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The King's Daughters & Sons Nursing Home

1223 West Baltimore, Durant, OK 74701 · For profit - Corporation · 65 certified beds · (580) 924-0496 Medicare & Medicaid certified

Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citation — no harm found (F0607) — cited Feb 20241 immediate-jeopardy citation$15,249 in federal fines
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • a high payroll-based staffing rating (5/5)
  • lower-than-typical staff turnover (32% vs 45% nationally) — better care continuity
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0607) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • inspectors cited 1 immediate-jeopardy problem — the most serious level
  • a high number of inspection citations overall (18) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $15,249 in federal fines (most recent 2024-02-06)
  • its payroll-based staffing score sits well above its independent inspection score

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

4/5
CMS overall
4 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 5 of 5
Quality measuresSelf-reported by the facility 3 of 5

Worth a closer look. This home's staffing rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the staffing score rests on the facility's own payroll (PBJ) submissions — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
698 Westside Dr · (580) 920-1922 · Call to confirm hours
Pharmacy
3712 W Main St · (580) 924-5112 · Call to confirm hours
Grocery
Aldi1.4 mi
2412 W Main St
Park
215 Johnston Crk · (580) 920-0420 · Typically dawn to dusk
Place of worship
5325 W University Blvd · (580) 745-9247

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Overall quality measures 3 of 5
Long-stay residentspeople who live here 2 of 5
Short-stay residentsrehab / post-hospital 3 of 5

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 1 to 4 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating4★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased16.0%13.6%15.4%typical
Long-stay residents who lose too much weight1.3%3.3%5.4%better
Long-stay residents with a catheter left in their bladder0.0%1.9%0.9%better than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection2.9%2.8%2.0%worse
Long-stay residents with depressive symptoms0.0%3.4%6.5%check this — see note marked star below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury5.3%4.7%3.3%worse
Long-stay residents whose ability to walk worsened10.7%13.7%16.1%better
Long-stay residents on antianxiety or hypnotic medication67.0%25.7%18.9%check this — see note marked dagger below the table
Long-stay residents given the seasonal flu vaccine100.0%94.6%95.3%typical
Long-stay residents with pressure ulcers8.8%4.7%4.7%worse
Long-stay residents with worsening bladder/bowel control13.6%17.1%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table18.2%17.5%17.1%typical
Short-stay residents who newly got an antipsychotic medication0.0%1.8%1.4%better
Short-stay residents given the seasonal flu vaccine100.0%74.1%79.4%better
Short-stay residents rehospitalized after admission34.3%27.3%22.6%worse
Short-stay residents with an outpatient ER visit10.1%16.6%12.0%better
Long-stay hospitalizations per 1,000 resident days2.192.311.67worse
Long-stay outpatient ER visits per 1,000 resident days1.102.961.80better

* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.

This value is several times the typical-state benchmark. It can be real, or it can be a coding artifact in what the facility submitted. Weigh it against the inspection record above.

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

54.5% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 94 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

54.5%U.S. median 51.5%
Got home and stayed home
11.2%U.S. median 10.7%
Went back to hospital
61.8%U.S. median 56.6%
Met the expected recovery
0.28U.S. median 0.31
Therapy hours / resident / day
0.13hours / resident / day
Physical therapy
0.15hours / resident / day
Occupational therapy

Met the expected recovery: 61.8% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 34 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.28 therapist hours per resident per day in 2026Q1 — more than 42% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 0% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF54.5%CMS range 43.0–67.051.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF11.2%CMS range 8.2–15.910.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge61.8%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge64.7%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge61.8%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay2.1%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened4.2%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization6.5%CMS range 3.9–10.97.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.871.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.55
RN hours/ resident / day
1.36
LPN hours/ resident / day
2.58
Aide hours/ resident / day
4.48
Total nurse hours/ resident / day
0.49
RN hoursweekends
31.6%
Total nursing turnover
40.0%
RN turnover

How full it usually is: this home is certified for 65 beds and averages 33.1 residents a day — about 51% occupied, or roughly 32 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.48 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.546 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.58 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.82 hrs/resident/day on weekends vs 4.74 on weekdays — 19% thinner on weekends. RN hours go from 0.57 to 0.49 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 32% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

2
deficiencies at the latest standard inspection (2025-06-19)
13
at the previous standard inspection (2024-02-06)

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

ABCDEFGHIJKL

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

18 citations, most serious first. The 11 most serious are shown; the remaining 7 are one tap away and print in full.

  • Immediate jeopardy · J2024-02-06 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY On 02/01/24 an immediate jeopardy (IJ) situation was determined to exist related to the facility's failure to ensure residents who had fallen had interventions in place to prevent the recurrence of falls. The facility failed to monitor and evaluate the effectiveness of the interventions and modify the care plan with each fall. The facility failed to conduct a root cause analysis and/or evaluate the cause for each fall. The facility did not have a fall prevention program, nor have the staff received education regarding falls and fall prevention in the last 12 months. Res #36 had 26 falls from 05/17/23 to 01/27/24. Res #36 had 19 falls prior to sustaining a left hip fracture on 11/19/23 and six falls after sustaining the fracture. 13 of the 26 falls did not have updated interventions to help prevent future falls. On 02/01/24 at 4:52 p.m., the OSDH verified the existence of the IJ situation. On 02/01/24 at 5:00 p.m., the administrator was notified of the IJ situation. On 02/01/24 at 8:04 p.m., the facility…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-06-19 · tag F0803 — failed to meet residents' dietary needs — isolated
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation, record review, and interview, the facility failed to ensure that the advanced and planned menu was available for review for 32 residents who received meals from the facility kitchen. A revised facility policy titled Menus dated October 2017, read in part, 2. Menus for regular and therapeutic diets are written at least two (2) weeks in advance, and are dated and posted in the kitchen at least one (1) week in advance.11. Copies of menus are posted in at least two (2) resident areas, in positions and in print large enough for residents to read them. On 06/17/25 at 11:39 a.m., it was observed no weekly menus were posted for resident to review. On 06/18/25 at 9:08 a.m., the dietary manager stated according to company policy the menu's were supposed to be posted in places throughout the building for residents to review. On 06/17/25 at 11:27 a.m., the dietary manger stated they did not have to post rotating schedules with the dates. On 06/18/25 at 9:04 a.m., Resident #1 stated, I have never seen menus posted.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-06-19 · tag F0883 — failed to offer flu and pneumonia vaccines — isolated
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on record review and interview, the facility failed to administer the 2024 influenza vaccine and the pneumococcal vaccine for 1 (#27) of 5 residents whose records were reviewed for immunizations. The facility's policy Influenza Vaccine, dated March 2022, and the facility's policy Pneumococcal Vaccine, dated October 2023, showed the date of the vaccine, lot number, expiration date, person administering, and the site of vaccination were documented in the resident's medical record. Resident #27's immunization record was missing their 2024 influenza and their pneumoccocal immunization. On 06/19/25 at 12:25 p.m., the infection preventionist stated there was no documentation of Resident #27 receiving their 2024 influenza or their pneumococcal immunization.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2024-02-06 · tag F0607 — failed to have anti-abuse policies — widespread
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on record review and interview, the facility failed to follow their abuse policy and ensure background checks were completed for new hires. The administrator identified 42 residents who resided in the facility. Findings: The Abuse Prohibition/Unusual Occurrence Policy and Procedure policy, undated, read in part, .Screening All potential employees will be screened for a history of abuse, neglect or mistreatment of residents as defined by the applicable requirements .Nursing Home will obtain OSBI checks, attempt to obtain information from prior employers, current employers and licensing boards and registries . The Employee Seniority Report, dated 01/30/24, documented the following: a. CNA #1 was hired on 02/11/23. b. DA #1 was hired on 10/27/23. On 02/01/24 at 1530, the Director of Staff Services reported they could not find a criminal background check for CNA #1 or DA #1 and reported neither employee should be working without a criminal background check.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2024-02-06 · tag F0835 — failed to run the facility competently — widespread
    Administer the facility in a manner that enables it to use its resources effectively and efficiently.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to have an effective administration to use it's resources effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychosocial well being of each resident. The facility failed to ensure: a. to follow their abuse policy and ensure background checks were completed for new hires; b. MDS assessments accurately reflected the residents' status; c. care plans were updated and revised; d. physician orders were followed; e. supervision was provided to help prevent accidents, falls were thoroughly investigated to determine root causes, fall interventions were modified/revised, and to monitor effectiveness of interventions to prevent falls; f. staff demonstrated competency in skills to care for residents; g. a registered nurse served as the DON; h. required daily staffing information was posted; i. the physician responded to and dated the MRRs; j. significant medication errors did not occur; k. certifications…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2024-02-06 · tag F0880 — failed to prevent and control infections — widespread
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, the facility failed to implement their Legionnaires prevention policy. The administrator identified 42 residents who resided in the facility. Findings: A Legionella Water Management Program dated September 2022, read in parts, .Our facility is committed to prevent, detection and control of water-borne contaminants, including Legionella .As part of the infection prevention and control program, our facility has a water management program, which is overseen by the water management team .The water management team consists of at least the following personnel: a. The infection preventionist; b. The administrator; c. The medical director (or designee); d. The director of maintenance; and e. The director of environmental services .The purposes of the water management program are to identify areas in the water system where Legionella bacteria can grow and spread, and to reduce the risk of Legionnaire's disease . On 02/06/24 at 2:20 p.m., a Legionnaires water management program policy was provided by LPN #1. On 02/06/24 at 2:22 p.m., the plant operations…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-02-06 · tag F0641 — pattern
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure MDS assessments accurately reflected the residents' status for three (#1, 6, and #14) of 15 residents whose assessments were reviewed. The administrator identified 42 residents resided in the facility. Findings: 1. Res #1 had diagnoses which included atherosclerotic heart disease, old myocardial infarction, and cerebral infarction. A physician order, dated 12/20/23, documented Brilinta (an antiplatelet medication) administer 90 mg BID for MI/CVA prevention. An admission assessment dated [DATE], documented the resident was severly impaired with cognition and required extensive assistance with ADLs. The assessment did not document the resident was receiving an antiplatelet medication. On 02/01/24 at 1:31 p.m., the MDS coordinator stated they missed coding the antiplatelet on the resident's admission MDS. 2. Res #14 had diagnoses which included depression, anxiety disorder, insomnia, and bipolar disorder. A physician order, dated 07/18/23,…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-02-06 · tag F0684 — failed to provide proper treatment and quality of care — pattern
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review, observation, and interview, the facility failed to follow physician orders for two (#10 and #27) of five sampled residents reviewed for unnecessary medications. The administrator identified 42 residents resided in the facility. Findings: 1. Res #10 had diagnoses which included vascular dementia, chronic pain syndrome, anxiety disorder, and hypertension. A physician order, dated 09/22/23, documented to administer metoprolol tartrate 50 mg BID related to hypertension. The order documented if the systolic was above 160 or the diastolic was above 90 to administer PRN clonidine. A physician order, dated 12/04/23, documented clonidine 0.1 mg to administer three times a day for HTN. A current order was not found for PRN clonidine in the EHR. The January 2024 MAR was reviewed and the following blood pressures were documented: 01/07/24 in the a.m., BP was 167/102, 01/08/24 in the evening, BP was 164/79, 01/09/24 in the evening, BP was 165/93, 01/13/24 in the a.m., BP was 155/92, in the evening BP was 162/89, 01/14/24 in the a.m., BP was 159/97, 01/16/24 in the a.m.,…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-02-06 · tag F0726 — failed to have competent, trained nursing staff — pattern
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure staff were able to demonstrate competency in skills necessary to care for residents' needs for one (CMA #1) of six staff reviewed for competency skills. The administrator identified 42 residents who resided in the facility. Findings: The employee file for CMA #1 was reviewed and the certification for CMA #1 expired on [DATE]. The payroll records were reviewed and CMA #1 worked as a CMA 18 days without certification, from [DATE] through [DATE]. A Drug Incident Report dated, [DATE], documented Res #27 received their roommate's 18 morning medications in error which included, Carafate (antacid) 1 gm, Neurontin (anti-convulsant) 600mg, Robaxin (muscle relaxer) 750mg, Norco (opioid) 10mg, dicyclomine (anti-spasmotic for the gastrointestinal system) 20mg, allopurinol (uric acid reducer) 300mg, digoxin (anti-arrhythmic) 125 mcg, ferrous sulfate (iron) 325mg, multivitamin, Paxil (anti-depressant) 20mg, potassium 20mEq, prednisone (steroid) 5mg,…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-02-06 · tag F0727 — failed to provide required RN coverage — pattern
    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on record review and interview, the facility failed to ensure there was a registered nurse serving as the DON on a full time basis. The administrator identified 42 residents resided in the facility. Findings: On 01/30/24 at 9:40 a.m., during entrance conference, the administrator stated their DON was an LPN. The administrator stated they had emails where they had contacted the state and was informed an LPN could serve as the DON. The administrator stated they did not have a current waiver for the LPN to serve as the DON. The administrator stated the facility had RN coverage eight hours a day seven days a week. On 02/06/24 at 2:19 p.m., LPN #1 stated they had been employed as the DON of the facility since their start date of 01/16/20.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-02-06 · tag F0760 — failed to prevent significant medication errors — pattern
    Ensure that residents are free from significant medication errors.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, the facility failed to ensure significant medication errors did not occur for four (#1, 14, 24, and #27) of six sampled residents whose medications were reviewed. The administrator identified 42 residents who resided in the facility. Findings: A facility policy Diabetes-Clinical Protocol, dated November 2020, read in part, .The Physician will order desired parameters for monitoring and reporting information related to blood sugar management. a. The staff will incorporate such parameters into the Medication Administration Record and care plan . 1. Res #1 had diagnoses which included diabetes mellitus, hypertension, and bradycardia. A physician order, dated 12/20/23, documented Basaglar KwikPen (insulin glargine) administer 20 units subcutaneously two times a day for diabetes mellitus. A physician order, dated 12/20/23, documented Lisinopril 20 mg administer one tablet by mouth in the evening for HTN. An admission assessment, dated 12/27/23 documented the resident was severly impaired with cognition and was dependent with ADLs. The assessment…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
Show the remaining 7 citations
  • Potential for harm · E2024-02-06 · tag F0839 — pattern
    Employ staff that are licensed, certified, or registered in accordance with state laws.
    What the surveyor found here — the official record, unedited, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure certifications were not expired for one (CMA # 1) of six employee files reviewed for certifications/licenses. The administrator identified 42 residents resided in the facility. Findings: The employee file for CMA #1 was reviewed and the certification for CMA #1 expired on [DATE]. The payroll records were reviewed and CMA #1 worked as a CMA 18 days without certification, from [DATE] through [DATE]. On [DATE] at 11:00 a.m., the administrator reported CMA #1 did not complete her required 8 hour class so that they could renew their certification. The administrator reported they complete random checks of certification and if any employee's certification is set to expire they put a reminder by the time clock for the employee. The administrator reported they didn't have a system in place to verify the employees had renewed their certifications.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-02-06 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, the facility failed to ensure care plans were updated and revised for two (#31 and #36) of 15 residents whose care plans were reviewed. The administrator identified 42 residents resided in the facility. Findings: 1. Res #31 had diagnoses of urinary tract infection. A quarterly assessment, dated 01/21/24, documented the resident was moderately impaired with cognition and was dependent with most ADLS. A care plan, dated 01/22/24, documented the resident developed a UTI and to administer Bactrim 1 tablet by mouth two times a day for 10 days for UTI. A physician order, dated 01/27/24, documented to administer Keflex 500 MG (Cephalexin) three times a day related to UTI for seven days. On 02/06/24 at 12:00 p.m., the MDS /care plan coordinator stated they failed to change the ABT on the resident's care plan to the one the resident was taking. She stated she did get the physician orders and she usually updates the care plan. 2. Res #36 had diagnoses which include left femoral neck fracture, dementia, urgency of urination, and anxiety. An incident…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-02-06 · tag F0732 — isolated
    Post nurse staffing information every day.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation, interview, and record review, the facility failed to document required daily staffing information. The administrator identified 42 residents who resided in the facility. Findings: On 01/30/24 and throughout the survey a window behind the nursing station was observed to include the date, census, staff names and titles. There was no documentation of the facility name or staffing hours worked. On 02/06/24 at 1:25 p.m. LPN #1 reported they were not aware of the requirements regarding posted staffing information.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-02-06 · tag F0756 — failed to review each resident's drug regimen — isolated
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, the facility failed to ensure the physician responded to or dated the MRRs for two (#10 and #14) of five sampled residents reviewed for unnecessary medications. The administrator identified 42 residents resided in the facility. Findings: A Drug Regimen Review policy, dated 2020, read in part, .The physician provides a written response of the report to the facility within one month after the report is sent . 1. Res #10 had diagnoses which included generalized anxiety disorder, depression, bipolar disorder, and vascular dementia. A MRR, dated 11/27/23, documented a recommendation for the following labs, CBC and CMP every six months and a Lipid yearly. The physician did not respond to the request. A MRR, dated 12/18/23, documented a request a GDR be attempted for Trazodone 100 mg QHS or Venlafaxine 150 mg daily. The physician did not respond to the GDR request. On 02/05/24 at 12:59 p.m., LPN #1 stated there were not a response from the physician on the November or December MRR for the resident. LPN #1 stated sometimes it took three or four months…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-01-05 · tag F0761 — failed to label and store drugs safely — pattern
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation, and interview, the facility failed to lock unattended treatment and medication carts. The Resident Census and Conditions of Residents documented a census of 45. Findings: A policy and procedure titled Security of Medication Cart, revised 04/07, documented in part Medication carts must be securely locked at all times when out of the nurse's view. On 01/04/23 at 7:40 a.m., the treatment cart on rodeo hall was observed unlocked. LPN #1 was in room [ROOM NUMBER] and the treatment cart was not in LPN #1's view. On 01/04/23 at 7:45 a.m., LPN #1 reported the treatment cart contained medications and should not have been unlocked while unattended. On 01/04/23 at 8:00 to 8:03 a.m., the medication cart on abstract hall was observed unlocked and CMA #1 was in room [ROOM NUMBER]. On 01/04/23 at 8:06 a.m., CMA #1 reported the medication cart should not have been unlocked while unattended. On 01/05/23 at 10:23 a.m., the DON reported the medication and treatment carts should not have been…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-01-05 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review, observation, and interview the facility failed to develop a comprehensive person centered care plan for one (# 3) of three residents reviewed for care plans. The Resident Census and Conditions of Residents, dated 01/03/23, documented a census of 45. Findings: Res # 3 was admitted with diagnoses which included respiratory failure, dysphasia, and multiple sclerosis. A policy and procedure titled Care Plan, Comprehensive Person-Centered, revised 3/22, documented in part A comprehensive, person centered care plan that includes measurable objectives and time tables to meet the resident's physical, psychosocial and functional needs is developed and implemented for each resident. A physician's order, dated 11/25/22, read in part may place 02 at 2 lpm . An annual assessment, dated 12/19/22, documented Res #3 was mildly impaired in cognition and requires extensive assistance with activities of daily living. A care plan, dated 12/22/22, did not have oxygen therapy documented. On 01/03/23 at 10:55 a.m., Res #3 was observed lying in bed with 02 in place at 2 lpm/nc. On…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-01-05 · tag F0685 — isolated
    Assist a resident in gaining access to vision and hearing services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review, observation, and interview, the facility failed to provide services to have a hearing aid repaired for one (#9) of one residents reviewed for hearing aids. Findings: The administrator documented two residents required hearing aids. Res #9 was admitted with diagnoses which included chronic obstructive pulmonary disease, dementia, and hypertension. A quarterly assessment, dated 10/17/22, documented Res #9 was cognitively intact and required hearing aids. A progress note, dated 10/20/22 at 11:39 a.m., read in parts .came to SSD and stated a piece broke off .hearing aids . needs to schedule an appointment. SSD contacted (name with held) clinic .stated appointment is not needed for this .drop off and fix in office . On 01/03/23 at 10:34 a.m., Res #9 was observed in their room. Res #9 reported their hearing aids had a broken piece and the SSD had called the clinic to have the hearing aids repaired but arrangements had not been made. On 01/04/23, at 2:31 p.m., the SSD reported the hearing aids should have been taken to the clinic for repair. On 01/04/23 at 2:39…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

$15,249 in federal fines across 1 penalty.

  • $15,249 — penalty dated 2024-02-06

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Who owns this facility

Owner / managerTypeRoleShareSince
CARRUS HEALTHCARE, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF100%since 11/01/2020
ARCP HEALTH, LPOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 11/01/2020
NACHIMUTHU, ANBARASUIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST; MANAGING CONTROL - GOVERNING BODY; CORPORATE DIRECTOR; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROLNO PERCENTAGE PROVIDEDsince 11/01/2020
RAINS, JONIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST; MANAGING CONTROL - GOVERNING BODY; CORPORATE DIRECTOR; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROLNO PERCENTAGE PROVIDEDsince 11/01/2020
BARTLEY, CHRISTIEIndividualMANAGING CONTROL - GOVERNING BODY; W-2 MANAGING EMPLOYEE; ADP OF THE SNFsince 09/26/2019
BAGDURE, SATISHIndividualCONTRACTED MANAGING EMPLOYEE; ADP OF THE SNFsince 01/01/2024

CMS files one row per role, so the 19 rows in the source record cover these 6 parties — each is shown once here with every role it holds. Nothing is omitted.

2 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

$3.5M
Net patient revenuemost recent cost report
-16.0%
Operating marginrevenue minus expenses
Who pays — share of resident-days
Medicaid 81%Medicare 13%Other / private 6%

About 81% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$276per resident / day
operating cost
$8,400per month
≈ monthly operating cost
$238per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in OK

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Oklahoma Medicaid page.

Typical monthly cost in Oklahoma
$7,026/mo
Nursing home (semi-private)
$7,756/mo
Nursing home (private)
$6,150/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 375397. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-06-19, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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