CONTACT INFORMATION REVIEWS & MORE DATA

Oasis at Galleria LLC

  • Date Updated:  November 01, 2024
  • CMS Overall 5-Star Rating:  
  • Address:  2808 STONEYBROOK DRIVE
    HOUSTON TX 77063 Map
  • Phone:  713-782-4355
  • Website:   Click Here
  • Medicare Provider Number:  675078
  • Participating in Medicare Since:  August 01, 1992
  • No. of Certified Beds:  112
  • No. of Residents:   N/A
  • Occupancy:   N/A
  • Amount Fined:  $128,540.44
  • Complaints Filed:   4
  • Accepts:  Medicare and Medicaid

  About Oasis at Galleria LLC

Oasis at Galleria LLC, a for-profit nursing home facility in Houston, TX, offers skilled nursing, long-term care, and short-term rehabilitation services. Despite modern amenities and personalized care plans, the facility ranks below average in terms of CMS 5-Star Overall Rating (1 out of 5) and has shown a worsening trend. Key statistics indicate that the facility spent an average of 1.78 nursing hours per resident per day, which is lower than the national average of 3.84. Furthermore, 25.16% of short-stay residents were re-hospitalized after admission. Notably, there is no indication of abuse at Oasis at Galleria LLC according to CMS data. The facility ranks #33 out of 41 facilities within a 10-mile radius and #98 out of 114 facilities within a 25-mile radius.

  • Oasis at Galleria LLC is ranked #33 out of 41 facilities within a 10 mile radius and #99 out of 114 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: 1.78
    (The national average is 3.84 )
  • The percentage of short-stay residents who were re-hospitalized after a nursing home admission is 25.16% .
  •    There is no indication of abuse occuring at Oasis at Galleria LLC. (CMS flags facilities where abuse has either happened or is very likely.)

  Oasis at Galleria LLC Owner & Operator Information

Business Entity Name:

CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1

Owners:

Managers and Directors:

  Oasis at Galleria LLC Ratings and Inspection Scores

The Oasis at Galleria LLC facility has received consistently low ratings from the Centers for Medicare and Medicaid (CMS) inspection scores, indicating a "least compliant" level of performance. The overall rating is 1 out of 5, with health inspection scores also receiving a rating of 1 out of 5 across all three cycles, resulting in an average score of 277 for Cycle 1, 151 for Cycle 2, and 52 for Cycle 3. Quality ratings are mixed, but staffing ratings are low at 1 out of 5. The weighted all-cycles score is 198, further emphasizing the facility's struggles with various aspects of care and facilities standards.

Ratings

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

Inspection Scores

Cycle 1 Score (as of February 13, 2024) 285
Cycle 2 Score (as of November 23, 2022) 151
Cycle 3 Score (as of September 03, 2021) 52
Weighted All Cycles Score 202

  Nursing Hours Spent Per Patient

The data from the Centers for Medicare & Medicaid Services (CMS) indicates that Oasis at Galleria LLC nursing staff spends significantly less time with residents on average compared to both state and national averages. The facility's Registered Nurse hours per patient were recorded at 0.32, which is lower than the state average of 0.41 and national average of 0.67. Licensed Practical Nurses (LPNs) spent no hours with patients, while Certified Nursing Assistants (CNAs) spent an average of 1.46 hours per patient, slightly lower than the state average of 1.96 and national average of 2.29. Total nursing staff hours per resident were recorded at 1.78, also below both state and national averages. These findings suggest that Oasis at Galleria LLC may have a higher case mix or more complicated situations, which could be indicative of better care quality due to the facility's ability to efficiently allocate resources to meet the needs of its most complex patients.

The nursing staff of Oasis at Galleria LLC 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 0.32 0.41 / 0.67
Case Mix 0.72 0.64 / 0.66
Adjusted 0.29 NA / NA
Licensed Practical Nurse (LPN)
Hours 0.00 1.00 / 0.88
Case Mix 0.95 NA / NA
Adjusted 0.00 NA / NA
Certified Nursing Assistants (CNA)
Hours 1.46 1.96 / 2.29
Case Mix 2.48 NA / NA
Adjusted 1.34 NA / NA
Total Licensed Staff
Hours 0.32 1.41 / 1.54
Physical Therapist (PT)
Hours 0.05 0.07 / 0.07
Total Nursing Hours Spent per Resident on Average
Hours 1.78 3.37 / 3.84
Case Mix 4.16 3.66 / 3.82
Adjusted 1.64 NA / NA

  Quality Measures

The provided text appears to be a report or dataset related to quality of care in long-term care facilities, focusing on various aspects such as vaccination rates, medication use, physical restraints, falls, and functional improvements. Here's an analysis of the key points:Positive trends:1. Pneumococcal vaccine administration: Long-stay residents have a high rate of appropriate pneumococcal vaccine administration (100.0%), which is higher than the national average (97.1%).2. Antipsychotic medication use: Short-stay residents who newly received an antipsychotic medication had a low rate of 0.0%, indicating no unnecessary use.3. Seasonal influenza vaccine administration: Long-stay residents have a high rate of appropriate seasonal influenza vaccine administration (93.7%), although this is lower than the national average (97.6%).4. Functional improvements: Short-stay residents who made improvements in function had a moderate rate of 56.0%.Concerning trends:1. Antipsychotic medication use: Long-stay residents have a higher rate of antipsychotic medication use (18.4%) compared to the national average (8.7%), which may indicate overuse or unnecessary use.2. Falls with major injury: Long-stay residents experienced a relatively high rate of falls with major injury (3.7%), which is slightly higher than the national average (3.4%).3. Functional decline: Short-stay residents experienced a lower rate of functional improvements in function (56.0%) compared to the national average (70.0%).4. Seasonal influenza vaccine administration: Long-stay residents have a lower rate of appropriate seasonal influenza vaccine administration (93.7%) compared to the national average (97.6%).No significant trends:1. Physical restraints: The rate of physical restraints among long-stay residents is 0.0%, which is significantly lower than the national average (0.0%).2. Pressure ulcers: High-risk long-stay residents have a moderate rate of pressure ulcer development (5.4%), but this is not significantly different from the national average (6.7%).Overall assessment:The report highlights some positive trends, such as high rates of pneumococcal vaccine administration and low rates of unnecessary antipsychotic medication use. However, concerning trends include higher rates of antipsychotic medication use, falls with major injury, and lower rates of functional improvements among short-stay residents. The dataset also reveals areas for improvement, including seasonal influenza vaccine administration rates and pressure ulcer development among high-risk residents.Recommendations:Based on the report's findings, consider implementing measures to:1. Reduce antipsychotic medication use and ensure its only used when necessary.2. Improve vaccination rates, particularly for long-stay residents.3. Enhance fall prevention strategies and provide better care for residents who experience falls with major injury.4. Increase efforts to promote functional improvements among short-stay residents.Overall, the report emphasizes the importance of ongoing quality improvement initiatives to ensure that residents receive high-quality, person-centered care that meets their unique needs and preferences.

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
25.2% / 24.5%
Worse
Percentage of short-stay residents who had an outpatient emergency department visit (qm522)
This measure is considered when computing the 5-Star Overall Rating
13.1% / 12.2%
Worse
Number of hospitalizations per 1000 long-stay resident days (qm551)
This measure is considered when computing the 5-Star Overall Rating
Not Available
Number of outpatient emergency department visits per 1000 long-stay resident days (qm552)
This measure is considered when computing the 5-Star Overall Rating
Not Available
Percentage of long-stay residents whose need for help with daily activities has increased (qm401) 2.3% / 16.6%
Better
Percentage of long-stay residents who lose too much weight (qm404) 4.7% / 4.6%
Worse
Percentage of low risk long-stay residents who lose control of their bowels or bladder (qm405) 48.3% / 53.4%
Better
Percentage of long-stay residents with a catheter inserted and left in their bladder (qm406) 0.4% / 1.1%
Better
Percentage of long-stay residents with a urinary tract infection (qm407) 0.0% / 1.0%
Better
Percentage of long-stay residents who have depressive symptoms (qm408) 0.0% / 4.7%
Better
Percentage of long-stay residents who were physically restrained (qm409) 0.0% / 0.0%
Better
Percentage of long-stay residents experiencing one or more falls with major injury (qm410) 3.7% / 3.4%
Worse
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (qm415) 100.0% / 97.1%
Better
Percentage of long-stay residents who received an antipsychotic medication (qm419) 18.4% / 8.7%
Worse
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (qm430) 98.7% / 89.4%
Better
Percentage of short-stay residents who newly received an antipsychotic medication (qm434) 0.0% / 1.5%
Better
Percentage of long-stay residents whose ability to move independently worsened (qm451) 5.4% / 12.7%
Better
Percentage of long-stay residents who received an antianxiety or hypnotic medication (qm452) 18.1% / 23.1%
Better
Percentage of high risk long-stay residents with pressure ulcers (qm453) 5.4% / 6.7%
Better
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (qm454) 93.7% / 97.6%
Worse
Percentage of short-stay residents who made improvements in function (qm471) 56.0% / 70.0%
Worse
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (qm472) 70.7% / 84.5%
Worse

  Hospitals Near Oasis at Galleria LLC

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 Oasis at Galleria LLC.

Oasis at Galleria LLC is near several hospitals, each with its own rating based on overall performance:

Hospital 5-Star Overall Rating
HOUSTON VA MEDICAL CENTER
2002 HOLCOMBE BLVD.
HOUSTON, TX 77030
2
HCA HOUSTON HEALTHCARE WEST
12141 RICHMOND AVE
HOUSTON, TX 77082
2
ST JOSEPH MEDICAL CENTER
1401 ST. JOSEPH PARKWAY
HOUSTON, TX 77002
2
HCA HOUSTON HEALTHCARE TOMBALL
605 HOLDERRIETH
TOMBALL, TX 77375
2
MEMORIAL HERMANN NORTHEAST HOSPITAL
18951 MEMORIAL NORTH
HUMBLE, TX 77338
2
OAKBEND MEDICAL CENTER
1705 JACKSON ST
RICHMOND, TX 77469
2
MEMORIAL HERMANN HOSPITAL SYSTEM
1635 NORTH LOOP WEST
HOUSTON, TX 77008
3
HCA HOUSTON HEALTHCARE KINGWOOD
22999 US HWY 59
KINGWOOD, TX 77325
3
ST LUKE'S SUGAR LAND HOSPITAL
1317 LAKE POINTE PARKWAY
SUGAR LAND, TX 77478
3
MEMORIAL HERMANN - TEXAS MEDICAL CENTER
6411 FANNIN
HOUSTON, TX 77030
3
HCA HOUSTON HEALTHCARE PEARLAND
11100 SHADOW CREEK PARKWAY
PEARLAND, TX 77584
3
HCA HOUSTON HEALTHCARE NORTHWEST
710 CYPRESS CREEK PARKWAY
HOUSTON, TX 77090
3
HCA HOUSTON HEALTHCARE CLEAR LAKE
500 MEDICAL CENTER BLVD
WEBSTER, TX 77598
3
HARRIS HEALTH SYSTEM
2525 HOLLY HALL
HOUSTON, TX 77054
3
MEMORIAL HERMANN MEMORIAL CITY HOSPITAL
921 GESSNER
HOUSTON, TX 77024
3
MEMORIAL HERMANN SUGAR LAND HOSPITAL
17500 W GRAND PARKWAY SOUTH
SUGAR LAND, TX 77479
3
WOMANS HOSPITAL OF TEXAS,THE
7600 FANNIN
HOUSTON, TX 77054
3
MEMORIAL HERMANN KATY HOSPITAL
23900 KATY FREEWAY
KATY, TX 77494
4
HOUSTON METHODIST SUGARLAND HOSPITAL
16655 SOUTHWEST FREEWAY
SUGAR LAND, TX 77479
4
CHI ST LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE ME
6720 BERTNER AVE, STE MC1-266
HOUSTON, TX 77030
4

Ratings History for Oasis at Galleria LLC

  Medical Professionals Associated with Oasis at Galleria LLC

These are the doctors who are affiliated with Oasis at Galleria LLC. The data is from the most recent period. Historical data is not available.

  • PETER JIAN ( FAMILY PRACTICE - HOUSTON FAMILY PHYSICIANS PA )
  • SATNAM BHONDI ( FAMILY PRACTICE - KELSEY-SEYBOLD MEDICAL GROUP, PLLC )
  • ANNA TENORIO ( FAMILY PRACTICE - TRUMEN PHYSICIANS AND ASSOCIATES PLLC )

  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 November 01, 2024.

Name Health Inspection Score / Overall Rating
The Methodist Hospital Snf
(HOUSTON, TX)
8 / 5:
Paradigm at The Brazos
(RICHMOND, TX)
8.667 / 5:
Bayou Manor
(HOUSTON, TX)
10 / 5:
Oak Bend Medical Center
(RICHMOND, TX)
11.333 / 5:
North Houston Transitional Care
(HOUSTON, TX)
12 / 4:
Park Manor of South Belt
(HOUSTON, TX)
14 / 5:
Mason Creek Transitional Care of Katy
(KATY, TX)
14.667 / 5:
Tuscany Village
(PEARLAND, TX)
15.333 / 5:
Fall Creek Rehabilitation and Healthcare Center
(HUMBLE, TX)
15.333 / 4:
West Oaks Nursing and Rehab Center
(HOUSTON, TX)
17.333 / 5:
The Heights of Tomball
(TOMBALL, TX)
18 / 5:
St Dominic Village Nursing Home
(HOUSTON, TX)
18.667 / 5:
Park Manor of Quail Valley
(MISSOURI CITY, TX)
22.667 / 3:
Oakmont Healthcare and Rehabilitation Center of Ka
(KATY, TX)
22.667 / 4:
Holly Hall
(HOUSTON, TX)
23.333 / 4:
The Buckingham
(HOUSTON, TX)
23.333 / 4:
Park Manor of Cyfair
(HOUSTON, TX)
24 / 3:
Lawrence Street Health Care Center
(TOMBALL, TX)
24 / 3:
Cypress Pointe Health and Wellness
(HOUSTON, TX)
24.667 / 5:
Spjst Rest Home No 2
(NEEDVILLE, TX)
26 / 4:
Seven Acres Jewish Senior Care Services, Inc
(HOUSTON, TX)
26 / 4:
Sharpview Residence and Rehabilitation Center
(HOUSTON, TX)
26.667 / 4:
The Rehab Suites at Magnolia Crossing
(HOUSTON, TX)
28 / 5:
West Janisch Health Care Center
(HOUSTON, TX)
29.333 / 4:
Baywood Crossing Rehabilitation and Healthcare Cente
(PASADENA, TX)
31.333 / 3:
Falcon Point Post Acute
(KATY, TX)
31.333 / 4:
Copperfield Healthcare and Rehabilitation
(HOUSTON, TX)
31.333 / 5:
Treemont Health Care Center
(HOUSTON, TX)
32 / 4:
Houston Transitional Care
(HOUSTON, TX)
33 / 3:
Ignite Medical Resort Katy, LLC
(KATY, TX)
33.333 / 4:
Parkway Place
(HOUSTON, TX)
34 / 4:
Sugar Land Health Care Center
(SUGAR LAND, TX)
35.333 / 4:
Sterling Oaks Rehabilitation
(KATY, TX)
35.333 / 4:
Capstone Healthcare Estates at Veterans Memorial
(HOUSTON, TX)
35.333 / 4:
Misty Willow Healthcare and Rehabilitation Center
(HOUSTON, TX)
35.333 / 4:
Willow Creek Lodge
(TOMBALL, TX)
36.667 / 3:
Highland Park Care Center
(HOUSTON, TX)
37.333 / 3:
Deerbrook Skilled Nursing and Rehab Center
(HUMBLE, TX)
39.333 / 3:
The Lev Attown Park
(HOUSTON, TX)
40 / 3:
Continuing Care at Eagles Trace
(HOUSTON, TX)
40.667 / 5:
East View Healthcare
(HOUSTON, TX)
40.667 / 2:
Fort Bend Healthcare Center
(ROSENBERG, TX)
41 / 3:
The Vosswood Nursing Center
(HOUSTON, TX)
41.167 / 3:
The Crescent
(SUGAR LAND, TX)
44 / 3:
Brighton Senior Living at Regency Village
(WEBSTER, TX)
46 / 1:
The Colonnades at Reflection Bay
(PEARLAND, TX)
47.333 / 3:
Regent Care Center of Kingwood
(KINGWOOD, TX)
48.667 / 3:
Northwest Health and Rehabilitation Center
(HOUSTON, TX)
49.667 / 2:
Solera at West Houston
(HOUSTON, TX)
50 / 2:
Focused Care at Humble
(HUMBLE, TX)
52.667 / 3:
The Hallmark
(HOUSTON, TX)
54 / 3:
Champions Healthcare at Willowbrook
(HOUSTON, TX)
55 / 3:
Thrive Rehabilitation of Pearland
(PEARLAND, TX)
55.667 / 3:
Chelsea Gardens
(MISSOURI CITY, TX)
57 / 3:
Park Manor of Tomball
(TOMBALL, TX)
58.667 / 3:
Caraday of Houston
(HOUSTON, TX)
59.167 / 3:
Focused Care at Webster
(WEBSTER, TX)
59.5 / 2:
West Houston Rehabilitation and Healthcare Center
(HOUSTON, TX)
62.167 / 2:
Garden Terrace Alzheimer's Center of Excellence
(HOUSTON, TX)
62.167 / 3:
Birchwood of Golfcrest
(HOUSTON, TX)
63 / 2:
Courtyard Nursing and Rehabilitation
(HOUSTON, TX)
63 / 2:
Ignite Medical Resort Webster, LLC
(WEBSTER, TX)
64 / 4:
Clarewood House Extended Care Center
(HOUSTON, TX)
65.333 / 2:
The Courtyards at Pasadena
(PASADENA, TX)
66.167 / 2:
Vista Nursing and Rehabilitation Center
(PASADENA, TX)
74.333 / 2:
Eagle Crest Rapid Recovery
(HOUSTON, TX)
75.333 / 1:
The Medical Resort at Sugar Land
(SUGAR LAND, TX)
76.333 / 1:
Focused Care at Westwood
(HOUSTON, TX)
76.833 / 1:
Friendship Haven Healthcare and Rehabilitation Cen
(FRIENDSWOOD, TX)
79 / 1:
Heritage Park of Katy Nursing and Rehabilitation
(KATY, TX)
81.167 / 1:
Capstone Healthcare Estates On Orem
(HOUSTON, TX)
81.333 / 2:
Richard A. Anderson (state of Texas Veterans Land
(HOUSTON, TX)
87.167 / 3:
Mememorial City Nursing and Rehabilitation Center
(HOUSTON, TX)
90.167 / 1:
Crimson Heights Health and Wellness
(HUMBLE, TX)
92.833 / 2:
Regent Care Center of League City
(LEAGUE CITY, TX)
100.667 / 1:
Villa Toscana at Cypress Woods
(HOUSTON, TX)
101 / 1:
Ashford Gardens
(HOUSTON, TX)
112.333 / 2:
Cypress Creek Rehabilitation and Healthcare Center
(CYPRESS, TX)
112.5 / 1:
Park Manor of Humble
(HUMBLE, TX)
118.833 / 2:
Cascades at Jacinto Rehab LP
(HOUSTON, TX)
121.167 / 2:
The Heights of North Houston
(HOUSTON, TX)
122.5 / 1:
Bridgecrest Rehabilitation Suites
(HOUSTON, TX)
123.5 / 2:
Richmond Health Care Center
(RICHMOND, TX)
127.167 / 1:
Legend Oaks Healthcare and Rehabilitation Center -
(HOUSTON, TX)
128.5 / 3:
Windsor Houston
(HOUSTON, TX)
130.667 / 2:
Laurel Court
(ALVIN, TX)
139 / 1:
Windsor Quail Valley Post-Acute Healthcare
(MISSOURI CITY, TX)
142.5 / 2:
Park Manor of Cypress Station
(HOUSTON, TX)
149.667 / 2:
Park Manor of Westchase
(HOUSTON, TX)
154.667 / 2:
Paradigm at Faith Memorial
(PASADENA, TX)
156.833 / 1:
Winchester Lodge Healthcare Center
(ALVIN, TX)
159 / 1:
Cambridge Health and Rehabilitation Center
(RICHMOND, TX)
164.5 / 1:
Afton Oaks Nursing Center
(HOUSTON, TX)
165.167 / 1:
Brookdale Galleria
(HOUSTON, TX)
169.833 / 1:
Casa Azul Skilled Nursing and Rehabilitation
(KATY, TX)
170.5 / 1:
Harmony Care at Golfcrest
(HOUSTON, TX)
182 / 1:
The Concierge
(HOUSTON, TX)
189.667 / 1:
Pasadena Post Acute
(PASADENA, TX)
200.5 / 1:
Oasis at Galleria LLC
(HOUSTON, TX)
201.5 / 1:
Paradigm at First Colony
(MISSOURI CITY, TX)
220 / 1:
Paradigm at Westbury
(HOUSTON, TX)
256.833 / 1:
Spring Branch Transitional Care Center
(HOUSTON, TX)
267.167 / :
Rosenberg Health and Rehabilitation Center
(ROSENBERG, TX)
286.5 / 1:
The Medical Resort at Bay Area
(PASADENA, TX)
287.5 / 1:
Fallbrook Rehabilitation and Care Center
(HOUSTON, TX)
297.333 / 1:
Focused Care at Pasadena
(PASADENA, TX)
305.167 / 1:
Oasis at Pearland
(PEARLAND, TX)
312 / 1:
Arden Wood
(HOUSTON, TX)
368.167 / 1:
Terra Bella Health and Wellness Suites
(HOUSTON, TX)
404.167 / 1:
Focused Care at Beechnut
(HOUSTON, TX)
435.667 / 1:
Paradigm at Woodwind Lakes
(HOUSTON, TX)
483.833 / :
University Place Nursing Center
(HOUSTON, TX)
541.333 / 1:
Oakmont Healthcare and Rehabilitation Center of Hu
(HUMBLE, TX)
581.667 / 1:
Hca Houston Healthcare Southeast
(PASADENA, TX)
/ :

  Our Analysis

Best and Worst Nursing Homes in HOUSTON, TX

Here is our analysis of the Best Nursing Homes in HOUSTON and Worst Nursing Homes in HOUSTON 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 Oasis at Galleria LLC

A list of all of the registered owners for Oasis at Galleria LLC. This includes direct and indirect owners and managers.

Noted Deficiencies for Oasis at Galleria LLC

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 Oasis at Galleria LLC

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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