilities in the pool. Lower total dollars mean a better rank.Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
52% lower than State average

State average: $33K

Number of fines 1
31% fewer fines than State average

State average: 1.5

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 State average

State average: 0.7

Fines amount comparison
Fines amount comparison
This facility $16K
State average $33K
Penalty History

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

1 penalty in the past 3 years

Sep 10, 2024 · $16K

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Sep 10, 2024
$16K

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. 11.0
In line with State average

State average: 11.3

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 25.8
11% worse than State average

State average: 23.3

Long-stay resident measures
Average State avg: 2.8 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 20.2%
In line with State average

State average: 20.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 27.4%
24% worse than State average

State average: 22.1%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 29.8%
11% worse than State average

State average: 26.9%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 0.6%
86% better than State average

State average: 4.5%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 2.0%
53% better than State average

State average: 4.3%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.3%
58% better than State average

State average: 3.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 4.6%
16% better than State average

State average: 5.4%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 3.9%
13% better than State average

State average: 4.4%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 28.5%
43% worse than State average

State average: 19.8%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.2%
5% better than State average

State average: 93.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95.2%
In line with State average

State average: 96.1%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 68.9%
15% worse than State average

State average: 80.7%

Breakdown by payment type

Medicare

23% of new residents, usually for short-term rehab.

Typical stay 19 days

Private pay

12% of new residents, often for short stays.

Typical stay 7 months

Medicaid

64% of new residents, often for long-term daily care.

Typical stay 10 - 11 months

Facility Characteristics

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

Total residents 40
Medicaid
39
97.5% of residents
Private pay or other
1
2.5% 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

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$5.0M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$189.6K
For-profit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$5.0M Rank #86 / 129Revenue — State benchmarkedThis home is ranked 86th out of 129 homes in Nebraska for Revenue. Shows this facility's annual revenue compared to the Nebraska average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$189.6K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$162.3K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #122 / 129Payroll — State benchmarkedThis home is ranked 122nd out of 129 homes in Nebraska for Payroll. Shows total annual staff payroll benchmarked to the Nebraska average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$1.9M 37.3% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #120 / 129Payroll % — State benchmarkedThis home is ranked 120th out of 129 homes in Nebraska for Payroll %. Shows payroll as a percentage of revenue versus the Nebraska average. Well-run Nebraska facilities typically land around 66–74% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Nebraska that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$3.3M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$5.2M

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Most new residents arrive under Medicaid (64% of admissions), and a typical Medicaid stay runs around 10 - 11 months.

Admissions
73 total

Coverage residents most often arrive under.

Medicare 23%
Private pay 12%
Medicaid 64%
Discharges
66 total

Coverage residents most often leave under.

Medicare 11%
Private pay 15%
Medicaid 74%

Places of interest near Prestige Care Center of Nebraska City

Address 0.0 miles from city center Info Estimated distance in miles from Nebraska City's city center to Prestige Care Center of Nebraska City's address, calculated via Google Maps.

Calculate Travel Distance to Prestige Care Center of Nebraska City

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Address

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Frequently Asked Questions about Prestige Care Center of Nebraska City

Who is the owner of Prestige Care Center of Nebraska City?

Prestige Care Center of Nebraska City is legally operated by Nebraska City Operations LLC, and administered by Administrator Stephanie Roridon.

Is Prestige Care Center of Nebraska City in a walkable area?

Prestige Care Center of Nebraska City has a walk score of 83. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

What is the occupancy rate at Prestige Care Center of Nebraska City?

Prestige Care Center of Nebraska City's occupancy is 64%.

Does Prestige Care Center of Nebraska City operate as a for-profit or non-profit?

Prestige Care Center of Nebraska City is registered as a for-profit in NE.

Who is the administrator of Prestige Care Center of Nebraska City?

Administrator Stephanie Roridon is the administrator of Prestige Care Center of Nebraska City.

How many beds does Prestige Care Center of Nebraska City have?

Prestige Care Center of Nebraska City has 64 beds.

Are there photos of Prestige Care Center of Nebraska City?

Yes — there are 2 photos of Prestige Care Center of Nebraska City in the photo gallery on this page.

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