Below average — CMS composite of the measures below.
The next survey window likely opens around February 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Pointe Coupee Healthcare during CMS and state inspections, most recent first.
A resident with bilateral hearing loss, paraplegia, and moderately impaired cognition was not provided with an alternate means of communication despite a care plan noting use of a communication board and tablet. During observations, no communication board or tablet was at the bedside, and interviews with the resident, family, and staff confirmed the resident relied on ASL and video calls to have needs relayed to the facility, including requests for pain medication.
A resident with diabetes was given an incorrect dose of insulin due to a transcription error by an LPN, and nursing staff failed to implement or clarify blood glucose monitoring orders. The resident received a higher dose of insulin without any blood glucose checks, and when the resident showed signs of a change in condition, staff did not obtain a blood glucose level. Emergency services later found the resident to be severely hypoglycemic, requiring immediate intervention and hospitalization.
A resident with diabetes was admitted with a hospital order for Lantus 5 units daily, but an LPN transcribed the order as 30 units daily in the electronic record. Multiple nurses administered the incorrect dose over several days, resulting in the resident experiencing severe hypoglycemia and requiring emergency intervention.
A resident with a severe cognitive impairment frequently removed an immobilizing splint for a left humerus fracture, and the nursing staff failed to notify the physician of this non-compliance and the resident's signs of pain. Despite the facility's policy requiring prompt reporting of condition changes, the CNAs did not inform the nurses, and the nurses did not notify the physician, leading to an immediate jeopardy situation.
The facility failed to implement care plans for two residents, leading to deficiencies. A resident with a left humerus fracture frequently removed an immobilizing splint, and staff did not consistently reapply it, causing pain and potential injury. Additionally, the resident missed a follow-up orthopedic appointment due to a lack of scheduling and communication. Another resident did not attend a rheumatology appointment for fibromyalgia due to a failure in scheduling and referral follow-up.
A facility failed to ensure safe medication administration when an LPN left medications at a resident's bedside, as the resident preferred to take them later. The resident was cognitively intact, and the DON confirmed that staff were instructed to leave medications at the bedside to accommodate the resident's preference.
A facility failed to manage pain for a cognitively impaired resident with a Left Humerus Fracture at the Elbow. Despite orders for an immobilizing brace and pain medication, staff did not consistently apply the brace or administer pain interventions. The resident showed signs of pain during ADL care, but staff did not report these to the nurse, assuming awareness of the fracture. The LPN and NP were not informed of the resident's ongoing pain or noncompliance with the splint, leading to inadequate pain management.
The facility failed to provide sufficient nursing staff, particularly on Hall B, where only one CNA was assigned despite high resident acuity. This led to delays in responding to residents' requests for ADLs, with a resident frequently waiting twenty to forty minutes for incontinence care. Staffing was based on minimum state standards rather than resident acuity, contributing to the deficiency.
A resident in an LTC facility, who was cognitively intact and enjoyed daily activities, was unable to attend morning activities on time due to delayed assistance from staff. Despite requesting help to put on pants after breakfast, the resident was left waiting, missing her preferred time to socialize before activities. Staff interviews confirmed the resident's enjoyment of activities and acknowledged delays in assistance.
A facility failed to maintain a sanitary environment for a resident who was always incontinent of bladder. The resident's mattress had multiple brown rings and a strong urine odor, which persisted for months without being documented in the maintenance log or addressed by staff. Interviews revealed a lack of communication and procedure, as the CNA did not report the issue, and the maintenance supervisor was unaware of the problem until the day of the survey.
A facility failed to accurately assess a resident's PASARR status in their MDS assessment. Despite the resident having a Level II PASARR due to Bipolar Disorder and Major Depressive Disorder, the MDS was incorrectly coded, indicating no Level II PASARR. Staff interviews confirmed the error, acknowledging the MDS should have reflected the correct PASARR status.
A resident with cognitive impairment and physical limitations did not receive necessary hair hygiene services, resulting in oily and flaky scalp conditions. Despite being scheduled for regular bathing assistance, there was no evidence of hair washing, and staff indicated that only the beautician could wash the resident's hair. The DON confirmed the resident's dependency on staff for personal hygiene and the need for hair washing with each bed bath.
A resident with Hemiplegia and Cerebral Vascular Accident, dependent on staff for mobility, was not repositioned every two hours as required by the facility's policy. Despite being at high risk for skin breakdown, observations and interviews confirmed the resident remained in the same position for extended periods, leading to a deficiency in care.
The facility failed to designate an IDT member to coordinate hospice care and did not maintain updated hospice records for a resident. The resident's hospice binder contained outdated documents, and there was no system to ensure updates. Staff interviews revealed a lack of awareness about the need for a designated liaison with the hospice agency.
A resident with multiple health issues, including COPD and reduced mobility, was left in a non-functioning bed for several days due to a severed bed controller cord. The facility lacked a replacement bed, leaving the resident unable to be moved to a wheelchair as needed.
A resident with a cognitive communication deficit and a left distal humerus fracture was observed without a required elbow brace, despite the MAR indicating it was applied. Staff interviews revealed a lack of awareness and understanding of the brace requirement, leading to inaccurate documentation. The DON confirmed the MAR entries were incorrect, failing to meet professional standards for medical record accuracy.
A resident with severe cognitive impairment was treated without dignity by a CNA, who used profane language and handled the resident roughly during care. The CNA's actions were confirmed by video footage and acknowledged by facility management as unprofessional and undignified.
Failure to Provide Alternate Communication for Hearing-Impaired Resident
Penalty
Summary
The facility failed to ensure a hearing impaired resident was provided with an alternate means of communication. The resident had diagnoses including bilateral hearing loss and paraplegia, and the quarterly MDS indicated a BIMS of 09, reflecting moderately impaired cognition with highly impaired hearing and unclear speech. The care plan noted that the resident read lips and used a communication board and communication tablet at times, but during multiple observations the resident was unable to communicate with the surveyor and no communication board or tablet was noted at the bedside. Interviews confirmed the resident did not have the communication supports identified in the care plan. The resident's daughter stated the resident communicated via ASL, video calls, and email contact with the DON, and said the resident needed a communication board or iPad system but did not have one at the facility. Staff members also confirmed the resident did not have a communication board and needed one. During an interview using ASL, the resident stated she did not know if staff understood her when she communicated and described using video chat with her sister, who then contacted the facility to relay needs such as pain medication.
Failure to Accurately Transcribe Insulin Order and Monitor Blood Glucose Leads to Hypoglycemic Event
Penalty
Summary
The facility failed to ensure that nursing staff provided services in accordance with professional standards of quality for a resident with diabetes who was receiving insulin. Upon admission from a local hospital, the resident had a physician's order for Lantus insulin at 5 units daily. However, an LPN inaccurately transcribed this order into the electronic medical record and medication administration record (MAR) as 30 units daily. This error was not identified or corrected, and the resident received the incorrect, higher dose of insulin for several days. Additionally, the nursing staff did not clarify or implement blood glucose monitoring orders for the resident, despite the resident being diabetic and receiving insulin. The hospital discharge orders included a discontinuation of blood glucose checks, but the facility's standing orders required blood glucose monitoring for residents on insulin. Staff did not seek clarification from the physician regarding this discrepancy, nor did they refer to the facility's standing orders. As a result, no blood glucose levels were monitored or documented for the resident during the period in question. On the day of the incident, the resident exhibited a change in condition, including sleepiness and drooling. Despite these symptoms, the nurse on duty did not obtain a blood glucose level. It was only after the resident's family intervened that emergency services were called, at which point a paramedic found the resident's blood glucose to be critically low. The resident was treated for hypoglycemia and transferred to the hospital. Interviews and record reviews confirmed that the errors in transcription, lack of blood glucose monitoring, and failure to respond appropriately to a change in condition directly led to the resident's hypoglycemic event.
Significant Insulin Transcription Error Leads to Hypoglycemic Event
Penalty
Summary
A significant medication error occurred when a resident with Type 2 Diabetes Mellitus and Diabetic Chronic Kidney Disease was admitted from a local hospital with a physician's order for Lantus insulin 5 units subcutaneously daily. The order was incorrectly transcribed into the electronic medical record by an LPN as Lantus 30 units subcutaneously daily. This error was not identified during the order entry or subsequent reviews, resulting in the resident receiving six consecutive doses of 30 units of Lantus instead of the prescribed 5 units. Multiple nursing staff administered the incorrect insulin dose as documented in the Medication Administration Record (MAR), with each nurse following the erroneous order in the electronic record. The error persisted from the resident's admission until the resident experienced a hypoglycemic episode. On the day of the incident, the resident was found lethargic and unresponsive, with a blood glucose level of 23 mg/dL. Emergency medical services were called, and the resident was treated with intravenous dextrose and transferred to the hospital, where hypoglycemia was confirmed as the diagnosis. Interviews with the involved LPNs, the Clinical Data Coordinator, the DON, and the Nurse Practitioner confirmed that the original hospital order was for 5 units, and the error in transcription led to the administration of 30 units. Staff acknowledged the mistake and confirmed that the MAR reflected the incorrect dose, which was administered as ordered. The incident was recognized as a significant medication error that resulted in immediate jeopardy to the resident's health.
Failure to Notify Physician of Resident's Condition Changes
Penalty
Summary
The facility failed to notify a resident's physician of significant changes in the resident's condition, which required an alteration in treatment. The resident, who had a severe cognitive impairment, was ordered to wear an immobilizing splint for a left distal humerus fracture. Despite the resident's repeated removal of the splint and exhibiting signs of pain during activities of daily living (ADL) care, the nursing staff did not inform the treating physician of these issues. This lack of communication created an immediate jeopardy situation, as the resident was at risk of further bone displacement, improper healing, and additional pain. The resident's clinical records indicated a history of Alzheimer's disease, cognitive communication deficit, and a left humerus fracture sustained after a fall. The resident was assessed with a severe cognitive impairment and had orders to wear an immobilizing splint at all times, except during bathing. However, the resident frequently removed the splint, and the nursing staff failed to reapply it consistently or notify the physician of the resident's non-compliance and signs of pain. Interviews with CNAs and LPNs revealed that they assumed the nurses were aware of the resident's condition and did not report the resident's removal of the splint or signs of pain. The facility's policy required that any change in a resident's condition be promptly reported to the nurse, who would then notify the physician. However, this protocol was not followed, as the CNAs did not report the resident's signs of pain or removal of the splint to the nurses, and the nurses did not notify the physician. The Director of Nursing (DON) and the Nurse Practitioner (NP) were also not informed of the resident's ongoing issues, leading to a failure in managing the resident's pain and ensuring the proper use of the immobilizing splint.
Failure to Implement Care Plans and Ensure Follow-Up Appointments
Penalty
Summary
The facility failed to implement a comprehensive person-centered care plan for two residents, leading to significant deficiencies. One resident, who was severely cognitively impaired, had a physician's order for an immobilizing splint to treat a left humerus fracture. Despite the order, the resident frequently removed the splint, and the nursing staff did not consistently reapply it. Observations revealed that the resident was often without the splint, and staff interviews confirmed that they were aware of the resident's non-compliance but did not take adequate steps to ensure the splint was worn as ordered. This failure resulted in the resident experiencing pain and the potential for further injury. Additionally, the facility did not ensure that the resident attended follow-up appointments with the orthopedic physician as ordered. The resident missed a scheduled appointment, and there was no documentation of efforts to reschedule or ensure the resident received necessary follow-up care. Interviews with staff responsible for scheduling and transporting residents to appointments revealed a lack of communication and follow-up, contributing to the missed appointment. Another resident, who was cognitively intact, also did not attend a follow-up appointment with a rheumatologist as ordered. The facility failed to schedule the appointment and did not follow up on the referral process, resulting in the resident not receiving the necessary evaluation and treatment for fibromyalgia. This oversight was confirmed through staff interviews, which highlighted a breakdown in the process of scheduling and tracking medical appointments for residents.
Medication Administration Deficiency
Penalty
Summary
The facility failed to ensure that medications were administered safely, as evidenced by an incident involving a resident who was cognitively intact with a BIMS score of 13. During an observation, a cup of medications was found at the resident's bedside. An LPN admitted to leaving the medications there, stating that the resident preferred to take them at a later time. The Director of Nursing confirmed that staff were instructed to leave medications at the bedside to accommodate the resident's preference.
Failure in Pain Management for Cognitively Impaired Resident
Penalty
Summary
The facility failed to provide adequate pain management for a resident who suffered a Left Humerus Fracture at the Elbow following a fall. Despite being treated by an Orthopedic Specialist and receiving an order to wear an immobilizing brace to prevent further injury and decrease pain, the staff did not apply the brace consistently from the time it was ordered. Observations indicated that the resident exhibited signs of pain during activities of daily living (ADL) care, yet no pain interventions were administered from the onset of symptoms. The resident, who was severely cognitively impaired, had a history of falls and was diagnosed with Alzheimer's Disease, among other conditions. After the fall, the resident was initially treated with Tylenol and later Tramadol, but the latter was discontinued shortly after. The resident's care plan included administering pain medications as ordered and monitoring for signs of nonverbal pain, but there were no updates or interventions added after the initial assessments. Staff failed to report the resident's signs of pain to the nurse, assuming the nurses were already aware of the fracture. Interviews with staff revealed a lack of communication and follow-up regarding the resident's pain management. The CNAs did not report the resident's pain symptoms, and the LPN did not notify the Orthopedic Specialist or the NP about the resident's removal of the splint or continued pain. The NP was unaware of the resident's ongoing pain and lack of pain medication administration. The Orthopedic Specialist's representative confirmed that the MD was not notified of the resident's noncompliance with the splint or unresolved pain, which could lead to further complications.
Inadequate Staffing Leads to Delayed Resident Care
Penalty
Summary
The facility failed to provide sufficient nursing staff to meet the needs of its residents, particularly on Hall B, where only one CNA was assigned per shift despite the high acuity of residents requiring extensive assistance. This staffing inadequacy led to delays in responding to residents' requests for assistance with activities of daily living (ADLs), such as incontinence care. Resident #59, who required two staff members for assistance, frequently experienced delays of twenty to forty minutes before receiving care, as reported by both the resident and the CNAs assigned to Hall B. Interviews with the CNAs revealed that they were often unable to provide timely care due to the need to find additional staff from other halls to assist with residents requiring two-person assistance. This process was time-consuming, as other CNAs had their own assignments and tasks to complete, leading to significant wait times for residents like Resident #59. The CNAs confirmed that the acuity of Hall B was too high for a single CNA to manage effectively, resulting in delays in care provision. The facility's staffing practices were based on the minimum state-required standard of 2.35 hours per patient per day, rather than the acuity and specific needs of the residents. The Director of Nursing (DON) and the CNA Supervisor acknowledged the staffing challenges and the resulting delays in care but indicated that the facility had to work within the existing staff-to-resident ratios. The administrator confirmed that staffing was not based on resident acuity, which contributed to the deficiency in meeting residents' needs in a timely manner.
Failure to Support Resident's Activity Participation
Penalty
Summary
The facility failed to promote and facilitate resident self-determination by not supporting a resident's choice to participate in activities. A resident, who was cognitively intact and enjoyed participating in daily activities, was unable to attend morning activities on time due to a lack of assistance from staff. The resident, who had difficulty with balance and required help to put on pants, requested assistance from a CNA after breakfast but did not receive help in a timely manner. As a result, the resident was unable to join the activities at her preferred time, which was important to her for socializing with friends before the activities began. Observations and interviews confirmed that the resident was left waiting for assistance, pressing the call light, and eventually only managed to leave her room fully dressed after a significant delay. Staff interviews corroborated that the resident enjoyed participating in activities and that there were instances when she was not ready in time due to delays in receiving assistance. The Director of Nursing confirmed that staff should accommodate residents' preferences to be up and dressed at certain times, especially when they wish to attend activities.
Failure to Maintain Sanitary Mattress for Incontinent Resident
Penalty
Summary
The facility failed to maintain a sanitary environment for a resident, specifically regarding the condition of a mattress. The resident, who was always incontinent of bladder, had a mattress with multiple brown rings and a strong urine odor in the room. The facility's maintenance log showed no entries for the resident's mattress, indicating a lack of documentation and follow-up on the issue. The resident's mattress was observed to be in this condition for months, as confirmed by a CNA who stated that the mattress had been soiled with urine for an extended period. Interviews with facility staff revealed a breakdown in communication and procedure. The CNA acknowledged the persistent urine odor and the condition of the mattress but did not document the issue in the maintenance log or notify maintenance staff. The maintenance supervisor confirmed that he was not informed of the problem, and the mattress was not listed in the log. The administrator was only made aware of the situation on the day of the survey, indicating a failure in the facility's internal reporting and response systems to address the unsanitary condition in a timely manner.
Inaccurate PASARR Status in MDS Assessment
Penalty
Summary
The facility failed to ensure an accurate assessment of a resident's PASARR status, leading to a deficiency. A review of the facility's policy on MDS assessments revealed that all MDS should be completed according to the most current Resident Assessment Instrument manual. However, the admission MDS for a resident with Bipolar Disorder and Major Depressive Disorder, who was approved for admission by Level II Authority, inaccurately reflected the resident's PASARR status. The MDS was coded as if the resident did not have a Level II PASARR, despite documentation indicating otherwise. Interviews with facility staff confirmed the inaccuracy, acknowledging that the MDS should have accurately reflected the resident's Level II PASARR status.
Failure to Provide Adequate Hair Hygiene for Resident
Penalty
Summary
The facility failed to ensure that residents who were unable to carry out Activities of Daily Living (ADLs) received the necessary services to maintain good grooming and personal hygiene. Specifically, the staff did not provide adequate hair hygiene for a resident who required maximum assistance for personal hygiene. The resident, who had a diagnosis of difficulty in walking, muscle wasting, atrophy, lack of coordination, and dementia, was observed with oily hair pinned to her scalp and a dry, crusted scalp with thick yellow flakes. Despite being scheduled for bathing assistance three times a week, there was no documented evidence that staff washed her hair during the period reviewed. Interviews with the resident and staff revealed that the resident desired her hair to be washed at least once a week, but staff informed her that only the beautician could wash her hair. The CNA confirmed the resident's dependency on staff for personal hygiene and acknowledged the need for hair washing with each bed bath. The facility's beautician reported that the resident was not a regular customer and required multiple washes to clean her hair due to the buildup of flakes. The Director of Nursing confirmed the resident's dependency on staff for personal hygiene and acknowledged that her hair should be washed with each scheduled bed bath.
Failure to Reposition Resident as Required
Penalty
Summary
The facility failed to provide appropriate pressure ulcer care and prevention for a resident, leading to a deficiency in care. The resident, who was admitted with diagnoses including Hemiplegia and Cerebral Vascular Accident, was assessed as totally dependent on staff for bed mobility and transfers. The facility's policy required residents at risk for skin impairment to be turned and repositioned every two hours. However, observations and interviews revealed that the resident was not repositioned as required, remaining in the same position for extended periods. The resident's care plan and physician orders both indicated the necessity for repositioning every two hours due to the high risk of skin breakdown. Despite this, staff interviews and observations confirmed that the resident was not turned according to the prescribed schedule. The Director of Nursing acknowledged the resident's high risk for skin breakdown and the need for regular repositioning, yet the deficiency persisted, as evidenced by the resident's prolonged positioning without change.
Failure to Coordinate Hospice Care and Maintain Updated Records
Penalty
Summary
The facility failed to meet hospice care requirements by not designating a member of the interdisciplinary team (IDT) to coordinate care with hospice representatives. This deficiency was identified for a resident receiving hospice care, who was admitted to the facility and had been under hospice care for several certification periods. The facility's hospice care policy and the signed agreement with the hospice agency required the designation of a liaison to facilitate cooperative efforts, but the facility did not have such a designated member. Additionally, the facility did not maintain an updated system for the hospice resident's records. The hospice binder for the resident did not contain the most current hospice orders, plan of care, or recertification of terminal illness. The most recent documents in the binder were outdated, and the facility's Director of Nursing (DON) confirmed that the hospice binder was the only location for these records within the facility. The hospice nurse was responsible for updating the binder, but there was no system in place to ensure this was done. Interviews with facility staff revealed that the resident had experienced a decline in health, and the hospice nurse had increased the frequency of visits. However, the facility did not have a designated IDT member to manage the relationship with the hospice agency, and staff were unaware of the requirement to have one. This lack of coordination and record-keeping could potentially affect other residents receiving hospice services in the facility.
Failure to Maintain Safe Bed Equipment
Penalty
Summary
The facility failed to maintain a resident's bed equipment in safe operating condition, affecting a resident who was admitted with multiple diagnoses including generalized muscle weakness, muscle atrophy, abnormalities of gait and mobility, COPD, and reduced mobility. The resident's care plan required the head of the bed to be elevated due to difficulty breathing. However, the resident was observed lying flat in bed, unable to get out of bed for two days because the bed was not functioning properly. The bed's remote control had been cut off by maintenance after it became tangled in the bed frame, rendering the bed inoperable. Interviews with staff revealed that the bed controller cord was severed on a specific date, and the facility did not have a functioning bed available to replace it until several days later. During this period, the resident remained in bed, unable to be moved to a wheelchair as desired. The facility administrator confirmed that residents should always be provided with safely operating equipment, acknowledging that the resident was not provided with a safe operating bed during this time.
Inaccurate Documentation of Orthopedic Device Use
Penalty
Summary
The facility failed to ensure accurate documentation of a resident's Medication Administration Record (MAR) concerning the use of an orthopedic device. Resident #76, who was admitted with a cognitive communication deficit and a left distal humerus fracture, had a physician's order for a left elbow brace to be applied every shift. However, observations on multiple occasions revealed that the resident was not wearing the brace, despite the MAR indicating it was in place. Specifically, on December 2nd and 3rd, 2024, the resident was observed without the brace, contradicting the MAR entries that marked the brace as applied. Interviews with facility staff further highlighted the discrepancy. A Certified Nursing Assistant (CNA) assigned to the resident for a month was unaware of the brace requirement and had never seen the resident wearing it. Additionally, a Licensed Practical Nurse (LPN) admitted to marking the MAR with a '1' but was unsure of its meaning and confirmed not applying the brace on the specified dates. The Director of Nursing (DON) confirmed that the MAR entries were inaccurate, as they indicated the brace was in place when it was not, highlighting a failure in maintaining accurate medical records in accordance with professional standards.
Resident Dignity and Respect Violation
Penalty
Summary
The facility failed to ensure that a resident was treated with dignity and respect, as evidenced by the actions of a Certified Nursing Assistant (CNA) identified as S3CNA. On the morning of September 3, 2024, video footage provided by the resident's family showed S3CNA entering the resident's room and reacting inappropriately to the resident's soiled condition. S3CNA was observed yelling and using profane language while providing care, including bathing the resident with a towel and bottle of water. The CNA's behavior included making derogatory comments about the resident's condition and expressing frustration loudly, which was overheard by others outside the room. The resident, who had severe cognitive impairment due to unspecified dementia, was subjected to rough handling during a transfer to a wheelchair, causing her discomfort. Interviews conducted with the CNA, the Director of Nursing (DON), and the Administrator confirmed the inappropriate and undignified treatment of the resident. The CNA admitted to being unprofessional and having a poor attitude while caring for the resident. The DON and Administrator were made aware of the situation by the resident's family, who showed them the video footage. Both confirmed that the CNA's actions, including cursing and yelling, were undignified and unprofessional, failing to honor the resident's right to a dignified existence as outlined in the facility's Resident Rights document.
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Illustrative
What surveyors actually found near you
We read the 55 citations issued within 25 miles in the last 12 months — including the 1 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near New Roads
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Lakeview Manor Nursing And Rehabilitation Center | 0.7 mi | ★★★★★ | 5 | 0 |
| St. Francisville Nursing And Rehab, Llc | 14.1 mi | ★★★★★ | 2 | 0 |
| River Oaks Nursing & Rehabilitation Center Llc | 18.5 mi | ★★★★★ | 2 | 0 |
| Grace Nursing Home | 18.7 mi | ★★★★★ | 4 | 0 |
| The Lodge At Lane | 18.9 mi | ★★★★★ | 0 | 0 |
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