nursing home in South Paris, ME

Market Square Health Care Center, LLC

3 Market Square, South Paris, ME 04281 · (207) 743-7086

★★★★★1
Much below average
CMS overall star rating
  • Health inspections★★★★★1
  • Staffing★★★★★4
  • Quality measures★★★★★4
  • Special Focus candidate

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Market Square Health Care Center, LLC at a glance

Market Square Health Care Center, LLC is a 76-bed for-profit nursing home in South Paris, Maine (Oxford County).

CMS gives it 1 out of 5 stars on its overall star rating, worse than the Maine average of 3.1.

Residents receive about 4.6 hours of nursing care per day (0.6 of them from registered nurses), better than the state average of 4.3 hours.

Its most recent standard health inspection (May 14, 2026) found 20 health citations. The Maine average is 10.8.

It has not received a federal fine in the past three years.

Nursing staff turnover is 49.4% per year (state average 46.7%).

Facility details

Type
Nursing home
Ownership
For Profit - Individual
Beds
76
Certified for
Medicare and Medicaid
Chain / affiliated entity
North Country Associates
Medicare-certified since
April 1, 1992
Resident/family council
Resident
County
Oxford County
CMS Certification Number
205076

Ratings

MeasureThis facilityMaine avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)1 / 53.1 / 53 / 5Worse
Health inspection rating ⓘ (higher is better)1 / 52.8 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)4 / 54.1 / 52.9 / 5Better
Quality measures rating ⓘ (higher is better)4 / 52.8 / 53.6 / 5Average
Long-stay quality rating (higher is better)4 / 52.5 / 53.8 / 5Average
Short-stay (rehab) quality rating (higher is better)5 / 53.3 / 53.3 / 5Better

Staffing

This facility4.60 hrsMaine average4.34 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Maine and U.S. averages
MeasureThis facilityMaine avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)4.60 hrs4.34 hrs3.86 hrsBetter
Registered nurse hours per resident per day (higher is better)0.56 hrs1.05 hrs0.69 hrsWorse
Nurse aide hours per resident per day (higher is better)3.01 hrs2.83 hrs2.32 hrsBetter
Weekend nurse staff hours per resident per day (higher is better)3.91 hrs3.92 hrs3.42 hrsBetter
Nursing staff turnover (yearly) (lower is better)49.4%46.7%45.8%Worse
Registered nurse turnover (yearly) (lower is better)53.8%40.2%42.9%Worse
Administrators who left in the past year (lower is better)001Better

Inspections

This facility20Maine average11U.S. average9
Health citations in the most recent inspection: this facility vs. Maine and U.S. averages
MeasureThis facilityMaine avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)20119Worse
Citations from complaint investigations (latest cycle) (lower is better)423Worse
Weighted health inspection score ⓘ (lower is better)181.581.380.6Worse

Penalties

This facility0Maine average0U.S. average1
Fines in the past 3 years: this facility vs. Maine and U.S. averages
MeasureThis facilityMaine avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)001Better
Total fines in the past 3 years (lower is better)$0$7,386$30,972Better
All federal penalties in the past 3 years (lower is better)011Better

Size

MeasureThis facilityMaine avg.U.S. avg.vs. U.S.
Certified beds7675107
Average residents per day686586
Occupancy89.6%88.5%80.9%

Long-stay residents

This facility3.1%Maine average4.1%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Maine and U.S. averages
MeasureThis facilityMaine avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)3.1%4.1%3.2%Average
Long-stay residents with pressure ulcers (lower is better)1.8%4.3%4.6%Better
Long-stay residents given antipsychotic medication (lower is better)21.1%20.2%15.4%Worse
Long-stay residents with a urinary tract infection (lower is better)0.9%2.2%1.6%Better
Long-stay residents with a catheter left in the bladder (lower is better)0.5%1.1%0.8%Better
Long-stay residents needing more help with daily activities (lower is better)31.7%24.4%13.9%Worse
Long-stay residents whose walking worsened (lower is better)34.3%25.6%14.1%Worse
Long-stay residents who lose too much weight (lower is better)2.7%5.2%5.2%Better
Long-stay residents with depressive symptoms (lower is better)12.7%11.6%12.8%Average
Long-stay residents who were physically restrained (lower is better)0%0%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)8.1%17.4%19.5%Better
Long-stay residents with new or worse incontinence (lower is better)25.6%29.2%19%Worse
Long-stay residents given a flu vaccine (higher is better)98.4%95.5%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)98.2%92.3%93.6%Average

Short-stay residents

This facility1.9%Maine average1.2%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Maine and U.S. averages
MeasureThis facilityMaine avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)1.9%1.2%1.6%Worse
Short-stay residents given a flu vaccine (higher is better)89.8%74.5%79.8%Better
Short-stay residents given a pneumonia vaccine (higher is better)91.1%72.7%82%Better

Inspection citations

State inspectors cited this home for 47 health deficiencies and 29 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.

DateCitationSeverityStatus
May 14, 2026
Fire safety
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies · Tag K0712
F
Potential harm, widespread
Corrected June 12, 2026
May 14, 2026
Fire safety
Install corridor and hallway doors that block smoke.
Smoke Deficiencies · Tag K0363
D
Potential harm, isolated
Corrected June 12, 2026
May 14, 2026
Fire safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies · Tag K0211
D
Potential harm, isolated
Corrected June 12, 2026
May 14, 2026
Complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected August 3, 2026
May 14, 2026
Complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
E
Potential harm, pattern
Corrected June 26, 2026
May 14, 2026
Standard
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · Tag F0628
E
Potential harm, pattern
Corrected June 26, 2026
May 14, 2026
Standard
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies · Tag F0584
E
Potential harm, pattern
Corrected August 3, 2026
May 14, 2026
Standard
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
E
Potential harm, pattern
Corrected June 26, 2026
May 14, 2026
Standard
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.
Pharmacy Service Deficiencies · Tag F0761
E
Potential harm, pattern
Corrected June 26, 2026
May 14, 2026
Standard
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Administration Deficiencies · Tag F0940
E
Potential harm, pattern
Corrected June 26, 2026
May 14, 2026
Complaint
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected June 26, 2026
May 14, 2026
Standard
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · Tag F0867
E
Potential harm, pattern
Corrected August 3, 2026
May 14, 2026
Standard
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
E
Potential harm, pattern
Corrected June 26, 2026
May 14, 2026
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
E
Potential harm, pattern
Corrected June 26, 2026
May 14, 2026
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
E
Potential harm, pattern
Corrected June 26, 2026
May 14, 2026
Standard
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Quality of Life and Care Deficiencies · Tag F0678
E
Potential harm, pattern
Corrected June 26, 2026
May 14, 2026
Standard
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
D
Potential harm, isolated
Corrected June 26, 2026
May 14, 2026
Standard
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services Deficiencies · Tag F0947
D
Potential harm, isolated
Corrected June 26, 2026
May 14, 2026
Complaint
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610
D
Potential harm, isolated
Corrected June 26, 2026
May 14, 2026
Standard
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
D
Potential harm, isolated
Corrected June 26, 2026
May 14, 2026
Standard
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Tag F0583
D
Potential harm, isolated
Corrected June 26, 2026
May 14, 2026
Standard
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Tag F0558
D
Potential harm, isolated
Corrected June 26, 2026
May 14, 2026
Standard
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · Tag F0655
D
Potential harm, isolated
Corrected June 26, 2026
March 5, 2025
Fire safety
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies · Tag K0712
F
Potential harm, widespread
Corrected April 17, 2025
March 5, 2025
Fire safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Egress Deficiencies · Tag K0223
D
Potential harm, isolated
Corrected April 4, 2025
March 5, 2025
Fire safety
Install a two-hour-resistant firewall separation.
Construction Deficiencies · Tag K0133
D
Potential harm, isolated
Corrected April 8, 2025
March 5, 2025
Fire safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies · Tag K0211
D
Potential harm, isolated
Corrected April 8, 2025
March 5, 2025
Fire safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies · Tag K0222
D
Potential harm, isolated
Corrected April 10, 2025
March 5, 2025
Fire safety
Install emergency lighting that can last at least 1 1/2 hours.
Egress Deficiencies · Tag K0291
D
Potential harm, isolated
Corrected April 9, 2025
March 5, 2025
Fire safety
Have properly located and lighted "Exit" signs.
Egress Deficiencies · Tag K0293
D
Potential harm, isolated
Corrected April 15, 2025
March 5, 2025
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
D
Potential harm, isolated
Corrected April 15, 2025
March 5, 2025
Fire safety
Construct fire resistant interior walls.
Smoke Deficiencies · Tag K0331
D
Potential harm, isolated
Corrected April 9, 2025
March 5, 2025
Fire safety
Install an approved automatic sprinkler system.
Smoke Deficiencies · Tag K0351
D
Potential harm, isolated
Corrected April 15, 2025
March 5, 2025
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
D
Potential harm, isolated
Corrected April 15, 2025
March 5, 2025
Fire safety
Install corridor and hallway doors that block smoke.
Smoke Deficiencies · Tag K0363
D
Potential harm, isolated
Corrected April 15, 2025
March 5, 2025
Fire safety
Have properly installed electrical wiring and gas equipment.
Services Deficiencies · Tag K0511
D
Potential harm, isolated
Corrected April 9, 2025
March 5, 2025
Fire safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies · Tag K0741
D
Potential harm, isolated
Corrected April 17, 2025
March 5, 2025
Fire safety
Provide properly sized and located linen or trash receptacles.
Miscellaneous Deficiencies · Tag K0754
D
Potential harm, isolated
Corrected April 8, 2025
March 5, 2025
Fire safety
Meet requirements for the installation and maintenance of electrical systems.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0911
D
Potential harm, isolated
Corrected April 7, 2025
March 5, 2025
Fire safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914
D
Potential harm, isolated
Corrected May 6, 2025
March 5, 2025
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
D
Potential harm, isolated
Corrected May 12, 2025
March 5, 2025
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
D
Potential harm, isolated
Corrected April 10, 2025
March 5, 2025
Fire safety
Have restrictions on the use of highly flammable decorations.
Miscellaneous Deficiencies · Tag K0753
C
No harm, widespread
Corrected April 17, 2025
March 5, 2025
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
F
Potential harm, widespread
Corrected April 15, 2025
March 5, 2025
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected April 15, 2025
March 5, 2025
Standard
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
E
Potential harm, pattern
Corrected April 15, 2025
March 5, 2025
Standard
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies · Tag F0584
E
Potential harm, pattern
Corrected April 15, 2025
March 5, 2025
Standard
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
E
Potential harm, pattern
Corrected April 15, 2025
March 5, 2025
Standard
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Rights Deficiencies · Tag F0625
E
Potential harm, pattern
Corrected April 15, 2025
March 5, 2025
Standard
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · Tag F0655
E
Potential harm, pattern
Corrected April 15, 2025
March 5, 2025
Standard
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Tag F0558
D
Potential harm, isolated
Corrected April 15, 2025
March 5, 2025
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected April 15, 2025
March 5, 2025
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected April 15, 2025
March 5, 2025
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
D
Potential harm, isolated
Corrected April 15, 2025
March 5, 2025
Standard
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service Deficiencies · Tag F0758
D
Potential harm, isolated
Corrected April 15, 2025
March 5, 2025
Standard
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.
Pharmacy Service Deficiencies · Tag F0761
D
Potential harm, isolated
Corrected April 15, 2025
December 19, 2024
Complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
D
Potential harm, isolated
Corrected January 31, 2025
December 19, 2024
Complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected January 31, 2025
December 19, 2024
Complaint
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected January 31, 2025
November 5, 2024
Complaint
Keep all essential equipment working safely.
Environmental Deficiencies · Tag F0908
F
Potential harm, widespread
Corrected December 20, 2024
October 7, 2024
Complaint
Keep all essential equipment working safely.
Environmental Deficiencies · Tag F0908
E
Potential harm, pattern
Corrected November 18, 2024
October 7, 2024
Complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected November 18, 2024
August 3, 2022
Fire safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Miscellaneous Deficiencies · Tag K0761
F
Potential harm, widespread
Corrected September 8, 2022
August 3, 2022
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
D
Potential harm, isolated
Corrected September 8, 2022
August 3, 2022
Fire safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies · Tag K0211
D
Potential harm, isolated
Corrected September 8, 2022
August 3, 2022
Fire safety
Install emergency lighting that can last at least 1 1/2 hours.
Egress Deficiencies · Tag K0291
C
No harm, widespread
Corrected September 8, 2022
August 3, 2022
Fire safety
Meet requirements for the installation and maintenance of electrical systems.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0911
C
No harm, widespread
Corrected September 26, 2022
August 3, 2022
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
C
No harm, widespread
Corrected September 8, 2022
August 3, 2022
Standard
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Nutrition and Dietary Deficiencies · Tag F0802
F
Potential harm, widespread
Corrected September 2, 2022
August 3, 2022
Standard
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Tag F0921
E
Potential harm, pattern
Corrected September 2, 2022
August 3, 2022
Standard
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.
Pharmacy Service Deficiencies · Tag F0761
E
Potential harm, pattern
Corrected September 2, 2022
August 3, 2022
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
E
Potential harm, pattern
Corrected September 2, 2022
August 3, 2022
Standard
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Tag F0657
D
Potential harm, isolated
Corrected September 2, 2022
August 3, 2022
Standard
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
D
Potential harm, isolated
Corrected September 2, 2022
August 3, 2022
Standard
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0943
B
No harm, pattern
Corrected September 2, 2022
August 3, 2022
Standard
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
B
No harm, pattern
Corrected September 2, 2022

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports no federal fines or payment denials in the past three years.

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
ORESTIS, JOHN
Individual
5% or greater direct ownership interest100%11/15/2014
ORESTIS, JOHN
Individual
corporate officerNOT APPLICABLE11/15/2014
CYR, GLEN
Individual
w-2 managing employeeNOT APPLICABLE01/01/2008

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Frequently asked questions

What is Market Square Health Care Center, LLC's rating?

Market Square Health Care Center, LLC has 1 out of 5 stars on the CMS overall star rating. The average for Maine nursing homes is 3.1 stars.

How many inspection citations did Market Square Health Care Center, LLC receive?

Its most recent standard health inspection found 20 citations, compared with a Maine average of 10.8. Every citation is listed on this page with its severity.

Does Market Square Health Care Center, LLC accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Market Square Health Care Center, LLC?

It is for profit - individual and part of North Country Associates. The ownership section on this page lists the owners and managers reported to CMS.

Where is Market Square Health Care Center, LLC and how do I contact it?

Market Square Health Care Center, LLC is at 3 Market Square, South Paris, ME 04281. Phone: (207) 743-7086.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.