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Montclair Nursing And Rehabilitation Center

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 175
Continuing Care? No
Resident Council? Yes
Family Council? No
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: 03/03/2011

Date of last standard health inspection: 03/03/2011
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 0
Average number of Health Deficiencies in NE: 2
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in NE: 0 - 11

Inspection, 01/08/2011

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Employ staff that are licensed, certified, or registered in accordance with state laws. 01/08/2011 00/02/2001 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 01/08/2011 00/02/2001 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/08/2011 00/02/2001 2 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. 01/08/2011 00/02/2001 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. 01/08/2011 00/02/2001 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide medically-related social services to help each resident achieve the highest possible quality of life. 01/08/2011 00/02/2001 2 Few
Ensure services provided by the nursing facility meet professional standards of quality. 01/08/2011 00/02/2001 2 Few
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. 01/08/2011 00/02/2001 2 Few

Inspection, 01/06/2011

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. 01/06/2011 02/05/2012 2 Few

Inspection, 01/00/2007

Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that residents are safe from serious medication errors. 01/00/2007 00/09/2008 2 Few
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. 01/00/2007 00/09/2008 2 Few

Inspection, 02/09/2006

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate 02/09/2006 00/00/0000 Few complete and organized clinical records on each re
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that each residents' abilities in activities of daily living do not decline 02/09/2006 01/02/2008 Few unless unavoidable.
Ensure residents maintain acceptable nutritional status. 02/09/2006 01/02/2008 2 Few
Give each resident enough fluids to keep them healthy and prevent dehydration. 02/09/2006 01/02/2008 2 Few
Provide routine and 24-hour emergency dental care for each resident. 02/09/2006 01/02/2008 2 Few
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. 02/09/2006 00/00/0000 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Try to resolve each resident's complaints quickly. 02/09/2006 01/02/2008 2 Few

Inspection, 01/03/2006

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/03/2006 00/09/2008 2 Few
Ensure that each resident who enters the nursing home without a catheter is not given a catheter 01/03/2006 00/09/2008 and that incontinent patients receive proper servi unless medically necessary

Inspection, 02/05/2004

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. 02/05/2004 00/09/2008 2 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep each resident free from physical restraints 02/05/2004 01/03/2006 Few unless needed for medical treatment.
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep the rate of medication errors (wrong drug 02/05/2004 01/03/2006 wrong time) to less than 5%. wrong dose
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. 02/05/2004 00/09/2008 2 Few
Ensure that each resident who enters the nursing home without a catheter is not given a catheter 02/05/2004 00/09/2008 and that incontinent patients receive proper servi unless medically necessary
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident 02/05/2004 01/03/2006 and a family member of situations (injury/decline/ the resident's doctor

Inspection, 00/03/2003

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 00/03/2003 01/05/2004 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/03/2003 01/05/2004 2 Some
Provide housekeeping and maintenance services. 00/03/2003 01/05/2004 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/03/2003 01/05/2004 2 Some
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. 00/03/2003 01/05/2004 2 Few
Develop and implement policies for 1) screening and training employees; and the 2) prevention 00/03/2003 01/05/2004 investigation identification
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. 00/03/2003 01/05/2004 2 Some
Prepare food that is nutritional 00/03/2003 01/05/2004 tasty appetizing
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. 00/03/2003 01/05/2004 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
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. 00/03/2003 01/05/2004 2 Few
Ensure that each resident who enters the nursing home without a catheter is not given a catheter 00/03/2003 01/05/2004 and that incontinent patients receive proper servi unless medically necessary
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. 00/03/2003 01/05/2004 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 00/03/2003 01/05/2004 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. 00/03/2003 01/05/2004 2 Few
Allow residents to easily view the results of the nursing home's most recent inspection. 00/03/2003 01/05/2004 1 Many
Immediately tell the resident 00/03/2003 01/05/2004 and a family member of situations (injury/decline/ the resident's doctor
Allow residents to easily view the results of the nursing home's most recent inspection. 00/03/2003 01/05/2004 1 Many

Inspection, 02/09/2002

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident. 02/09/2002 00/09/2008 3 Some
Quickly tell the resident's doctor the results of laboratory tests. 02/09/2002 01/00/2004 2 Few
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. 02/09/2002 00/09/2008 3 Some
Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident. 02/09/2002 00/09/2008 3 Some
Quickly tell the resident's doctor the results of laboratory tests. 02/09/2002 01/00/2004 2 Few
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly 02/09/2002 00/09/2008 Some and develop corrective plans of action.
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 02/09/2002 01/00/2004 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/09/2002 00/09/2008 3 Some
Have enough outside ventilation via a window or mechanical ventilation, or both. 02/09/2002 01/00/2004 2 Few
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. 02/09/2002 01/00/2004 2 Many
Provide housekeeping and maintenance services. 02/09/2002 01/00/2004 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/09/2002 00/09/2008 3 Some
Have enough outside ventilation via a window or mechanical ventilation 02/09/2002 01/00/2004 Few or both.
Make sure there is a pest control program to prevent/deal with mice 02/09/2002 01/00/2004 or other pests. insects
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep each resident free from physical restraints, unless needed for medical treatment. 02/09/2002 01/03/2006 2 Few
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. 02/09/2002 01/00/2004 2 Few
Keep each resident free from physical restraints 02/09/2002 01/03/2006 Few unless needed for medical treatment.
1) Hire only people with no legal history of abusing 02/09/2002 01/00/2004 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report
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. 02/09/2002 01/00/2004 2 Many
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. 02/09/2002 01/03/2006 2 Few
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. 02/09/2002 01/03/2006 2 Few
Ensure that residents are safe from serious medication errors. 02/09/2002 01/00/2004 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 02/09/2002 01/00/2004 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. 02/09/2002 01/03/2006 2 Few
Keep the rate of medication errors (wrong drug 02/09/2002 01/03/2006 wrong time) to less than 5%. wrong dose
Ensure that residents are safe from serious medication errors. 02/09/2002 01/00/2004 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 02/09/2002 01/00/2004 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. 02/09/2002 01/00/2004 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/09/2002 00/09/2008 2 Few
Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. 02/09/2002 01/00/2004 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 02/09/2002 00/09/2008 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. 02/09/2002 00/09/2008 2 Few
Ensure residents maintain acceptable nutritional status. 02/09/2002 01/00/2004 2 Few
Ensure services provided by the nursing facility meet professional standards of quality. 02/09/2002 01/00/2004 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/09/2002 00/09/2008 2 Few
Ensure that each resident who enters the nursing home without a catheter is not given a catheter 02/09/2002 00/09/2008 and that incontinent patients receive proper servi unless medically necessary
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 02/09/2002 01/03/2006 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 02/09/2002 00/09/2008 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 02/09/2002 00/09/2008 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. 02/09/2002 01/03/2006 2 Some
Immediately tell the resident 02/09/2002 01/03/2006 and a family member of situations (injury/decline/ the resident's doctor
Reasonably accommodate the needs and preferences of each resident. 02/09/2002 00/09/2008 2 Few

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 NE Golden Living Center, Asheville
RN Staff Only1 N/A N/A 3 out of 5 stars
Total Number of Residents 86 58 157
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 14 hours 17 minutes 1 hour 30 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 13 hours 31 minutes 35 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 13 hours 30 minutes 54 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 15 hours 17 minutes 2 hours 4 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: 02/28/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 02/28/2011
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 NE: 0
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in NE: 0 - 0

Inspection, 01/08/2011

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved automatic sprinkler system connected to the fire alarm system. 01/08/2011 00/02/2001 2 Many
Automatic sprinkler systems that have been maintained in working order. 01/08/2011 02/05/2002 2 Many
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly protected cooking facilities. 01/08/2011 00/02/2001 2 Many
Restrictions on the use of portable space heaters. 01/08/2011 00/02/2001 2 Many
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 01/08/2011 00/02/2001 2 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 01/08/2011 00/02/2001 2 Many
Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A written emergency evacuation plan. 01/08/2011 00/02/2001 2 Many
Record of quarterly fire drills for each shift under varying conditions. 01/08/2011 00/02/2001 2 Many
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 01/08/2011 00/02/2001 2 Many
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A fire alarm system that can be heard throughout the facility. 01/08/2011 02/05/2002 2 Many
Furnishings and Decorations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are free from obstructions and can be used at all times. 01/08/2011 00/02/2001 2 Some
Restrictions on the use of flammable curtains. 01/08/2011 02/05/2002 2 Some
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 01/08/2011 00/02/2001 2 Many
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper backup exit lighting. 01/08/2011 00/02/2001 2 Some
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper medical gas storage and administration areas. 01/08/2011 00/02/2001 2 Many
No-smoking signs where oxygen is used. 01/08/2011 02/05/2002 2 Many
Smoking Regulations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Posted No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed." 01/08/2011 00/02/2001 2 Some
Vertical Openings Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper stairway enclosures and vertical shafts. 01/08/2011 00/02/2001 2 Some

Inspection, 02/09/2002

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Portable fire extinguishers. 02/09/2002 01/00/2004 2 Some
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly protected cooking facilities. 02/09/2002 01/00/2004 2 Some
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 02/09/2002 01/00/2004 2 Some
Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Record of quarterly fire drills for each shift under varying conditions. 02/09/2002 01/00/2004 2 Many
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 02/09/2002 01/00/2004 2 Some
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper medical gas storage and administration areas. 02/09/2002 01/00/2004 2 Some
No-smoking signs where oxygen is used. 02/09/2002 01/00/2004 2 Some

Inspection, 02/08/2002

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved automatic sprinkler system connected to the fire alarm system. 02/08/2002 00/01/2005 2 Many
Automatic sprinkler systems that have been maintained in working order. 02/08/2002 00/01/2005 2 Some
Portable fire extinguishers. 02/08/2002 00/01/2005 2 Some
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly protected cooking facilities. 02/08/2002 00/01/2005 2 Some
Properly constructed linen or trash chutes. 02/08/2002 00/01/2005 2 Many
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 02/08/2002 00/01/2005 2 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 02/08/2002 00/01/2005 2 Many
A separate and independent backup electrical power source. 02/08/2002 00/01/2005 2 Many
Properly installed electrical wiring and equipment. 02/08/2002 00/01/2005 2 Many
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 02/08/2002 00/01/2005 2 Some
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A fire alarm system that can be heard throughout the facility. 02/08/2002 00/01/2005 2 Many
Furnishings and Decorations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are free from obstructions and can be used at all times. 02/08/2002 00/01/2005 2 Some
Properly sized and located linen or trash receptacles. 02/08/2002 00/01/2005 2 Some
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 02/08/2002 00/01/2005 2 Many
Properly installed hallway dispensers for alcohol-based hand rub. 02/08/2002 00/01/2005 2 Many
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Emergency lighting that can last at least 1 1/2 hours. 02/08/2002 00/01/2005 2 Many
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper medical gas storage and administration areas. 02/08/2002 00/01/2005 2 Many
Miscellaneous Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Other fire safety features required by fire safety codes. 02/08/2002 00/01/2005 2 Many
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Smoke barrier doors that can resist smoke for at least 20 minutes. 02/08/2002 00/01/2005 2 Some
Vertical Openings Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper stairway enclosures and vertical shafts. 02/08/2002 00/01/2005 2 Some
 

2525 South 135th Avenue
Omaha, NE 68144

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