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Officials with Grady General Hospital say if a Certificate of Need is allowed to go forward and a skilled nursing center is built in Cairo, the facility would create 89 jobs. With last week’s announcement that a hearing officer had reversed the Georgia Department of Community Health’s original denial to issue a CON for the proposed nursing home, local health officials just have to wait about 23 more days to see if the state Department of Community Health will appeal the decision to the department commissioner.