Inspection Reports for
St. Camillus Residential Health Care Facility

813 Fay Rd, Syracuse, NY 13219, USA, NY, 13219

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Inspection Report — Jan 9, 2026

Certification/complaint
Citations: 36 Date: Jan 9, 2026

Visit Reason
State-compiled facility profile showing 4 inspections from 2022 to 2026 with citation and enforcement history.

Complaint Details
The state logged 138 complaints about this facility; 20 led to on-site inspections.
Findings
Across 4 inspections, 74 citations were issued including 34 standard health and 40 Life Safety Code citations. The facility had 138 complaints with 20 on-site inspections and 3 enforcement actions totaling $16,000 in fines.

Citations (36)
Standard Health Citation — quality of care: ADL Care Provided For Dependent Residents was deficient.
Standard Health Citation — quality of care: Develop/implement Comprehensive Care Plan was deficient.
Standard Health Citation — quality of care: Dialysis was deficient.
Standard Health Citation — quality of care: Food Procurement,store/prepare/serve-sanitary was deficient.
Standard Health Citation — quality of care: Infection Prevention & Control was deficient.
Standard Health Citation — quality of care: Label/store Drugs And Biologicals was deficient.
Standard Health Citation — quality of care: Resident Allergies, Preferences, Substitutes was deficient.
Standard Health Citation — quality of care: Resident Rights/exercise Of Rights was deficient.
Standard Health Citation — quality of care: Resident Self-admin Meds-clinically Approp was deficient.
Standard Health Citation — quality of care: Right To Be Free From Physical Restraints was deficient.
Life Safety Code Citation — NFPA requirements: Discharge From Exits was deficient.
Life Safety Code Citation — NFPA requirements: Doors With Self-closing Devices was deficient.
Life Safety Code Citation — NFPA requirements: Electrical Equipment - Power Cords And Extens was deficient.
Life Safety Code Citation — NFPA requirements: Electrical Systems - Essential Electric Syste was deficient.
Life Safety Code Citation — NFPA requirements: Elevators was deficient.
Life Safety Code Citation — NFPA requirements: Fire Alarm System - Testing And Maintenance was deficient.
Life Safety Code Citation — NFPA requirements: Fire Drills was deficient.
Life Safety Code Citation — NFPA requirements: Gas Equipment - Cylinder And Container Storag was deficient.
Life Safety Code Citation — NFPA requirements: Hazardous Areas - Enclosure was deficient.
Life Safety Code Citation — NFPA requirements: Vertical Openings - Enclosure was deficient.
Standard Health Citation — quality of care: Free Of Accident Hazards/supervision/devices was deficient.
Standard Health Citation — quality of care: Activities Meet Interest/needs Each Resident was deficient.
Standard Health Citation — quality of care: Assistive Devices - Eating Equipment/utensils was deficient.
Standard Health Citation — quality of care: Medicaid/medicare Coverage/liability Notice was deficient.
Standard Health Citation — quality of care: Nutritive Value/appear, Palatable/prefer Temp was deficient.
Standard Health Citation — quality of care: Quality Of Care was deficient.
Standard Health Citation — quality of care: Resident Call System was deficient.
Standard Health Citation — quality of care: Responsibilities Of Providers; Required Notif was deficient.
Standard Health Citation — quality of care: Safe/clean/comfortable/homelike Environment was deficient.
Standard Health Citation — quality of care: Sufficient Nursing Staff was deficient.
Life Safety Code Citation — NFPA requirements: Cooking Facilities was deficient.
Life Safety Code Citation — NFPA requirements: Corridor - Doors was deficient.
Life Safety Code Citation — NFPA requirements: Maintenance, Inspection & Testing - Doors was deficient.
Life Safety Code Citation — NFPA requirements: Portable Fire Extinguishers was deficient.
Life Safety Code Citation — NFPA requirements: Sprinkler System - Installation was deficient.
Life Safety Code Citation — NFPA requirements: Sprinkler System - Maintenance And Testing was deficient.
Report Facts
Inspections on page: 4 Total citations: 74 Standard Health citations: 34 Life Safety Code citations: 40 Total complaints: 138 On-site inspections from complaints: 20 Citations issued from complaints: 18 Enforcement actions: 3 Total fines: 16000

Inspection Report — May 21, 2024

Complaint Investigation
Citations: 0 Date: May 21, 2024

Visit Reason
The purpose of this visit was to conduct a compliance inspection and investigate intake #GA002465400.

Complaint Details
Investigation of intake #GA002465400 with no rule violations found.
Findings
No rule violations were cited as a result of this inspection/investigation.

Inspection Report — Apr 8, 2024

Complaint Investigation
Citations: 0 Date: Apr 8, 2024

Visit Reason
The purpose of this visit was to investigate intakes #GA00245507, #GA00245471, and #GA00244776.

Complaint Details
Investigation of three intakes was conducted with no rule violations found.
Findings
No rule violations were cited as a result of this investigation.

Inspection Report — Mar 26, 2024

Complaint Investigation
Citations: 0 Date: Mar 26, 2024

Visit Reason
The purpose of this offsite/desk review was to investigate Intake #GA00244007.

Complaint Details
Investigation of Intake #GA00244007 with no rule violations found.
Findings
No rule violations were cited as a result of this review.

Inspection Report — Feb 15, 2024

Complaint Investigation
Citations: 0 Date: Feb 15, 2024

Visit Reason
The purpose of this visit was to investigate intake #GA00242624.

Complaint Details
Investigation of intake #GA00242624 with no rule violations found.
Findings
No rule violation was cited as a result of this investigation.

Inspection Report — Jan 22, 2024

Abbreviated Survey
Citations: 1 Date: Jan 22, 2024

Visit Reason
The abbreviated survey was conducted to assess compliance with safety and supervision regulations following an incident involving a resident accessing medications from an unlocked medication cart.

Findings
The facility failed to ensure adequate supervision and a safe environment for one resident who accessed and ingested medications from an unlocked medication cart, resulting in actual harm requiring hospitalization. The medication cart lock malfunctioned, and staff failed to ensure it was locked at all times.

Citations (1)
F 0689: The facility did not ensure each resident received adequate supervision and the environment was free from accident hazards. Resident #2 accessed and ingested medications from an unlocked medication cart, resulting in actual harm requiring hospitalization.
Report Facts
Residents affected: 3 Medication bottles missing: 3 Date of survey completion: Jan 22, 2024

Employees mentioned
NameTitleContext
Licensed Practical Nurse #3Named in medication cart lock incident and investigation
Registered Nurse Manager #2Completed incident report and conducted investigation
Nurse Practitioner #1Provided progress notes and telephone interview regarding the incident
Licensed Practical Nurse Assistant Manager #5Alerted to resident accessing medication cart and intervened
Director of NursingInterviewed regarding medication cart lock and incident response

Inspection Report — Nov 20, 2023

Annual Inspection
Capacity: 284 Citations: 9 Date: Nov 20, 2023

Visit Reason
The inspection was a recertification and abbreviated survey conducted to assess compliance with regulatory requirements for nursing home care.

Findings
The facility was found deficient in multiple areas including resident environment, care planning, activities of daily living assistance, treatment and wound care, staffing adequacy, food service quality, adaptive eating equipment, food safety, and call system accessibility.

Citations (9)
F 0584: The facility failed to ensure a safe, clean, comfortable, and homelike environment; mattresses and furniture were in disrepair, meals were served directly on trays, and medication rooms and kitchenettes were unclean.
F 0656: The facility did not develop and implement comprehensive care plans meeting residents' medical, nursing, and psychosocial needs for 4 of 5 residents reviewed, including missing isolation precautions, failure to implement ordered treatments, and incorrect pressure mattress settings.
F 0677: The facility failed to provide necessary assistance with activities of daily living including grooming, personal hygiene, oral hygiene, and shaving for 5 of 7 residents reviewed.
F 0684: The facility did not ensure treatments and wound care were provided as ordered for a resident with unstageable pressure ulcers; treatments were not documented as completed on multiple dates.
F 0725: The facility failed to provide sufficient nursing staff to meet residents' needs, resulting in delayed call bell responses, missed personal care, and inadequate supervision.
F 0804: The facility did not ensure food was palatable, flavorful, accurate, and served at safe and appetizing temperatures; meal trays were missing items and some food was served cold or burned.
F 0810: The facility failed to provide special eating equipment as ordered for residents requiring adaptive devices, including scoop plates and built-up silverware.
F 0812: The facility did not ensure food was stored and prepared in accordance with professional standards; single service items were re-used, hood filters were damaged, and ice scoop was improperly stored.
F 0919: The facility failed to ensure resident call systems were accessible; a resident's call bell was repeatedly observed out of reach on the floor under the bed.
Report Facts
Licensed Capacity: 284 Residents on units: 241 Staffing counts: 3 Wound size: 6 Wound size: 7.5 Wound size: 5 Wound size: 5.5 Meal temperatures: 91 Meal temperatures: 141 Meal temperatures: 70

Employees mentioned
NameTitleContext
LPN #21Licensed Practical NurseMentioned in relation to observations about staffing, oral care, and wound treatment documentation.
LPN #24Licensed Practical NurseMentioned regarding staffing shortages and care omissions.
RN Unit Manager #29Registered Nurse Unit ManagerResponsible for care plan oversight and staffing management.
LPN #48Licensed Practical NurseDocumented medication administration but not wound treatment completion.
Chef Manager #62Chef ManagerDiscussed food quality and meal tray checks.
CNA #40Certified Nurse AideInvolved in incident regarding delayed incontinence care.
LPN #37Licensed Practical NurseRecalled incident of delayed incontinence care and staffing issues.
RN Supervisor #38Registered Nurse SupervisorResponded to incident involving delayed incontinence care.
Dietitian #86Registered DietitianDiscussed meal substitutions and dietary accommodations.
OT #60Occupational TherapistProvided feeding equipment recommendations.

Inspection Report — Nov 20, 2023

Annual Inspection
Census: 241 Citations: 12 Date: Nov 20, 2023

Visit Reason
The recertification and abbreviated surveys were conducted to assess compliance with regulatory requirements for St Camillus Residential Health Care Facility.

Findings
The facility was found deficient in multiple areas including residents' rights, care planning, activities, treatment and care, staffing, food quality, adaptive equipment, food safety, and call system accessibility. Several residents experienced unmet needs due to insufficient staffing and procedural lapses.

Citations (12)
F 0550: The facility did not ensure residents received mail on Saturdays, denying 241 residents their rights to exercise their rights as citizens.
F 0582: The facility failed to provide appropriate Medicare Non-Coverage notices to 1 of 3 residents discharged from Medicare Part A services.
F 0584: The facility did not ensure a safe, clean, comfortable, and homelike environment; observed disrepair of mattresses and furniture, unclean medication rooms, and non-homelike meal service on trays for multiple units.
F 0656: The facility failed to develop and implement comprehensive care plans meeting residents' medical and psychosocial needs for 4 of 5 residents, including missing isolation precautions, unimplemented treatments, and lack of supervision during meals.
F 0677: The facility did not provide adequate assistance with activities of daily living for 5 of 7 residents, including lack of showers, oral hygiene, fingernail care, and shaving.
F 0679: The facility failed to provide meaningful activities tailored to residents' interests and needs for 2 of 2 residents, including lack of preferred activities and non-functional television.
F 0684: The facility did not provide treatment and care according to orders for 1 resident with unstageable pressure wounds; treatments were not documented as completed on multiple days.
F 0725: The facility did not provide sufficient nursing staff to meet resident needs, resulting in delayed call bell responses, missed care, and inadequate supervision for 10 residents expressing concerns.
F 0804: The facility did not ensure food was palatable, flavorful, accurate, and served at appropriate temperatures for 3 meals reviewed; meal trays were missing items and some food was burned or cold.
F 0810: The facility failed to provide special eating equipment as ordered for 2 residents; scoop plates and adaptive silverware were missing during meal observations.
F 0812: The facility did not ensure food was stored and prepared in accordance with professional standards; single service items were re-used, hood filters were damaged, and ice scoop was improperly stored.
F 0919: The facility did not ensure resident call systems were accessible in bathing areas for 1 resident; call bell was observed out of reach multiple times.
Report Facts
Residents affected: 241 Residents affected: 3 Residents affected: 5 Residents affected: 4 Residents affected: 5 Residents affected: 2 Residents affected: 1 Residents affected: 10 Residents affected: 3 Residents affected: 2 Residents affected: 1

Employees mentioned
NameTitleContext
LPN #48Licensed Practical NurseNamed in wound treatment documentation and interview regarding incomplete treatments for Resident #146
RN Unit Manager #29Registered Nurse Unit ManagerNamed in care plan oversight and staffing interviews
CNA #40Certified Nurse AideNamed in incontinence care delay incident for Resident #304
LPN #37Licensed Practical NurseNamed in incontinence care delay incident for Resident #304
Chef Manager #62Chef ManagerNamed in food quality and food safety interviews
Recreation Leader #11Recreation LeaderNamed in activity program interviews
OT #60Occupational TherapistNamed in adaptive equipment and feeding assistance

Inspection Report — Nov 8, 2023

Follow-Up
Citations: 0 Date: Nov 8, 2023

Visit Reason
The purpose of this visit was to conduct a follow-up from the 9/7/2023 inspection.

Findings
No rule violations were cited as a result of this inspection.

Inspection Report — Sep 7, 2023

Complaint Investigation
Census: 20 Citations: 5 Date: Sep 7, 2023

Visit Reason
The visit was conducted to perform a compliance inspection and investigate complaint intakes #GA00238314 and #GA00237625, starting on 2023-09-05 with an onsite visit on 2023-09-07.

Complaint Details
The investigation was initiated due to complaint intakes #GA00238314 and #GA00237625. Findings included bed bug infestations in residents' rooms, failure to relocate affected residents adequately, and lack of awareness by staff of the infestations and bites. Pest control treatments were limited and incomplete, and no family contacts were made for affected residents lacking family or with family out of town.
Findings
The facility failed to maintain electrical outlets and light fixtures in safe condition, had an inadequate pest control program resulting in bed bug infestations affecting multiple residents, failed to ensure bedroom furnishings were clean and in good condition, did not properly update medication administration records, and failed to provide adequate care and services to residents in compliance with regulations.

Citations (5)
Failed to maintain wall type electric outlets and light fixtures in a safe and operating condition.
Failed to ensure that an insect, rodent or pest control program was maintained and conducted to protect residents' health; bed bugs and eggs found in multiple residents' rooms.
Failed to ensure bedroom furnishings included comfortable springs and mattresses that were clean and in good condition for 3 of 6 sampled residents.
Failed to ensure staff updated the Medication Assistance Records (MAR) each time medications were offered or taken.
Failed to ensure each resident received adequate and appropriate care and services in compliance with laws and regulations for 3 of 6 sampled residents.
Report Facts
Residents sampled: 6 Residents affected by bed bugs: 4 Residents with medication MAR issues: 5 Facility census: 20 Heating treatment duration: 24 Heating treatment duration: 36 Heating temperature: 125

Employees mentioned
NameTitleContext
Staff AInterviewed regarding electrical outlet plate, pest control, room moves, and medication administration practices
Staff BInterviewed regarding light fixture bulbs and pest control awareness
Staff CObserved and interviewed regarding medication preparation and MAR documentation
EFPest control company representative interviewed about treatment methods and limitations

Inspection Report — Jul 3, 2023

Complaint Investigation
Citations: 3 Date: Jul 3, 2023

Visit Reason
The purpose of this visit was to investigate intake #GA00232271, #GA00235290, and #GA00236220 with an on-site visit conducted from 07/03/2023 to 07/12/2023.

Complaint Details
The visit was complaint-related, investigating three intake numbers (#GA00232271, #GA00235290, and #GA00236220).
Findings
The facility failed to maintain an effective pest control program, with live bed bug activity observed in 7 of 10 resident rooms and on a resident. Poisons and chemical pest control materials were improperly stored and accessible in resident rooms and other areas. Additionally, the facility failed to ensure residents' rights to manage their financial affairs, with missing account records and mishandling of resident-issued government assistance monetary cards.

Citations (3)
Failed to ensure an effective insect, rodent or pest control program; live bed bug activity observed in 7 of 10 resident rooms and on a resident.
Failed to ensure poisons, caustics, and other dangerous materials were stored and safeguarded away from residents and food/medication areas; unsecured aerosol cans of bed bug spray found in 6 of 10 resident rooms and chemical pest controls in the front office.
Failed to ensure residents' right to manage their own financial affairs; missing account book and balance for resident accounts, and improper handling of resident-issued government assistance monetary cards.
Report Facts
Resident rooms with live bed bug activity: 7 Resident rooms with unsecured aerosol cans of bed bug spray: 6

Employees mentioned
NameTitleContext
Staff AInterviewed regarding bed bug activity, pest control practices, and resident financial affairs; stated lack of knowledge about residents having chemical sprays and missing pest control receipts.
Staff BInterviewed regarding knowledge of bed bug infestations and use of pest control sprays.

Inspection Report — Jun 14, 2022

Complaint Investigation
Citations: 2 Date: Jun 14, 2022

Visit Reason
The purpose of this visit was to conduct a compliance inspection and investigate intake #GA00224346.

Complaint Details
Investigation of intake #GA00224346 regarding pest infestation and cleanliness issues in the facility.
Findings
The facility failed to maintain a safe and clean environment for residents, with multiple observations of live and dead bed bugs and roaches in residents' rooms and common areas. Clutter and inadequate housekeeping were noted, and residents remained in rooms despite infestation due to unavailability of alternate rooms.

Citations (2)
Facility failed to ensure the home was maintained to provide adequately for all health, safety, and well-being of residents, with bed bugs and roaches observed in rooms and common areas for 3 of 4 sampled residents.
Facility failed to ensure the home cleaned residents' living spaces periodically and as needed to prevent health hazards for 3 of 4 sampled residents.
Report Facts
Bed bugs observed: 20 Bed bugs observed: 15 Roaches observed: 6

Inspection Report — Jul 30, 2021

Renewal
Citations: 1 Date: Jul 30, 2021

Visit Reason
The inspection was a recertification survey conducted from 7/26/21 to 7/30/21 to assess compliance with regulatory requirements for St Camillus Residential Health Care Facility.

Findings
The facility failed to provide residents with ongoing programs supporting their choice of meaningful activities, specifically for Residents #2 and #31. Resident #2 was not offered meaningful activities or materials, and Resident #31 was not provided music as care planned.

Citations (1)
F 0679: The facility did not provide each resident an ongoing program to support their choice of activities designed to meet their interests and support their physical, mental, and psychosocial well-being for 2 of 3 residents reviewed. Resident #2 was not offered meaningful activities or materials, and Resident #31 was not provided music of their choosing as care planned.
Report Facts
Days with documented activities for Resident #31: 17

Employees mentioned
NameTitleContext
Certified Nurse Aide #6Certified Nurse AideMentioned in relation to Resident #2's activity participation and observations.
Certified Nurse Aide #7Certified Nurse AideReported on activities aide #4 providing activities and music for Resident #31.
Registered Nurse Unit Manager #8Registered Nurse Unit ManagerReported on Resident #31's music preferences and stimulation.
Activities Aide #4Activities AideProvided information on activity provision and challenges during the COVID-19 pandemic.
Director of RecreationDirector of RecreationDiscussed activity session expectations and staffing challenges.

Inspection Report — Jun 24, 2021

Complaint Investigation
Citations: 4 Date: Jun 24, 2021

Visit Reason
The purpose of this visit was to conduct a compliance inspection and investigate intakes #GA00214765 and #GA00210297.

Complaint Details
The inspection was conducted in response to complaint intakes #GA00214765 and #GA00210297.
Findings
The facility failed to maintain an adequate hot water system with water temperature not exceeding 120°F, failed to ensure unlicensed staff demonstrated medication skills competency, failed to update the Medication Assistance Record (MAR) properly, and failed to obtain record check applications for direct access employees.

Citations (4)
The facility failed to ensure the hot water system supplied water not exceeding 120 degrees Fahrenheit; water temperature was found at 131.4 degrees F in Resident #4's bathroom.
Unlicensed staff (Staff B and Staff C) did not demonstrate medication skills competency as required; no documentation was found.
Staff failed to update the Medication Assistance Record (MAR) each time medication was offered or taken for Resident #5.
The facility failed to obtain record check applications for direct access employees (Staff B and Staff C) upon application or prior to placement.
Report Facts
Water temperature: 131.4 Number of sampled staff with missing medication competency documentation: 2 Number of sampled staff with missing record check applications: 2 Number of missed MAR initials: 1

Employees mentioned
NameTitleContext
Staff AWitnessed water temperature reading and provided interview statements regarding hot water and medication administration
Staff BSampled staff lacking medication competency documentation and record check application; admitted to not signing MAR
Staff CSampled staff lacking medication competency documentation and record check application; reported resident refusal of medication

Inspection Report — Nov 10, 2020

Complaint Investigation
Citations: 0 Date: Nov 10, 2020

Visit Reason
The purpose of this inspection was to investigate intake #GA00209012.

Complaint Details
Investigation started on 2020-11-04 and was completed on 2020-11-10. No rule violations were found.
Findings
No rule violations were cited as a result of this investigation.

Inspection Report — Nov 19, 2019

Complaint Investigation
Citations: 0 Date: Nov 19, 2019

Visit Reason
The visit was conducted to investigate intake # GA0020069.

Complaint Details
Investigation of intake # GA0020069 found no rule violations.
Findings
No rule violations were cited as a result of this investigation.

Inspection Report — Jul 17, 2019

Routine
Citations: 0 Date: Jul 17, 2019

Visit Reason
The purpose of this visit was to conduct a compliance inspection.

Findings
No rule violations were cited as a result of this inspection.

Inspection Report — Jun 4, 2019

Annual Inspection
Citations: 5 Date: Jun 4, 2019

Visit Reason
The inspection was a recertification survey to assess compliance with federal and state regulations for nursing home operations.

Findings
The facility was found deficient in multiple areas including failure to post the most recent Federal Life Safety Code survey results, inadequate nutritional care for a resident, improper medication storage and labeling, serving food at unsafe temperatures, and lapses in infection prevention and control practices.

Citations (5)
F 0577: The facility did not post the most recent Federal Life Safety Code survey results in locations accessible to residents and their representatives.
F 0692: Resident #136 did not receive the ordered nutritional supplement amount, supplements were left without confirmation of consumption, and a replacement meal was not provided after the resident's breakfast tray was spilled and removed.
F 0761: Insulin multi-dose vials for Residents #11 and #145 were outdated and not discarded after 28 days as required by facility policy.
F 0804: Food was served at unsafe temperatures during 2 of 3 meals tested, including fried fish at 101-107°F and eggs at 98°F, below recommended safe serving temperatures.
F 0880: The facility failed to maintain an effective infection prevention and control program, including inadequate hand hygiene during medication passes, improper use of personal protective equipment for residents on droplet precautions, and failure to maintain washing machines per manufacturer guidelines.
Report Facts
Residents reviewed for nutrition: 7 Residents affected by nutritional deficiency: 1 Residents affected by medication labeling deficiency: 2 Meals tested for temperature: 3 Residents observed during medication pass: 8 Residents on droplet precautions reviewed: 2 Washing machines reviewed: 2

Employees mentioned
NameTitleContext
LPN #4Licensed Practical NurseNamed in nutritional supplement administration deficiency and observation.
LPN #3Assistant Unit Manager Licensed Practical NurseInterviewed regarding nutritional supplement procedures and infection control.
LPN #9Licensed Practical NurseObserved not performing hand hygiene during medication pass.
CNA #7Certified Nurse AideObserved not using PPE and hand hygiene during care of residents on droplet precautions.
CNA #6Certified Nurse AideObserved not using PPE and hand hygiene during care of residents on droplet precautions.
LPN #15Licensed Practical NurseObserved not performing hand hygiene during care of resident on droplet precautions.
Director of Environmental ServicesInterviewed regarding maintenance of washing machines.
Food Service DirectorInterviewed regarding food temperature and meal service.
Registered Dietitian #5Registered DietitianInterviewed regarding nutritional assessment and supplement administration.
LPN #11Licensed Practical NurseObserved during medication cart inspection for insulin vial expiration.
LPN #10Assistant Unit Manager Licensed Practical NurseInterviewed regarding infection control procedures.

Inspection Report — Jul 25, 2017

Complaint Investigation
Citations: 0 Date: Jul 25, 2017

Visit Reason
The purpose of this visit was to investigate complaint GA00177308.

Complaint Details
Complaint GA00177308 was investigated and found to have no rule violations.
Findings
No rule violations were cited as a result of this inspection.

Inspection Report — Jun 20, 2017

Annual Inspection
Citations: 0 Date: Jun 20, 2017

Visit Reason
The purpose of this visit was to conduct an annual inspection of the facility.

Findings
No rule violations were cited as a result of this inspection.

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