Total health inspections
17
Wisconsin average 6
Last Health inspection on Aug 2025
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Riverdale Health Care Center
Nursing Home in Wisconsin
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.
Riverdale Health Care Center
Nursing Home in Wisconsin
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.
Overview of Riverdale Health Care Center
Riverdale Health Care Center, nestled in Muscoda, Wisconsin, prides itself on fostering a solid foundation for health and wellness. Their dedicated clinical nursing team delivers unparalleled service, focusing on subacute and wound care programs tailored to ensure both comfort and rapid recovery. With a comprehensive range of services, including short-term rehab, long-term care, wound care, palliative care, and respite care, they have earned a well-deserved five-star rating.
Their on-site medical care is complemented by enriching therapy and treatment programs, all enhanced by engaging activities designed for seniors. The facility not only provides exceptional care but also creates an environment where residents can thrive, making it a standout choice in the realm of skilled nursing facilities.
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 155th out of 181 homes in Wisconsin.
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 155th out of 181 homes in Wisconsin.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 8m per day
Rank #155 / 181Nurse hours — state benchmarkedThis home is ranked 155th out of 181 homes in Wisconsin.Shows adjusted nurse hours per resident per day benchmarked to the Wisconsin average, with a ranking across 181 Wisconsin SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
vs Wisconsin avg
-27%
Standout metric
LPN / LVN is +8% 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.
| 32m per day | ▼ 45% State avg: 58m 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.
| 41m per day | ▲ 8% State avg: 38m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 1m per day | ▼ 22% State avg: 2h 35m 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.
| 2h 37m per day | ▼ 30% State avg: 3h 43m per day · National avg: 3h 26m per day |
|
RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 27m per day | ▼ 31% State avg: 39m 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
67.3%
Rank #109 / 185Occupancy rate — state benchmarkedThis home is ranked 109th out of 185 homes in Wisconsin.Shows this facility's occupancy rate versus the Wisconsin average, with its statewide rank out of 185. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
103 days
Occupancy rate
67.3%
Rank #109 / 185Occupancy rate — state benchmarkedThis home is ranked 109th out of 185 homes in Wisconsin.Shows this facility's occupancy rate versus the Wisconsin average, with its statewide rank out of 185. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
103 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term daily care
Ongoing support needs
Breakdown by payment type
Medicare
16% of new residents, usually for short-term rehab.
Typical stay
2 - 3 months
Private pay
39% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
45% of new residents, often for long-term daily care.
Typical stay
5 - 6 months
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$5.6M
Operating loss
-$502.1K
Privately-owned community
Operated by a business corporation.
Home revenue
$5.6M Rank #133 / 185Revenue — state benchmarkedThis home is ranked 133rd out of 185 homes in Wisconsin.Shows this facility's annual revenue compared to the Wisconsin SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.
Operating loss
-$502.1K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #170 / 185Payroll — state benchmarkedThis home is ranked 170th out of 185 homes in Wisconsin.Shows total annual staff payroll benchmarked to the Wisconsin average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
$1.6M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #170 / 185Payroll — state benchmarkedThis home is ranked 170th out of 185 homes in Wisconsin.Shows total annual staff payroll benchmarked to the Wisconsin 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.
$4.5M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$6.1M
Walk Score: 37 / 100 Rank #35 / 67Walk Score — state benchmarkedThis home is ranked 35th out of 67 homes in Wisconsin.Shows how walkable this facility's neighborhood is compared to the average Walk Score across Wisconsin SNFs. Higher scores benefit residents, families, and staff.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Types of Care at Riverdale Health Care Center
Nursing Home
Health Inspection History
Inspections
Total health citations
104
Rank #179 / 183Health citations — state benchmarkedThis home is ranked 179th out of 183 homes in Wisconsin.Shows this facility's total health deficiency citations benchmarked to the Wisconsin state average, with a ranking across all 183 WI SNFs. Lower citation counts earn a better rank.
Wisconsin average 27.3
Citations per inspection
6.12
Wisconsin average 4.19
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
33 of 104 citations resulted from standard inspections; and 71 of 104 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
3
Rank #101 / 115Severe citations — state benchmarkedThis home is ranked 101st out of 115 homes in Wisconsin.Shows citations where actual resident harm occurred, compared to the Wisconsin average and ranked across 115 SNFs statewide. Even a single severe citation is significant — lower is always better.
233% worse than Wisconsin averageWisconsin average: 0.9
Serious Health citations
5
5
317% worse than Wisconsin averageWisconsin average: 1.2
3 critical citations
5 serious citations
95 moderate citations
1 minor citation
Citations history (last 3 years)
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Aug 25, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Aug 25, 2025
Corrected
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Aug 25, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Aug 25, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Aug 25, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Aug 25, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Aug 25, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Aug 25, 2025
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.
Compare Nursing Homes around Wisconsin The information below is reported by the Wisconsin Department of Health Services, Division of Quality Assurance.
Filter by care type
| Riverdale Health Care Center |
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). | Muscoda | - | 58 | - | 37 | - |
| Anna John Resident Centered Care Community |
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). | Oneida | - | 48 | - | 3 | - |
| Avanti Health & 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). | Minocqua | - | 72 | - | 10 | - |
| Northern Lights Services, Inc. |
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.
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). | Washburn | - | - | - | 13 | - |
Financial Assistance for
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Places of interest near Riverdale Health Care Center
0.7 miles from city center
Estimated distance in miles from Muscoda's city center to Riverdale Health Care Center's address, calculated via Google Maps.
— 10.37 miles to nearest hospital (Richland Hospital)
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
61
Employees
56
Contractors
5
Staff to resident ratio
1.56:1
35% worse than Wisconsin averageWisconsin average ratio: 2.41:1
Avg staff/day
17
Average shift
8.2 hours
12% better than Wisconsin averageWisconsin average: 7.3 hours
Total staff hours (quarter)
12,709
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
4
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
19
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
23
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
5.1%
652 contractor hours this quarter
Licensed Practical Nurse: 1
Occupational Therapy Assistant: 1
Medical Director: 1
Registered Nurse: 1
Occupational Therapy Aide: 1
Staff by category
| Certified Nursing Assistant | 23 | 0 | 23 | 5,771 | 91 | 100% | 8 |
| Licensed Practical Nurse | 18 | 1 | 19 | 3,011 | 91 | 100% | 8.5 |
| Medication Aide/Technician | 3 | 0 | 3 | 819 | 69 | 76% | 8.8 |
| Registered Nurse | 3 | 1 | 4 | 648 | 71 | 78% | 7.1 |
| Other Dietary Services Staff | 1 | 0 | 1 | 555 | 61 | 67% | 9.1 |
| Medical Director | 0 | 1 | 1 | 520 | 26 | 29% | 20 |
| Administrator | 2 | 0 | 2 | 446 | 57 | 63% | 7.8 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 363 | 52 | 57% | 5.8 |
| Mental Health Service Worker | 1 | 0 | 1 | 352 | 44 | 48% | 8 |
| Nurse Practitioner | 2 | 0 | 2 | 168 | 21 | 23% | 8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 39 | 12 | 13% | 3.3 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 17 | 7 | 8% | 2.4 |
23 Certified Nursing Assistant
% of Days
100%
19 Licensed Practical Nurse
% of Days
100%
3 Medication Aide/Technician
% of Days
76%
4 Registered Nurse
% of Days
78%
1 Other Dietary Services Staff
% of Days
67%
1 Medical Director
% of Days
29%
2 Administrator
% of Days
63%
3 Clinical Nurse Specialist
% of Days
57%
1 Mental Health Service Worker
% of Days
48%
2 Nurse Practitioner
% of Days
23%
1 Occupational Therapy Aide
% of Days
13%
1 Occupational Therapy Assistant
% of Days
8%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
39
Medicare
2
5.1% of residents
Medicaid
32
82.1% of residents
Private pay or other
5
12.8% 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.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.8
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.8
42% worse than Wisconsin averageWisconsin average: 10.5
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
26.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
26.4
19% worse than Wisconsin averageWisconsin average: 22.1
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
18.5%
Percent of long-stay residents whose need for help with daily activities has increased
18.5%
5% worse than Wisconsin averageWisconsin average: 17.6%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
30.3%
Percent of long-stay residents whose ability to move independently worsened
30.3%
33% worse than Wisconsin averageWisconsin average: 22.8%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
30.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
30.3%
16% worse than Wisconsin averageWisconsin average: 26.0%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
1.2%
Percent of long-stay residents experiencing one or more falls with major injury
1.2%
63% better than Wisconsin averageWisconsin average: 3.2%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
9.7%
Percent of long-stay high risk residents with pressure ulcers
9.7%
78% worse than Wisconsin averageWisconsin average: 5.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.3%
Percent of long-stay residents with a urinary tract infection
1.3%
61% better than Wisconsin averageWisconsin average: 3.2%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
14.5%
Percent of long-stay residents who lose too much weight
14.5%
197% worse than Wisconsin averageWisconsin average: 4.9%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
6.3%
Percent of long-stay residents who have depressive symptoms
6.3%
26% worse than Wisconsin averageWisconsin average: 5.0%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
14.0%
Percent of long-stay residents who received an antipsychotic medication
14.0%
13% better than Wisconsin averageWisconsin average: 16.1%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
87.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
87.0%
9% worse than Wisconsin averageWisconsin average: 95.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
83.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
83.3%
12% worse than Wisconsin averageWisconsin average: 95.0%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
2.13
Number of hospitalizations per 1,000 long-stay resident days.
2.13
32% worse than Wisconsin averageWisconsin average: 1.61
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
5.84
Number of outpatient emergency department visits per 1,000 long-stay resident days.
5.84
167% worse than Wisconsin averageWisconsin average: 2.19
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
73.8%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
73.8%
15% worse than Wisconsin averageWisconsin average: 87.3%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Wisconsin averageWisconsin average: 1.2%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
19.5%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
19.5%
14% better than Wisconsin averageWisconsin average: 22.7%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
22.6%
Percentage of short-stay residents who had an outpatient emergency department visit.
22.6%
51% worse than Wisconsin averageWisconsin average: 15.0%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Wisconsin averageWisconsin average: 0.8%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
36.6%
Rate of successful return to home or community from a skilled nursing facility.
36.6%
28% worse than Wisconsin averageWisconsin average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$179K
87% higher than Wisconsin averageWisconsin average: $95K
Number of fines
4 Rank #73 / 91Federal fines — state benchmarkedThis home is ranked 73rd out of 91 homes in Wisconsin.Shows this facility's CMS fine count alongside the Wisconsin average, and where it ranks among all 91 skilled nursing facilities in the state. Fewer fines mean a better rank.
94% more fines than Wisconsin averageWisconsin average: 2.1
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
4
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
4
504% more payment denials than Wisconsin averageWisconsin average: 0.7
Fines amount comparison
Fines amount comparison
This facility
$179K
Wisconsin average
$95K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jul 9, 2025
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jul 9, 2025
44 days
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Mar 27, 2025
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Mar 27, 2025
3 days
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 16, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 16, 2024
$26K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 10, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 10, 2024
$97K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Riverdale Health Care Center based on CMS SNF Cost Reports.
Occupancy Rate
67.3%
↓ 11.6pp vs 2022
Net Income
-$502.1K
↑ ~$921.4K vs 2022
Total Payroll
$3.6M
↓ ~$351.3K vs 2022
Profit Margin
-9.0%
↑ 18.0pp vs 2022
Loading trend charts...
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