Total health inspections
6
Ohio average 6.7
Last Health inspection on Oct 2024
Primarily long-term care, limited rehab
Most residents stay long-term, while a smaller portion are admitted for short-term rehab.
Shaker Gardens Assisted Living
Nursing Home
Shaker Gardens Assisted Living
Nursing Home
Shaker Gardens Assisted Living offers a continuum of care based on the level of assistance and services required for residents. The community provides a broad range of lifestyle, service, and care options, including independent living, assisted living, and skilled nursing care. Located in the heart of Shaker Heights, it features spacious suites, restaurant-style dining, health and wellness services, and scheduled transportation.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
LPN / LVN
Licensed Practical Nurse / Licensed Vocational Nurse hours per resident per day.
Licensed Practical Nurse / Licensed Vocational Nurse hours per resident per day.
Nurse Aide
Nurse aide hours per resident per day.
Nurse aide hours per resident per day.
Total Nursing (Weekend)
Total number of nurse staff hours per resident per day on weekends.
Total number of nurse staff hours per resident per day on weekends.
Physical Therapist
Physical therapist staff hours per resident per day.
Physical therapist staff hours per resident per day.
RN (Weekend)
Registered nurse hours per resident per day on weekends.
Registered nurse hours per resident per day on weekends.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
124
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
75.7%
Residents per day (avg)
47
Occupancy rate
75.7%
Residents per day (avg)
47
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term residence
Daily assistance
Occasional rehab needs
Breakdown by payment type
Medicare
12% of new residents, usually for short-term rehab.
Typical stay
4 - 5 months
Private pay
69% of new residents, often for short stays.
Typical stay
2 years
Medicaid
19% of new residents, often for long-term daily care.
Typical stay
7 - 8 months
Finances and operations
Proprietary home
Partnership
Home revenue
$11.5M
Profit
$124.0K
Proprietary home
Partnership
Home revenue
$11,472,639.00
Profit
$124,021.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.4M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$7.0M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$11.3M
124-bed community
A larger shared setting that may offer more common spaces and organized community services.
About this community
License Status
ActiveFacility Type
RESIDENTIAL CARE FACILITY
Additional licensing details
CMS Certification Number:
366021
County:
CUYAHOGA
Awards:
4-star overall CMS rating
Ownership & operating entity
Shaker Gardens Assisted Living is administrated by LARA WALKER.
Care Services
Doctor on Staff
Nursing Services
Rehabilitation Services
Respite Care
Memory Care
Independent Living
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
All Levels of Care
Contact Information
Email:
[email protected]
Fax:
(216) 752-8133
Amenities & Lifestyle
Programs & Activities
Specific Programs
Assisted Living, Memory Care, Skilled nursing care, Dining Services, Classes, Events.
Dining & Nutrition
Food Description
Customized nutritious menus, specialized diet options, pleasant dining room experience, in-room dining, snacks offered daily.
Inspection History
In Ohio, the Department of Health, Bureau of Survey and Certification conducts unannounced onsite inspections to evaluate the quality of care and environment in all licensed facilities.
Latest inspection
Date:September 19, 2025
0 total citations
Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.
Resident satisfaction survey results
Every two years, the Ohio Department of Aging and the Office of the State Long-Term Care Ombudsman organizations conduct a satisfaction survey among residents in long-term care facilities to assess their quality of care and life.
Average score
76 / 100
Ohio average: 86 / 100
2022 – 2023 Period
Care and services
86 / 100
Ohio average: 89 / 100
Environment
87 / 100
Ohio average: 95 / 100
Moving in
68 / 100
Ohio average: 82 / 100
Facility culture
76 / 100
Ohio average: 86 / 100
Caregivers
76 / 100
Ohio average: 89 / 100
Spending time
68 / 100
Ohio average: 80 / 100
Meals and dining
69 / 100
Ohio average: 81 / 100
Based on the RCF Resident Satisfaction Survey 2022-23, Final Results
Have you gotten or are you getting physical therapy, occupational therapy or speech therapy, while living at this care facility?
This facility68/100
Ohio average46/100
Did (Does) the therapy help you meet your goals?
This facility79/100
Ohio average88/100
Did (Do) you know who to speak to about your therapy progress?
This facility79/100
Ohio average85/100
Did (Do) the therapists help you set goals?
This facility84/100
Ohio average89/100
Can you decide how to spend your day?
This facility96/100
Ohio average94/100
Scores represent percent of positive resident responses for each item, excluding "don't know" and "not applicable" responses and instances where the question was skipped.
Based on the RCF Resident Satisfaction Survey 2022-23, Final Results
Are your personal items safe here?
This facility70/100
Ohio average92/100
Is it very clean here?
This facility75/100
Ohio average96/100
Do you feel you have enough privacy?
This facility81/100
Ohio average95/100
Can you find a place to be alone if you want to be alone?
This facility86/100
Ohio average96/100
Do you feel safe here?
This facility89/100
Ohio average98/100
Is it easy for you to get around in your room (or apartment)?
This facility96/100
Ohio average96/100
Are you able to get around the building if you want to?
This facility96/100
Ohio average95/100
Can you enjoy the outdoors if you want to?
This facility100/100
Ohio average91/100
Scores represent percent of positive resident responses for each item, excluding "don't know" and "not applicable" responses and instances where the question was skipped.
Based on the RCF Resident Satisfaction Survey 2022-23, Final Results
Did you receive a thorough orientation to SHAKER GARDENS ASSISTED LIVING?
This facility57/100
Ohio average70/100
Were you given enough information to learn how things work here?
This facility71/100
Ohio average82/100
Did you feel warmly welcomed as a new resident?
This facility76/100
Ohio average93/100
Scores represent percent of positive resident responses for each item, excluding "don't know" and "not applicable" responses and instances where the question was skipped.
Based on the RCF Resident Satisfaction Survey 2022-23, Final Results
Would you highly recommend SHAKER GARDENS ASSISTED LIVING to someone who needs this type of care?
This facility57/100
Ohio average89/100
Do the people who work here go above and beyond to give you a good life?
This facility65/100
Ohio average87/100
Are you friends with anyone who lives here?
This facility71/100
Ohio average81/100
Are your concerns taken care of in a timely way?
This facility73/100
Ohio average86/100
Overall, are you satisfied with the care you receive here?
This facility77/100
Ohio average94/100
Do the people who work here tell you when rules, policies, and procedures change?
This facility78/100
Ohio average78/100
Are you as involved in decisions about your care as you want to be?
This facility81/100
Ohio average85/100
Do the people who work here seem happy to work here?
This facility84/100
Ohio average92/100
Do the people who work here help you with technology, if needed?
This facility85/100
Ohio average89/100
Are you encouraged to speak up about things you don’t like here?
This facility93/100
Ohio average81/100
Scores represent percent of positive resident responses for each item, excluding "don't know" and "not applicable" responses and instances where the question was skipped.
Based on the RCF Resident Satisfaction Survey 2022-23, Final Results
Do you feel confident the people who work here would come quickly anytime you needed help?
This facility58/100
Ohio average85/100
Do the people who work here do things the way you want them done?
This facility59/100
Ohio average88/100
Do the people who work here check on you often enough to see if you need anything?
This facility61/100
Ohio average81/100
Do the people who work here ever get angry at you?
This facility70/100
Ohio average88/100
Do the people who work here make sure you are comfortable when they provide care or services?
This facility74/100
Ohio average95/100
Do the people who care for you explain your care and services to you?
This facility74/100
Ohio average85/100
Are the people who work here knowledgeable about your medical conditions and treatments?
This facility80/100
Ohio average90/100
Do the same people take care of you most of the time?
This facility86/100
Ohio average84/100
Do the people who work here do everything they can to protect you from getting sick?
This facility89/100
Ohio average94/100
Do you have opportunities to maintain your health and wellness, if you want?
This facility93/100
Ohio average92/100
Do the people who work here support you to do as much for yourself as you are able to do?
This facility100/100
Ohio average96/100
Scores represent percent of positive resident responses for each item, excluding "don't know" and "not applicable" responses and instances where the question was skipped.
Based on the RCF Resident Satisfaction Survey 2022-23, Final Results
Are there enjoyable things to do on the weekends, if you want?
This facility39/100
Ohio average63/100
Are you as connected to the community as you want to be?
This facility46/100
Ohio average71/100
Do you have enough opportunities to go on outings and special events?
This facility65/100
Ohio average73/100
Do you like the activities here?
This facility68/100
Ohio average83/100
Do you feel included in life here?
This facility68/100
Ohio average89/100
Do you have something to look forward to most days?
This facility71/100
Ohio average77/100
Do you have plenty of opportunities to do things that are meaningful to you?
This facility75/100
Ohio average83/100
Do you usually enjoy how you spend your time?
This facility86/100
Ohio average87/100
Are you able to do the activities offered here, if you want?
This facility100/100
Ohio average93/100
Scores represent percent of positive resident responses for each item, excluding "don't know" and "not applicable" responses and instances where the question was skipped.
Based on the RCF Resident Satisfaction Survey 2022-23, Final Results
Does the menu change often enough?
This facility57/100
Ohio average77/100
Do you have input on the food that is served?
This facility64/100
Ohio average68/100
Do you get enough fresh food options here?
This facility71/100
Ohio average81/100
Do you look forward to mealtimes?
This facility71/100
Ohio average80/100
Do you get enough to eat here?
This facility74/100
Ohio average95/100
Do you like the food here?
This facility81/100
Ohio average81/100
Scores represent percent of positive resident responses for each item, excluding "don't know" and "not applicable" responses and instances where the question was skipped.
Compare Nursing Homes around Shaker Heights
The information below is reported by the Ohio Department of Health, Bureau of Survey and Certification.
Shaker Gardens Assisted Living
-7%
-16%
-4%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
OH 44122
172
No
-
-
SHAKER GARDENS MANAGEMENT LLC
75.7%
$11,104,481.00
$4,362,968.00
39.3%
47.20
2.9606
8
17
-7%-16%-4%
Library Court Senior Housing
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IL
Independent Living For self-sufficient seniors seeking community and minimal assistance.
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
SNF
Nursing Homes 24/7 care needed
Cleveland
-
No
-
70
-
-
-
-
-
-
-
-
-
-
-
StoryPoint Shaker Heights (HarborChase)
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IL
Independent Living For self-sufficient seniors seeking community and minimal assistance.
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
SNF
Nursing Homes 24/7 care needed
Shaker Heights
-
Yes
A-
66
-
-
-
-
-
-
-
-
-
-
-
Shaker Gardens Assisted Living
Type of care:
SNF
AL
Community:
OH 44122
Bed Count:
172
Pets Allowed:
No
Operator:
SHAKER GARDENS MANAGEMENT LLC
CCN:
366021
Occupancy:
75.7%
Home Revenue:
$11,104,481.00
Payroll Costs:
$4,362,968.00
Payroll %:
39.3%
Avg Residents/Day:
47.20
Overall Rating:
Adj Nurse Hours:
2.9606
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
8
Citations:
17
RN share vs State Avg:
-7%
-7%
Staffing vs State Avg:
-16%
-16%
Occupancy vs State Avg:
-4%
-4%Places of interest near Shaker Gardens Assisted Living
226.8 miles from city center
SHAKER HEIGHTS, OH 44122
Calculate Travel Distance to Shaker Gardens Assisted Living
Add your location
Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
139
Total Staff
84
Employees
55
Contractors
20,403
Total Hours (Quarter)
33
Avg Staff/Day
6.8
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 12 | 6.6 | No |
| Licensed Practical Nurse | 24 | 7.7 | Yes |
| Certified Nursing Assistant | 55 | 7.3 | Yes |
Staff by Category
Administration ⓘ
2 staff
5.9hs shift avg
Nursing Staff ⓘ
92 staff
7.2hs shift avg
Physicians & Practitioners ⓘ
5 staff
7.6hs shift avg
Therapy Services ⓘ
28 staff
5.7hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
6 staff
5.4hs shift avg
Dietary Services ⓘ
5 staff
5.7hs shift avg
Other Services ⓘ
1 staff
7.4hs shift avg
Contractor Analysis
3.6%
of total hours from contractors
742 contractor hours this quarter
Certified Nursing Assistant: 22
Licensed Practical Nurse: 15
Physical Therapy Aide: 4
Physical Therapy Assistant: 2
Respiratory Therapy Technician: 2
Speech Language Pathologist: 3
Qualified Social Worker: 2
Clinical Nurse Specialist: 2
Medical Director: 1
Occupational Therapy Aide: 1
Occupational Therapy Assistant: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 33 | 22 | 55 | 8,584 | 91 | 100% | 7.3 |
| Registered Nurse | 12 | 0 | 12 | 2,522 | 91 | 100% | 6.6 |
| Licensed Practical Nurse | 9 | 15 | 24 | 2,063 | 91 | 100% | 7.7 |
| Physical Therapy Aide | 6 | 4 | 10 | 1,498 | 80 | 88% | 7.1 |
| Other Dietary Services Staff | 5 | 0 | 5 | 1,390 | 87 | 96% | 5.7 |
| Speech Language Pathologist | 4 | 3 | 7 | 1,167 | 80 | 88% | 6.5 |
| Qualified Social Worker | 4 | 2 | 6 | 507 | 68 | 75% | 5.4 |
| Nurse Practitioner | 2 | 0 | 2 | 499 | 67 | 74% | 7.5 |
| Dental Services Staff | 1 | 0 | 1 | 486 | 66 | 73% | 7.4 |
| Administrator | 1 | 0 | 1 | 485 | 61 | 67% | 7.9 |
| Clinical Nurse Specialist | 1 | 2 | 3 | 422 | 52 | 57% | 7.8 |
| RN Director of Nursing | 1 | 0 | 1 | 256 | 41 | 45% | 6.3 |
| Physical Therapy Assistant | 3 | 2 | 5 | 215 | 71 | 78% | 3 |
| Respiratory Therapy Technician | 2 | 2 | 4 | 178 | 62 | 68% | 2.2 |
| Occupational Therapy Aide | 0 | 1 | 1 | 94 | 13 | 14% | 7.2 |
| Medical Director | 0 | 1 | 1 | 25 | 25 | 27% | 1 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 14 | 3 | 3% | 4.7 |
Health Inspection History
Inspections
Total health citations
17
Citations per inspection
2.83
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
14 of 17 citations resulted from standard inspections; and 3 of 17 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Ohio averageOhio average: 0.3
Serious Health citations
0
0
100% better than Ohio averageOhio average: 0.9
0 critical citations
0 serious citations
17 moderate citations
0 minor citations
Citations history (last 3 years)
Pharmacy moderate citation
Oct 17, 2024
Corrected
Quality of Care moderate citation
Mar 06, 2024
Corrected
Quality of Care moderate citation
Feb 13, 2024
Corrected
Care Planning moderate citation
Jan 10, 2023
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.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit Corporation
Part of: Lionstone
Resident Census by Payment Source
48
Total Residents
Medicare
1
(2.1%)
ⓘ
Medicaid
41
(85.4%)
ⓘ
Private Pay/Other
6
(12.5%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
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.
5.6
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
5.6
In line with Ohio averageOhio average: 5.8
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
10.1
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
10.1
20% better than Ohio averageOhio average: 12.7
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
4.0%
Percent of long-stay residents whose need for help with daily activities has increased
4.0%
41% better than Ohio averageOhio average: 6.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
7.1%
Percent of long-stay residents whose ability to move independently worsened
7.1%
20% better than Ohio averageOhio average: 8.9%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.1%
13% better than Ohio averageOhio average: 22.0%
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%
66% better than Ohio averageOhio average: 3.4%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.6%
Percent of long-stay high risk residents with pressure ulcers
5.6%
43% worse than Ohio averageOhio average: 3.9%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Ohio averageOhio average: 0.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
10.1%
Percent of long-stay residents who lose too much weight
10.1%
62% worse than Ohio averageOhio average: 6.2%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
36.6%
Percent of long-stay residents who have depressive symptoms
36.6%
52% worse than Ohio averageOhio average: 24.0%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
9.5%
Percent of long-stay residents who received an antipsychotic medication
9.5%
12% worse than Ohio averageOhio average: 8.4%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
87.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
87.4%
5% worse than Ohio averageOhio average: 92.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
91.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
91.5%
In line with Ohio averageOhio average: 94.5%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
47.7%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
47.7%
39% worse than Ohio averageOhio average: 78.0%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
5.7%
Percent of short-stay residents who newly received an antipsychotic medication
5.7%
345% worse than Ohio averageOhio average: 1.3%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
48.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
48.2%
36% worse than Ohio averageOhio average: 75.6%
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
$42K
39% lower than Ohio averageOhio average: $69K
Number of fines
8
332% more fines than Ohio averageOhio average: 1.9
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Ohio averageOhio average: 0.5
Fines amount comparison
Fines amount comparison
This facility
$42K
Ohio average
$69K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 11, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 11, 2023
$5K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 5, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 5, 2023
$5K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 28, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 28, 2023
$5K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 21, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 21, 2023
$5K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Shaker Gardens Assisted Living based on CMS SNF Cost Reports.
Occupancy Rate
75.7%
↑ 8.9pp vs 2022
Net Income
$124,021
↑ ~$524K vs 2022
Total Payroll
$4,896,078
↑ ~$150K vs 2022
Profit Margin
1.1%
↑ 5.5pp vs 2022
Loading trend charts...
Guides for Better Senior Living
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Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Financial Aid for Ohio Seniors
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