I placed my aunt in Brookdale Salem for memory care and I'm very pleased. The staff are genuinely caring, attentive and treated her like family; communication was clear and move-in support smooth. The building is clean and home-like, meals and activities keep residents engaged, and dignity and professional expertise for dementia care are evident. I'm grateful for the compassionate team and would recommend this community.
Loved one of resident
Jul 2026
Pricing
Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.
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Amenities
Healthcare services
Activities of daily living assistance
Assistance with bathing
Assistance with dressing
Assistance with transfers
Medication management
Mental wellness program
Healthcare staffing
12-16 hour nursing
24-hour call system
24-hour supervision
Meals and dining
Diabetes diet
Meal preparation and service
Restaurant-style dining
Special dietary restrictions
Room
Air-conditioning
Cable
Fully furnished
Housekeeping and linen services
Kitchenettes
Private bathrooms
Telephone
Wifi
Memory care community services
Mild cognitive impairment
Specialized memory care programming
Transportation
Community operated transportation
Transportation arrangement
Transportation arrangement (non-medical)
Common areas
Beauty salon
Computer center
Dining room
Fitness room
Gaming room
Garden
Outdoor space
Small library
Wellness center
Community services
Concierge services
Fitness programs
Move-in coordination
Activities
Community-sponsored activities
Planned day trips
Resident-run activities
Scheduled daily activities
Reviews
4.25·(77)
Overall rating
5
4
3
2
1
Care
4.3
Staff
4.3
Meals
3.2
Amenities
3.5
Value
2.7
Pros
Compassionate, attentive caregiving staff
Dementia-specialized memory care expertise
Engaging, varied activity programming
Regular social events and fundraisers
On-site RN and nurse practitioner availability
On-site beauty salon
Chef involvement and customized dining options
Clean, well-maintained common areas
Home-like, village-style main areas (Town Square)
Secure entry and keypad exits
Private L-shaped room options
Indoor courtyard and outdoor access
Personalized assistance with dressing and hygiene
Coordinated communication with families
Compassionate end-of-life care coordination
Pet-friendly policy
Modern, attractive facility design
Daily personal care support available
Supportive transition and move-in assistance
Responsive executive leadership at times
Residents demonstrate improved mood and engagement
Medicaid spin-down / payment flexibility in some cases
Active safety redirection and monitoring
Generally positive meal quality and variety
Neighborhood-like community feel
Cons
Inconsistent staffing levels, especially at meals, nights, and weekends
Unreliable meal-service continuity and delayed feeding
Sanitation and cleaning inconsistencies in some areas
Incontinence-care delays and inconsistent bathing schedules
Variable caregiver training and competency
Inconsistent responsiveness to call lights and care requests
Lack of pricing transparency and complex add-on fees
Mixed resident acuity within units leading to poor fit for some
Environmental maintenance hazards and unsecured fixtures
Limited individual room climate controls and cold common dining areas
Laundry-management gaps and misplaced clothing
Variable medication-handling practices and high pharmacy costs
Activity programming not always tailored across ability levels
Occasional management and family-communication gaps
Summary of reviews
Reviews of Brookdale Salem present a broadly mixed but specific picture: many families and visitors praise the facility's dementia expertise, compassionate frontline staff, and attractive, village‑style common spaces. The community is frequently described as clean, home-like, and secure, with features such as a Town Square concept, indoor courtyard, on-site salon, and private room options. Clinical resources including an on-site RN and nurse practitioner, active chef involvement, and coordinated end-of-life support with hospice are cited as strengths that contribute to individualized care for many residents.
At the same time, a recurring operational theme across accounts is inconsistency. Staffing levels are described as uneven — particularly during meal times, nights, and weekends — which reviewers link to delayed meal service, missed feedings, and slower responses to call lights. Relatedly, several reviewers raised concerns about personal-care workflows (for example, bathing and toileting assistance) and general sanitation consistency in certain areas. These patterns suggest gaps in staffing allocation, training, and workload management rather than a uniform lack of effort from individual caregivers.
Staff quality is a notable mixed area. Many reviews single out individual caregivers, nurses, and leadership for being compassionate, responsive, and above-and-beyond; others describe variability in caregiver skill, communication tone, and adherence to procedures. Management impressions are similarly mixed: some families report helpful, hands-on executive leadership and smooth transitions, while others mention aggressive sales practices, opaque billing and add-on fees, and occasional lapses in family communication.
Dining and activities are largely strengths with caveats. The food quality and chef engagement receive many positive mentions, and activity programming (movies, exercise, fundraisers, and memory-care–focused events) is a consistent positive for resident engagement. However, the delivery of dining service is sometimes hampered by staffing constraints, and activity offerings may not always be consistently tailored to both higher- and lower-functioning residents or fully available during pandemic-related restrictions.
Facilities and safety are generally viewed positively in terms of design, cleanliness, and security features, but reviewers also note maintenance and environmental hazards (loose fixtures or unsecured items) and practical limits such as lack of individual temperature controls, occasional cold dining rooms, and constrained front-entrance parking. Financial and administrative transparency is another area families should evaluate carefully: reviewers cite unclear base pricing versus add-on charges, occasional invoice discrepancies, and pharmacy cost concerns.
Recommendation for prospective families: Brookdale Salem demonstrates genuine strengths in memory-care programming, compassionate individual staff members, and appealing campus amenities. At the same time, consistent questions arise around staffing adequacy, meal-service continuity, sanitation processes, caregiver training, and billing transparency. Prospective residents and families should visit multiple times (including meal times and evenings), ask for current staffing ratios, review infection-control and personal-care protocols, request a sample invoice with all potential add-ons, and inquire about medication- and laundry-management processes before deciding. Observing staff-resident interactions and confirming how the community handles higher-acuity residents will help determine whether this community is a good operational fit for a given care need.
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Location
Brookdale Salem is located at 1355 Boone Rd SE, Salem, OR, 97306.
About Brookdale Salem
Brookdale Salem is a licensed senior living community with the state license number 1063512146, and offers care for 60 residents, all in memory care. This place has assisted living, independent living, memory care, skilled nursing, and at-home care services, so folks can get the help they need without moving around, and it works especially well for people living with Alzheimer's, dementia, and other memory conditions because it's set up just for them with staff trained in memory care, building features designed for safety, and special programs like Clare Bridge, which gives six planned activities every day, and the Solace program, which helps residents in the later stages of dementia. The staff stays available 24 hours a day for emergencies, and there's a nurse on duty part-time, so residents don't wait long for help with health needs. People can stay in cozy studios, one-bedroom apartments, or friendship suites ranging from 315 to 625 square feet, and the rooms let folks bring their pets with them, making the place feel more like home, especially since the inside looks and feels like a private house with smaller scaled-down spaces and comfortable touches, which helps residents relax. There are indoor and enclosed outdoor walking paths, so folks with memory issues can walk around safely, and the outdoor grounds are good for walks and other activities in the fresh air. Residents get healthy and tasty meals in a dining area, and common spaces like a therapy room, chapel, ice cream parlor, game room, library, and arts and crafts studio, along with Wi-Fi for keeping in touch or entertainment, make it easy to spend time with others. People pay using credit cards or checks, and there's a supportive management team that listens and responds quickly to staff and resident needs, which helps give the place a friendly, welcoming feel. Events and activities fill the days, focusing on fun, wellness, socializing, and keeping minds and bodies active, with programs made to reduce confusion and make daily life smoother for people with memory loss. Brookdale Salem always follows state rules, has earned praise for care and communication, and has won awards like Best of Senior Living for its support, respect, and kindness toward residents and their families.
Brookdale Senior Living Inc. (NYSE: BKD) is the largest senior living operator in the United States, managing over 640 communities with capacity for approximately 59,000 residents across 41 states and employing around 36,000 associates. Founded in 1978 and publicly traded since 2005, Brookdale solidified its market leadership through major acquisitions including American Retirement Corporation (2006) and Emeritus Senior Living (2014), making it the only national full-spectrum senior living company. Headquartered in Nashville, Tennessee, Brookdale has topped the American Seniors Housing Association's ASHA 50 list and Argentum's largest providers list for multiple consecutive years.
The company's comprehensive care continuum includes independent living, assisted living, memory care, skilled nursing, and continuing care retirement communities (CCRCs). Brookdale's signature Clare Bridge program, developed over 30 years ago by dementia-care experts, provides specialized Alzheimer's and dementia care through two distinct levels: Clare Bridge communities for comprehensive memory support and the Clare Bridge Solace program for advanced-stage dementia residents. The program is recognized by the Alzheimer's Association® for incorporating evidence-based Dementia Care Practice Recommendations and features secure environments, enclosed courtyards, Daily Path programming with six structured activities daily, and the InTouch technology platform offering personalized brain-stimulating games and therapeutic content.
Brookdale's holistic Optimum Life® wellness approach balances six dimensions—Purposeful, Physical, Emotional, Social, Spiritual, and Intellectual—implemented through signature programs including B-Fit (eight exercise class options), Brain Fit (mental fitness workouts), My Life Story (resident storytelling), EngagementPlus (interest-based connections), Growing Together (collaborative learning), and The Ageless Spirit (kindness and gratitude practices). The Embrace Family Partnership provides caregiver education and support for families of memory care residents.
The company's Brookdale HealthPlus® care coordination model, winner of the 2024 Argentum Best of the Best Award placing it among the top 1% of operators, is a technology-enabled healthcare service featuring dedicated RN Care Managers who proactively manage residents' health, coordinate care transitions, and help prevent avoidable hospitalizations. Communities using HealthPlus report 78% fewer urgent care visits, 36% fewer hospitalizations, and 63% more completed annual wellness visits. The Personal Solutions program delivers hygiene products, medications, and daily necessities directly to residents' doors with discreet packaging and monthly billing convenience.
Following a strategic divestiture of its home health and hospice operations to HCA Healthcare (completed December 2023), Brookdale now focuses exclusively on senior living operations while maintaining its position as the industry's largest operator, committed to its mission of enriching lives with compassion, respect, excellence, and integrity.
People often ask...
Brookdale Salem offers competitive pricing, with rates starting at a cost of $4,823 per month.
Brookdale Salem offers independent living, assisted living, and memory care.
There are 18 photos of Brookdale Salem on Mirador.
Yes, Brookdale Salem allows residents to age in place and adjust their level of care as needed.
The full address for this community is 1355 Boone Rd SE, Salem, OR 97306.
No, Brookdale Salem does not offer respite care.
Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.
Safety & Compliance
In Oregon, the Department of Human Services' Aging & People with Disabilities program licenses assisted living and residential care facilities, conducting inspections, complaint investigations, and renewals.
Identified a failure to provide a safe environment that led to a resident-to-resident altercation and a $375 fine.
Abuse—Failed to provide safe environment
08 Dec 2025Inspection
08 Dec 2025Inspection
Investigated an allegation of unsafe medication administration and found a discontinued drug was given to a resident. This occurred without proper notification to relevant parties and indicated a failure to oversee the medication system.
Licensing—Failed to provide a safe medication administration system
25 Nov 2025Inspection
25 Nov 2025Inspection
Investigated and found a resident rights violation due to wrongful restraint, resulting in a $375 fine.
Licensing—Failed to assure resident rights
13 Oct 2025Abuse: Neglect
13 Oct 2025Abuse: Neglect
Investigated and found neglect and abuse due to failure to plan fall-prevention interventions, leading to multiple falls and a fractured hip, with a fine assessed.
Abuse—Failed to properly plan care
25 Aug 2025Abuse: Neglect
25 Aug 2025Abuse: Neglect
Investigated a case where staff failed to follow a care plan to separate residents with a history of altercations, resulting in injury and a fine.
Abuse—Failed to provide safe environment
26 Jul 2025Abuse: Neglect
26 Jul 2025Abuse: Neglect
Found that the resident's repeated falls were not addressed with appropriate interventions. This resulted in neglect and abuse and a $500 fine was assessed.
Abuse—Failed to follow care plan
10 Jun 2025Abuse: Neglect
10 Jun 2025Abuse: Neglect
Investigated found failure to properly plan care after a change of condition, resulting in a resident-to-resident altercation and neglect/abuse.
Abuse—Failed to properly plan care
11 Apr 2025Inspection
11 Apr 2025Inspection
Identified a safety issue in medication administration where a resident received another resident's heart medication, causing a drop in blood pressure and hospitalization.
Licensing—Failed to provide a safe medication administration system
31 Mar 2025Inspection
31 Mar 2025Inspection
Found a violation for not keeping interior and exterior surfaces clean, including a corner that was repeatedly urinated on.
Licensing—Failed to provide safe environment
26 Mar 2025Inspection
26 Mar 2025Inspection
Investigated a medication administration incident in which a staff member in training gave another resident's medication without supervision, causing a heart rate drop and hospital transfer.
Licensing—Failed to provide a safe medication administration system
14 Feb 2025Abuse: Neglect
14 Feb 2025Abuse: Neglect
Found that the care plan was not followed, leading to a resident-to-resident altercation; a $375 fine was assessed.
Abuse—Failed to follow care plan
14 Jan 2025Abuse: Neglect
14 Jan 2025Abuse: Neglect
Investigated and found that the care plan for a resident with a history of altercations was not followed, resulting in an altercation and injury; a $375 fine was assessed.
Abuse—Failed to follow care plan
23 Dec 2024Abuse: Neglect
23 Dec 2024Abuse: Neglect
Investigated and found that a safe environment was not provided for a resident with a history of conflicts, resulting in an altercation and injuries.
Abuse—Failed to provide safe environment
06 Sept 2024Abuse: Neglect
06 Sept 2024Abuse: Neglect
Investigated and found neglect of care due to failure to properly plan for a resident's fall risk, resulting in a fracture.
Abuse—Failed to properly plan care
01 Jul 2024Licensure
01 Jul 2024Licensure
Determined substantial compliance with meals-related requirements.
Deficiency—Comment
09 May 2024Abuse: Neglect
09 May 2024Abuse: Neglect
Found that the care plan safety checks were not followed, leading to multiple falls and injuries. A fine was assessed.
Abuse—Failed to follow care plan
11 Apr 2024Inspection
11 Apr 2024Inspection
Found that a staff member confined a resident to bed by wrapping the legs with a sheet, constituting abuse and neglect and violating resident rights.
Licensing—Failed to follow care plan
24 Mar 2024Abuse: Neglect
24 Mar 2024Abuse: Neglect
Investigated an allegation of neglect found that care planning for falls was inadequate, resulting in multiple falls and a hip fracture; a fine was assessed.
Abuse—Failed to properly plan care
20 Mar 2024Abuse: Neglect
20 Mar 2024Abuse: Neglect
Investigated the allegation that care wasn’t properly planned; found three falls occurred without documented fall interventions to prevent them, indicating neglect and abuse.
Abuse—Failed to properly plan care
07 Mar 2024Inspection
07 Mar 2024Inspection
Found that a staff member failed to follow the care plan, resulting in a fall and injuries for a known fall risk resident; identified neglect and abuse.
Licensing—Failed to follow care plan
06 Mar 2024Abuse: Neglect
06 Mar 2024Abuse: Neglect
Investigated an allegation of neglect found the resident did not receive an ordered anti-psychotic medication for about four days, resulting in an emergency department visit and discomfort. Violations of resident rights and neglect of care were identified.
Abuse—Failed to administer medication as ordered
27 Feb 2024Abuse: Neglect
27 Feb 2024Abuse: Neglect
Investigated and found that care plan interventions were not followed, leading to neglect and abuse findings and a fine.
Abuse—Failed to follow care plan
14 Feb 2024Abuse: Neglect
14 Feb 2024Abuse: Neglect
Investigated and found a failure to provide a safe environment that resulted in harm to a resident.
Abuse—Failed to provide safe environment
13 Feb 2024License Condition
13 Feb 2024License Condition
Found a failure to provide a safe environment that put residents at risk. Multiple safety and environmental rules were cited.
Regulatory Action—Failed to provide safe environment
29 Jan 2024Abuse: Neglect
29 Jan 2024Abuse: Neglect
Found that a resident's care plan wasn't followed, resulting in a choking incident and discomfort; a fine was assessed.
Abuse—Failed to follow care plan
13 Jan 2024Abuse: Neglect
13 Jan 2024Abuse: Neglect
Investigated abuse/neglect allegations; found staff failed to follow a temporary service plan, resulting in a resident being forcibly removed and bruised, with a $500 fine assessed.
Abuse—Failed to follow care plan
08 Dec 2023Abuse: Neglect
08 Dec 2023Abuse: Neglect
Investigated and found failure to provide a safe environment, resulting in abuse and neglect with harm to a resident.
Abuse—Failed to provide safe environment
06 Dec 2023Abuse: Neglect
06 Dec 2023Abuse: Neglect
Found neglect and abuse due to failure to properly plan care, which led to a resident fall and wrist injury; a $500 fine was assessed.
Abuse—Failed to properly plan care
30 Nov 2023Abuse: Neglect
30 Nov 2023Abuse: Neglect
Investigated an allegation of neglect related to fall history and found inadequate interventions and care planning, resulting in an unwitnessed fall with head/face injury and pain.
Abuse—Failed to properly plan care
23 Nov 2023Abuse: Neglect
23 Nov 2023Abuse: Neglect
Found a violation for failing to follow the care plan to keep residents separated. The resulting resident-to-resident altercation caused injuries.
Abuse—Failed to follow care plan
22 Nov 2023Abuse: Neglect
22 Nov 2023Abuse: Neglect
Found failure to properly plan care related to a resident's fall history, resulting in an unwitnessed fall and injury; a $450 fine was assessed.
Abuse—Failed to properly plan care
11 Nov 2023Abuse: Neglect
11 Nov 2023Abuse: Neglect
Investigated a complaint and found a failure to provide a safe environment, resulting in harm to a resident; a $500 fine was assessed.
Abuse—Failed to provide safe environment
08 Nov 2023Abuse: Neglect
08 Nov 2023Abuse: Neglect
Identified neglect due to failure to plan care after a resident's fall history, resulting in an unwitnessed fall and a skin tear with pain. A $500 fine was assessed.
Abuse—Failed to properly plan care
31 Aug 2023Abuse: Neglect
31 Aug 2023Abuse: Neglect
Found failure to properly plan care related to fall history, leading to an unwitnessed fall and injury; a fine was assessed.
Abuse—Failed to properly plan care
28 Aug 2023Validation
28 Aug 2023Validation
Identified widespread deficiencies across administrative oversight, resident care, safety, nutrition, activities, and environmental conditions with several risks to residents.
Deficiency—Resident Move-In and Eval: Res Evaluation
Deficiency—Service Plan: General
Deficiency—Change of Condition and Monitoring
Deficiency—Resident Health Services
Deficiency—Res Hlth Srvc: On- and Off-Site Health Srvc
Deficiency—Restraints and Supportive Devices
Deficiency—Staffing Requirements and Training: Staffing
Deficiency—Acuity-Based Staffing Tool
Deficiency—Inspections and Investigation: Insp Interval
Deficiency—Doors, Walls, Elevators, Odors
Deficiency—Call Sys, Exit Dr Alarm, Phones, Tv, Or Cable
Deficiency—Administration Compliance
Deficiency—Compliance With Rules Health Care
Deficiency—Nutrition and Hydration
Deficiency—Activities
Deficiency—Outside Area
Deficiency—Resident Rooms
24 Aug 2023Abuse: Neglect
24 Aug 2023Abuse: Neglect
Found failure to implement interventions and appropriately plan care for the resident's fall history, resulting in an unwitnessed fall with facial injury and unnecessary discomfort, constituting neglect and abuse.
Abuse—Failed to properly plan care
19 Aug 2023Abuse: Neglect
19 Aug 2023Abuse: Neglect
Found neglect and abuse for failing to provide a safe environment, and assessed a $375 fine.
Abuse—Failed to provide safe environment
19 Aug 2023Abuse: Neglect
19 Aug 2023Abuse: Neglect
Found that staff failed to implement interventions and an appropriate care plan for a fall history, leading to an unwitnessed fall with back injury and pain. This resulted in neglect and abuse.
Abuse—Failed to properly plan care
17 Aug 2023Abuse: Neglect
17 Aug 2023Abuse: Neglect
Investigated a fall-related neglect allegation and found failures to plan and implement care interventions for fall risk, resulting in an unwitnessed fall and injury.
Abuse—Failed to properly plan care
17 Aug 2023Abuse: Neglect
17 Aug 2023Abuse: Neglect
Found failures to implement progressive interventions to prevent repeated falls, resulting in injury and harm to a resident. The issues were classified as abuse and neglect.
Abuse—Failed to properly plan care
11 Aug 2023Abuse: Neglect
11 Aug 2023Abuse: Neglect
Investigated and found a failure to provide a safe environment that led to a resident-to-resident altercation and harm.
Abuse—Failed to provide safe environment
01 Aug 2023Abuse: Neglect
01 Aug 2023Abuse: Neglect
Investigated a complaint and found a failure to provide a safe environment, resulting in an injury from a resident-to-resident altercation.
Abuse—Failed to provide safe environment
01 Aug 2023Abuse: Neglect
01 Aug 2023Abuse: Neglect
Identified a failure to provide a safe environment that resulted in an injury, and a $500 fine was assessed.
Abuse—Failed to provide safe environment
25 Jul 2023Abuse: Neglect
25 Jul 2023Abuse: Neglect
Found neglect and abuse due to failure to implement interventions for the resident's fall history, which led to an unwitnessed fall and head injury.
Abuse—Failed to provide safe environment
23 Jul 2023Abuse: Neglect
23 Jul 2023Abuse: Neglect
Found neglect due to failure to implement interventions and plan care after a fall history, resulting in injury and discomfort; a $500 fine was assessed.
Abuse—Failed to properly plan care
22 Jun 2023Abuse: Neglect
22 Jun 2023Abuse: Neglect
Found that care planning for a resident’s known fall history was inadequate, leading to injuries requiring hospital treatment.
Abuse—Failed to properly plan care
11 Jun 2023Abuse: Neglect
11 Jun 2023Abuse: Neglect
Identified neglect and abuse due to failure to provide a safe environment.
Abuse—Failed to provide safe environment
03 May 2023Abuse: Neglect
03 May 2023Abuse: Neglect
Investigated a resident fall-related care planning issue and found deficient interventions and care planning for the resident's fall history, resulting in an unwitnessed fall and injury.
Abuse—Failed to properly plan care
01 May 2023Abuse: Neglect
01 May 2023Abuse: Neglect
Investigated found failure to implement interventions and care planning for a resident's fall history, leading to an unwitnessed fall with head injury and pain.
Abuse—Failed to properly plan care
23 Apr 2023Abuse: Neglect
23 Apr 2023Abuse: Neglect
Investigated a complaint and found neglect due to failure to plan care for a resident's fall history, resulting in an unwitnessed fall and injury.
Abuse—Failed to properly plan care
04 Apr 2023Abuse: Neglect
04 Apr 2023Abuse: Neglect
Found a substantiated neglect and abuse allegation due to failing to provide a safe environment. A $375 fine was assessed.
Abuse—Failed to provide safe environment
02 Apr 2023Abuse: Neglect
02 Apr 2023Abuse: Neglect
Found failure to provide a safe environment, resulting in a resident being hit and experiencing pain during a resident-to-resident altercation.
Abuse—Failed to provide safe environment
23 Mar 2023License Condition
23 Mar 2023License Condition
Investigated an allegation that ABST was not used; found failure to fully implement and update ABST as required.
Regulatory Action—Failed to use an ABST
07 Feb 2023Complaint
07 Feb 2023Complaint
Identified deficiencies related to acuity-based staffing that could affect resident care.
Deficiency—Licensing Complaint Investigation
Deficiency—Acuity-Based Staffing Tool
05 Jan 2023Abuse: Neglect
05 Jan 2023Abuse: Neglect
Found a failure to provide a safe environment, resulting in harm and constituting abuse and neglect.
Abuse—Failed to provide safe environment
06 Dec 2022Licensure
06 Dec 2022Licensure
Identified deficiencies in kitchen sanitation and administration during the initial review. Determined substantial compliance on follow-up.
Investigated a physical abuse protection allegation; sustained against AP2, while the related organization-level claim had no finding.
Licensing—Failed to protect resident from physical abuse
27 Nov 2022Inspection
27 Nov 2022Inspection
Investigated an allegation of abuse and determined that a staff member used improper lifting techniques, causing arm pain to a resident, and that protections against abuse were not maintained.
Licensing—Failed to protect resident from physical abuse
13 Nov 2022Abuse: Neglect
13 Nov 2022Abuse: Neglect
Found a failure to provide a safe environment resulting in a resident injury from a resident-to-resident incident, with a fine assessed.
Abuse—Failed to provide safe environment
13 Nov 2022Abuse: Neglect
13 Nov 2022Abuse: Neglect
Investigated an allegation of failing to provide a safe environment; found that two residents had a physical altercation due to unsafe conditions, constituting abuse and neglect.
Abuse—Failed to provide safe environment
05 Nov 2022Abuse: Neglect
05 Nov 2022Abuse: Neglect
Found deficiencies in care planning and interventions related to a resident's fall history, leading to a fall with injury and discomfort.
Abuse—Failed to properly plan care
05 Nov 2022Abuse: Neglect
05 Nov 2022Abuse: Neglect
Found a failure to provide a safe environment that resulted in a resident's fall requiring hospital treatment; a $750 fine was assessed.
Abuse—Failed to provide safe environment
02 Oct 2022Abuse: Neglect
02 Oct 2022Abuse: Neglect
Investigated and found a failure to implement interventions and an appropriate care plan for a resident's fall history, resulting in pain and discomfort; a $500 fine was assessed.
Abuse—Failed to properly plan care
30 Sept 2022Abuse: Neglect
30 Sept 2022Abuse: Neglect
Found failure to implement interventions and appropriately plan care for a resident's fall history, resulting in injury and discomfort. This substantiated finding noted neglect and abuse.
Abuse—Failed to properly plan care
29 Sept 2022Abuse: Neglect
29 Sept 2022Abuse: Neglect
Investigated an allegation of abuse and neglect related to a failure to provide a safe environment; found a violation and assessed a $375 fine.
Abuse—Failed to provide safe environment
28 Sept 2022Inspection
28 Sept 2022Inspection
Found violations related to unsafe medication administration and resident rights, including a miscount of controlled medications and neglect with potential financial abuse.
Licensing—Failed to provide a safe medication administration system
27 Sept 2022Abuse: Neglect
27 Sept 2022Abuse: Neglect
Found deficiencies in fall-related care planning and interventions, resulting in an unwitnessed fall with head injury and neglect. A $450 fine was assessed.
Abuse—Failed to properly plan care
11 Sept 2022Abuse: Neglect
11 Sept 2022Abuse: Neglect
Found that a safe environment was not provided, constituting abuse and neglect; a $375 fine was assessed.
Abuse—Failed to provide safe environment
03 Aug 2022Abuse: Neglect
03 Aug 2022Abuse: Neglect
Determined that a safe environment was not provided for a resident, constituting abuse and neglect. A fine was assessed.
Abuse—Failed to provide safe environment
03 Aug 2022Abuse: Neglect
03 Aug 2022Abuse: Neglect
Investigated a complaint and found the provider failed to ensure a safe environment for a resident. This constituted neglect and abuse.
Abuse—Failed to provide safe environment
27 Jun 2022Abuse: Neglect
27 Jun 2022Abuse: Neglect
Found a failure to provide a safe environment resulting in a resident-to-resident altercation; a $500 fine was assessed.
Abuse—Failed to provide safe environment
26 Jun 2022Abuse: Neglect
26 Jun 2022Abuse: Neglect
Found failure to provide a safe environment, constituting neglect and abuse. The finding notes a history of resident-to-resident altercations and risk to residents.
Abuse—Failed to provide safe environment
09 May 2022Abuse: Neglect
09 May 2022Abuse: Neglect
Found violations for the provider failing to provide a safe environment; a $375 fine was assessed.
Abuse—Failed to provide safe environment
02 May 2022Abuse: Neglect
02 May 2022Abuse: Neglect
Investigated a complaint about safety and resident harm; found a failure to provide a safe environment that led to a resident fracture after a resident-to-resident incident.
Abuse—Failed to provide safe environment
19 Apr 2022Abuse: Neglect
19 Apr 2022Abuse: Neglect
Determined that fall-intervention care planning was inadequate, leading to repeated injuries. A $500 fine was assessed.
Abuse—Failed to properly plan care
10 Apr 2022Abuse: Neglect
10 Apr 2022Abuse: Neglect
Found failure to provide a safe environment, leading to a resident fall with potential serious harm and classed as neglect and abuse.
Abuse—Failed to provide safe environment
26 Feb 2022Abuse: Neglect
26 Feb 2022Abuse: Neglect
Investigated a fall-history care-planning failure that caused injuries and discomfort; a fine was assessed.
Abuse—Failed to properly plan care
04 Feb 2022Abuse: Neglect
04 Feb 2022Abuse: Neglect
Found that care planning for a resident’s falls history was inadequate, leading to multiple falls with injury.
Abuse—Failed to properly plan care
02 Feb 2022Abuse: Neglect
02 Feb 2022Abuse: Neglect
Found neglect due to inadequate care planning for a resident with elopement history, resulting in injury after leaving the secured area.
Abuse—Failed to properly plan care
12 Dec 2021Abuse: Neglect
12 Dec 2021Abuse: Neglect
Investigated an allegation of neglect related to a resident's fall history and found failures to plan and implement appropriate interventions, resulting in injury and discomfort; a $250 fine was assessed.
Abuse—Failed to properly plan care
02 Oct 2021Abuse: Neglect
02 Oct 2021Abuse: Neglect
Investigated and found a failure to provide a safe environment, constituting abuse and neglect.
Abuse—Failed to provide safe environment
02 Sept 2021Abuse: Neglect
02 Sept 2021Abuse: Neglect
Determined neglect and abuse for failing to intervene when a resident's condition changed, resulting in hospital transport.
Abuse—Failed to intervene when resident's condition changed
11 Aug 2021Abuse: Neglect
11 Aug 2021Abuse: Neglect
Investigated a complaint about safety and care planning. Found failures to provide a safe environment and to appropriately care plan for a resident who eloped and sustained injuries, constituting abuse and neglect.
Abuse—Failed to provide safe environment
09 May 2021Abuse: Neglect
09 May 2021Abuse: Neglect
Investigated the allegation and found failure to follow the care plan led to a fall and hip fracture. A $2,500 fine was assessed for neglect and abuse.
Abuse—Failed to follow care plan
16 Apr 2021Abuse: Neglect
16 Apr 2021Abuse: Neglect
Found a failure to follow a resident's care plan that caused a fall and discomfort, constituting neglect and abuse.
Abuse—Failed to follow care plan
08 Jan 2021Inspection
08 Jan 2021Inspection
Found a deficiency in the medication administration system that placed a resident at risk of harm.
Licensing—Failed to provide a safe medication administration system
31 Dec 2020Abuse: Neglect
31 Dec 2020Abuse: Neglect
Identified neglect and abuse due to failure to implement interventions and care planning, leading to a physical altercation and a fine.
Abuse—Failed to provide safe environment
31 Dec 2020Abuse: Neglect
31 Dec 2020Abuse: Neglect
Identified a failure to provide a safe environment that led to a resident altercation and discomfort, indicating neglect and abuse. A $338 fine was assessed.
Abuse—Failed to provide safe environment
28 Dec 2020Abuse: Neglect
28 Dec 2020Abuse: Neglect
Found that a failure to provide a safe environment led to a physical altercation and harm, constituting abuse and neglect; a $338.00 fine was assessed.
Abuse—Failed to provide safe environment
29 Nov 2020Abuse: Neglect
29 Nov 2020Abuse: Neglect
Found neglect and abuse from failing to follow the care plan, which led to an injury; a $338 fine was assessed.
Abuse—Failed to properly plan care
21 Nov 2020Abuse: Neglect
21 Nov 2020Abuse: Neglect
Identified failures to implement interventions and follow the care plan, resulting in an unwitnessed fall with injury. This was classified as abuse and neglect.
Abuse—Failed to follow care plan
05 Oct 2020Abuse: Neglect
05 Oct 2020Abuse: Neglect
Investigated allegations found failure to implement interventions and follow the resident’s care plan, leading to a fall and hospital admission with a cervical fracture. A fine was assessed.
Abuse—Failed to follow care plan
27 Sept 2020Abuse: Neglect
27 Sept 2020Abuse: Neglect
Identified failure to provide appropriate supervision that allowed an elopement and risk of serious harm.
Abuse—Failed to provide safe environment
18 Sept 2020Inspection
18 Sept 2020Inspection
Found violations involving failure to follow the resident's care plan to prevent falls, leading to an unwitnessed fall and risk of harm.
Licensing—Failed to assure resident was safe
14 Sept 2020Abuse: Neglect
14 Sept 2020Abuse: Neglect
Found failure to follow the fall-prevention care plan, resulting in a resident fall and head injury.
Abuse—Failed to follow care plan
19 Jul 2020Inspection
19 Jul 2020Inspection
Investigated and found that a door alarm or call system was not maintained, which could threaten residents' health and safety.
Licensing—Failed to maintain functional door alarm or call system
25 May 2020Inspection
25 May 2020Inspection
Determined that a staff member used profanity toward a resident and the facility failed to protect the resident from verbal abuse.
Licensing—Failed to protect resident from verbal abuse
23 May 2020Abuse: Neglect
23 May 2020Abuse: Neglect
Found neglect of care resulting in serious harm due to delays in medical treatment after a fall. A $2,500 fine was assessed.
Abuse—Failed to assure timely medical treatment
16 May 2020Abuse: Neglect
16 May 2020Abuse: Neglect
Investigated the allegation and concluded neglect occurred, resulting in an unwitnessed altercation and injury.
Abuse—Failed to provide safe environment
12 May 2020Abuse: Neglect
12 May 2020Abuse: Neglect
Investigated an allegation of abuse and neglect and found failures to monitor a resident according to known behaviors, leading to an altercation and neglect. A $375 fine was assessed.
Abuse—Failed to provide safe environment
26 Apr 2020Abuse: Neglect
26 Apr 2020Abuse: Neglect
Investigated an allegation of abuse/neglect and found failure to monitor per care plans led to a physical altercation and unreasonable discomfort.
Abuse—Failed to provide safe environment
01 Apr 2020Abuse: Neglect
01 Apr 2020Abuse: Neglect
Investigated a complaint and found neglect and abuse due to failing to keep a resident in line of sight, leading to an unwitnessed altercation and injury; a $375 fine was assessed.
Abuse—Failed to provide safe environment
17 Mar 2020Abuse: Neglect
17 Mar 2020Abuse: Neglect
Found that inadequate care planning around a fall history led to an unwitnessed fall and a wrist fracture, constituting neglect and abuse.
Abuse—Failed to properly plan care
05 Mar 2020Abuse: Neglect
05 Mar 2020Abuse: Neglect
Found that one-on-one care per the care plan was not provided, resulting in an altercation and injury to a resident; a fine was assessed.
Abuse—Failed to follow care plan
30 Jan 2020Abuse: Neglect
30 Jan 2020Abuse: Neglect
Investigated allegation of neglect and abuse due to failure to plan care, resulting in an unwitnessed fall and discomfort.
Abuse—Failed to properly plan care
26 Jan 2020Abuse: Neglect
26 Jan 2020Abuse: Neglect
Investigated the allegation of neglect and abuse; found failure to follow the care plan led to a physical altercation and violation of resident rights.
Abuse—Failed to provide safe environment
06 Jan 2020Abuse: Neglect
06 Jan 2020Abuse: Neglect
Found that failure to follow the care plan led to multiple falls and discomfort, constituting neglect and abuse; a $338 fine was assessed.
Abuse—Failed to properly plan care
06 Jan 2020Inspection
06 Jan 2020Inspection
Investigated the allegation of a failure to provide a safe environment and found substantiated that substantial compliance was not maintained.
Licensing—Failed to provide safe environment
18 Sept 2019Abuse: Neglect
18 Sept 2019Abuse: Neglect
Found a failure to provide a safe environment that resulted in abuse and neglect, including an altercation and resident discomfort; a fine was assessed.
Abuse—Failed to provide safe environment
22 Aug 2019Abuse: Neglect
22 Aug 2019Abuse: Neglect
Investigated a complaint and found neglect of basic care and supervision resulting in harm to a resident; a $375 fine was assessed.
Abuse—Failed to provide safe environment
19 Jul 2019Abuse: Neglect
19 Jul 2019Abuse: Neglect
Investigated an abuse/neglect allegation and found neglect, resulting in bruising to a resident due to failure to provide basic care; a fine was assessed.
Abuse—Failed to provide safe environment
15 Jun 2019Abuse: Neglect
15 Jun 2019Abuse: Neglect
Investigated the allegation of neglect and found a failure to provide a safe environment resulting in injury.
Abuse—Failed to provide safe environment
14 Jun 2019Abuse: Neglect
14 Jun 2019Abuse: Neglect
Investigated a complaint found neglect and abuse due to inadequate care planning, resulting in an injury; a fine was assessed.
Abuse—Failed to provide safe environment
03 Jun 2019Abuse: Neglect
03 Jun 2019Abuse: Neglect
Identified neglect due to inadequate supervision, resulting in a resident being grabbed, shaken, pushed against a wall, and kicked.
Abuse—Failed to provide safe environment
26 May 2019Abuse: Neglect
26 May 2019Abuse: Neglect
Investigated and found neglect due to failure to provide basic care and supervision, resulting in a resident’s fall and injury.
Abuse—Failed to follow care plan
16 May 2019Abuse: Neglect
16 May 2019Abuse: Neglect
Investigated the neglect allegation and concluded basic care and supervision were not provided, resulting in harm to a resident; a $375 fine was assessed.
Abuse—Failed to provide safe environment
13 May 2019Abuse: Neglect
13 May 2019Abuse: Neglect
Found neglect due to failure to provide basic care, resulting in a resident falling and sustaining injuries.
Abuse—Failed to adequately care plan related to falls
13 May 2019Inspection
13 May 2019Inspection
Concluded that a report of potential or suspected abuse was not reported as required and assessed a fine.
Licensing—Failed to report potential or suspected abuse
16 Apr 2019Inspection
16 Apr 2019Inspection
Found courtyard doors were kept locked during daytime, contrary to the applicable rule.
Licensing—Failed to provide a homelike environment
16 Apr 2019Inspection
16 Apr 2019Inspection
Investigated and found a privacy violation where residents' information was exposed in a common area.
Licensing—Failed to assure resident rights
16 Apr 2019Inspection
16 Apr 2019Inspection
Found staffing was inadequate to meet 24-hour care needs and no system existed to respond to those needs.
Licensing—Failed to provide appropriate staffing
16 Apr 2019Inspection
16 Apr 2019Inspection
Found deficiencies in medication administration oversight and orders not carried out as prescribed due to staffing issues.
Licensing—Failed to administer medication as ordered
23 Jan 2019Abuse: Neglect
23 Jan 2019Abuse: Neglect
Investigated a neglect allegation and found failure to supervise for safety that led to an incident where one resident hit another.
Abuse—Failed to provide safe environment
11 Dec 2018Inspection
11 Dec 2018Inspection
Identified a minor licensing violation for failing to address a resident's behavior, with a $500 fine assessed.
Licensing—Failed to address resident's behavior
24 Nov 2018Abuse: Neglect
24 Nov 2018Abuse: Neglect
Investigated and found neglect due to inadequate supervision that resulted in harm to a resident.
Abuse—Failed to provide safe environment
30 Oct 2018Inspection
30 Oct 2018Inspection
Found neglect of resident safety, creating risk of serious harm; a fine was assessed.
Licensing—Failed to address resident's behavior
28 May 2018Abuse: Neglect
28 May 2018Abuse: Neglect
Investigated an abuse/neglect allegation and substantiated that a safe environment was not provided, resulting in an assault.
Abuse—Failed to address resident's behavior
29 Apr 2018Inspection
29 Apr 2018Inspection
Found a failure to prevent a resident-to-resident altercation, resulting in a resident pushing another and a fall. A $500 fine was assessed.
Licensing—Failed to follow care plan
13 Apr 2018Inspection
13 Apr 2018Inspection
Investigated and found a deficiency in care that failed to provide a safe environment, resulting in residents hitting each other.
Licensing—Failed to provide safe environment
24 Feb 2018Inspection
24 Feb 2018Inspection
Investigated the allegation of an unsafe environment and found a deficiency in resident safety that contributed to an incident between residents.
Licensing—Failed to provide safe environment
23 Feb 2018Inspection
23 Feb 2018Inspection
Investigated and substantiated a care deficiency involving failure to assess and intervene on residents' needs, which led to a physical altercation between residents.
Licensing—Failed to intervene when resident's condition changed
04 Feb 2018Inspection
04 Feb 2018Inspection
Determined that the care plan was not followed, resulting in two residents leaving unattended.
Licensing—Failed to follow care plan
09 Oct 2017Inspection
09 Oct 2017Inspection
Investigated an allegation of failing to follow the care plan; found that residents were not kept safe from an altercation, resulting in one resident striking another with a butter knife.
Licensing—Failed to follow care plan
30 Sept 2017Inspection
30 Sept 2017Inspection
Investigated and found that care needs were not assessed or intervened, resulting in a resident slapping another.
Licensing—Failed to follow care plan
11 Aug 2017Inspection
11 Aug 2017Inspection
Investigated and found a safety deficiency that allowed a resident to elope from the site and walk several blocks.
Licensing—Failed to provide safe environment
11 May 2017Inspection
11 May 2017Inspection
Determined that a safety deficiency existed due to failure to assess and intervene on a resident's dining room care needs.
Licensing—Failed to provide safe environment
28 Feb 2017Abuse: Neglect
28 Feb 2017Abuse: Neglect
Investigated an allegation of failure to provide a safe environment and found that a resident eloped, fell, and sustained a head injury due to safety lapses.
Abuse—Failed to provide safe environment
17 Dec 2016Abuse: Neglect
17 Dec 2016Abuse: Neglect
Investigated a fall-related care planning allegation and found inadequate protection leading to hospitalization.
Abuse—Failed to adequately care plan related to falls
15 Dec 2016Inspection
15 Dec 2016Inspection
Investigated and identified a deficiency in protecting a resident from inappropriate verbal comments.
Licensing—Failed to provide safe environment
31 Oct 2015Abuse: Neglect
31 Oct 2015Abuse: Neglect
Found substantiated abuse/neglect alleging failure to provide a safe environment due to inadequate assessment and intervention.
Abuse—Failed to provide safe environment
23 Oct 2015Inspection
23 Oct 2015Inspection
Investigated and found a failure to protect a resident from physical harm.
Licensing—Failed to protect resident from rough treatment
03 Jul 2015Abuse: Neglect
03 Jul 2015Abuse: Neglect
Found a failure to provide a safe environment.
Abuse—Failed to provide safe environment
10 Oct 2014Abuse: Neglect
10 Oct 2014Abuse: Neglect
Found a failure to ensure proper hydration. This resulted in a substantiated abuse/neglect finding.
Abuse—Failed to assure proper hydration
01 Oct 2014Abuse: Neglect
01 Oct 2014Abuse: Neglect
Found that proper care was not provided; multiple regulatory violations were cited. A $300 fine was assessed.
Abuse—Failed to provide service
19 Sept 2014Abuse: Neglect
19 Sept 2014Abuse: Neglect
Found a failure to provide a safe environment. A $300 fine was assessed.
Abuse—Failed to provide safe environment
19 Sept 2014Abuse: Neglect
19 Sept 2014Abuse: Neglect
Investigated a neglect allegation and found failure to assess and intervene.
Abuse—Failed to properly plan care
04 Sept 2014Abuse: Neglect
04 Sept 2014Abuse: Neglect
Found a failure to protect residents from sexually inappropriate activity.
Abuse—Failed to protect resident from inappropriate sexual contact
30 Jun 2014Abuse: Neglect
30 Jun 2014Abuse: Neglect
Investigated the allegation of inadequate skin care and found a failure to assess and intervene.
Abuse—Failed to provide appropriate skin care
07 Jun 2014Inspection
07 Jun 2014Inspection
Investigated a records-related complaint and identified deficiencies in care planning and provision to meet needs.
Licensing—Failed to properly plan care
10 Jan 2014Abuse: Financial abuse
10 Jan 2014Abuse: Financial abuse
Investigated and determined that residents' resources were misappropriated for another's gain.
Abuse—Failed to protect resident from financial exploitation
28 Aug 2013Inspection
28 Aug 2013Inspection
Identified deficiencies in care due to inadequate pain control.
Licensing—Failed to provide appropriate pain control
11 Dec 2012Inspection
11 Dec 2012Inspection
Investigated an allegation of not following the care plan and identified a failure to provide a safe environment.
Licensing—Failed to follow care plan
28 Nov 2012Inspection
28 Nov 2012Inspection
Found residents' safety not adequately addressed, with violations substantiated.
Licensing—Failed to address resident's behavior
26 Nov 2012Abuse: Financial abuse
26 Nov 2012Abuse: Financial abuse
Found that a secure environment was not provided for RVs.
Abuse—Failed to provide safe environment
01 Nov 2012Abuse: Financial abuse
01 Nov 2012Abuse: Financial abuse
Found that RV did not receive a safe environment.
Abuse—Failed to provide safe environment
25 Oct 2012Inspection
25 Oct 2012Inspection
Investigated and identified a safety deficiency related to failing to provide a safe environment.
Licensing—Failed to address resident's behavior
23 Oct 2012Inspection
23 Oct 2012Inspection
Identified a deficiency for failing to provide a safe environment for RVs.
Licensing—Failed to address resident's behavior
14 Sept 2012Abuse: Neglect
14 Sept 2012Abuse: Neglect
Investigated the neglect allegation and found a safety deficiency due to failure to provide a safe environment.
Abuse—Failed to address resident's behavior
29 Aug 2012Abuse: Neglect
29 Aug 2012Abuse: Neglect
Investigated an allegation of neglect and found a failure to provide a safe environment.
Abuse—Failed to provide safe environment
28 Aug 2012Abuse: Neglect
28 Aug 2012Abuse: Neglect
Investigated an allegation of neglect and identified a failure to oversee and monitor changes in condition.
Abuse—Failed to provide oversight and monitoring of change of condition
01 Aug 2012Inspection
01 Aug 2012Inspection
Found that the program failed to address resident behavior and protect RVs.
Licensing—Failed to address resident's behavior
21 Jul 2012Abuse: Neglect
21 Jul 2012Abuse: Neglect
Found that a safe environment was not maintained.
Abuse—Failed to address resident's behavior
21 Jul 2012Inspection
21 Jul 2012Inspection
Investigated an allegation of failure to report potential or suspected abuse and found that incidents between residents were not reported to the appropriate authorities.
Licensing—Failed to report potential or suspected abuse
21 Jun 2012Inspection
21 Jun 2012Inspection
Determined that a safe environment was not provided. The finding indicated a licensing violation with potential for moderate harm.
Licensing—Failed to provide safe environment
01 May 2012Inspection
01 May 2012Inspection
Found failure to provide a safe environment and proper care, with potential for minor to moderate harm.
Licensing—Failed to provide safe environment
01 May 2012Inspection
01 May 2012Inspection
Investigated an allegation of failing to administer medication as ordered and found improper medication management.
Licensing—Failed to administer medication as ordered
01 May 2012Inspection
01 May 2012Inspection
Found a deficiency in providing a secure environment that was substantiated.
Licensing—Failed to provide safe environment
10 Apr 2012Inspection
10 Apr 2012Inspection
Found a failure to provide a safe environment for residents.
Licensing—Failed to provide safe environment
08 Apr 2012Inspection
08 Apr 2012Inspection
Investigated an allegation that the resident's behavior was not addressed and found a safety deficiency in keeping the resident safe.
Licensing—Failed to address resident's behavior
29 Nov 2011Abuse: Neglect
29 Nov 2011Abuse: Neglect
Identified improper care for residents' wounds after a fall.
Abuse—Failed to perform adequate screening or assessment
22 Sept 2011Abuse: Neglect
22 Sept 2011Abuse: Neglect
Investigated the neglect allegation and substantiated it due to failure to follow the care plan, resulting in inadequate care for a resident.
Abuse—Failed to follow care plan
13 Apr 2011Inspection
13 Apr 2011Inspection
Found a failure to provide a safe environment.
Licensing—Failed to provide safe environment
20 Dec 2010Abuse: Neglect
20 Dec 2010Abuse: Neglect
Found failure to provide a safe environment.
Abuse—Failed to provide safe environment
02 Dec 2010Abuse: Neglect
02 Dec 2010Abuse: Neglect
Investigated a neglect allegation and found a failure to provide proper care and ensure safety for a resident.
Abuse—Failed to assure resident was safe
12 Sept 2010Abuse: Neglect
12 Sept 2010Abuse: Neglect
Investigated an abuse/neglect allegation and found a failure to provide a safe environment.
Abuse—Failed to follow care plan
12 Aug 2010Inspection
12 Aug 2010Inspection
Found that a resident did not receive care per the care plan.
Licensing—Failed to follow care plan
10 Aug 2010Inspection
10 Aug 2010Inspection
Found an inadequate medication system.
Licensing—Failed to administer medication as ordered
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