Skilled nursing facility · CMS certification number 335428
LEWIS COUNTY GENERAL HOSPITAL-NURSING HOME UNIT
LOWVILLE, New York · Medicare and Medicaid
Certified beds, as filed in Care Compare: 160
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 1 · Fines: 1 · Fines, total amount: $160,046.00 · Payment denials: 0. The most recent penalty on file: October 10, 2024, Fine, $160,046. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
No Medicare cost report on file for this facility.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated October 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| TUTTLE-MALONE, SHIRLEY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/03/2025 |
| WURZ, DEBRA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/26/2020 |
| HELLINGER, JEFFREY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 10/18/2016 |
| JONES, JENNIFER | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 12/31/2015 |
| LEHMAN, JOHN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2020 |
| MASTASCUSA, MARGUERITE | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 11/01/2012 |
| MCDOWELL, PHILIP | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 12/01/2016 |
| MENY, HOWARD | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 11/01/2020 |
| MUSNICKI, DONALD | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2015 |
| RENNIE, KAREN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2019 |
| ROSS, SUSAN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 07/01/2018 |
| SCHWARTZ, JOHN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2024 |
| YOUNG, MICHAEL | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 10/10/2010 |
| SCHWARTZ, JOHN | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 01/01/2024 |
| WURZ, DEBRA | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 02/26/2020 |
| HELLINGER, JEFFREY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/18/2016 |
| SCHWARTZ, JOHN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2024 |
| TUTTLE-MALONE, SHIRLEY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2020 |
| WURZ, DEBRA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/26/2020 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of LEWIS COUNTY GENERAL HOSPITAL (enrollment ID O20130327000174).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| DEBRA A WURZ | Individual | ADP OF THE SNF | Not stated in the filing | 2/26/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SHIRLEY A TUTTLE-MALONE | Individual | ADP OF THE SNF | Not stated in the filing | 4/3/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DONALD MUSNICKI | Individual | CORPORATE OFFICER | 0 | 1/1/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| HOWARD T MENY | Individual | CORPORATE OFFICER | 0 | 11/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JEFFREY H HELLINGER | Individual | CORPORATE OFFICER | 0 | 10/18/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JENNIFER JONES | Individual | CORPORATE OFFICER | 0 | 12/31/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN SCHWARTZ | Individual | CORPORATE OFFICER | 0 | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN V LEHMAN | Individual | CORPORATE OFFICER | 0 | 1/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KAREN RENNIE | Individual | CORPORATE OFFICER | 0 | 1/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARGUERITE MASTASCUSA | Individual | CORPORATE OFFICER | 0 | 11/1/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHAEL YOUNG | Individual | CORPORATE OFFICER | 0 | 10/10/2010 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PHILIP E MCDOWELL | Individual | CORPORATE OFFICER | 0 | 12/1/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SUSAN J ROSS | Individual | CORPORATE OFFICER | 0 | 7/1/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DEBRA A WURZ | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 2/26/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN SCHWARTZ | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DEBRA A WURZ | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/26/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JEFFREY H HELLINGER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/18/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN SCHWARTZ | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SHIRLEY A TUTTLE-MALONE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- September 1, 2025: CHERYL STECKLY no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: KERRY HERBINE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: RICHARD CHARTRAND no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JEFFREY HELLINGER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DEBRA A WURZ (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since February 26, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DEBRA A WURZ (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since February 26, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DEBRA A WURZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since February 26, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: RICHARD SCHWARTZ (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: RICHARD SCHWARTZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: RICHARD SCHWARTZ (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SHIRLEY A TUTTLE-MALONE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 3, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SHIRLEY A TUTTLE-MALONE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
Recent changes on this record
- July 10, 2026: A deficiency was cited under tag F 0582, scope and severity B. NH_HealthCitations_Oct2026.csv
- July 10, 2026: A deficiency was cited under tag F 0577, scope and severity B. NH_HealthCitations_Oct2026.csv
- July 10, 2026: A deficiency was cited under tag F 0692, scope and severity D. NH_HealthCitations_Oct2026.csv
- July 10, 2026: A deficiency was cited under tag F 0550, scope and severity D. NH_HealthCitations_Oct2026.csv
- July 10, 2026: A deficiency was cited under tag F 0804, scope and severity E. NH_HealthCitations_Oct2026.csv
- July 10, 2026: A deficiency was cited under tag F 0656, scope and severity E. NH_HealthCitations_Oct2026.csv
- July 10, 2026: An inspection was recorded in inspection cycle 1. NH_SurveySummary_Oct2026.csv
- July 10, 2026: A deficiency was cited under tag F 0694, scope and severity E. NH_HealthCitations_Sep2026_2.csv
- September 1, 2025: CHERYL STECKLY no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: KERRY HERBINE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: RICHARD CHARTRAND no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JEFFREY HELLINGER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DEBRA A WURZ (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since February 26, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DEBRA A WURZ (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since February 26, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DEBRA A WURZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since February 26, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: RICHARD SCHWARTZ (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: RICHARD SCHWARTZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: RICHARD SCHWARTZ (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SHIRLEY A TUTTLE-MALONE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since April 3, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SHIRLEY A TUTTLE-MALONE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | July 10, 2026 | July 10, 2026 | 7 | 5 |
| 2 | July 30, 2024 | July 30, 2024 | 8 | 7 |
| 3 | July 6, 2022 | July 6, 2022 | 6 | 10 |
| 3 | December 6, 2019 | December 6, 2019 | 2 | 4 |
From the Care Compare inspection summary file NH_SurveySummary_Oct2026.csv, processed on October 1, 2026.
Deficiencies cited
23 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| July 10, 2026 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | September 4, 2026 |
| July 10, 2026 | Health | F 0577 | Resident Rights Deficiencies | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | B | No | Deficient, Provider has date of correction | September 4, 2026 |
| July 10, 2026 | Health | F 0582 | Resident Rights Deficiencies | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | B | No | Deficient, Provider has date of correction | September 11, 2026 |
| July 10, 2026 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | No | Deficient, Provider has date of correction | September 11, 2026 |
| July 10, 2026 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | No | Deficient, Provider has date of correction | September 11, 2026 |
| July 10, 2026 | Health | F 0694 | Quality of Life and Care Deficiencies | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | E | Yes | Deficient, Provider has date of correction | September 4, 2026 |
| July 10, 2026 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | No | Deficient, Provider has date of correction | September 4, 2026 |
| October 10, 2024 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | Yes | Deficient, Provider has date of correction | November 22, 2024 |
| October 10, 2024 | Health | F 0744 | Quality of Life and Care Deficiencies | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Yes | Deficient, Provider has date of correction | November 22, 2024 |
| October 10, 2024 | Health | F 0835 | Administration Deficiencies | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E | Yes | Deficient, Provider has date of correction | November 22, 2024 |
| July 30, 2024 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | D | No | Deficient, Provider has date of correction | October 10, 2024 |
| July 30, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Yes | Deficient, Provider has date of correction | September 20, 2024 |
| July 30, 2024 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | No | Deficient, Provider has date of correction | September 20, 2024 |
| July 30, 2024 | Health | F 0810 | Nutrition and Dietary Deficiencies | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | No | Deficient, Provider has date of correction | September 20, 2024 |
| July 30, 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | September 20, 2024 |
| July 6, 2022 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | No | Deficient, Provider has date of correction | August 31, 2022 |
| July 6, 2022 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | No | Deficient, Provider has date of correction | August 31, 2022 |
| July 6, 2022 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | No | Deficient, Provider has date of correction | August 31, 2022 |
| July 6, 2022 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | August 31, 2022 |
| July 6, 2022 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | August 31, 2022 |
| July 6, 2022 | Health | F 0836 | Administration Deficiencies | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | E | No | Deficient, Provider has date of correction | August 31, 2022 |
| December 6, 2019 | Health | F 0577 | Resident Rights Deficiencies | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | D | No | Deficient, Provider has date of correction | December 11, 2019 |
| December 6, 2019 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | February 1, 2020 |
From the Care Compare health citations file NH_HealthCitations_Oct2026.csv, processed on October 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| October 10, 2024 | Fine | $160,046 | 22342 |
From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Government - County |
| Legal Business Name | LEWIS COUNTY GENERAL HOSPITAL |
| Date First Approved to Provide Medicare and Medicaid Services | 1975-01-01 |
| Provider Resides in Hospital | Y |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Lewis |
| Telephone Number | 3153765200 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Both |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 160 |
| Average Number of Residents per Day | 109.1 |
| Overall Rating | 2 |
| Health Inspection Rating | 2 |
| QM Rating | 3 |
| Long-Stay QM Rating | 2 |
| Short-Stay QM Rating | 4 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on LEWIS COUNTY GENERAL HOSPITAL-NURSING HOME UNIT: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On July 10, 2026: A deficiency was cited under tag F 0582, scope and severity B. That is one line of the alert.
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The citable document for LEWIS COUNTY GENERAL HOSPITAL-NURSING HOME UNIT
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in New York at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 335428.