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Valley Rehabilitation and Nursing Center

940 East Lee Highway, Chilhowie, VA 24319 · Smyth County · (276) 646-8911

180 certified beds, about 155 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1982

Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 495133 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on December 12, 2025, inspectors cited 8 health deficiencies (the Virginia average is 14.3, the national average 9.2).

None of its 16 health citations since June 2021 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.07 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.61 of those hours.

35.6% of nursing staff left within the year CMS measured (Virginia average 48.1%).

CMS links it to Lifeworks Rehab, an affiliated group of 64 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 16 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
9D
7E
0F
Potential for minimal harm
0A
0B
0C
December 12, 2025Standard inspection · 8 citations
  1. E
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 19, 2026
    Inspectors wroteBased on observation, resident interview, staff interview, and facility document review the facility staff failed to provide a safe, clean, comfortable environment for 1 of 3 units in the facilty.
  2. E
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 19, 2026
    Inspectors wroteBased on resident interview, staff interview, and clinical record review the facility staff failed to ensure an accurate minimum data set assessment for 4 of 35 residents, Resident #18, Resident #2, Resident #61, and Resident #69.
  3. E
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 19, 2026
    Inspectors wroteBased on staff interview, clinical record review and facility document review the facility staff failed to develop/implement a person-centered comprehensive care plan for 4 of 35 residents, Resident #2, Resident #15, Resident #75, and Resident #13.
  4. E
    Provide activities to meet all resident's needs.
    F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 19, 2026
    Inspectors wroteBased on observation, resident interview, staff interview, clinical record review, and facility document review, the facility staff failed to provide an ongoing, person-centered activity program to support resident choice, interests and physical, mental, and psychosocial well-being for 4 of 35 sampled residents, Resident #2, Resident #15, Resident #75, and Resident #13.
  5. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 19, 2026
    Inspectors wroteBased on observation, resident interview, staff interview, and clinical record review the facility staff failed to ensure the resident received the provider ordered amount of oxygen for 1 of 35 residents, Resident #61. Resident #61's Oxygen was observed to be set at 4 1/2 liters and 5 liters a minute. The provider order was for 2 liters a minute. Resident #61's clinical record included the diagnosis chronic obstructive pulmonary disease (COPD). Section C (cognitive patterns) of Resident #61's admission minimum data set (MDS) assessment with an assessment reference date (ARD) of 11/26/25 included a brief interview for mental status (BIMS) score of 7 out of a possible 15 points. Per the MDS manual a score of 7=severe impairment in cognitive skills for daily decision making. [...]
  6. D
    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
    F700 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 19, 2026
    Inspectors wroteBased on observation, staff interview, clinical record review, and facility document review, the facility staff failed to use appropriate alternatives prior to the installation of side bed rails for 1 of 35 residents, Resident #2.
  7. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 19, 2026
    Inspectors wroteBased on staff interview, clinical record review, and facility document review, the facility staff failed to ensure 1 of 35 sampled residents was free of significant medication errors, Resident #2.
  8. D
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 19, 2026
    Inspectors wroteBased on observation, resident interview, staff interview and facility document review the facility staff failed to ensure a safe and functional environment for 4 of 85 resident rooms.
June 30, 2023Standard inspection · 3 citations
  1. D
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 27, 2023
    Inspectors wroteBased on observation, staff interview, and facility document review, the facility staff failed to safeguard resident private information on 1 of 4 units, 2 front.
  2. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 27, 2023
    Inspectors wroteBased on resident interview, clinical record review, and staff interview, the facility staff failed to review and revise the residents Comprehensive Care Plan (CCP) for 1 of 39 residents, Resident #145.
  3. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 27, 2023
    Inspectors wroteBased on staff interview, clinical record review, and during a medication pass and pour observation, the facility staff failed to ensure a medication error rate of less than 5%. There were two errors in 25 opportunities for a medication error rate of 8%. These errors effected Resident's #106 and #149.
June 10, 2021Standard inspection · 5 citations
  1. E
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 5, 2021
    Inspectors wrote5. For Resident #28, the facility staff failed to implement facility policy regarding reporting and investigating a resident to resident altercation occurring on 3/15/21. Resident #28's diagnosis list indicated diagnoses, which included, but not limited to Unspecified Dementia with Behavioral Disturbance, Essential Primary Hypertension, Anxiety Disorder Unspecified, Blindness One Eye Low Vision Other Eye, Muscle Weakness Generalized, and Difficulty in Walking. The most recent quarterly MDS (minimum data set) with an ARD (assessment reference date) of 3/25/21 assigned the resident a BIMS (brief interview for mental status) score of 5 out of 15 in section C, Cognitive Patterns. A review of Resident #28's clinical record revealed the following documentation: [...]
  2. E
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 5, 2021
    Inspectors wrote5. For Resident #28, the facility staff failed to report a resident to resident altercation occurring on 3/15/21. Resident #28's diagnosis list indicated diagnoses, which included, but not limited to Unspecified Dementia with Behavioral Disturbance, Essential Primary Hypertension, Anxiety Disorder Unspecified, Blindness One Eye Low Vision Other Eye, Muscle Weakness Generalized, and Difficulty in Walking. The most recent quarterly MDS (minimum data set) with an ARD (assessment reference date) of 3/25/21 assigned the resident a BIMS (brief interview for mental status) score of 5 out of 15 in section C, Cognitive Patterns. A review of Resident #28's clinical record revealed the following documentation: [...]
  3. E
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 5, 2021
    Inspectors wroteBased on staff interview, clinical record review, facility document review and in the course of a complaint investigation it was determined that the facility staff failed to investigate alleged incidents of abuse for 4 of 30 residents, Residents #72, #131, #28 and #53.
  4. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 5, 2021
    Inspectors wroteBased on observations, interviews, and the review of documents, it was determined the facility staff failed ensure treatment and/or care was provided for a skin tear for one (1) of 30 sampled residents (Resident #47).
  5. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 5, 2021
    Inspectors wroteBased on staff interview and clinical record review the facility document review the facility staff failed to ensure a complete and accurate clinical record for 2 of 30 residents, Residents #142 and #92.

Fire safety inspections

22 fire safety citations on file: 1 on December 12, 2025, 10 on June 30, 2023, 11 on June 10, 2021.

Every fire safety citation22 citations
  1. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · December 12, 2025 · Corrected (the home has a date of correction)
  2. F
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · June 30, 2023 · Waiver
  3. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · June 30, 2023 · Waiver
  4. E
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · June 30, 2023 · Corrected (the home has a date of correction)
  5. E
    Have properly located and lighted "Exit" signs.
    K 293 · June 30, 2023 · Corrected (the home has a date of correction)
  6. E
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · June 30, 2023 · Corrected (the home has a date of correction)
  7. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · June 30, 2023 · Corrected (the home has a date of correction)
  8. E
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · June 30, 2023 · Corrected (the home has a date of correction)
  9. D
    Install corridor and hallway doors that block smoke.
    K 363 · June 30, 2023 · Corrected (the home has a date of correction)
  10. D
    Have properly installed electrical wiring and gas equipment.
    K 511 · June 30, 2023 · Corrected (the home has a date of correction)
  11. D
    Provide a written emergency evacuation plan.
    K 711 · June 30, 2023 · Corrected (the home has a date of correction)
  12. F
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · June 10, 2021 · Corrected (the home has a date of correction)
  13. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · June 10, 2021 · Corrected (the home has a date of correction)
  14. F
    Install corridor and hallway doors that block smoke.
    K 363 · June 10, 2021 · Corrected (the home has a date of correction)
  15. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · June 10, 2021 · Corrected (the home has a date of correction)
  16. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · June 10, 2021 · Corrected (the home has a date of correction)
  17. E
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · June 10, 2021 · Corrected (the home has a date of correction)
  18. E
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · June 10, 2021 · Corrected (the home has a date of correction)
  19. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · June 10, 2021 · Corrected (the home has a date of correction)
  20. E
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · June 10, 2021 · Corrected (the home has a date of correction)
  21. D
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · June 10, 2021 · Corrected (the home has a date of correction)
  22. D
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · June 10, 2021 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeVirginiaUnited States
All nursing staff (RN, LPN and aides)3.073.763.86
Registered nurses0.610.690.69
All nursing staff on weekends2.593.293.42
Nurse aides1.64
Licensed practical nurses0.83
Nursing staff turnover (share who left in a year)35.6%48.1%45.8%
Registered nurse turnover34.8%48.2%42.9%
Administrators who left0

CMS expects 3.79 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.27 on weekdays and 2.59 on weekends, 21% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 15.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.10 in April to June 2025 to 3.07 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.070.613.272.59 15.3%0 of 90155
Oct to Dec 20253.230.533.452.67 11.4%0 of 92156
Jul to Sep 20253.150.593.332.69 9.4%0 of 92160
Apr to Jun 20253.100.603.322.57 1.3%0 of 91160
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Virginia, Jan to Mar 20263.580.563.763.125.7%0.2% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for Virginia

JobMedianMiddle halfEmployed
Virginia, all employers
CNAs (nursing assistants)$20.77$17.80 to $22.5640,580
LPNs and LVNs$31.21$28.66 to $35.8415,550
Registered nurses$45.00$38.51 to $49.5377,490
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeVirginiaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
9.714.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.10.40.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.01.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
4.53.63.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.61.31.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
5.715.614.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
5.64.74.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
53.214.215.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
24.722.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
15.011.512.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.81.51.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.21.51.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Valley Rehabilitation and Nursing Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (44.7% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

44.7% this home

No different from the national rate

US median of homes 51.5% · Virginia: 101 better, 22 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 150 eligible stays.

Potentially preventable readmissions

9.7% this home

No different from the national rate

US median of homes 10.7% · Virginia: 1 better, 9 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 163 eligible stays.

Infections that led to a hospital stay

5.5% this home

No different from the national rate

US median of homes 7.1% · Virginia: 2 better, 8 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 111 eligible stays.

Self-care and mobility at discharge

41.3% this home

Median of homes: Virginia60.0% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 75 residents counted.

Falls with major injury

0.9% this home

Median of homes: Virginia0.7% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 110 residents counted.

New or worsened pressure ulcers

2.0% this home

Median of homes: Virginia2.1% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 110 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Virginia97.8% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 10 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: VALLEY OPERATOR LLC. CMS links this home to Lifeworks Rehab, a group of 64 nursing homes averaging 2.1 stars overall.

NameRoleTypeShareSince
Virginia Care Holco LLC5% or greater direct ownership interestOrganization100%01/01/2020
Charles 1994 Family Grantor Trust5% or greater indirect ownership interestOrganization01/01/2020
Edward 1998 Family Grantor Trust5% or greater indirect ownership interestOrganization01/01/2020
Isva Holdings LLC5% or greater indirect ownership interestOrganization01/01/2020
Jkva Holdings LLC5% or greater indirect ownership interestOrganization01/01/2020
Mlva Holdings LLC5% or greater indirect ownership interestOrganization01/01/2020
Saul 2012 Family Grantor Trust5% or greater indirect ownership interestOrganization01/01/2020
Rajchenbach, Moshe5% or greater indirect ownership interestIndividual01/17/2020
Rajchenbach, MosheW-2 managing employeeIndividual01/17/2020
Innovative Healthcare Management LLCOperational/managerial controlOrganization01/01/2020
Lindsey, JasonOperational/managerial controlIndividual01/01/2020

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on December 12, 2025: "Ensure each resident receives an accurate assessment."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on December 12, 2025: "Provide activities to meet all resident's needs."
  3. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 3 problems in this area, most recently on June 10, 2021: "Develop and implement policies and procedures to prevent abuse, neglect, and theft."
  4. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on December 12, 2025: "Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.59 hours per resident per day, below the Virginia average of 3.29.

Other nursing homes nearby

Virginia contacts for a concern about a nursing home

These are the official offices in Virginia. NursingHomeClear cannot take or act on complaints.

Common questions

What is Valley Rehabilitation and Nursing Center's Medicare star rating?
CMS rates Valley Rehabilitation and Nursing Center 4 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Valley Rehabilitation and Nursing Center get at its last inspection?
8 health deficiencies at the standard inspection on December 12, 2025. The Virginia average is 14.3.
Has Valley Rehabilitation and Nursing Center been fined?
CMS lists no fines in the last three years.
Does Valley Rehabilitation and Nursing Center accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Valley Rehabilitation and Nursing Center?
CMS lists 11 owners and managers, and links the home to Lifeworks Rehab. Legal business name: VALLEY OPERATOR LLC.

Sources

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