CONTACT INFORMATION REVIEWS & MORE DATA

Brighton Rehabilitation and Wellness Center

  • Date Updated:  January 01, 2025
  • CMS Overall 5-Star Rating:  
  • Address:  246 FRIENDSHIP CIRCLE
    BEAVER PA 15009 Map
  • Phone:  724-775-7100
  • Website:   N/A
  • Medicare Provider Number:  395015
  • Participating in Medicare Since:  January 01, 1978
  • No. of Certified Beds:  589
  • No. of Residents:   N/A
  • Occupancy:   N/A
  • Amount Fined:  $138,981.85
  • Complaints Filed:   50
  • Accepts:  Medicare and Medicaid

  About Brighton Rehabilitation and Wellness Center

Brighton Rehabilitation And Wellness Center, located in BEAVER, PA, is a for-profit organization that accepts Medicare and Medicaid. It is not part of a continuing care retirement community. It is not located in a hospital. Brighton Rehabilitation And Wellness Center offers a range of services including skilled nursing, long-term care, short-term rehabilitation, and specialized memory care. The center is equipped with modern amenities and a supportive environment designed to enhance the quality of life for its residents. With a focus on personalized care plans and community engagement.

  • Brighton Rehabilitation and Wellness Center is ranked #6 out of 6 facilities within a 10 mile radius and #90 out of 90 facilities within a 25 mile radius. See Ranking Report
  • Review Specific City Measures
  • CMS 5-Star Overall Rating is (1 out of 5):
  • Current Trend:   Worsening
  • Total Nursing Hours Spent Per Resident Per Day: 3.30
    (The national average is 3.85 )
  • The percentage of short-stay residents who were re-hospitalized after a nursing home admission is 16.62% .
  •    CMS has identified this facility as either having actual cases of abuse or has decided that abuse is possible.
  • >

  Brighton Rehabilitation and Wellness Center Owner & Operator Information

Business Entity Name:

COMPREHENSIVE HEALTHCARE MANAGEMENT SERVICES LLC

Owners:

Managers and Directors:

  Brighton Rehabilitation and Wellness Center Ratings and Inspection Scores

Centers for Medicare and Medicaid (CMS) regularly inspects every skilled nursing facility. The results of the multi-day inspection is a series of star ratings. The health inspection scores are an absolute value, so you can compare one facility's score directly to another.

Ratings

Overall Rating 1:
Health Inspection Rating 1:
Quality Rating 1:
Staffing Rating 3:

Inspection Scores

Cycle 1 Score (as of March 13, 2024) 1541
Cycle 2 Score (as of March 31, 2023) 128
Cycle 3 Score (as of March 25, 2022) 20
Weighted All Cycles Score 817

  Complaints by Residents

This table shows complaints filed by residents in Brighton Rehabilitation and Wellness Center:

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. 11/22/2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. 11/22/2024
Provide and implement an infection prevention and control program. 11/22/2024
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. 10/25/2024
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. 10/25/2024
Develop and implement policies and procedures to prevent abuse, neglect, and theft. 10/25/2024
Provide and implement an infection prevention and control program. 10/25/2024
Provide care and assistance to perform activities of daily living for any resident who is unable. 10/08/2024
Allow residents to self-administer drugs if determined clinically appropriate. 09/20/2024
Let each resident or the resident's legal representative access or purchase copies of all the resident's records. 09/20/2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. 09/20/2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. 09/20/2024
Ensure that residents are fully informed and understand their health status, care and treatments. 08/08/2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 08/08/2024
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. 08/08/2024
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. 08/08/2024
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. 08/08/2024
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. 08/02/2024
Ensure that residents are free from significant medication errors. 08/02/2024
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. 08/02/2024
Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. 08/02/2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. 08/02/2024
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. 08/02/2024
Provide a neutral and fair arbitration process and agree to arbitrator and venue. 08/02/2024
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. 06/25/2024
Keep residents' personal and medical records private and confidential. 05/08/2024
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. 05/08/2024
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. 05/08/2024
Provide and implement an infection prevention and control program. 05/08/2024
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. 12/27/2023
Provide activities to meet all resident's needs. 12/27/2023
Ensure the activities program is directed by a qualified professional. 12/27/2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. 12/27/2023
Keep all essential equipment working safely. 12/27/2023
Make sure that a working call system is available in each resident's bathroom and bathing area. 12/27/2023
Allow residents to self-administer drugs if determined clinically appropriate. 11/15/2023
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. 11/15/2023
Provide care and assistance to perform activities of daily living for any resident who is unable. 11/15/2023
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. 11/15/2023
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. 11/15/2023
Plan the resident's discharge to meet the resident's goals and needs. 09/27/2023
Provide appropriate treatment and care according to orders, resident?s preferences and goals. 09/27/2023
Assist a resident in gaining access to vision and hearing services. 09/27/2023
Provide and implement an infection prevention and control program. 09/25/2023
Report COVID19 data to residents and families. 09/25/2023
Develop and maintain an Emergency Preparedness Program (EP). 09/25/2023
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. 05/24/2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing. 05/24/2023
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. 02/22/2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 11/02/2022

  Nursing Hours Spent Per Patient

CMS provides detailed information about how long nursing staff spends with residents. This data includes nursing subcategories of Registered Nurse, Licensed Practical Nurse, and non-nursing Certified Nursing Assistants. More hours spend per patient should can indicate a better facility or it could indicate more complicated situations.

The nursing staff of Brighton Rehabilitation and Wellness Center spends LESS time on average with its residents than the state average and LESS time than the national average for total nursing hours spent per resident.

Type Facility State / National Avg
Registered Nurse (RN)
Hours 0.63 0.78 / 0.67
Case Mix 0.57 0.63 / 0.66
Adjusted 0.74 NA / NA
Licensed Practical Nurse (LPN)
Hours 0.60 0.92 / 0.87
Case Mix 0.74 NA / NA
Adjusted 0.70 NA / NA
Certified Nursing Assistants (CNA)
Hours 2.07 2.16 / 2.31
Case Mix 1.98 NA / NA
Adjusted 2.40 NA / NA
Total Licensed Staff
Hours 1.24 1.69 / 1.53
Physical Therapist (PT)
Hours 0.02 0.09 / 0.07
Total Nursing Hours Spent per Resident on Average
Hours 3.30 3.86 / 3.85
Case Mix 3.29 3.66 / 3.83
Adjusted 3.84 NA / NA

  Quality Measures

Quality measures are based both on patient survey information and on the results of actual claims that are filed with CMS. It is not clear what period is covered in the measures.

Desc. Perc./ State Avg. / Comparison
Percentage of short-stay residents who were rehospitalized after a nursing home admission (qm521)
This measure is considered when computing the 5-Star Overall Rating
16.6% / 23.5%
Better
Percentage of short-stay residents who had an outpatient emergency department visit (qm522)
This measure is considered when computing the 5-Star Overall Rating
17.2% / 10.7%
Worse
Number of hospitalizations per 1000 long-stay resident days (qm551)
This measure is considered when computing the 5-Star Overall Rating
1.5% / 1.6%
Better
Number of outpatient emergency department visits per 1000 long-stay resident days (qm552)
This measure is considered when computing the 5-Star Overall Rating
1.7% / 1.2%
Worse
Percentage of long-stay residents whose need for help with daily activities has increased (qm401) 19.7% / 21.6%
Better
Percentage of long-stay residents who lose too much weight (qm404) 4.8% / 6.6%
Better
Percentage of long-stay residents with a catheter inserted and left in their bladder (qm406) 1.0% / 1.4%
Better
Percentage of long-stay residents with a urinary tract infection (qm407) 1.2% / 1.9%
Better
Percentage of long-stay residents who have depressive symptoms (qm408) 5.6% / 4.1%
Worse
Percentage of long-stay residents who were physically restrained (qm409) 0.0% / 0.2%
Better
Percentage of long-stay residents experiencing one or more falls with major injury (qm410) 2.2% / 3.3%
Better
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (qm415) 63.6% / 87.3%
Worse
Percentage of long-stay residents who received an antipsychotic medication (qm419) Not Available
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (qm430) 47.3% / 69.6%
Worse
Percentage of short-stay residents who newly received an antipsychotic medication (qm434) 2.8% / 1.5%
Worse
Percentage of long-stay residents whose ability to walk independently worsened (qm451) 22.2% / NA
Percentage of long-stay residents who received an antianxiety or hypnotic medication (qm452) 18.5% / 19.7%
Better
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (qm454) 87.4% / 93.5%
Worse
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (qm472) 42.5% / 69.9%
Worse
Percentage of long-stay residents with pressure ulcers (qm479) 5.5% / NA
Percentage of long-stay residents with new or worsened bowel or bladder incontinence (qm480) 28.6% / NA

  Hospitals Near Brighton Rehabilitation and Wellness Center

Quite often skilled nursing facilities and hospitals work closely together to help patients recover or manage a terminal illness. Hospitals deals with acute care while nursing homes treat patients for a longer period of time. New residents at skilled nursing homes typically come from a hospital and nursing home residents may be readmitted to a hospital if their recovery does not proceed well. (Hospital readmission rates are closely monitored by CMS.) Consequently it is important that you consider which hospitals are near a nursing home which choosing one. Below is a list of hospitals near Brighton Rehabilitation and Wellness Center.

Brighton Rehabilitation and Wellness Center is near several hospitals, each with its own rating based on overall performance:

Hospital 5-Star Overall Rating
VA PITTSBURGH HEALTHCARE SYSTEM - UNIV DR
UNIVERSITY DRIVE
PITTSBURGH, PA 15240
1
BUTLER MEMORIAL HOSPITAL
ONE HOSPITAL WAY
BUTLER, PA 16001
2
TRINITY MEDICAL CTR EAST &TRINITY MEDICAL CTR WEST
380 SUMMIT AVENUE
STEUBENVILLE, OH 43952
2
HERITAGE VALLEY KENNEDY
25 HECKEL ROAD
MCKEES ROCKS, PA 15136
2
WEIRTON MEDICAL CENTER, INC
601 COLLIERS WAY
WEIRTON, WV 26062
2
ALLEGHENY GENERAL HOSPITAL
320 EAST NORTH AVENUE
PITTSBURGH, PA 15212
3
WEST PENN HOSPITAL
4800 FRIENDSHIP AVENUE
PITTSBURGH, PA 15224
3
MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM
300 HALKET STREET
PITTSBURGH, PA 15213
3
UPMC MERCY
1400 LOCUST STREET
PITTSBURGH, PA 15219
3
HMHP ST ELIZABETH BOARDMAN HEALTH CENTER
8401 MARKET STREET
BOARDMAN, OH 44512
3
UPMC JAMESON
1211 WILMINGTON AVENUE
NEW CASTLE, PA 16105
3
HERITAGE VALLEY BEAVER
1000 DUTCH RIDGE ROAD
BEAVER, PA 15009
3
HERITAGE VALLEY SEWICKLEY
720 BLACKBURN ROAD
SEWICKLEY, PA 15143
4
UPMC PRESBYTERIAN SHADYSIDE
200 LOTHROP STREET
PITTSBURGH, PA 15213
4
ST CLAIR HOSPITAL
1000 BOWER HILL ROAD
PITTSBURGH, PA 15243
4
UPMC ST MARGARET
815 FREEPORT ROAD
PITTSBURGH, PA 15215
4
UPMC PASSAVANT
9100 BABCOCK BOULEVARD
PITTSBURGH, PA 15237
4
EAST LIVERPOOL CITY HOSPITAL
425 WEST 5TH STREET
EAST LIVERPOOL, OH 43920
5
SURGICAL HOSPITAL AT SOUTHWOODS
7630 SOUTHERN BLVD
YOUNGSTOWN, OH 44512
5
AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY
WEXFORD, PA 15090
5

Ratings History for Brighton Rehabilitation and Wellness Center

  Medical Professionals Associated with Brighton Rehabilitation and Wellness Center

These are the doctors who are affiliated with Brighton Rehabilitation and Wellness Center. The data is from the most recent period. Historical data is not available.

  • DAVID THIMONS ( INTERNAL MEDICINE - PCMA PALLIATIVE DIVISION LLC )

  Local Nursing Homes

When evaluating nursing homes, it's important to consider other nearby facilities to understand the available options and make comparisons. Below is a list of nursing homes near Brookline Healthcare and Rehabilitation, including Brookline itself. This list is ranked based on each home's health inspection scores, also known as the "weighted all cycles score." Additionally, we provide the facility's 5-star overall rating for a more complete view of its performance. If a nursing home has been flagged by CMS for abuse, you'll see a special icon () next to its name.

The data is based on the dataset as of January 01, 2025.

Name Health Inspection Score / Overall Rating
Haven Convalescent Home, Inc
(NEW CASTLE, PA)
0 / 5:
Masternick Memorial Health Care Center
(NEW MIDDLETOWN, OH)
1.333 / 5:
Upmc Magee-Womens Hospital Tcu
(PITTSBURGH, PA)
2 / 5:
Jameson Nursing and Rehab Center
(NEW CASTLE, PA)
3.333 / 4:
Shepherd of The Valley Poland
(POLAND, OH)
4.667 / 5:
Quality Life Services - New Castle
(NEW CASTLE, PA)
8 / 4:
Caprice Health Care Center
(NORTH LIMA, OH)
10 / 5:
Center For Rehabilitation at Hampton Woods The
(POLAND, OH)
10 / 5:
Shepherd of The Valley-Boardman
(YOUNGSTOWN, OH)
12 / 5:
St Mary's Alzheimer's Center
(COLUMBIANA, OH)
12.667 / 5:
Concordia of The South Hills
(PITTSBURGH, PA)
14.667 / 5:
Maplecrest Nursing and Hta
(STRUTHERS, OH)
14.667 / 5:
St Barnabas Nursing Home
(GIBSONIA, PA)
16.667 / 4:
John J Kane Regional Center-Gl
(PITTSBURGH, PA)
18.667 / 4:
Sherwood Oaks
(CRANBERRY TOWNSHIP, PA)
22 / 5:
Kadima Rehabilitation and Nursing at New Castle
(NEW CASTLE, PA)
22 / 5:
Austinwoods Rehab Health Care
(AUSTINTOWN, OH)
23.333 / 4:
Providence Point Healthcare Residence
(PITTSBURGH, PA)
24 / 5:
Briarfield Place
(BOARDMAN, OH)
25.333 / 4:
Masonic Village at Sewickley
(SEWICKLEY, PA)
28 / 5:
Passavant Retirement and Healt
(ZELIENOPLE, PA)
28 / 5:
John J Kane Regional Center-Sc
(PITTSBURGH, PA)
28.667 / 3:
South Hills Post Acute
(BETHEL PARK, PA)
30 / 3:
Canterbury Place
(PITTSBURGH, PA)
38 / 2:
Avalon Care Center
(NEW CASTLE, PA)
38 / 3:
East End Health and Rehab Center
(PITTSBURGH, PA)
40.667 / 3:
Valley Oaks Care Center
(EAST LIVERPOOL, OH)
45.333 / 3:
Canfield Acres LLC Dba Windsor House at Canfield
(CANFIELD, OH)
46 / 3:
Weirton Medical Center
(WEIRTON, WV)
48.667 / 5:
Concordia at Villa St Joseph
(BADEN, PA)
48.667 / 2:
Asbury Health Center
(PITTSBURGH, PA)
50 / 2:
Concordia at Rebecca Residence
(ALLISON PARK, PA)
50 / 3:
Sienna Skilled Nursing and Rehabilitation
(WINTERSVILLE, OH)
52.667 / 2:
Villa Vista Royale LLC
(STEUBENVILLE, OH)
53.333 / 3:
Vincentian Home
(PITTSBURGH, PA)
53.333 / 3:
Aventura at Assumption Village
(NORTH LIMA, OH)
54 / 3:
Stone Pear Pavilion
(CHESTER, WV)
54.667 / 3:
Riverside Health and Rehab Center
(MCKEESPORT, PA)
56 / 3:
Covington Skilled Nursing and Rehab Center
(EAST PALESTINE, OH)
57.333 / 2:
Whitehall Borough Post Acute
(PITTSBURGH, PA)
58 / 2:
Advanced Care Center of Butler
(BUTLER, PA)
60 / 2:
Hampton Woods Nursing Center, Inc
(POLAND, OH)
60 / 2:
Calcutta Health Care Center
(CALCUTTA, OH)
60.667 / 3:
Reformed Presbyterian Home
(PITTSBURGH, PA)
61.667 / 3:
John J Kane Regional Center-Mc
(MCKEESPORT, PA)
65.667 / 2:
Harmony Hills Healthcare and Rehabilitation Center
(WEXFORD, PA)
66.667 / 1:
Southwestern Veterans Center
(PITTSBURGH, PA)
67.5 / 3:
The Orchards of East Liverpool
(EAST LIVERPOOL, OH)
69.333 / 2:
Parkside Health Care Center
(COLUMBIANA, OH)
74 / 2:
Edison Manor Nursing and Rehabilitation Center
(NEW CASTLE, PA)
76 / 1:
Little Sisters of The Poor
(PITTSBURGH, PA)
79.333 / 3:
Kadima Rehabilitation and Nursing at Cheswick
(CHESWICK, PA)
81.333 / 1:
Beaver Valley Healthcare and Rehabilitation Center
(BEAVER FALLS, PA)
81.667 / 2:
Eldercrest Rehabilitation and Healthcare Center
(MUNHALL, PA)
85.5 / 2:
The Vista Center
(LISBON, OH)
86.667 / 2:
Caring Heights Community Care and Rehab Ctr
(CORAOPOLIS, PA)
88 / 2:
Carriage Inn of Steubenville
(STEUBENVILLE, OH)
90 / 2:
Corner View Nursing and Rehabilitation Center
(PITTSBURGH, PA)
91.667 / 1:
Laurels of Steubenville The
(STEUBENVILLE, OH)
94 / 2:
Cranberry Place
(CRANBERRY TOWNSHIP, PA)
96.167 / 2:
Cedar Hill Healthcare and Rehabilitation Center
(CORAOPOLIS, PA)
96.667 / 2:
Willow Woods Rehabilitation and Nursing
(NORTH LIMA, OH)
98.333 / 3:
Carnegie Park Post Acute
(PITTSBURGH, PA)
102.333 / 2:
Sunnyview Nursing and Rehabilitation Center
(BUTLER, PA)
104.667 / 2:
John J Kane Regional Center-Ro
(PITTSBURGH, PA)
108.667 / 2:
Canfield Healthcare Center
(YOUNGSTOWN, OH)
112.667 / 1:
Highland Hills Post Acute
(PITTSBURGH, PA)
122.667 / 1:
Weirton Geriatric Center
(WEIRTON, WV)
127.333 / 3:
Greenbriar Center
(BOARDMAN, OH)
129.833 / 1:
St John Specialty Care Center
(MARS, PA)
144.333 / 1:
Spring Hill Rehabilitation and Nursing Center
(PITTSBURGH, PA)
151 / 1:
Dixon Healthcare Center
(WINTERSVILLE, OH)
167.333 / 1:
Kadima Rehabilitation and Nursing at Harmony
(HARMONY, PA)
180.167 / 1:
Providence Health and Rehab Center
(BEAVER FALLS, PA)
186.667 / 1:
Wecare at Mt Lebanon Rehabilitation and Nrsg Ctr
(PITTSBURGH, PA)
189.333 / 1:
Ivy Park Post Acute
(PITTSBURGH, PA)
189.333 / 1:
Catherine's Care Center, Inc
(STEUBENVILLE, OH)
197.5 / 1:
Vista Center of Boardman
(BOARDMAN, OH)
207.5 / 1:
Oasis Center For Rehabilitation and Healing
(YOUNGSTOWN, OH)
209.333 / 1:
Baldwin Health Center
(PITTSBURGH, PA)
210.333 / 1:
Burgh Care Center
(PITTSBURGH, PA)
224.833 / 1:
Heritage Care Center
(PITTSBURGH, PA)
235.333 / 1:
Beeghly Oaks Center For Rehabilitation and Healing
(YOUNGSTOWN, OH)
252 / 1:
Wexford Healthcare Center
(WEXFORD, PA)
269.333 / 1:
Park Center Healthcare and Rehabilitation
(YOUNGSTOWN, OH)
289.333 / 1:
Squirrel Hill Wellness and Rehabilitation Center
(PITTSBURGH, PA)
291 / 1:
Rochester Residence and Care Center
(ROCHESTER, PA)
318 / 1:
Steubenville Country Club Manor
(STEUBENVILLE, OH)
331.667 / 1:
Beaver Healthcare and Rehabilitation Center
(ALIQUIPPA, PA)
335.5 / 1:
Brighton Rehabilitation and Wellness Center
(BEAVER, PA)
816.5 / 1:

  Our Analysis

Best and Worst Nursing Homes in BEAVER, PA

Here is our analysis of the Best Nursing Homes in BEAVER and Worst Nursing Homes in BEAVER so that you can make better decisions when choosing a nursing home. You should also use these lists after choosing a home to stay abreast of changes.

Ownership Details for Brighton Rehabilitation and Wellness Center

A list of all of the registered owners for Brighton Rehabilitation and Wellness Center. This includes direct and indirect owners and managers.

Noted Deficiencies for Brighton Rehabilitation and Wellness Center

A list of all of the deficiencies for the facility. This includes a description, type of deficiency, incident date and when the facility reports that the incident was corrected.

Nursing Hours Analysis for Brighton Rehabilitation and Wellness Center

How long a nurse spends with a resident can be an important factor in their recovery. This page shows the average nursing hours spent per resident for RNs, LPNs, CNAs, PTs and all licensed staff.

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