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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <TotReportableCompRltdOrgAmt>387170</TotReportableCompRltdOrgAmt>
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      <IndivRcvdGreaterThan100KCnt>5</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>true</FormerOfcrEmployeesListedInd>
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      <ContractorCompensationGrp>
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            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15626</ZIPCd>
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      <ContractorCompensationGrp>
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      <ContractorCompensationGrp>
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          <USAddress>
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            <StateAbbreviationCd>PA</StateAbbreviationCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>STEPHEN L SPORN</BusinessNameLine1Txt>
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          <USAddress>
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        <CurrentTaxYearMinus2YearsAmt>21198377</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>20021374</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>15684904</CurrentTaxYearAmt>
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      <PublicSupportCY509Pct>0.99740</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99740</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00110</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00060</InvestmentIncomePYPct>
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      <AgentTrusteeEtcInd>true</AgentTrusteeEtcInd>
      <BeginningBalanceAmt>71509</BeginningBalanceAmt>
      <AdditionsDuringYearAmt>569113</AdditionsDuringYearAmt>
      <DistributionsDuringYearAmt>640616</DistributionsDuringYearAmt>
      <EndingBalanceAmt>6</EndingBalanceAmt>
      <InclEscrowCustodialAcctLiabInd>false</InclEscrowCustodialAcctLiabInd>
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        <OtherCostOrOtherBasisAmt>10000</OtherCostOrOtherBasisAmt>
        <BookValueAmt>10000</BookValueAmt>
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      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>67799</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>55566</DepreciationAmt>
        <BookValueAmt>12233</BookValueAmt>
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      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>1207548</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1192419</DepreciationAmt>
        <BookValueAmt>15129</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>37362</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>Due from Affiliates</Desc>
        <BookValueAmt>1975590</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Due from Medicaid &amp; Medicare</Desc>
        <BookValueAmt>155900</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>2131490</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Due to Affiliates</Desc>
        <Amt>4630054</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Employee Retention Credit</Desc>
        <Amt>2365496</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>State of MD Covid Payments</Desc>
        <Amt>240902</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>TPL Audit</Desc>
        <Amt>9909</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>7246361</TotalLiabilityAmt>
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        <FormAndLineReferenceDesc>Part IV, Line 1b: Why is organization an agent, trustee, custodian or other intermediary for contrib</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION SERVES AS CUSTODIAN FOR RESIDENTS WHO ARE UNABLE TO MANAGE THEIR OWN FINANCES. RESIDENTS CONTACT THE INDIVIDUAL CUSTODIAN OF THEIR ACCOUNT TO REQUEST DISBURSEMENTS WHEN FUNDS ARE NEEDED.</ExplanationTxt>
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      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANDREA DWYER</PersonNm>
        <TitleTxt>FORMER PRES/CEO - THRU 4/23</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>104615</CompensationBasedOnRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>104615</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DENISE MCCANN</PersonNm>
        <TitleTxt>CHIEF NURSING OFC</TitleTxt>
        <BaseCompensationFilingOrgAmt>127768</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>9157</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>4030</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>20127</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>161082</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GRACE NGUHMBI</PersonNm>
        <TitleTxt>NURSE SUPERVISOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>134265</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>24440</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9449</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>168154</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOYCE RIGGS</PersonNm>
        <TitleTxt>VP DEVELOPMENT</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>117622</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>6180</BonusRelatedOrganizationsAmt>
        <DeferredCompRltdOrgsAmt>29772</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>12264</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>165838</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TERRY WEAVER</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>130943</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>27810</BonusRelatedOrganizationsAmt>
        <DeferredCompRltdOrgsAmt>29978</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>20127</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>208858</TotalCompensationRltdOrgsAmt>
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    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="23017517" softwareVersionNum="2023v6.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROGRAM SERVICES 4: THE ORGANIZATION PROVIDES IN-HOME CARE TO RESIDENTS THROUGHOUT THE TRI-COUNTY AREA OF SOUTHERN MARYLAND. THESE RESIDENTS ARE ABLE TO CONTINUE TO LIVE AT HOME, BUT REQUIRE ASSISTANCE WITH VARIOUS ACTIVITIES OF DAILY LIVING. EFFECTIVE 3/1/2024, CHARLES COUNTY NURSING &amp; REAHBILITATION CENTER, INC. CEASED PROVING IN-HOME CARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTROL OVER MANAGEMENT DUTIES IS DELEGATED TO FAMILY OF CARE ALLIANCE, INC (90-0860390), A RELATED ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>FAMILY OF CARE ALLIANCE, INC (90-0860390), A MARYLAND NONSTOCK CORPORATION, IS THE SOLE MEMBER OF CHARLES COUNTY NURSING AND REHABILITATION CENTER, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE MEMBER, FAMILY OF CARE ALLIANCE, INC, ELECTS ALL BOARD MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE MEMBER HAS RESERVED THE FOLLOWING POWERS AND SHALL REQUIRE THE AFFIRMATIVE VOTE OR WRITTEN CONSENT OF THE SOLE MEMBER:1. APPROVAL OF ANY AMENDMENT, ALTERATION, REPEAL, OR ADOPTION OF CHANGES TO THE BY-LAWS OR THE CHARTER.2. ADOPTION, APPROVAL, OR REPEAL OF ANY MATERIAL CHANGES IN OPERATIONS INCLUDING WITHOUT LIMITATION, ANY CHANGES OR OMISSION THAT WOULD RESULT IN THE LOSS OF OR NEGATIVE IMPACT ON ANY OF THE CORPORATION'S LICENSES, PERMITS, CERTIFICATES OF NEED, OR THE LIKE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CFO WILL COMPARE THE DRAFT FORM 990 TO THE PREVIOUS YEAR'S RETURN IN DETAIL, LOOKING FOR ANY SIGNIFICANT DIFFERENCES OR OMISSIONS. THE CFO ALSO TRACES AMOUNTS TO THE FINANCIAL STATEMENTS AND TRIAL BALANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH DIRECTOR, PRINCIPAL OFFICER, AND MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT THAT AFFIRMS COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. THE BOARD AS A WHOLE MONITORS THE POLICY. ANY BOARD MEMBER, OFFICER, OR KEY EMPLOYEE WHO IS INVOLVED IN A CONFLICT SITUATION WILL REMOVE HIMSELF OR HERSELF FROM ANY DECISION MAKING REGARDING THE CONFLICT. FAMILY AND BUSINESS RELATIONSHIPS ARE EXPRESSLY MENTIONED IN THE CONFLICT OF INTEREST POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON WRITTEN REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>RELATIONSHIP TO RELATED ORGANIZATIONS</FormAndLineReferenceDesc>
        <ExplanationTxt>EFFECTIVE 4/1/2024, THE SKILLED NURSING FACILITY OF CHARLES COUNTY NURSING &amp; REHABILITATION CENTER, INC. HAS BEEN LEASED TO A THIRD-PARTY OPERATOR. THE FIXED ASSETS OF THE SKILLED NURSING FACILITY WERE TRANSFERRED TO THE RELATED ORGANIZATION, FAMILY OF CARE REAL ESTATE HOLDING CO. THE OPERATOR HAS LEASED THE BUILDING AND CONENTS FROM THE REAL ESTATE HOLDING CO. THE OPERATOR IS RESPONSIBLE FOR ALL OPERATING EXPENDITURES, INCLUDING SALARIES, WAGES, AND BENEFITS, AS OF THAT DATE. FAMILY OF CARE ALLIANCE PLANS TO SELL THE SKILLED NURSING FACILITY TO THE THIRD-PARTY OPERATOR.FAMILY OF CARE ALLIANCE CONTINUES TO PROVIDE SUPPORT FOR 2 ASSISTED LIVING FACILITIES AND AN ADULT DAY PROGRAM THAT ARE PART OF CHARLES COUNTY NURSING &amp; REHABILITATION CENTER, INC.</ExplanationTxt>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>CHARLES CO N &amp; R CTR FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>10200 LA PLATA ROAD</AddressLine1Txt>
          <CityNm>LA PLATA</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>20626</ZIPCd>
        </USAddress>
        <EIN>201666771</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING FOR RELATED ENTITY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>FAMILY OF CARE ALLIANCE INC</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>FAMILY OF CARE ALLIANCE INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>10200 LA PLATA ROAD</AddressLine1Txt>
          <CityNm>LA PLATA</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>20626</ZIPCd>
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        <PrimaryActivitiesTxt>FUNDRAISING &amp; SUPPORT FOR AFFILIATED ORG</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>LINE 12B, II</PublicCharityStatusTxt>
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          <CityNm>LA PLATA</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>20626</ZIPCd>
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        <PrimaryActivitiesTxt>REAL ESTATE HOLDINGS FOR AFFILIATED ORG</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>LINE 12B, II</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>FAMILY OF CARE ALLIANCE INC</BusinessNameLine1Txt>
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      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
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      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
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      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
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      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
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          <BusinessNameLine1Txt>FAMILY OF CARE ALLIANCE INC</BusinessNameLine1Txt>
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        <InvolvedAmt>1231360</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Cost</MethodOfAmountDeterminationTxt>
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          <BusinessNameLine1Txt>FAMILY OF CARE REAL ESTATE HOLDING CO</BusinessNameLine1Txt>
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        <InvolvedAmt>1776324</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Cost</MethodOfAmountDeterminationTxt>
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        <FormAndLineReferenceDesc>RELATIONSHIP TO FAMILY OF CARE ALLIANCE, INC.</FormAndLineReferenceDesc>
        <ExplanationTxt>EFFECTIVE 4/1/2024, THE SKILLED NURSING FACILITY OF CHARLES COUNTY NURSING &amp; REHABILITATION CENTER, INC. HAS BEEN LEASED TO A THIRD-PARTY OPERATOR. THE OPERATOR HAS LEASED THE BUILDING,CONTENTS, AND BED RIGHTS. THE OPERATOR IS RESPONSIBLE FOR ALL OPERATING EXPENDITURES, INCLUDING SALARIES, WAGES, AND BENEFITS, AS OF THAT DATE. FAMILY OF CARE ALLIANCE PLANS TO SELL THE SKILLED NURSING FACILITY TO THE THIRD-PARTY OPERATOR.EFFECTIVE 3/1/2024, THE HOME CARE PORTION OF CHARLES COUNTY NURSING &amp; REHABILITATION CENTER CEASED OPERATIONS.FAMILY OF CARE ALLIANCE CONTINUES TO PROVIDE SUPPORT FOR 2 ASSISTED LIVING FACILITIES AND AN ADULT DAY PROGRAM THAT ARE PART OF CHARLES COUNTY NURSING &amp; REHABILITATION CENTER, INC.</ExplanationTxt>
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</Return>