Briarcliff Manor, NY

Briarcliff Manor Center For Rehab And Nursing Care

1-star overall rating with 1-star inspections with abuse icon flag with $117,246 in total fines with 13 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle

620 Sleepy Hollow Road, Briarcliff Manor, NY

(914) 941-5100

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

117

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Excelsior Care Group

Operator or chain grouping

Approved since

1967-01-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

33 facilities

Chain averages 3 overall / 2 health / 3 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

No

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.56

Registered nurse staffing · state 0.70 · national 0.68

LPN hours / resident day

0.75

Licensed practical nurse staffing · state 0.78 · national 0.87

Aide hours / resident day

1.93

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.23

All reported nurse hours · state 3.65 · national 3.89

Licensed hours

1.30

RN + LPN hours · state 1.47 · national 1.54

Weekend hours

3.00

Weekend nurse staffing · state 3.16 · national 3.43

Weekend RN hours

0.47

Weekend registered nurse coverage · state 0.47 · national 0.47

Physical therapist

0.13

Reported PT staffing · state 0.11 · national 0.07

Adjusted RN hours

0.48

CMS adjusted RN staffing hours

Adjusted total hours

2.81

CMS adjusted total nurse staffing hours

Case-mix index

1.57

Higher values indicate more complex resident acuity

RN turnover

65%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

56%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

7,898

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

28.46

Composite VBP score used to determine payment impact.

Payment multiplier

0.9850

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

8.15

Baseline 17.12% · Performance 17.65% · Measure score 8.15 · Achievement 8.15 · Improvement 0

Healthcare-associated infections

0

Baseline 6.25% · Performance 8.90% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

3.23

Baseline 32.63% · Performance 50.48% · Measure score 3.23 · Achievement 3.23 · Improvement 0

Adjusted total nurse staffing

0

Baseline 3.21 hours · Performance 2.90 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 9.61%
10.72%
1.1 pts better
No Different than the National Rate · Eligible stays 266 · Observed rate 8.27% · Lower 95% interval 7.01%
Discharge to community 59.93%
50.57%
9.4 pts better
Better than the National Rate · Eligible stays 269 · Observed rate 52.42% · Lower 95% interval 53.36%
Medicare spending per beneficiary 1.28
1.02
0.3 pts worse
Drug regimen review with follow-up 91.67%
95.27%
3.6 pts worse
Numerator 220 · Denominator 240
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 240
Discharge self-care score 60.81%
53.69%
7.1 pts better
Numerator 90 · Denominator 148
Discharge mobility score 64.86%
50.94%
13.9 pts better
Numerator 96 · Denominator 148
Pressure ulcers or injuries, new or worsened 5.42%
2.29%
3.1 pts worse
Numerator 13 · Denominator 240 · Adjusted rate 5.4%
Healthcare-associated infections requiring hospitalization 8.9%
7.12%
1.8 pts worse
No Different than the National Rate · Eligible stays 185 · Observed rate 10.81% · Lower 95% interval 6.2%
Staff COVID-19 vaccination coverage 3.9%
8.2%
4.3 pts worse
Numerator 6 · Denominator 154
Staff flu vaccination coverage 60.39%
42%
18.4 pts better
Numerator 93 · Denominator 154
Discharge function score 58.78%
56.45%
2.3 pts better
Numerator 87 · Denominator 148
Transfer of health information to provider 88.04%
95.95%
7.9 pts worse
Numerator 81 · Denominator 92
Transfer of health information to patient 94.78%
96.28%
1.5 pts worse
Numerator 109 · Denominator 115
Resident COVID-19 vaccinations up to date 9.52%
25.2%
15.7 pts worse
Numerator 12 · Denominator 126

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.8
1.7
1.1 pts worse
1.9
0.9 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.8 · Observed 2.7 · Expected 1.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.5
1.3
0.2 pts worse
1.8
0.3 pts better
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.5 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.5%
91.2%
7.3 pts better
93.4%
5.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 96.1% · Q2 100.0% · Q3 98.9% · Q4 98.8% · 4Q avg 98.5%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95.4%
95.3%
0.1 pts better
95.5%
0.1 pts worse
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.4%
Percentage of long-stay residents experiencing one or more falls with major injury 0.9%
3.0%
2.1 pts better
3.3%
2.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.2% · Q3 1.1% · Q4 1.2% · 4Q avg 0.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 87.1%
18.5%
68.6 pts worse
11.4%
75.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 83.6% · Q2 87.7% · Q3 87.7% · Q4 89.0% · 4Q avg 87.1%
Percentage of long-stay residents who lose too much weight 10.2%
6.1%
4.1 pts worse
5.4%
4.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 10.5% · Q3 14.6% · Q4 8.6% · 4Q avg 10.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 17.7%
13.5%
4.2 pts worse
19.6%
1.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 20.8% · Q2 16.2% · Q3 17.0% · Q4 17.1% · 4Q avg 17.7%
Percentage of long-stay residents who received an antipsychotic medication 14.5%
14.8%
0.3 pts better
16.7%
2.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 18.2% · Q2 17.3% · Q3 9.8% · Q4 13.2% · 4Q avg 14.5% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.2%
0.2 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 8.8%
15.1%
6.3 pts better
16.3%
7.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 5.6% · Q3 9.9% · Q4 12.0% · 4Q avg 8.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 10.1%
15.5%
5.4 pts better
14.9%
4.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 13.8% · Q3 8.0% · Q4 12.7% · 4Q avg 10.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.5%
0.6%
0.1 pts better
1.0%
0.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.0% · Q4 0.9% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 1.0%
1.4%
0.4 pts better
1.7%
0.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 1.3% · Q3 0.0% · Q4 1.2% · 4Q avg 1.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 4.0%
20.8%
16.8 pts better
19.8%
15.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 8.0% · Q3 0.0% · Q4 0.0% · 4Q avg 4.0%
Percentage of long-stay residents with pressure ulcers 6.3%
6.9%
0.6 pts better
5.1%
1.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 7.0% · Q3 6.6% · Q4 7.8% · 4Q avg 6.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 90.6%
76.7%
13.9 pts better
81.7%
8.9 pts better
Short Stay · 2024Q4-2025Q3 · Q1 84.4% · Q2 89.8% · Q3 93.8% · Q4 94.7% · 4Q avg 90.6%
Percentage of short-stay residents who had an outpatient emergency department visit 12.6%
9.7%
2.9 pts worse
12.0%
0.6 pts worse
Short Stay · 20240701-20250630 · Adjusted 12.6% · Observed 12.9% · Expected 11.5% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 2.8%
1.2%
1.6 pts worse
1.6%
1.2 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 3.0% · Q3 3.8% · Q4 2.8% · 4Q avg 2.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 74.1%
78.8%
4.7 pts worse
79.7%
5.6 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 74.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 17.3%
20.6%
3.3 pts better
23.9%
6.6 pts better
Short Stay · 20240701-20250630 · Adjusted 17.3% · Observed 18.2% · Expected 25.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-12 · Fire 2025-03-12

13 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

9 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2024-02-02 · Fire 2024-02-02

12 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2020-11-10 · Fire 2020-11-10

10 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

8 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-03-12

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-05-12

F · Potential for more than minimal harm 2025-03-12

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-05-12

F · Potential for more than minimal harm 2025-03-12

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-05-12

F · Potential for more than minimal harm 2025-03-12

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-05-12

E · Potential for more than minimal harm 2025-03-12

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-05-12

E · Potential for more than minimal harm 2025-03-12

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-05-12

D · Potential for more than minimal harm 2025-03-12

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2025-05-12

D · Potential for more than minimal harm 2025-03-12

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2025-05-12

D · Potential for more than minimal harm 2025-03-12

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-05-12

E · Potential for more than minimal harm 2024-02-02

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-03-26

E · Potential for more than minimal harm 2024-02-02

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-03-26

D · Potential for more than minimal harm 2024-02-02

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2024-03-26

E · Potential for more than minimal harm 2020-11-10

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2020-12-30

E · Potential for more than minimal harm 2020-11-10

K901 · Electrical Deficiencies

Fire Safety

Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.

Corrected 2020-12-30

D · Potential for more than minimal harm 2020-11-10

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2020-12-30

D · Potential for more than minimal harm 2020-11-10

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2020-12-30

D · Potential for more than minimal harm 2020-11-10

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2020-12-30

D · Potential for more than minimal harm 2020-11-10

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2020-12-30

D · Potential for more than minimal harm 2020-11-10

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2020-12-30

C · Minimal harm 2020-11-10

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2020-12-30

Inspection history

Recent health citations

G · Actual harm 2025-06-20

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-08-12

D · Potential for more than minimal harm 2025-03-12

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-05-07

D · Potential for more than minimal harm 2025-03-12

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2025-05-07

D · Potential for more than minimal harm 2025-03-12

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2025-05-07

D · Potential for more than minimal harm 2025-03-12

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-05-07

D · Potential for more than minimal harm 2025-03-12

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-05-07

D · Potential for more than minimal harm 2025-03-12

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-05-07

D · Potential for more than minimal harm 2025-03-12

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-05-07

D · Potential for more than minimal harm 2025-03-12

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-05-07

D · Potential for more than minimal harm 2025-03-12

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-05-07

D · Potential for more than minimal harm 2025-03-12

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2025-05-07

D · Potential for more than minimal harm 2025-03-12

F730 · Nursing and Physician Services Deficiencies

Health

Observe each nurse aide's job performance and give regular training.

Corrected 2025-05-07

D · Potential for more than minimal harm 2025-03-12

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2025-05-07

D · Potential for more than minimal harm 2025-01-17

F559 · Resident Rights Deficiencies

Health

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

Corrected 2025-03-10

D · Potential for more than minimal harm 2024-04-19

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-06-14

E · Potential for more than minimal harm 2024-02-02

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2024-03-31

E · Potential for more than minimal harm 2024-02-02

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-03-31

E · Potential for more than minimal harm 2024-02-02

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2024-03-31

E · Potential for more than minimal harm 2024-02-02

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-03-31

D · Potential for more than minimal harm 2024-02-02

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-03-31

D · Potential for more than minimal harm 2024-02-02

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2024-03-31

D · Potential for more than minimal harm 2024-02-02

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-03-31

D · Potential for more than minimal harm 2024-02-02

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-03-31

D · Potential for more than minimal harm 2024-02-02

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2024-03-31

D · Potential for more than minimal harm 2024-02-02

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-03-31

J · Immediate jeopardy 2023-09-29

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2023-11-13

D · Potential for more than minimal harm 2023-09-29

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2023-11-13

D · Potential for more than minimal harm 2023-05-30

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-07-26

D · Potential for more than minimal harm 2023-05-30

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-07-26

E · Potential for more than minimal harm 2020-11-10

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2020-12-30

E · Potential for more than minimal harm 2020-11-10

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2020-12-30

E · Potential for more than minimal harm 2020-11-10

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2020-12-30

D · Potential for more than minimal harm 2020-11-10

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2020-12-30

B · Minimal harm 2020-11-10

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2020-12-30

B · Minimal harm 2020-11-10

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2020-12-30

Penalties and ownership

What sits behind the stars

$57,040 2025-06-20

Fine

Fine · fine $57,040

Fine

$60,206 2023-09-29

Fine

Fine · fine $60,206

Fine

Ownership

Zupnick, Joel

5% Or Greater Direct Ownership Interest · Individual

38% 37 facilities 2019-07-12
Leifer, Joel

5% Or Greater Direct Ownership Interest · Individual

25% 43 facilities 2019-07-12
Platschek, Richard

5% Or Greater Direct Ownership Interest · Individual

25% 14 facilities 2019-07-12
Berkowitz, Cheskel

5% Or Greater Direct Ownership Interest · Individual

13% 28 facilities 2019-07-12
Appelbaum, Yakov

Operational/Managerial Control · Individual

0% 1 facilities 2024-05-06
Excelsior Care Group

Operational/Managerial Control · Organization

0% 7 facilities 2019-07-21
Olonilua, Patricia

Operational/Managerial Control · Individual

0% 1 facilities 2024-12-09
Saxena, Amit

Operational/Managerial Control · Individual

0% 3 facilities 2021-03-01
Steinberg, Moshe

Operational/Managerial Control · Individual

0% 18 facilities 2019-07-12
Stern, Samuel

Operational/Managerial Control · Individual

0% 74 facilities 2019-07-21

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