Guardian Angels Care Center: Data Analysis and Ratings
400 EVANS AVENUE, ELK RIVER, MN 55330 (763-441-1213)
CMS 5-Star Rating:
Data as of: October 01, 2023
The Most Important Data about Guardian Angels Care Center
We've looked at a lot of nursing homes, this is what we think you need to see first and if you don't want to spend a lot of time. (It's the tl;dr section.)
There is no indication of abuse occuring at Guardian Angels Care Center. (CMS flags facilities where abuse has either happened or is very likely.)
CMS 5-Star Overall Rating:
(4 out of 5):
(The national average overall star rating is 3 stars.)
Current Trend: Improving
Total Nursing Hours Spent Per Resident Per Day: 4.92
(The national average is 3.79 )
According to our analysis, Guardian Angels Care Center is ranked #30 out of 67 skilled nursing homes within a 25 mile radius. See detailed information from recent inspection reports, nursing hours analysis, surverys, and information on owners and operators. Click here to view the ranked list of nursing homes near Guardian Angels Care Center.
What is this page all about?
Below is everything shred of information that we can find about Guardian Angels Care Center, along with our best effort to make sense of the data. Our purpose here is to help you to make good decisions when picking a nursing home and to keep you informed once you have chosen a home. We know from personal experience that choosing a nursing home is not something you do once and then you forget about it. In fact, it gets worse. Once you select a nursing home and get through the initial steps of figuring out how to pay for it, then the real worries start. Are they taking good care of me or my loved one? This is the question that will keep you up at night: Can I really trust these people? We wish we could answer this question, we can't. What he can do is churn through the tons of data and try and help you to make sense of it. We hope it helps.
General Data Card
These are the basic data points for the facility.
Data date: October 01, 2023
Address: 400 EVANS AVENUE, ELK RIVER, MN 55330
Phone: 763-441-1213
Ranking: Guardian Angels Care Center is ranked #2 out of 3 facilities within a 10 mile radius and #30 out of 67 facilities within a 25 mile radius.
Medicare Provider Number: 245012
Participating in Medicare Since: January 01, 1967
No. of Certified Beds: 120
No. of Residents: 107
Occupancy: 89.17 % (as of 11/19/2023 )
Amount fined in recent period: $13,535.50
Complaints filed: 8
Ratings History for Guardian Angels Care Center
Review of Guardian Angels Care Center Ratings and Inspection Scores
CMS regularly inspects every skilled nursing facility. (The timing is supposed to be annually, but since the beginning of the Covid pandemic, these inspections have not occured as frequently.) The results of the multi-day inspection is reduced to a series of scores which are then translated into the star ratings. The health inspection scores are an absolute value, so you can compare one facility's score directly to another. The Overall Star rating is based on the facility's performance as compared to other facilities in the same state, so you cannot easily compare one facility's Overall star rating to a facility in another state.
Ratings
Overall Rating | 4: |
Health Inspection Rating | 3: |
Quality Rating | 5: |
Staffing Rating | 4: |
Inspection Scores
Cycle 1 Score (as of June 08, 2023) | 16 |
Cycle 2 Score (as of July 28, 2022) | 83 |
Cycle 3 Score (as of April 08, 2021) | 28 |
Weighted All Cycles Score | 40 |
It has been 3 months since the most recent inspection.
What Goes Into the Nursing Home's 5-Star Rating
CMS has put a lot of effort into creating its very elaborate 5-Star Quality Rating System specifically to provide a quick way for residents and family members to easily understand how well a nursing home is performing and to make comparing nursing homes easier. The rating system allows people to easily compare facilities across numerous dimensions with the express purpose of identifying the best and best performing nursing homes. The rating system was initially developed in 2008 and the methodologies are regularly reviewed and updated.
The rating system has five separate ratings including:
- Overall rating
- Health Inspection rating
- Staff rating
- RN Staffing rating
- Quality Measures rating
Nursing homes are rated from 1-star to 5-stars with 1-star being the best rating and 5-star being the best rating. For the Health Inspection Rating the nursing homes in each state are ranked based on their weighted three year inspection score. The top 10 percent of nursing homes (those with the lowest scores) are awarded a 5-star rating; the bottom 20 percent (those with the highest scores) are awarded a 1-star rating. In between 1-star and 5-star, the remaining homes are divided equally into three tranches which correspond with the stars 2 to 4. The staff ratings and quality measure ratings follow a similar process but the divisions are based on a national ranking. The division between star ratings is called the “cut-rate”. Cut-rates are redefined periodically and are published by CMS. See the latest cut rates on this table.
Calculating the Overall Star Rating is done differently. According to CMS, the reason for adopting a different system is to give the Health Inspection Rating higher weight in the Overall Rating. So, since there are FIVE ratings and FIVE stars for each rating, there must also be a FIVE step process to calculate the Overall Rating (so symetrical!) :
- Begin with the Health Inspection Rating
- Add one star to the Health Inspection Rating if the Staffing Rating is at least four-stars and is higher than the Health Inspection Rating. (We will call this the "Adjusted Rating".)
- Subtract one star from the Health Inspection Rating if the Staffing Rating is one-star.
- Add a star to the Adjusted Rating if the Quality Measure Rating is 5-stars.
- Subtract one star from the Adjusted Rating if the Quality Measure Rating is 1-star.
Throughout the calculation of the Overall Rating, the rating cannot exceed 5-stars. The Overall Rating is capped at 2-stars if the Health Inspection rating is 1-star. No Overall Rating is awarded if the nursing home does not have a Health Inspection Rating (This effectively means that a nursing home is not rated until the home has been operating for more than two years.)
Changes in a nursing homes star rating can be due to the results of a new health inspection report, the processing of new complaints, the aging of older complaints, a new inspection control survey, a revisit, or the resolution of disputes that change the scope and or severity of deficiencies.
Most Recent Nursing Home Inspections
CMS is required to inspect each senior nursing facility at least annually. These inspections take several days. Additional follow-up inspections as conducted as needed or for certain purposes. Inspections stopped for more than seven months in 2020 due to the Covid pandemic. That stoppage has caused all inspections to be delayed as the inspectors continue to deal with a backlog. The table below shows the latest inspections for Guardian Angels Care Center including health, fire, and inspection control inspections:
No Inspection Information is Available
Owner and Operator Information for Guardian Angels Care Center
Our database of owners and operators shows all direct owners of the nursing nurse, any managers and directors, and the most adjacent indirect owners of the facility (that is, if the direct owner is company, then the owners of that company.) Lists of nursing home owners are available and you can search for nursing home owners and operators on our site.
Business Entity Name:
GUARDIAN ANGELS HEALTH SERVICES, INC.
Owners:
- GUARDIAN ANGELS OF ELK RIVER (DIRECT- 100%)
Managers and Directors:
- JAMES BARTZ (DIRECTOR)
- JAMES BARTZ (MANAGING EMPLOYEE)
- JAMES BERG (DIRECTOR)
- MARILYN BINA (DIRECTOR)
- DANIEL DIXON (DIRECTOR)
- DANIEL DIXON (MANAGING EMPLOYEE)
- CYNTHIA DOLS FINN (DIRECTOR)
- DANIEL FAIR (DIRECTOR)
- DANIEL FAIR (MANAGING EMPLOYEE)
- KATE HANSEN (DIRECTOR)
- JOHN HINES (DIRECTOR)
- KEITH HOLME (DIRECTOR)
- WALTER KAMINSKY (DIRECTOR)
- LINDA KRIEGER (DIRECTOR)
- SALLY LUBRANT (DIRECTOR)
- MARION MARSHALL (DIRECTOR)
- JOAN NICHOLS (DIRECTOR)
- RONALD STRICKER (DIRECTOR)
- GAIL WEBER (DIRECTOR)
- DENNIS WOLD (DIRECTOR)
Analysis of 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 Guardian Angels Care Center spends MORE time on average with its residents than the state average for total nursing homes spent per resident and MORE time than the national average for total nursing homes spent per resident.
Type | Facility | State / National Avg |
---|---|---|
Registered Nurse (RN) | ||
Hours | 1.18 | 1.03 / 0.66 |
Case Mix | 0.33 | 0.30 / 0.38 |
Adjusted | 1.37 | NA / NA |
Licensed Practical Nurse (LPN) | ||
Hours | 0.86 | 0.68 / 0.88 |
Case Mix | 0.70 | NA / NA |
Adjusted | 0.90 | NA / NA |
Certified Nursing Assistants (CNA) | ||
Hours | 2.88 | 2.43 / 2.25 |
Case Mix | 2.19 | NA / NA |
Adjusted | 2.68 | NA / NA |
Total Licensed Staff | ||
Hours | 2.03 | 1.71 / 1.54 |
Physical Therapist (PT) | ||
Hours | 0.11 | 0.07 / 0.07 |
Total Nursing Homes Spent per Resident on Average | ||
Hours | 4.92 | 4.14 / 3.79 |
Case Mix | 3.22 | 2.96 / 3.16 |
Adjusted | 4.82 | 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 |
24.8%
/
20.6% 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 |
14.7%
/
13.8% Worse |
Number of hospitalizations per 1000 long-stay resident days (qm551)
This measure is considered when computing the 5-Star Overall Rating |
1.5%
/
1.4% Worse |
Number of outpatient emergency department visits per 1000 long-stay resident days (qm552)
This measure is considered when computing the 5-Star Overall Rating |
0.1%
/
1.0% Better |
Percentage of long-stay residents whose need for help with daily activities has increased (qm401) |
12.1%
/
13.8% Better |
Percentage of long-stay residents who lose too much weight (qm404) |
2.7%
/
4.8% Better |
Percentage of low risk long-stay residents who lose control of their bowels or bladder (qm405) |
79.4%
/
50.3% Worse |
Percentage of long-stay residents with a catheter inserted and left in their bladder (qm406) |
0.0%
/
2.5% Better |
Percentage of long-stay residents with a urinary tract infection (qm407) |
5.3%
/
2.8% Worse |
Percentage of long-stay residents who have depressive symptoms (qm408) |
0.7%
/
4.2% Better |
Percentage of long-stay residents who were physically restrained (qm409) |
0.0%
/
0.1% Better |
Percentage of long-stay residents experiencing one or more falls with major injury (qm410) |
4.9%
/
3.8% Worse |
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (qm415) |
100.0%
/
95.5% Better |
Percentage of long-stay residents who received an antipsychotic medication (qm419) |
11.1%
/
16.5% Better |
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (qm430) |
98.8%
/
88.8% Better |
Percentage of short-stay residents who newly received an antipsychotic medication (qm434) |
0.7%
/
1.8% Better |
Percentage of long-stay residents whose ability to move independently worsened (qm451) |
15.6%
/
16.5% Better |
Percentage of long-stay residents who received an antianxiety or hypnotic medication (qm452) |
4.8%
/
12.3% Better |
Percentage of high risk long-stay residents with pressure ulcers (qm453) |
4.5%
/
6.9% Better |
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (qm454) |
99.4%
/
94.5% Better |
Percentage of short-stay residents who made improvements in function (qm471) |
69.0%
/
77.7% Worse |
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (qm472) |
93.6%
/
77.9% Better |
Hospitals Near Guardian Angels Care 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 Guardian Angels Care Center.
This information is based on the most recent Hospital data. Historical data is not available.
Hospital | 5-Star Overall Rating |
---|---|
M HEALTH FAIRVIEW UNIVERSITY OF MN 2450 RIVERSIDE AVENUE MINNEAPOLIS, MN 55454 |
2 |
HENNEPIN COUNTY MEDICAL CENTER 701 PARK AVENUE MINNEAPOLIS, MN 55415 |
3 |
REGIONS HOSPITAL 640 JACKSON STREET SAINT PAUL, MN 55101 |
3 |
NORTH MEMORIAL HEALTH HOSPITAL 3300 OAKDALE NORTH ROBBINSDALE, MN 55422 |
4 |
MERCY HOSPITAL 4050 COON RAPIDS BLVD COON RAPIDS, MN 55433 |
4 |
CAMBRIDGE MEDICAL CENTER 701 SOUTH DELLWOOD AVENUE CAMBRIDGE, MN 55008 |
5 |
ABBOTT NORTHWESTERN HOSPITAL 800 EAST 28TH STREET MINNEAPOLIS, MN 55407 |
5 |
BUFFALO HOSPITAL 303 CATLIN STREET BUFFALO, MN 55313 |
5 |
MAPLE GROVE HOSPITAL 9875 HOSPITAL DRIVE MAPLE GROVE, MN 55369 |
5 |
CHICOT MEMORIAL MEDICAL CENTER 2729 SOUTH HIGHWAY 65 & 82 LAKE VILLAGE, AR 71653 |
Not Available |
FAIRVIEW NORTHLAND REGIONAL HOSPITAL 911 NORTHLAND DR PRINCETON, MN 55371 |
Not Available |
CENTRACARE HEALTH - MONTICELLO 1013 HART BOULEVARD MONTICELLO, MN 55362 |
Not Available |
GILLETTE CHILDRENS SPECIALTY HOSPITAL 200 UNIVERSITY AVENUE EAST SAINT PAUL, MN 55106 |
Not Available |
CHILDREN'S HOSPITALS & CLINICS OF MN 2525 CHICAGO AVENUE SOUTH MINNEAPOLIS, MN 55404 |
Not Available |
ANOKA-METRO REG TREATMENT CTR 3301 SEVENTH AVE NORTH ANOKA, MN 55303 |
Not Available |
Medical Professionals Associated with Guardian Angels Care Center
These are the doctors who are affiliated with Guardian Angels Care Center. The data is from the most recent period. Historical data is not available.
- IBRAHIM MUJIR ( FAMILY PRACTICE - NORTHERN LIGHTS HEALTH LLC )
- TORI CHRISTIAANSEN ( FAMILY PRACTICE - FAIRVIEW CLINICS )
- HEIDI STREET ( FAMILY PRACTICE - ALLINA HEALTH SYSTEM )
Local Nursing Homes
Below is a list of nursing homes in near Guardian Angels Care Center (including this home). This list is ranked based on the nursing home's health inspection scores (alse referred to as the "weighted all cycles score"). We also show the home's 5-star overall rating in the list. (If a nursing home has been flaged by CMS for abuse, we will added an icon () to the home to indicate this.)
The data is based on the dataset as of October 1,2023.
Name | Health Inspection Score / Overall Rating |
---|---|
Capitol View Transitional Care Center (SAINT PAUL, MN) | 1.333 / 5: |
Fairview University Trans Serv (MINNEAPOLIS, MN) | 1.333 / 5: |
Langton Shores (ROSEVILLE, MN) | 4 / 5: |
The Birches at Trillium Woods (PLYMOUTH, MN) | 4.667 / 5: |
Lake Ridge Care Center of Buffalo (BUFFALO, MN) | 4.667 / 5: |
Gracepointe Crossing Gables (CAMBRIDGE, MN) | 6 / 5: |
Folkestone (WAYZATA, MN) | 6.667 / 5: |
Presbyterian Homes of North Oaks (NORTH OAKS, MN) | 11.333 / 4: |
Good Samaritan Society - Maplewood (SAINT PAUL, MN) | 14 / 5: |
Covenant Living of Golden Valley Care and Rehab Ctr (GOLDEN VALLEY, MN) | 16.667 / 4: |
The Villas at Brookview (GOLDEN VALLEY, MN) | 18.667 / 4: |
The Villas at Roseville (ROSEVILLE, MN) | 19.333 / 4: |
Benedictine Health Center Innsbruck (NEW BRIGHTON, MN) | 20 / 5: |
Good Samaritan Ambassador (NEW HOPE, MN) | 22 / 5: |
Saint Therese at Oxbow Lake (BROOKLYN PARK, MN) | 22 / 5: |
Haven Homes of Maple Plain (MAPLE PLAIN, MN) | 22.667 / 5: |
Courage Kenny Rehabilitation Institutes Trp (GOLDEN VALLEY, MN) | 23.833 / 5: |
Presbyterian Homes of Arden Hills (ARDEN HILLS, MN) | 26.667 / 5: |
Park River Estates Care Center (COON RAPIDS, MN) | 27.333 / 5: |
Mission Nursing Home (PLYMOUTH, MN) | 27.833 / 2: |
New Brighton Care Center (NEW BRIGHTON, MN) | 28.667 / 3: |
Park View Care Center (BUFFALO, MN) | 28.667 / 4: |
Elim Wellspring (PRINCETON, MN) | 30 / 5: |
Cerenity Marian of St Paul LLC (SAINT PAUL, MN) | 30.667 / 3: |
Centracare Health Monticello (MONTICELLO, MN) | 30.667 / 3: |
Ebenezer Integrated Care and Rehab (SAINT PAUL, MN) | 37.333 / 5: |
Andrew Residence (MINNEAPOLIS, MN) | 37.333 / 4: |
The Estates at Twin Rivers LLC (ANOKA, MN) | 37.333 / 2: |
The Gardens at Foley LLC (FOLEY, MN) | 39.167 / 3: |
Guardian Angels Care Center (ELK RIVER, MN) | 40.333 / 4: |
Episcopal Church Home Gardens (SAINT PAUL, MN) | 40.667 / 4: |
Interlude (PLYMOUTH, MN) | 42.333 / 3: |
The Estates at Delano LLC (DELANO, MN) | 45.333 / 3: |
The Gardens at Winsted LLC (WINSTED, MN) | 49.333 / 2: |
Episcopal Church Home of Minnesota (SAINT PAUL, MN) | 50 / 4: |
The Villas at The Park (SAINT LOUIS PARK, MN) | 54 / 2: |
Southside Care Center (MINNEAPOLIS, MN) | 55.333 / 4: |
St Therese Home (NEW HOPE, MN) | 55.667 / 4: |
Lyngblomsten Care Center (SAINT PAUL, MN) | 58 / 4: |
Jones Harrison Residence (MINNEAPOLIS, MN) | 64 / 4: |
Redeemer Residence Inc (MINNEAPOLIS, MN) | 64.333 / 4: |
St Anthony Park Home (SAINT PAUL, MN) | 64.833 / 3: |
The Villas at The Cedars (SAINT LOUIS PARK, MN) | 69.333 / 2: |
The Estates at Chateau LLC (MINNEAPOLIS, MN) | 69.333 / 2: |
Anoka Rehabilitation and Living Center (ANOKA, MN) | 71 / 2: |
Maranatha Care Center (BROOKLYN CENTER, MN) | 72.167 / 2: |
The Emeralds at St Paul LLC (SAINT PAUL, MN) | 72.667 / 2: |
The Villas at St Paul (SAINT PAUL, MN) | 77.167 / 2: |
Catholic Eldercare On Main (MINNEAPOLIS, MN) | 79.833 / 3: |
Good Samaritan Society - Specialty Care Community (ROBBINSDALE, MN) | 81 / 4: |
Birchwood Care Home (MINNEAPOLIS, MN) | 84.833 / 2: |
Benedictine Health Center of Minneapolis (MINNEAPOLIS, MN) | 87 / 2: |
The Villas at Robbinsdale (ROBBINSDALE, MN) | 87.333 / 2: |
The Estates at Roseville LLC (ROSEVILLE, MN) | 101 / 1: |
The Villas at Osseo LLC (OSSEO, MN) | 103.833 / 1: |
The Villas at New Brighton (NEW BRIGHTON, MN) | 106 / 1: |
The Estates at Fridley LLC (FRIDLEY, MN) | 109.667 / 1: |
The Villas at St Louis Park LLC (SAINT LOUIS PARK, MN) | 110.5 / 1: |
North Ridge Health and Rehab (NEW HOPE, MN) | 127.167 / 2: |
St Anthony Health and Rehabilitation (ST ANTHONY, MN) | 127.667 / 1: |
The Estates at Lynnhurst LLC (SAINT PAUL, MN) | 149.333 / 1: |
The Estates at St Louis Park LLC (SAINT LOUIS PARK, MN) | 168.167 / 1: |
Crest View Lutheran Home (COLUMBIA HEIGHTS, MN) | 169.333 / 1: |
The Villas at Bryn Mawr LLC (MINNEAPOLIS, MN) | 188.833 / 1: |
Victory Health and Rehabilitation Center (MINNEAPOLIS, MN) | 236.5 / : |
Bywood East Health Care (MINNEAPOLIS, MN) | 312.167 / 1: |
The Terrace at Crystal LLC (CRYSTAL, MN) | 349.667 / 1: |
Detailed Analysis Pages:
Depending on the nursing home, this page can get really long. So, we have also broken up the data onto separate pages to allow you to find what you want more easily. We will keep adding to these pages as we continue to analyze the nursing home database.
CMS Five Star Ratings and Quality Measures for Guardian Angels Care Center
Five different rating results plus detailed inspection numbers and quality measures for Guardian Angels Care Center.
Covid Infections at Guardian Angels Care Center
This report is updated weekly and shows new and historical infection levels.
Nursing Hours Analysis for Guardian Angels Care 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.
Ownership Details for Guardian Angels Care Center
A list of all of the registered owners for Guardian Angels Care Center. This includes direct and indirect owners and managers.
Noted Deficiencies for Guardian Angels Care 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.
Comparison Ranking of Nearby Skilled Nursing Facilities
How does Guardian Angels Care Center compare to other skilled nursing facilities? This list shows the competitive set within a 25 mile radius.
Best Nursing Homes in ELK RIVER, MN
Homes that you should consider. A list ranking the best skilled nursing facilities in ELK RIVER based on their weighted inspection score as of October 01, 2023.
Worst Nursing Homes in ELK RIVER, MN
Homes that you avoid if possible. A list ranking the worst skilled nursing facilities in ELK RIVER based on their weighted inspection score as of October 01, 2023.
Other Data Periods:
Data on Guardian Angels Care Center is available for the following periods:
- Jan 2014
- Feb 2014
- Mar 2014
- Apr 2014
- May 2014
- Jun 2014
- Jul 2014
- Aug 2014
- Sep 2014
- Oct 2014
- Nov 2014
- Dec 2014
- Jan 2015
- Feb 2015
- Mar 2015
- Apr 2015
- May 2015
- Jun 2015
- Jul 2015
- Aug 2015
- Sep 2015
- Oct 2015
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- Dec 2015
- Feb 2016
- Mar 2016
- Apr 2016
- May 2016
- Jun 2016
- Jul 2016
- Aug 2016
- Sep 2016
- Oct 2016
- Nov 2016
- Dec 2016
- Jan 2017
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- Mar 2017
- Apr 2017
- May 2017
- Jun 2017
- Jul 2017
- Aug 2017
- Sep 2017
- Oct 2017
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- Dec 2017
- Jan 2018
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- Apr 2018
- May 2018
- Jun 2018
- Jul 2018
- Aug 2018
- Sep 2018
- Oct 2018
- Nov 2018
- Dec 2018
- Jan 2019
- Feb 2019
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- Oct 2019
- Nov 2019
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- Feb 2020
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- Apr 2020
- May 2020
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- Jul 2020
- Aug 2020
- Sep 2020
- Oct 2020
- Nov 2020
- Jan 2021
- Feb 2021
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- Apr 2021
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- Jun 2021
- Jul 2021
- Aug 2021
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- Oct 2021
- Nov 2021
- Jan 2022
- Feb 2022
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- Jan 2023
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- Oct 2023