Best Nursing Homes in Texas

Updated Feb 2026

We analyzed 1,325 homes in Texas

Sources: CMS Centers for Medicare and Medicaid Services, and Texas Department of Health, Office of Aging and Long Term Care.

Government Data for Nursing Homes in Texas: Salaries, Revenues, Occupancy Rates, Ownership.

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Video Tour: Top-rated Nursing Homes facilities in Texas.

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Other Senior care options in Texas:

Assisted Living Memory Care Independent Living

Compare Nursing Homes around Texas

240 facilities compared · CMS & TX Dept. of Health data · Updated May 2026

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Parkwood Assisted Living		NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.	Bedford	84	62.6% Facility 62.6% TX AVG 63.5%	-1%	4.87 Facility 4.87 TX AVG 3.63				-15%	+34%	0 Facility 0 TX AVG —	15 Facility 15 TX AVG —	3.8 Facility 3.8 TX AVG —	0 Facility 0 TX AVG —	61	-	34 Facility 34 TX AVG —	Lcs Phc Operator Mm Llc	$10.8M Facility $10.8M TX AVG —	$5.2M Facility $5.2M TX AVG —	47.8% Facility 47.8% TX AVG 47%	675565
River Oaks		AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).	Coppell	86	38.4% Facility 38.4% TX AVG 63.5%	-39%	3.00 Facility 3.00 TX AVG 3.63				-	-17%	1 Facility 1 TX AVG —	0 Facility 0 TX AVG —	0.0 Facility 0.0 TX AVG —	0 Facility 0 TX AVG —	48	A+	25 Facility 25 TX AVG —	Pierce, David	$6.2M Facility $6.2M TX AVG —	$1.9M Facility $1.9M TX AVG —	30% Facility 30% TX AVG 47%	265210
Rosewood		MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).	Flower Mound	86	81.3% Facility 81.3% TX AVG 63.5%	+28%	2.74 Facility 2.74 TX AVG 3.63				-	-24%	2 Facility 2 TX AVG —	0 Facility 0 TX AVG —	0.0 Facility 0.0 TX AVG —	0 Facility 0 TX AVG —	56	-	18 Facility 18 TX AVG —	Flower Mound Alf, Llc	$12.6M Facility $12.6M TX AVG —	$2.9M Facility $2.9M TX AVG —	23.3% Facility 23.3% TX AVG 47%	515105
Veranda Rehabilitation and Healthcare		NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).	Harlingen	100	81.2% Facility 81.2% TX AVG 63.5%	+28%	2.96 Facility 2.96 TX AVG 3.63				-31%	-18%	1 Facility 1 TX AVG —	12 Facility 12 TX AVG —	2.4 Facility 2.4 TX AVG —	1 Facility 1 TX AVG —	87	-	33 Facility 33 TX AVG —	Harlingen Healthcare, Inc.	$13.9M Facility $13.9M TX AVG —	$5.0M Facility $5.0M TX AVG —	36.2% Facility 36.2% TX AVG 47%	455925
Treemont Health Care Center		NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.	Houston (Mid West)	54	51.4% Facility 51.4% TX AVG 63.5%	-19%	4.85 Facility 4.85 TX AVG 3.63				-43%	+33%	0 Facility 0 TX AVG —	11 Facility 11 TX AVG —	3.7 Facility 3.7 TX AVG —	0 Facility 0 TX AVG —	43	-	58 Facility 58 TX AVG —	Treemont Care, Llc	$5.2M Facility $5.2M TX AVG —	$2.8M Facility $2.8M TX AVG —	54.3% Facility 54.3% TX AVG 47%	676009
Midtowne Assisted Living and Memory Care	-	AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).	Midlothian	94	- Facility - TX AVG 63.5%	-	- Facility - TX AVG 3.63	-	-	-	-	-	0 Facility 0 TX AVG —	0 Facility 0 TX AVG —	0.0 Facility 0.0 TX AVG —	0 Facility 0 TX AVG —	-	-	42 Facility 42 TX AVG —	Vop Midtowne Midlothian, Llc	- Facility - TX AVG —	- Facility - TX AVG —	- Facility - TX AVG 47%	-
Legend Assisted Living and Memory Care (Legend of Fort Worth)	-	MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).	Fort Worth (Trails Of Arcadia Park)	100	- Facility - TX AVG 63.5%	-	- Facility - TX AVG 3.63	-	-	-	-	-	0 Facility 0 TX AVG —	0 Facility 0 TX AVG —	0.0 Facility 0.0 TX AVG —	0 Facility 0 TX AVG —	-	-	28 Facility 28 TX AVG —	Lw Fort Worth Opco Llc	- Facility - TX AVG —	- Facility - TX AVG —	- Facility - TX AVG 47%	-
Legend of Mansfield	-	MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).	Mansfield	85	- Facility - TX AVG 63.5%	-	- Facility - TX AVG 3.63	-	-	-	-	-	0 Facility 0 TX AVG —	0 Facility 0 TX AVG —	0.0 Facility 0.0 TX AVG —	0 Facility 0 TX AVG —	-	-	42 Facility 42 TX AVG —	Lw Mansfield Opco Llc	- Facility - TX AVG —	- Facility - TX AVG —	- Facility - TX AVG 47%	-
Belterra Health & Rehabilitation		NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary. MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.	Mckinney	103	88.0% Facility 88.0% TX AVG 63.5%	+39%	2.06 Facility 2.06 TX AVG 3.63				+83%	-43%	0 Facility 0 TX AVG —	11 Facility 11 TX AVG —	3.7 Facility 3.7 TX AVG —	0 Facility 0 TX AVG —	116	-	41 Facility 41 TX AVG —	Pmg Opco - Mckinney Llc	$15.4M Facility $15.4M TX AVG —	$4.6M Facility $4.6M TX AVG —	30% Facility 30% TX AVG 47%	676367
Alfredo Gonzalez Texas State Veterans Home		NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.	Mcallen	160	95.3% Facility 95.3% TX AVG 63.5%	+50%	3.73 Facility 3.73 TX AVG 3.63				+4%	+3%	1 Facility 1 TX AVG —	16 Facility 16 TX AVG —	3.2 Facility 3.2 TX AVG —	1 Facility 1 TX AVG —	152	-	6 Facility 6 TX AVG —	Sears Methodist Retirement System, Inc.	$19.9M Facility $19.9M TX AVG —	$5.8M Facility $5.8M TX AVG —	29.3% Facility 29.3% TX AVG 47%	676063
Greatwood at Sugar Land	-	AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).	Sugar Land	70	- Facility - TX AVG 63.5%	-	- Facility - TX AVG 3.63	-	-	-	-	-	0 Facility 0 TX AVG —	0 Facility 0 TX AVG —	0.0 Facility 0.0 TX AVG —	0 Facility 0 TX AVG —	-	-	46 Facility 46 TX AVG —	Ahr Sugarland Trs Sub, Llc	- Facility - TX AVG —	- Facility - TX AVG —	- Facility - TX AVG 47%	-
Houston Transitional Care		NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary. MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.	Houston (Braeburn)	70	90.3% Facility 90.3% TX AVG 63.5%	+42%	3.17 Facility 3.17 TX AVG 3.63				-19%	-13%	0 Facility 0 TX AVG —	16 Facility 16 TX AVG —	5.3 Facility 5.3 TX AVG —	0 Facility 0 TX AVG —	72	-	75 Facility 75 TX AVG —	El-Saadi, Ahmad	$21.9M Facility $21.9M TX AVG —	$4.5M Facility $4.5M TX AVG —	20.5% Facility 20.5% TX AVG 47%	676435
Caraday of Houston		NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.	Houston (Northside / Northline)	150	8.0% Facility 8.0% TX AVG 63.5%	-87%	3.76 Facility 3.76 TX AVG 3.63				+29%	+4%	0 Facility 0 TX AVG —	15 Facility 15 TX AVG —	3.8 Facility 3.8 TX AVG —	0 Facility 0 TX AVG —	12	-	41 Facility 41 TX AVG —	E&R Cunningham Investments, Lp	$3.6M Facility $3.6M TX AVG —	$1.6M Facility $1.6M TX AVG —	44.9% Facility 44.9% TX AVG 47%	676470
Park Manor of CyFair		NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.	Houston (White Oak Bend)	120	75.2% Facility 75.2% TX AVG 63.5%	+19%	3.27 Facility 3.27 TX AVG 3.63				+51%	-10%	0 Facility 0 TX AVG —	7 Facility 7 TX AVG —	2.3 Facility 2.3 TX AVG —	0 Facility 0 TX AVG —	114	-	55 Facility 55 TX AVG —	Hmg Park Manor Of Cyfair, L.l.c.	$10.9M Facility $10.9M TX AVG —	$3.9M Facility $3.9M TX AVG —	36.1% Facility 36.1% TX AVG 47%	675818
Novellus Cypresswood	-	AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).	Spring	93	- Facility - TX AVG 63.5%	-	- Facility - TX AVG 3.63	-	-	-	-	-	0 Facility 0 TX AVG —	0 Facility 0 TX AVG —	0.0 Facility 0.0 TX AVG —	0 Facility 0 TX AVG —	-	-	49 Facility 49 TX AVG —	Novellus Cypresswood, Llc	- Facility - TX AVG —	- Facility - TX AVG —	- Facility - TX AVG 47%	-

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Nursing Home Explorer

Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.

CMS data 5 weighted categories Updated quarterly

Full methodology

Weighting overview

35%

Care Quality

20%

Staffing

20%

Regulatory

20%

Operational

Environment

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

Includes Overall Rating Health Inspection QM Rating Long-Stay QM Short-Stay QM

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

Includes Nurse Hrs/Res/Day RN vs State Total Nurse Staff Hrs vs State RN Turnover

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

Includes Citations Citations/Inspection Severe Citations Fines Accreditations

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

Includes Occupancy vs State Avg Length of Stay Revenue Payroll % Years in Operation Admin Tenure

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

Includes Walk Score BBB Rating

Frequently Asked Questions

What government services provide money for senior housing?

Several government programs offer financial assistance for senior housing in various countries, focusing on the United States for a broad overview:

Medicaid: Medicaid is a state and federally funded program that can cover the costs of nursing home care for those who meet eligibility criteria, including income and asset limits. Some states also offer Medicaid waivers that help pay for home and community-based services to prevent or delay nursing home placement.
Medicare: Medicare, primarily a health insurance program for people aged 65 and over, does not cover long-term housing costs. However, it can cover short-term stays in a skilled nursing facility under specific conditions following a hospital stay.
Section 202 Supportive Housing for the Elderly Program: This program provides housing for low-income seniors. It offers rental assistance and access to supportive services, such as cleaning, cooking, and transportation.
Low-Income Housing Tax Credit (LIHTC) Properties: While not a direct subsidy, LIHTC encourages developers to create affordable housing. Seniors with low incomes can find reduced-rent apartments through this program.
State and Local Programs: Many states, counties, and cities offer their own programs to assist seniors with housing costs. These can include property tax relief programs, rental assistance programs, and programs that offer affordable senior housing options.
Veterans Affairs (VA): The VA offers several programs for veterans, including the Aid and Attendance benefit, which provides monthly payments to veterans who require the aid of another person, or are housebound, to help cover the cost of care in homes, nursing homes, and assisted living facilities.
Social Security: While Social Security primarily provides retirement income, for many seniors, these benefits are a crucial part of their budget, including housing costs.

How do you pick the homes you recommend?

Before recommending homes, we conduct a thorough evaluation on crucial factors that define a senior home such as the quality of care they provide, the reputation of the organization, and a comprehensive review of community testimonials as well. Every detail is assessed to assure that seniors are offered not just senior care options, but trustworthy homes where they can experience the care that they deserve.

Do you help families that need Medicaid?

Yes. Assisting families who need Medicaid is important to us as it plays a crucial role in offering financial support to seniors confronting economic challenges. We would like to keep essential healthcare services accessible to all community members, irrespective of one’s financial circumstances.

How much does this service cost?

We extend our services at no cost, ensuring that families and seniors can benefit from tailored assistance in their search for care and home options. Our ability to offer personalized guidance without charge to families and seniors is made possible through the support and funding from the communities with which we team up.

What services do you offer?

Finding and ranking the best assisted living facilities
Finding and ranking the best nursing homes
Finding and ranking the best memory care facilities
Our concierge service helps seniors move into the perfect home for them
Helping seniors use medicare, medicaid, and other government programs to pay for their homes
Helping seniors avoid senior homes that have bad service or fraud
Autobiography & Family History Writing + Research
Senior-focused concierge medicine
Senior-focused nutritionist
Senior-focused personal training
Memory care specialists
Custom wheelchairs at all price points.
Custom hearing aids
Cosmetic skincare + dermatology
Companionship: We offer in-person and virtual companionship services. Someone engaging to hang out with or talk to on video chat.
Senior housing concierge. Our service finds the best senior living options based on your needs, income, and personality.

Helpful resources

Cost guide To senior living, assisted living, nursing homes, and more

Interviews with residents Interviews with residents at our senior living facilities

Home photo album Room virtual tours Home videos

Who we are

Your Senior Care Partner, Every Step of the Way

We help families find affordable senior communities and unlock same day discounts, Medicaid, and Medicare options tailored to your needs.

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