Fed directly by the refresh: count changes, changed license
status / capacity / visit date / citation fields, and refusals.
2026-09-06 — MO: refresh refused for a state (previous record kept) — mo: 13/601 rows rejected (> 2%). First: mo-14436: ['duplicate id mo-14436']; mo-22664: ['duplicate id mo-22664']; mo-30084: ['duplicate id mo-30084']; mo-02160: ['duplicate id mo-02160']; mo-21512: ['