Below average — CMS composite of the measures below.
The next survey window likely opens around October 2026
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 Nashua Post Acute Care during CMS and state inspections, most recent first.
Multiple units and a kitchenette were found with unsafe and unclean conditions, including lifting and loose floor tiles, exposed drywall, soiled furniture, and dust accumulation on medical equipment. Staff confirmed these findings, and a resident was observed traversing uneven flooring in the kitchenette.
Food was not stored in accordance with professional standards in the main kitchen and several kitchenettes. The Food Services Director observed multiple uncovered or unlabeled items without use-by dates, spoiled fruit with visible fuzzy growth, and a bulk sugar container with black particles. In the kitchenettes, surveyors found drawers with brownish-green fuzzy growth, a refrigerator with a malfunctioning thermometer and no internal thermometer, cloths with black fuzzy residue stored under a sink, and a paper towel with brown spots in a microwave.
The facility failed to properly process residents’ personal clothing and failed to follow EBP PPE requirements for a resident with an open wound. Residential washers were used on the normal cycle with warm water and household detergent, while staff did not know the actual wash temperature or the required temperature for personal clothing. In addition, a hospice LNA provided grooming/hygiene to a resident on EBP for a Stage IV pressure ulcer while wearing gloves but no gown, despite EBP signage being posted.
Failure to Provide Scheduled Weekly Showers: A resident and two other residents who were scheduled for weekly showers reported receiving showers only every 2-3 weeks or once a month. LNA task documentation showed little or no completed shower documentation despite weekly shower assignments on the 3-11 p.m. shift, and the unit manager confirmed the missing documentation and missed showers. One resident’s care plan and MDS indicated the need for assistance with bathing.
Involuntary Seclusion by Blocking Resident’s Doorway: A resident with wandering behaviors was placed on 1:1 supervision, but staff repeatedly sat outside or in the doorway and used a bedside table to block the exit while the resident remained in the room coloring or staring at the wall. The physician confirmed the 1:1 assignment, and the resident was unable to answer simple questions during interview.
A resident with a chronic sore throat did not receive the ordered ENT follow-up after an initial ENT visit and nystatin treatment. Nursing notes documented ongoing sore throat complaints, and an NP noted the follow-up due in September had not been completed; the unit manager confirmed no follow-up appointment was scheduled.
Medication labeling, access, and storage were not properly maintained. An unauthorized corporate RN was observed handling medications in a med cart without being assigned to it, two used inhalers for a resident lacked opening or open-expiration dates, and med refrigerator logs on two units had multiple missing daily temperature entries despite policy requiring daily monitoring and proper refrigerated ranges.
A facility failed to provide nourishing HS snacks consistent with two residents’ care plans and MD orders. One resident with DM reported only being offered crackers and cookies, while another resident with DM said evening snacks were limited to saltines or graham crackers with juice and that no protein snack was available; the resident was given 4 saltine crackers and water when requesting a snack. The RD stated that a nourishing diabetic snack should include protein-containing items such as a half sandwich, peanut butter, cottage cheese, cheese, or yogurt.
The facility was cited for deficiencies in food safety practices, including failure to use beard restraints by dietary staff and improper food labeling and storage. Observations revealed that staff did not wear beard restraints while preparing food, and several food items in the kitchen lacked proper date markings or were past their use-by dates. Additionally, temperature logs for kitchenettes were incomplete, indicating inconsistent monitoring.
The facility did not follow infection control guidelines for water management, potentially affecting 220 residents. Unit 4 was not in use, and the facility's Legionella Surveillance required hot water storage above 140°F. The Water Management Plan called for regular temperature checks and flushing of little-used outlets. However, the Maintenance Director confirmed that Unit 4 had been closed for a long time, with random flushes performed but no documentation or temperature monitoring.
A resident with a self-care deficit related to dementia did not receive necessary assistance for personal hygiene, including bathing and shaving, as required by their care plan. Observations showed the resident with disheveled hair and stubble, and staff interviews confirmed a lack of documented care. The facility's policy on ADLs was not followed, leading to unmet hygiene needs.
The facility failed to label and date opened multi-dose medications on a medication cart and in a medication room. An LPN confirmed that a Lispro Insulin Quik Pen was found without necessary labeling, contrary to facility policy. Additionally, a medication refrigerator contained a Tuberculin Purified Protein Derivative with unclear opening and expiration dates, which an LPN could not verify.
A resident with severe dental issues, including broken and decaying teeth, was not provided with necessary dental services or assistance in making appointments, despite multiple requests and a care plan intervention. The facility failed to follow up on a treatment plan for extractions and dentures, as confirmed by staff interviews and medical record reviews.
The facility failed to accommodate dietary allergies for two residents, leading to the provision of meals containing allergens. A resident with allergies to chocolate and tomatoes was served chocolate frosting, while another resident with a beef allergy was repeatedly served beef. These actions were contrary to the facility's policy requiring dietary preferences and allergies to be recorded and respected.
A resident did not receive a pneumococcal vaccine despite having signed consent, as confirmed by the Infection Preventionist. The facility's policy, which aligns with CDC guidelines, was not adhered to in this case.
The facility failed to notify two residents or their representatives of the bed hold policy upon transfer to a hospital, as required by their policy. This oversight was confirmed through record reviews and staff interviews, revealing that the facility only provides the bed hold policy upon admission, not at the time of transfer. The Administrator confirmed the lack of documentation and adherence to the policy.
The facility failed to complete comprehensive MDS assessments within 14 days for two residents admitted to hospice care. One resident's MDS was completed 28 days after admission to hospice, while another's was completed 21 days later. These delays were confirmed by the MDS Coordinator.
A resident with atherosclerosis and DM II did not receive necessary podiatry care, despite requests and a note from the Dialysis Center. The resident's toenails were overgrown, and the facility failed to assist in making podiatry appointments, as confirmed by the DON.
Failure to Maintain Safe and Clean Environment Across Multiple Units
Penalty
Summary
Surveyors observed multiple deficiencies related to the facility's failure to maintain a safe, clean, and homelike environment across several units and a kitchenette. On Unit #6, rooms were found with black tape covering uneven and lifting floor thresholds, dust accumulation on an oxygen concentrator, exposed drywall, brown substances on bed rails and privacy curtains, peeling surfaces on bedside tables, and visibly soiled furniture. Additional observations included cracked walls, multiple scrapes and discoloration, and further instances of lifting flooring at room entrances. Staff interviews confirmed these findings. On Unit #5, rooms had floor tiles that were curled, lifted, and loose, with some tiles able to be moved with light pressure. There was also missing trim on a bedside table. Staff confirmed the presence of these hazards. In Unit #1 West, the kitchenette had missing tiles resulting in uneven flooring, with black tape covering the edges of remaining tiles. A resident was observed walking over this uneven surface. Staff interviews corroborated the observations of missing tiles and uneven flooring.
Food Storage and Sanitation Deficiencies in Kitchen and Kitchenettes
Penalty
Summary
The facility failed to ensure that food was stored in accordance with professional standards for food service safety in the main kitchen and in 3 of 5 kitchenettes observed. Review of the facility’s Food Receiving and Storage Policy stated that refrigerated and frozen foods must be covered, labeled, dated with a use-by date, and monitored, and that resident foods on nursing units must be labeled with the resident’s name, item, and use-by date, with refrigerators requiring working thermometers and temperature monitoring. In the main kitchen, observations with the Food Services Director found multiple items without required coverage or use-by dates, including whipped cream with an open decorative tip, opened Thicken Easy Nectar, partially wrapped mozzarella cheese with brown liquid on the edges, sandwiches and pasta salad without a use-by date, partially unwrapped butter, unlabeled cheese items, and strawberries and blueberries with visible fuzzy gray growth. A bulk container of granulated sugar also contained black particles and had a prep date of 9/1/25 with no use-by date. In the kitchenettes, one unit had drawers with brownish-green fuzzy growth covering more than one third of the drawer base and a refrigerator thermometer showing an error code with no internal thermometer; another had three cloths resembling washable mop heads with black fuzzy residue stored under the sink and covered plates containing a sandwich and pasta in the prep station; and a third had a paper towel with brown spots in the microwave.
Laundry Processing and EBP PPE Failure
Penalty
Summary
The facility failed to ensure proper processing of residents’ clothing. On 11/20/25, observation in the laundry room with the Infection Preventionist and Director of Housekeeping showed two residential washing machines running on the normal mode with the warm water setting. The Director of Housekeeping stated the residential washers had been used for over a year to clean residents’ personal clothes and that a household detergent was used on all personal clothes. A laundry aide stated the washers were used on the normal mode with the warm water setting and that only household detergent was used, but did not know the actual water temperature when warm was selected. The facility policy for laundry and linen required either high-temperature processing at at least 160 degrees Fahrenheit for 25 minutes or low-temperature processing at 71-77 degrees Fahrenheit with a 125-ppm chlorine bleach rinse if materials could withstand bleach. The manufacturer’s instructions listed warm water as approximately 90 degrees Fahrenheit. A Regional Plant Operations staff member did not know what water temperature the clothes were being washed at or what temperature personal clothing needed to be washed at using the residential washer and household detergent. The facility also failed to implement Enhanced Barrier Precautions for one resident. Resident #183 had an order for Enhanced Barrier Precautions related to an open wound, and the Unit Manager stated the resident was on EBP for a Stage IV pressure ulcer. Observation outside the room showed EBP signage posted. Inside the room, a hospice LNA was leaning over the resident’s bed and shaving the resident while wearing gloves but no protective gown. The LNA confirmed providing hygiene to the resident and confirmed gloves were worn without a protective gown. The facility policy stated EBP applies to residents with a wound or indwelling medical device who are not known to be infected or colonized with an MDRO, and that high-contact resident care activities such as providing hygiene or grooming require gown and gloves.
Failure to Provide Scheduled Weekly Showers
Penalty
Summary
The facility failed to ensure that residents who chose and were scheduled for weekly showers actually received them for 3 of 8 residents reviewed for ADL care. Resident #176 stated in interview that he/she was getting a shower once a month and wanted one weekly. The resident’s care plan indicated one staff assistance with bathing, and the Unit 1 LNA assignment sheet scheduled a weekly shower every Thursday on the 3-11 p.m. shift. However, LNA task documentation for the past 30 days showed no documentation that a shower had been completed, and an LNA who worked the Thursday 3-11 p.m. shift confirmed the resident did not receive a shower. The unit manager also confirmed there was no documentation that Resident #176 had a shower in the past 30 days. Resident #36 stated that he/she did not always get a weekly shower and sometimes went 2-3 weeks without one. LNA task documentation for the one-month review period showed no showers marked as completed, even though the assignment sheet scheduled a weekly Tuesday 3-11 p.m. shower. The resident’s quarterly MDS indicated substantial to maximum assistance with bathing, and the unit manager confirmed there was no documentation that a shower had been given or offered during the reviewed time frame. Resident #107 reported not having a shower in over two weeks and said it was usually 2-3 weeks between showers. LNA task documentation showed only one completed shower during the review period, despite a weekly Tuesday 3-11 p.m. shower assignment, and the quarterly MDS indicated substantial to maximum assistance with bathing. The unit manager confirmed there was only one shower documented for the resident during the reviewed period.
Involuntary Seclusion by Blocking Resident’s Doorway
Penalty
Summary
The facility failed to keep Resident #131 free from involuntary seclusion when staff repeatedly positioned themselves and furniture to block the resident’s doorway while providing 1:1 supervision for wandering behaviors. On multiple observations, the resident was seen sitting in the room coloring or staring at the wall while an Activity Aide or LNA sat outside the room or in the doorway with a bedside table placed to block the exit. Staff stated the resident had been on 1:1 supervision for about a week due to wandering, and the physician confirmed the resident had been assigned a staff member for 1:1 supervision for about a week because of behaviors. The resident was unable to answer simple yes-or-no questions during interview. Nursing notes reviewed by surveyors documented that the resident remained on 1:1 supervision due to a change in behaviors and was escorted back to the room when out in the hallway. The facility policy defined involuntary seclusion as separation from other residents or confinement to the room, including attempts to keep a resident confined by blocking the exit with furniture or a closed door, and staff observations showed the resident’s doorway was blocked on several occasions.
Missed ENT Follow-Up for Ongoing Sore Throat
Penalty
Summary
The facility failed to ensure that Resident #185 received care in accordance with the plan of care and physician orders related to an ENT follow-up for a chronic sore throat. The resident reported having waited for months for a follow-up visit with the ENT specialist and stated that the sore throat had been ongoing since September, with repeated requests to nursing to make an appointment. Record review showed that the resident was seen by ENT on 7/1/25 and was ordered nystatin suspension for chronic sore throat, with a follow-up recommended in about 8 weeks. Subsequent nursing documentation noted continued complaints of sore throat, including a negative COVID test on 9/24/25, a nurse practitioner note on 10/29/25 stating the resident continued to complain of sore throat and that the ENT follow-up due in September had not been done, and a 11/3/25 physician order to send the resident back to ENT for a 2-month follow-up that should have been completed in September. The unit manager confirmed that the resident had gone to ENT in July 2025 and did not currently have a follow-up appointment scheduled.
Medication Labeling, Access, and Temperature Monitoring Deficiencies
Penalty
Summary
Drugs and biologicals were not consistently labeled or stored in accordance with facility policy and accepted professional principles. On Unit #6, Staff E, a regional RN who was not assigned to medication cart #5302 and was not an employee of the facility, was observed going through medications in the cart with no other facility staff present and appeared to be removing medications. The facility administrator confirmed that Staff E was employed by the corporation, not the facility. The facility policy stated that only authorized personnel have access to keys. Resident #123 had two used inhalers in medication cart #3501, including Fluticasone 250 mg/50 mcg and Incruse Ellipta 62.5 mcg, with no date of opening or open expiration date documented. The resident received both inhalers on the same day they were observed. Manufacturer instructions stated that Incruse Ellipta should be discarded 6 weeks after opening and the opening date written on the label, and Fluticasone Propionate/Salmeterol Diskus should be discarded 1 month after opening or when the counter reads 0. In addition, medication refrigerator temperature logs were incomplete on Unit #5 and Unit #3 for multiple dates in October and November 2025, despite facility policy requiring temperatures to be recorded at least once daily and maintained between 36 F and 46 F. Staff confirmed the missing temperature entries.
Nourishing HS Snacks Not Provided as Ordered
Penalty
Summary
The facility failed to ensure that nourishing snacks were provided to residents in accordance with their plans of care. One resident with diabetes reported that snacks were not offered and that the only snacks available when requested were crackers and cookies. The resident’s care plan identified a risk for nutritional problems related to diabetes and included an intervention, initiated on 7/1/25, to offer a nourishing HS snack daily. A second resident with diabetes stated that evening snacks consisted of saltines or graham crackers and juice, and that no snack with protein was offered. The resident reported being told that no protein snacks were available in the evenings, that staff could not obtain anything from the main kitchen, and that nothing was available in the kitchenette. The resident’s physician had ordered an HS snack with protein and carbohydrate at bedtime for diabetes, and the resident stated that on the evening of 11/19/25, after asking for a snack, he/she was given 4 saltine crackers and water. The dietician stated that a nourishing diabetic snack would include items such as a half sandwich with protein, peanut butter, cottage cheese, cheese with fruit or crackers, or yogurt, and also reported being told that residents with or without diabetes were receiving graham crackers, saltines, or cookies as snacks.
Deficiencies in Food Safety Practices
Penalty
Summary
The facility was found to have deficiencies in food safety practices, specifically related to the use of facial hair restraints and proper food labeling and storage. During observations, it was noted that dietary staff, including a cook and a dietary aide, were not wearing beard restraints while preparing and serving food. This was confirmed through interviews with the staff involved and the Director of Culinary, who acknowledged that staff with beards should always wear restraints to prevent hair from contacting food. Additionally, the facility failed to adhere to professional standards for food labeling and storage. Observations in the main kitchen revealed several food items, such as mayonnaise, pasta salad, sliced tomatoes, and shredded cheese, that were either past their use-by dates or lacked proper date markings. Similar issues were found in the dessert refrigerator, where items like pizza slices and cheese were not properly dated or covered, posing a risk of contamination. The report also highlighted missing temperature logs for several kitchenettes, indicating a lack of consistent monitoring of refrigerator and freezer temperatures. This was observed across multiple units, with several days in September missing temperature recordings. Interviews with staff confirmed these findings, and the facility's policy on date marking for food safety was reviewed, which emphasized the importance of clearly marking food to indicate consumption or discard dates.
Failure to Follow Water Management Infection Control Guidelines
Penalty
Summary
The facility failed to adhere to established infection control guidelines concerning water management, which could potentially affect the 220 residents residing there. An observation revealed that Unit 4 was not in use. A review of the facility's Legionella Surveillance indicated that hot water should be stored above 140 degrees Fahrenheit. The Water Management Plan Overview specified that the supply temperature at the hot water heater outlet should not be lower than 140 degrees Fahrenheit and that little-used outlets should be flushed twice weekly. However, an interview with the Maintenance and Environmental Services Director confirmed that Unit 4 had been closed for a long time, and although random flushes were performed, there was no documentation of these flushes or temperature monitoring for the water heater.
Failure to Provide Necessary ADL Assistance for Resident
Penalty
Summary
The facility failed to ensure that a resident who was unable to perform activities of daily living (ADL) received the necessary services to maintain good personal hygiene. This deficiency was identified for one resident, who was observed on multiple occasions with disheveled hair and long dark stubble on their face and chin. The resident, who had a self-care deficit related to dementia, was coded as dependent for showers and personal hygiene in their care plan. Despite this, the resident was not provided with the required assistance for bathing and shaving, as confirmed by staff interviews and documentation reviews. The resident's care plan indicated the need for one staff member to assist with bathing and personal hygiene tasks, yet records showed that scheduled weekly baths were not documented for several dates in September. Interviews with the resident's nurse and LNAs revealed uncertainty about when the resident last received a shower or shave, and it was confirmed that these services had not been provided in the past week. The facility's policy on ADLs, which mandates care and services for bathing and grooming, was not adhered to, resulting in the resident's unmet hygiene needs.
Failure to Label and Date Medications
Penalty
Summary
The facility failed to properly label and date opened multi-dose medications, as observed in one of the six medication carts and one of the five medication rooms. During an observation of the 5 East Medication Cart, an opened Lispro Insulin Quik Pen was found without a name, open date, or expiration date. This was confirmed by an LPN present at the time. The facility's policy requires insulin pens to be clearly labeled with the resident's name, type of insulin, amount to be given, frequency, and expiration date, and states that pens without labels should not be used. Additionally, in the 100's Medication Room, an observation of the medication refrigerator revealed an influenza vaccine and a vial of Tuberculin Purified Protein Derivative with two handwritten dates, but it was unclear when the vaccine had been opened or when it expired. An LPN confirmed these findings and was unsure about the vaccine's opening or expiration date. Manufacturer instructions for the Tuberculin Purified Protein Derivative specify that vials in use for more than 30 days should be discarded due to potential oxidation and degradation affecting potency.
Failure to Provide Dental Services
Penalty
Summary
The facility failed to provide necessary dental services and assistance in making dental appointments for a resident with significant dental health issues. The resident, identified as having multiple decaying teeth and roots, expressed that their teeth were broken and had been requesting to see a dentist. Despite these requests, the facility did not facilitate a dental appointment. Observations confirmed the resident's teeth were nearly all broken and black, indicating a severe dental condition. The resident's care plan, initiated in May 2023, included interventions to coordinate dental care and transportation. However, the resident's dental visit notes revealed a history of dental issues dating back to April 2021, with multiple referrals to an oral surgeon for extractions and denture fabrication. Despite a treatment plan established in November 2021, there was no follow-up recorded. Interviews with facility staff confirmed the lack of additional dental visits and the absence of documented follow-up actions, highlighting a failure to adhere to the facility's dental services policy.
Failure to Accommodate Resident Dietary Allergies
Penalty
Summary
The facility failed to adhere to dietary requirements for two residents, resulting in the provision of meals that did not accommodate their documented allergies. Resident #4 reported receiving meal trays containing chocolate and tomatoes, to which they are allergic, causing them to feel sick. This was confirmed during an observation where Resident #4 was served vanilla cake with chocolate frosting, despite their meal ticket indicating an allergy to chocolate and tomatoes. Similarly, Resident #49 was consistently served beef, despite having an allergy to it noted on their meal ticket. The facility's policy mandates that resident preferences and allergies be recorded during the assessment process and reflected on dietary tray cards, but this was not followed in these instances.
Failure to Administer Pneumococcal Vaccine
Penalty
Summary
The facility failed to provide a pneumococcal immunization to one resident, identified as Resident #73, who was reviewed for pneumococcal vaccination. The resident's immunization record indicated a historical pneumococcal vaccine was given in 2017, but the type was unknown. A consent for a pneumococcal vaccine was signed by the resident in April 2023, yet the vaccine was not administered. This was confirmed during an interview with the Infection Preventionist, who acknowledged that the resident had not received the consented second pneumococcal vaccine. The facility's policy, revised in May 2023, outlines the administration of pneumococcal vaccines according to CDC guidelines, but this protocol was not followed for Resident #73.
Failure to Notify Residents of Bed Hold Policy
Penalty
Summary
The facility failed to notify residents or their representatives of the bed hold policy upon transfer to a hospital, as required by their own policy. This deficiency was identified during a review of records and interviews with staff members. Specifically, two residents were affected by this oversight. Resident #75 was sent to the hospital on April 27, 2024, and it was confirmed through an interview with the Social Services Office Coordinator that the facility only provides the bed hold policy upon admission, not at the time of transfer. Similarly, Resident #97 was hospitalized twice, on August 11, 2024, and September 9, 2024, without receiving the required bed hold policy notification. The facility's policy, titled "Bed Hold Notice Upon Transfer," mandates that written notice of the bed hold policy be provided to residents or their representatives at the time of transfer for hospitalization or therapeutic leave. This policy was not followed in the cases of the two residents reviewed. The Administrator confirmed the lack of documentation and adherence to the policy during an interview. The facility's failure to comply with its own policy resulted in a deficiency being noted by the surveyors.
Failure to Timely Complete MDS Assessments for Hospice Residents
Penalty
Summary
The facility failed to conduct a comprehensive Minimum Data Set (MDS) assessment within 14 days after a significant change in condition was determined for two residents who were admitted to hospice care. Resident #165 was admitted to hospice on July 5, 2024, but the Significant Change MDS was not completed until August 2, 2024, which is 28 days after the determination of the significant change. Similarly, Resident #11 was admitted to hospice on September 13, 2024, and the Significant Change MDS was completed on October 4, 2024, 21 days after the determination of the significant change. These findings were confirmed during an interview with the MDS Coordinator, Staff Z, on October 10, 2024. The delay in completing the MDS assessments for these residents indicates a failure to adhere to the required timeline for assessing significant changes in residents' conditions.
Failure to Provide Necessary Foot Care Services
Penalty
Summary
The facility failed to provide necessary foot care services or assist a resident in making appointments to maintain good foot health. A resident, who had been requesting to see a podiatrist for overgrown toenails, was found to have not received appropriate care. The resident's medical record indicated a previous podiatry visit where routine care was deemed medically necessary due to atherosclerosis of the extremities and Diabetes Mellitus Type 2, which increased the risk of bone infection and potential limb loss. However, no further podiatry visit notes were found in the resident's medical record. Additionally, a communication from the Dialysis Center to the facility highlighted the need for the resident's toenails to be trimmed as they were too long and posed a risk of cutting the toes. An observation confirmed that the resident's toenails on the left foot were overgrown, with one toenail curled under the toe. The Director of Nursing confirmed these findings and noted that the resident had missed the podiatrist's visit due to being at dialysis. The facility's policy on podiatry services emphasized the importance of assisting residents in making appointments for necessary services, which was not adhered to in this case.
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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.
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Nursing homes near Nashua
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Courville At Nashua | 1 mi | ★★★★★ | 0 | 0 |
| Fairview Nursing Home | 2.5 mi | ★★★★★ | 16 | 0 |
| D'youville Care For Advanced Therapy | 8.1 mi | ★★★★★ | 0 | 0 |
| Northwood Rehabilitation & Healthcare Center | 8.2 mi | ★★★★★ | 50 | 0 |
| D'youville Senior Care | 8.3 mi | ★★★★★ | 6 | 0 |
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