About Assisted LivingAssisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.Complete guide to assisted livingBest of 2025 Assisted Living Winners
About Memory CareMemory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering. Complete guide to memory careBest of 2025 Memory Care Winners
About Independent LivingIndependent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.Complete guide to independent livingBest of 2025 Independent Living Winners
About Senior LivingSenior living is a term used to describe various housing and care options for older adults from maintenance-free, 55+ facilities for active seniors, to secure, fully staffed facilities for seniors with Alzheimer's or dementia. Complete guide to senior livingFind senior living facilities near you
About Nursing HomesNursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.Complete guide to Nursing Homes
About Senior ApartmentsSenior apartments offer accessible, no-frills living for seniors who are generally active, healthy, and able to live on their own.Complete guide to Senior Apartments
About Care HomesResidential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.Complete guide to care homes
Veteran ResourcesVA benefits for long-term care, such as Aid and Attendance benefits, can help eligible veterans and their surviving spouses pay for senior care.Guide to VA benefits for long-term care
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10 Best Assisted Living Facilities in Smith County, TN

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Assisted living costs in Smith County average about $4,421 per month. To find the best assisted living options for your needs and budget, browse through 107 communities in Smith County. Our detailed directory has 2193 reviews, photos, and lists of available services, amenities, and activities. Assisted living is ideal for seniors who need help with activities of daily living, such as bathing and eating, and prefer a social setting to pursue their interests. These communities offer a variety of dining options, as well as housekeeping services to eliminate daily stresses.

As you explore assisted living near you, you may also want to consider assisted living options in areas like You may also consider nearby communities such as Lebanon, Antioch and Lafayette.

Smith County Assisted Living Facilities | 2193 Reviews

Showing 99 communities
Last Updated: 12/5/25
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Photo of The Rutherford Assisted Living and Memory Care
Provides: Assisted Living, Memory Care
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
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Provides: Assisted Living, Memory Care, Independent Living, Nursing Homes
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Independent Living: Independent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.
Nursing Homes: Nursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.
AdamsPlace Retirement Community is a continuing care retirement community located in Murfreesboro, Tennessee, just 30 minutes from the Nashville airport.  Our beautifully-landscaped 22 acre campus features garden style apartment with patios and balconies for Independent Living, private...
Photo of Margaret's House
Provides: Memory Care, Residential Care Home
Care types provided by this community
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Care Homes: Residential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.
Photo of Grace House
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Photo of Cornerstone Manor, LLC
Provides: Assisted Living, Memory Care
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Photo of Scottsville Manor
Provides: Assisted Living, Memory Care
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Photo of Long Hollow Terrace
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Provides: Memory Care, Independent Living
Care types provided by this community
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Independent Living: Independent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.
Provides: Memory Care, Nursing Homes
Care types provided by this community
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Nursing Homes: Nursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.
Photo of Alternative Care, Inc.
5 star
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Staff was very accommodating and great aunt loved the food. Home cooked meals every breakfast, lunch, and dinner. Great aunt seemed much more happier with Alternative Care than with the larger facility she...
Provides: Memory Care, Residential Care Home
Care types provided by this community
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Care Homes: Residential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.
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Photo of McMinnville Boarding Home for the Elderly
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
McMinnville Boarding Home for the Elderly is an assisted living community offering modern, beautiful property with ample onsite amenities to our senior residents in McMinnville, Tennessee. We're also only a few minutes away from Dottie West Park, various restaurants, and numerous local amenities,...
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I was at a loss as to where to place my 61yr old husband. The dr suggested Lakeshore Heartland and I knew it was the right placement for him when I walked through the door. I had such a strong feeling of...
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Heartland Senior Community is an assisted living residence located in the vibrant and exciting Nashville, Tennessee. You will be able to enjoy the calm and serenity of retirement living while being only a short van or car ride away from all that Nashville has to offer. The well-kept grounds and...
Photo of Creekside Villas
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
5 star
50%
4 star
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3 star
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We like the care that we reveived. The staff was nice and caring. The community was clean with good environs. They offered good activities for her. The menu was very appealing and she was pleased with the...
Provides: Memory Care, Residential Care Home
Care types provided by this community
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Care Homes: Residential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.
Photo of The Webb House Retirement Center
Provides: Assisted Living, Memory Care
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Photo of Sycamores Terrace LLC
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Photo of Memory Assisted Living At Uplands Village
Provides: Assisted Living, Memory Care
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Photo of Elizabeth Fletcher House
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Photo of Uplands Retirement Village
Provides: Assisted Living, Memory Care, Independent Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Independent Living: Independent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.
Photo of Franklin Personal Care Home
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Photo of Richland Place
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My mother was there for rehab. The food was very very good. We expected the food would be similar at the next place we move her but it wasn't. The rehab part is good but you don't get individual care. We had...
Provides: Assisted Living, Independent Living, Nursing Homes
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Independent Living: Independent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.
Nursing Homes: Nursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.
When you are ready to retire and enjoy yourself, Richland Place is the place to be. Conveniently located on the former site of the Richland Country Club, near I-440 and West End Avenue, Richland Place provides Nashville with retirement living at its best. Richland Place Residents enjoy meals...
Photo of Somerfield at The Heritage at Brentwood
55 Photos available
44 Floor plans available
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Somerfield at The Heritage at Brentwood is managed by Life Care Services®, An LCS® Company. Life Care Services ranked highest in customer satisfaction in the J.D. Power 2019 Senior Living Study and achieved the highest score in all seven study factors: resident services and activities; community...
Photo of Southerland Place
5 star
45%
4 star
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2 star
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In the Summer of 2015, my Father passed away after 3 months of hospitalization. He was my Mother's true love, soulmate and caregiver as he was 86 and she was 92. At the time, Mother had Neuropathy in her...
Provides: Assisted Living, Memory Care, Independent Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Independent Living: Independent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.
The emphasis at Southerland Place is on independence and freedom of choice in an elegant atmosphere of subtle taste and charm.Our personal care residence is a place you can call home....with complete confidence that your medical and personal assistance needs will be met, and that your dignity...
Photo of The Autumn Hills Assisted Living
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.

Cost of assisted living in Smith County, TN

The average cost of senior living in Smith County is $4,421 per month. Cheaper nearby regions include Gainesboro, TN with an average of $3,595 per month.

Assisted living costs in Smith County, TN, vs. nearby counties

Smith County, TN
$4,421/mo
$3,768/mo

Assisted living costs in Smith County, TN, vs. state and national averages

Smith County, TN
$4,421/mo
U.S. national average
$4,698/mo

Assisted living costs in Smith County, TN, vs. other senior living options

Assisted Living
$4,421/mo
$4,560/mo

Assisted living costs in Smith County, TN, by floor plan type

Semi-Private
$4,945/mo
Studio
$5,304/mo
1 Bedroom
$5,488/mo
2 Bedroom
$6,282/mo
Detached Cottage/Bungalow
$4,350/mo

Senior living costs in Smith County vs. state and national costs

Cost comparison table showing community type costs by location. This table contains 3 rows of data across 4 columns.
Column communityType: Community type
Column destination: Smith County, TN
Column state: Tennessee
Column national: U.S.
Community typeSmith County, TNTennesseeU.S.
Assisted Living$4,421/mo$4,267/mo$4,698/mo
Memory Care$4,560/mo$4,358/mo$4,946/mo
Independent Living$3,868/mo$3,781/mo$4,153/mo
Assisted Living
Smith County, TN:$4,421/mo
Tennessee:$4,267/mo
U.S.:$4,698/mo
Memory Care
Smith County, TN:$4,560/mo
Tennessee:$4,358/mo
U.S.:$4,946/mo
Independent Living
Smith County, TN:$3,868/mo
Tennessee:$3,781/mo
U.S.:$4,153/mo
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Table showing 5 of 3 items. Click to show less.

Assisted living costs in Smith County, TN, over time

The line graph below shows how monthly assisted living costs have shifted over the past five years in Smith County and how those changes compare with state and national trends. The figures represent quarterly averages of what seniors actually paid after moving into A Place for Mom partner communities.

Smith County, TNTN stateNational

Assisted living cost trends in Smith County, TN

The table below shows how monthly assisted living costs in Smith County have changed in the last two years and how those changes compare with state and national trends. The figures represent averages of actual costs paid by seniors who moved into A Place for Mom partner communities in 2023 and 2024.

Cost comparison table showing 2023 and 2024 median costs by location. This table contains 3 rows of data across 4 columns.
Column location: Location
Column cost2024: 2024 average cost
Column cost2023: 2023 average cost
Column percentChange: Percent change
Location2024 average cost2023 average costPercent change
Smith County, TN$4,587/mo$4,365/mo+5.1%
Tennessee$4,552/mo$4,433/mo+2.7%
National$5,375/mo$5,129/mo+4.8%
Smith County, TN
2024 average cost:$4,587/mo
2023 average cost:$4,365/mo
Percent change:+5.1%
Tennessee
2024 average cost:$4,552/mo
2023 average cost:$4,433/mo
Percent change:+2.7%
National
2024 average cost:$5,375/mo
2023 average cost:$5,129/mo
Percent change:+4.8%
Table showing 5 of 3 items. Click to show less.
Table showing 5 of 3 items. Click to show less.

Ways to pay for Assisted Living in Smith County, TN

Paying for assisted living may seem daunting, but knowing all your options can be empowering. Read about the many private and public payment options that families use to pay for assisted living in Smith County.

What families are saying about assisted living in Smith County

Recent reviews for assisted living in Smith County

Maple Cottage Assisted Living Transitions in Portland, TN

4.4
Overall we have been very pleased with our experience. We like that it's a smaller facility (20 residents), easier to talk with staff. However, there has been quite a bit of turnover in the year we have been with them. We have had three "in-charge " people in a year and the position is currently ...
Read more

Grace Manor Assisted Living Community in Nashville, TN

4.0
I have to say my favorite thing about this community is how well maintained and kept clean it is. Every time I go to visit it is completely spotless with a fresh smell throughout the building. My mom has had no complaints about the food and has really enjoyed participating in the many activities ...
Read more

Traditions of Smyrna

4.5
Overall Traditions of Smyrna is a very nice place. It is very clean and friendly. Care of the residents is their top priority. I know that they are working on making some changes to the food.

Smith County review score based on 616 family reviews

8.6
Review score99 facilities616 reviewsWrite a review
This proprietary review score is based on 616 reviews of 99 Smith County assisted living communities. All reviews were submitted in the past two years by verified community residents and family members.
The Smith County review score informs your search by letting you see at a glance how assisted living residents and family members rate assisted living in your area. Compare review scores in multiple locations to understand how overall satisfaction rates differ from city to city. Based on recent reviews, the maximum possible score is 10.Methodology: How we calculate our city review scores

Smith County review score compared against nearby cities

8.6
Smith County, TN99 facilities
8.3
South Carthage, TN9 facilities
7.9
Carthage, TN6 facilities

Review subcategories for Smith County assisted living

When assisted living residents and family members submit a review on our site, they rate each community on categories such as cleanliness, activities, meals, and more. The chart below is based on 616 reviews of 99 Smith County assisted living communities. This chart helps you compare Smith County resident and family assisted living satisfaction rates against national averages. Use it to assess your needs and develop criteria for your own search. If you know that one of these categories is important to you or your loved one, our senior living advisors can help you find communities to match your needs.
Smith County, TN averageNational average
Cleanliness
3.9
4.1
Friendliness
4.0
4.2
Care services
3.6
3.8
Staff
3.8
4.0
Meals & dining
3.4
3.7
Activities
3.5
3.7
Value for cost*
3.6
3.7
0.01.02.03.04.05.0
*Learn more about cost details

Smith County assisted living services and amenities

These charts highlight some of the many care, dining, and entertainment offerings available in Smith County assisted living communities. They don’t represent all possible services and amenities available at assisted living communities in Smith County, but support comparisons against nationwide offerings. Our Senior Living Advisors can help you find communities that fit your preferences.

Availability of select care services in Smith County assisted living

Assisted living communities offer a variety of care services and visiting health care providers to meet seniors’ health needs. The chart below shows the percentage of assisted living partners in Smith County that offer these care services compared to the percentage of partners that offer them nationally.
Smith County, TNNational
Full medication management
Full medication management
60.6%
52.5%
Doctor on call
Doctor on call
52.5%
33.8%
24-Hour awake staff
24-Hour awake staff
97%
96.1%
Diabetic care
Diabetic care
99%
97.6%
*Visiting health care professionals
*Visiting health care professionals
69.7%
56.7%
Home care agency on-site
Home care agency on-site
38.4%
30%
Non-ambulatory care
Non-ambulatory care
97%
96.7%
Respite or short term stays
Respite or short term stays
66.7%
47.6%
Hospice available on-site
Hospice available on-site
69.7%
52.4%
0.0%20.0%40.0%60.0%80.0%100%
*Including nurse, dentist, OT, PT, speech or podiatrist

Availability of select dementia care services in Smith County assisted living

Our community partners provide many services to keep residents with dementia or other memory concerns safe and engaged. Below, take a look at what percentage of Smith County Assisted Living partners offer the selected dementia care services compared to the percentage of partners nationally.
Smith County, TNNational
Dementia behaviors care
Dementia behaviors care
65.7%
51.3%
Specialized memory care training for staff
Specialized memory care training for staff
36.4%
32.5%
Secured community and/or wander guard
Secured community and/or wander guard
48.5%
41.1%
Memory care only community
Memory care only community
12.1%
13.7%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dietary accommodations in Smith County assisted living

Assisted living communities help seniors maintain a balanced diet by accommodating their health needs, allergies, and other restrictions. Below you’ll find the percentage of Smith County partners making specific dietary accommodations for seniors compared to the percentage of assisted living partners making those accommodations nationally.
Smith County, TNNational
Nutritionist / dietician
Nutritionist / dietician
44.4%
27.2%
Low / no sodium
Low / no sodium
46.5%
40.9%
No sugar
No sugar
36.4%
37.5%
Vegetarian
Vegetarian
39.4%
36.2%
Pureed meals
Pureed meals
24.2%
17.3%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dining options in Smith County assisted living

Our assisted living communities know that seniors want top-quality meals and options for how they dine. The chart below indicates the percentage of Smith County communities that offer dining options to their discerning residents compared to our partners nationally.
Smith County, TNNational
Professional chef
Professional chef
37.4%
31.5%
Restaurant style dining
Restaurant style dining
52.5%
42.3%
Room service
Room service
38.4%
36.7%
Anytime dining
Anytime dining
14.1%
18%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select programs and activities in Smith County assisted living

Senior living communities offer a variety of programming to keep seniors socially, mentally, and physically vibrant. The chart below shows what percentage of partnered assisted living communities in Smith County offer the selected activities, amenities, and programs compared to the percentage of partners nationwide.
Smith County, TNNational
Activity director
Activity director
53.5%
46.4%
Pet-focused programs
Pet-focused programs
30.3%
31%
Community service programs
Community service programs
39.4%
30.4%
Devotional activities on-site
Devotional activities on-site
59.6%
49.5%
Parties / BBQs / happy hour
Parties / BBQs / happy hour
58.6%
49.3%
Outings / off-site activities
Outings / off-site activities
61.6%
52.3%
Piano or organ
Piano or organ
48.5%
41.3%
Arts and crafts center
Arts and crafts center
34.3%
35.4%
Educational speakers / life long learning
Educational speakers / life long learning
42.4%
38.1%
Clubs / games / karaoke
Clubs / games / karaoke
55.6%
46.8%
Live performances
Live performances
54.5%
46.9%
Dances
Dances
33.3%
30.5%
Fitness center
Fitness center
29.3%
24.6%
Fitness classes
Fitness classes
54.5%
46%
0.0%20.0%40.0%60.0%80.0%100%

State regulations for assisted living in Smith County

Safety is a primary concern when seniors and their families look for assisted living. Each state has its own laws and inspection processes to help ensure seniors reside in a safe environment and receive quality care. Learning about Tennessee assisted living regulations will help you understand how assisted living communities in Smith County protect seniors.
Learn about Tennessee assisted living regulationsDownload the Guide to Senior Living Licensure and Inspection Reports
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The information contained on this page is for informational purposes only and is not intended to constitute medical, legal or financial advice or create a professional relationship between A Place for Mom and the reader. Always seek the advice of your health care provider, attorney or financial advisor with respect to any particular matter, and do not act or refrain from acting on the basis of anything you have read on this site. Links to third-party websites are only for the convenience of the reader; A Place for Mom does not endorse the contents of the third-party sites.
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