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Manorcare Health Services - Bethesda

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 110
Continuing Care? No
Resident Council? Yes
Family Council? Yes
Multi-Home Chain? No
Located in a Hospital? No
Special Focus Facility? No

View:    Health Inspections  |  Quality Measures  |  Staffing  |  Fire Inspections

Health Inspections  

Most Recent Inspection: 01/19/2012

Date of last standard health inspection: 01/19/2012
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 19
Average number of Health Deficiencies in MD: 4
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in MD: 0 - 19
Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate 00/06/2012 01/08/2001 Few complete and organized clinical records on each re
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/06/2012 01/08/2001 2 Some
Have a program that investigates 00/06/2012 01/08/2001 Few controls and keeps infection from spreading.
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 00/06/2012 01/08/2001 2 Some
Ensure that residents are safe from serious medication errors. 00/06/2012 01/08/2001 2 Some
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 00/06/2012 01/08/2001 2 Few
At least once a month 00/06/2012 01/08/2001 Some have a licensed pharmacist review each resident's
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 00/06/2012 01/08/2001 1 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 00/06/2012 01/08/2001 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/06/2012 01/08/2001 2 Some
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 00/06/2012 01/08/2001 2 Few
Ensure that each resident who enters the nursing home without a catheter is not given a catheter 00/06/2012 01/08/2001 and that incontinent patients receive proper servi unless medically necessary
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. 00/06/2012 01/08/2001 2 Some
Ensure residents maintain acceptable nutritional status. 00/06/2012 01/08/2001 2 Some
Properly care for residents needing special services 00/06/2012 01/08/2001 colostomy including: injections
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 00/06/2012 01/08/2001 2 Some
Ensure each resident receives an accurate assessment by a qualified health professional. 00/06/2012 01/08/2001 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 00/06/2012 01/08/2001 1 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident 00/06/2012 01/08/2001 and a family member of situations (injury/decline/ the resident's doctor

Inspection, 00/06/2012

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 00/06/2012 01/08/2001 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/06/2012 01/08/2001 2 Some
Have a program that investigates, controls and keeps infection from spreading. 00/06/2012 01/08/2001 2 Few
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 00/06/2012 01/08/2001 2 Some
Ensure that residents are safe from serious medication errors. 00/06/2012 01/08/2001 2 Some
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 00/06/2012 01/08/2001 2 Few
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. 00/06/2012 01/08/2001 2 Some
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 00/06/2012 01/08/2001 1 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 00/06/2012 01/08/2001 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/06/2012 01/08/2001 2 Some
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 00/06/2012 01/08/2001 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 00/06/2012 01/08/2001 2 Few
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. 00/06/2012 01/08/2001 2 Few
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. 00/06/2012 01/08/2001 2 Some
Ensure residents maintain acceptable nutritional status. 00/06/2012 01/08/2001 2 Some
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. 00/06/2012 01/08/2001 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 00/06/2012 01/08/2001 2 Some
Ensure each resident receives an accurate assessment by a qualified health professional. 00/06/2012 01/08/2001 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 00/06/2012 01/08/2001 1 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 00/06/2012 01/08/2001 2 Some

Inspection, 00/01/2011

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates 00/01/2011 00/00/0000 Some controls and keeps infection from spreading.
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/01/2011 00/00/0000 2 Few

Inspection, 03/01/2010

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 03/01/2010 00/07/2012 2 Some

Inspection, 02/04/2010

Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Allow residents the right to participate in the planning or revision of care and treatment. 02/04/2010 02/04/2010 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident 02/04/2010 02/02/2004 and a family member of situations (injury/decline/ the resident's doctor

Inspection, 02/02/2009

Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give residents a notice of rights 02/02/2009 01/04/2010 services and charges. rules

Inspection, 00/08/2008

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/08/2008 00/05/2009 2 Few

Inspection, 01/07/2007

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 01/07/2007 02/04/2008 2 Some

Inspection, 02/04/2005

Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly hold 02/04/2005 00/08/2007 and manage each resident's personal money which is secure
Upon the death of a resident 02/04/2005 00/08/2007 Some convey the resident

Inspection, 02/06/2004

Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Let each resident or the resident's legal representative access or purchase copies of all the resident's records. 02/06/2004 00/00/0000 1 Some

Inspection, 01/05/2003

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/05/2003 02/04/2001 1 Some

Inspection, 02/08/2002

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Operate and provide services according to Federal, State, and local laws and professional standards. 02/08/2002 02/02/2004 1 Some
Ensure laboratory services, blood blanks and transfusion services provided on site meet requirements for certified laboratories; or have an agreement to obtain services from an offsite laboratory, that meets the same requirements. 02/08/2002 02/02/2004 2 Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 02/08/2002 02/02/2004 1 Some
Operate and provide services according to Federal 02/08/2002 02/02/2004 and local laws and professional standards. State
Ensure laboratory services 02/08/2002 02/02/2004 that meets the same requirements. blood blanks and transfusion services provided on
Keep accurate 02/08/2002 02/02/2004 Some complete and organized clinical records on each re
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep all essential equipment working safely. 02/08/2002 02/02/2004 2 Some
Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. 02/08/2002 02/02/2004 2 Few
Keep all essential equipment working safely. 02/08/2002 02/02/2004 2 Some
Provide at least one room set aside to use as a resident dining room and for activities 02/08/2002 02/02/2004 with good lighting that is a good size
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 02/08/2002 02/02/2004 2 Some
Store 02/08/2002 02/02/2004 and serve food in a safe and clean way. cook
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 02/08/2002 02/02/2004 2 Few
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 02/08/2002 02/02/2004 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 02/08/2002 02/02/2004 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/08/2002 02/02/2004 2 Some
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 02/08/2002 02/02/2004 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 02/08/2002 02/02/2004 2 Few
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. 02/08/2002 02/02/2004 2 Some
Ensure residents maintain acceptable nutritional status. 02/08/2002 02/02/2004 2 Few
Develop policies and procedures for influenza and pneumococcal immunizations. 02/08/2002 02/02/2004 1 Some
Ensure services provided by the nursing facility meet professional standards of quality. 02/08/2002 02/02/2004 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/08/2002 02/02/2004 2 Some
Assist those residents who need help with eating/drinking 02/08/2002 02/02/2004 Few grooming and personal and oral hygiene.
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 02/08/2002 02/02/2004 2 Few
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. 02/08/2002 02/02/2004 2 Some
Ensure residents maintain acceptable nutritional status. 02/08/2002 02/02/2004 2 Few
Develop policies and procedures for influenza and pneumococcal immunizations. 02/08/2002 02/02/2004 1 Some
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 02/08/2002 02/02/2004 2 Some
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 02/08/2002 02/02/2004 2 Some
Allow residents the right to participate in the planning or revision of care and treatment. 02/08/2002 02/02/2004 2 Some
Conduct initial and periodic assessments of each resident's functional capacity. 02/08/2002 02/02/2004 2 Some
Develop a complete care plan that meets all the resident's needs 02/08/2002 02/02/2004 Some with timetables and actions that can be measured.
Allow residents the right to participate in the planning or revision of care and treatment. 02/08/2002 02/02/2004 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Let each resident or the resident's legal representative access or purchase copies of all the resident's records. 02/08/2002 02/02/2004 2 Few
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 02/08/2002 02/02/2004 2 Few
Keep residents' personal and medical records private and confidential. 02/08/2002 02/02/2004 1 Some
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 02/08/2002 02/02/2004 2 Few
Let each resident or the resident's legal representative access or purchase copies of all the resident's records. 02/08/2002 02/02/2004 2 Few
Immediately tell the resident 02/08/2002 02/02/2004 and a family member of situations (injury/decline/ the resident's doctor
Keep residents' personal and medical records private and confidential. 02/08/2002 02/02/2004 1 Some
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 02/08/2002 02/02/2004 2 Few

Inspection, 03/01/2001

Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. 03/01/2001 02/07/2002 2 Few

Inspection, 02/01/2001

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate 02/01/2001 02/01/2001 Some complete and organized clinical records on each re

Inspection, 01/09/2001

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Quickly tell the resident's doctor the results of laboratory tests. 01/09/2001 02/07/2002 2 Some
Quickly tell the resident's doctor the results of laboratory tests. 01/09/2001 02/07/2002 2 Some
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/09/2001 02/07/2002 2 Few
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/09/2001 02/07/2002 2 Few
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 01/09/2001 02/07/2002 2 Few
Store 01/09/2001 02/07/2002 and serve food in a safe and clean way. cook
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 01/09/2001 02/07/2002 2 Some
Ensure that residents are safe from serious medication errors. 01/09/2001 02/07/2002 2 Few
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 01/09/2001 02/07/2002 2 Few
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. 01/09/2001 02/07/2002 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 01/09/2001 02/07/2002 1 Some
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 01/09/2001 02/07/2002 2 Some
Ensure that residents are safe from serious medication errors. 01/09/2001 02/07/2002 2 Few
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 01/09/2001 02/07/2002 2 Few
At least once a month 01/09/2001 02/07/2002 Few have a licensed pharmacist review each resident's
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 01/09/2001 02/07/2002 1 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 01/09/2001 02/07/2002 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/09/2001 02/07/2002 2 Some
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. 01/09/2001 02/07/2002 2 Few
Ensure services provided by the nursing facility meet professional standards of quality. 01/09/2001 02/07/2002 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/09/2001 02/07/2002 2 Some
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. 01/09/2001 02/07/2002 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 01/09/2001 02/07/2002 2 Some
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 01/09/2001 02/07/2002 2 Some
Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. 01/09/2001 02/07/2002 2 Few
Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. 01/09/2001 02/07/2002 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 01/09/2001 02/07/2002 2 Few
Immediately tell the resident 01/09/2001 02/07/2002 and a family member of situations (injury/decline/ the resident's doctor

Nursing Home Staffing  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

National Average Average in MD Golden Living Center, Asheville
RN Staff Only1 N/A N/A 4 out of 5 stars
Total Number of Residents 86 105 86
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 6 hours 54 minutes 2 hours
RN Hours
per Resident per Day
16 hours 3 minutes 6 hours 1 minute 57 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 6 hours 7 minutes 1 hour 3 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 7 hours 35 minutes 1 hour 46 minutes

1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.

Quality Measures  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

Long-Term Residents

Short-Term Residents

Fire Safety Inspections

Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.

Most Recent Inspection: 02/16/2012

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 02/16/2012
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Fire Safety Deficiencies for this nursing home: 0
Average number of Fire Safety Deficiencies in MD: 0
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in MD: 0 - 0

Inspection, 00/08/2003

Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 00/08/2003 00/05/2005 1 Many
Properly installed electrical wiring and equipment. 00/08/2003 00/05/2005 1 Many
Interior Finish Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Fire resistant room wall surfaces. 00/08/2003 00/05/2005 1 Many
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper medical gas storage and administration areas. 00/08/2003 00/05/2005 2 Few
Miscellaneous Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Other fire safety features required by fire safety codes. 00/08/2003 00/05/2005 2 Some
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Walls that prevent smoke from passing through and would resist fire for at least one hour. 00/08/2003 00/05/2005 1 Some
Smoke barrier doors that can resist smoke for at least 20 minutes. 00/08/2003 00/05/2005 2 Few

Inspection, 01/06/2002

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 01/06/2002 02/07/2003 1 Many
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly constructed linen or trash chutes. 01/06/2002 02/07/2003 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 01/06/2002 02/07/2003 1 Many
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved installation, maintenance and testing program for fire alarm systems. 01/06/2002 02/07/2003 2 Few

Inspection, 00/08/2001

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Portable fire extinguishers. 00/08/2001 02/05/2001 1 Many
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 00/08/2001 02/05/2001 2 Few
Interior Finish Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Fire resistant room wall surfaces. 00/08/2001 02/05/2001 2 Few
 

6530 Democracy Boulevard
Bethesda, MD 20817

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