Somers, NY

The Paramount At Somers Rehab And Nursing Center

2-star overall rating with 1-star inspections with $46,079 in total fines with 16 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle

Route 100, Somers, NY

(914) 232-5101

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

300

Certified beds

Average residents

278

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Carerite Centers

Operator or chain grouping

Approved since

1970-07-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

34 facilities

Chain averages 3 overall / 3 health / 2 staffing / 5 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.52

Registered nurse staffing · state 0.70 · national 0.68

LPN hours / resident day

0.66

Licensed practical nurse staffing · state 0.78 · national 0.87

Aide hours / resident day

1.68

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

2.87

All reported nurse hours · state 3.65 · national 3.89

Licensed hours

1.18

RN + LPN hours · state 1.47 · national 1.54

Weekend hours

2.61

Weekend nurse staffing · state 3.16 · national 3.43

Weekend RN hours

0.41

Weekend registered nurse coverage · state 0.47 · national 0.47

Physical therapist

0.06

Reported PT staffing · state 0.11 · national 0.07

Adjusted RN hours

0.46

CMS adjusted RN staffing hours

Adjusted total hours

2.53

CMS adjusted total nurse staffing hours

Case-mix index

1.55

Higher values indicate more complex resident acuity

RN turnover

26%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

41%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

1,110

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

Performance score

59.79

Composite VBP score used to determine payment impact.

Payment multiplier

1.0150

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

10

Baseline 15.58% · Performance 15.31% · Measure score 10 · Achievement 10 · Improvement 9

Healthcare-associated infections

10

Baseline 7.26% · Performance 4.98% · Measure score 10 · Achievement 10 · Improvement 9

Total nurse turnover

3.92

Baseline 48.99% · Performance 47.67% · Measure score 3.92 · Achievement 3.92 · Improvement 0.05

Adjusted total nurse staffing

0

Baseline 2.57 hours · Performance 2.59 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 9.24%
10.72%
1.5 pts better
No Different than the National Rate · Eligible stays 530 · Observed rate 7.55% · Lower 95% interval 6.92%
Discharge to community 59.47%
50.57%
8.9 pts better
Better than the National Rate · Eligible stays 618 · Observed rate 52.27% · Lower 95% interval 55.12%
Medicare spending per beneficiary 1.3
1.02
0.3 pts worse
Drug regimen review with follow-up 99.54%
95.27%
4.3 pts better
Numerator 431 · Denominator 433
Falls with major injury 1.85%
0.77%
1.1 pts worse
Numerator 8 · Denominator 433
Discharge self-care score 61.13%
53.69%
7.4 pts better
Numerator 217 · Denominator 355
Discharge mobility score 70.42%
50.94%
19.5 pts better
Numerator 250 · Denominator 355
Pressure ulcers or injuries, new or worsened 0.23%
2.29%
2.1 pts better
Numerator 1 · Denominator 433 · Adjusted rate 0.19%
Healthcare-associated infections requiring hospitalization 4.99%
7.12%
2.1 pts better
No Different than the National Rate · Eligible stays 388 · Observed rate 3.87% · Lower 95% interval 3.41%
Staff COVID-19 vaccination coverage 4.99%
8.2%
3.2 pts worse
Numerator 19 · Denominator 381
Staff flu vaccination coverage 63.91%
42%
21.9 pts better
Numerator 278 · Denominator 435
Discharge function score 65.63%
56.45%
9.2 pts better
Numerator 233 · Denominator 355
Transfer of health information to provider 98.57%
95.95%
2.6 pts better
Numerator 69 · Denominator 70
Transfer of health information to patient 99.62%
96.28%
3.3 pts better
Numerator 264 · Denominator 265
Resident COVID-19 vaccinations up to date 25.57%
25.2%
0.4 pts better
Numerator 56 · Denominator 219

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 0.9
1.7
0.8 pts better
1.9
1 pts better
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.7 · Expected 1.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 0.7
1.3
0.6 pts better
1.8
1.1 pts better
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.6 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 79.6%
91.2%
11.6 pts worse
93.4%
13.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 82.9% · Q2 78.6% · Q3 82.6% · Q4 74.1% · 4Q avg 79.6%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.5%
95.3%
2.2 pts better
95.5%
2 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.5%
Percentage of long-stay residents experiencing one or more falls with major injury 3.5%
3.0%
0.5 pts worse
3.3%
0.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 3.1% · Q3 3.2% · Q4 5.1% · 4Q avg 3.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 12.1%
18.5%
6.4 pts better
11.4%
0.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 12.7% · Q2 13.0% · Q3 7.8% · Q4 15.0% · 4Q avg 12.1%
Percentage of long-stay residents who lose too much weight 5.8%
6.1%
0.3 pts better
5.4%
0.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 4.5% · Q3 9.3% · Q4 5.5% · 4Q avg 5.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 23.1%
13.5%
9.6 pts worse
19.6%
3.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 22.2% · Q2 21.5% · Q3 23.4% · Q4 25.5% · 4Q avg 23.1%
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 15.6% · Q2 16.4% · Q3 13.3% · Q4 12.6% · 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 9.9%
15.1%
5.2 pts better
16.3%
6.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 7.9% · Q3 9.1% · Q4 7.3% · 4Q avg 9.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 12.2%
15.5%
3.3 pts better
14.9%
2.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 15.9% · Q2 9.0% · Q3 13.8% · Q4 10.0% · 4Q avg 12.2% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
0.6%
0.6 pts better
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% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.7%
1.4%
0.7 pts better
1.7%
1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 0.0% · Q3 0.0% · Q4 0.9% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 21.9%
20.8%
1.1 pts worse
19.8%
2.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 15.3% · Q2 18.8% · Q3 27.0% · Q4 27.2% · 4Q avg 21.9%
Percentage of long-stay residents with pressure ulcers 3.4%
6.9%
3.5 pts better
5.1%
1.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 3.8% · Q3 2.4% · Q4 5.0% · 4Q avg 3.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 59.9%
76.7%
16.8 pts worse
81.7%
21.8 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 53.4% · Q2 55.4% · Q3 64.7% · Q4 65.7% · 4Q avg 59.9%
Percentage of short-stay residents who had an outpatient emergency department visit 6.0%
9.7%
3.7 pts better
12.0%
6 pts better
Short Stay · 20240701-20250630 · Adjusted 6.0% · Observed 6.2% · Expected 11.5% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.3%
1.2%
0.9 pts better
1.6%
1.3 pts better
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.4% · Q4 0.8% · 4Q avg 0.3% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 64.1%
78.8%
14.7 pts worse
79.7%
15.6 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 64.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 10.8%
20.6%
9.8 pts better
23.9%
13.1 pts better
Short Stay · 20240701-20250630 · Adjusted 10.8% · Observed 12.4% · Expected 27.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-11-07 · Fire 2024-11-07

16 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

11 fire-safety deficiencies

Top issue: Egress (4 deficiencies)

Cycle 2 Health 2022-08-23 · Fire 2022-08-23

8 health deficiencies

Top issue: Resident Rights (3 deficiencies)

6 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Cycle 3 Health 2019-02-13 · Fire 2019-02-13

9 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

5 fire-safety deficiencies

Top issue: Emergency Preparedness (2 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2024-11-07

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2025-01-03

E · Potential for more than minimal harm 2024-11-07

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 2024-11-24

E · Potential for more than minimal harm 2024-11-07

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-01-03

E · Potential for more than minimal harm 2024-11-07

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2024-11-15

E · Potential for more than minimal harm 2024-11-07

K531 · Services Deficiencies

Fire Safety

Have elevators that firefighters can control in the event of a fire.

Corrected 2025-01-03

E · Potential for more than minimal harm 2024-11-07

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-01-03

D · Potential for more than minimal harm 2024-11-07

K232 · Egress Deficiencies

Fire Safety

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

Corrected 2025-01-03

D · Potential for more than minimal harm 2024-11-07

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2025-01-06

D · Potential for more than minimal harm 2024-11-07

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2025-01-03

D · Potential for more than minimal harm 2024-11-07

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-01-03

D · Potential for more than minimal harm 2024-11-07

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-11-08

E · Potential for more than minimal harm 2022-08-23

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2022-10-17

E · Potential for more than minimal harm 2022-08-23

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-10-17

E · Potential for more than minimal harm 2022-08-23

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2022-10-17

D · Potential for more than minimal harm 2022-08-23

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2022-10-17

D · Potential for more than minimal harm 2022-08-23

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2022-10-17

D · Potential for more than minimal harm 2022-08-23

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2022-10-17

E · Potential for more than minimal harm 2019-02-13

K222 · Egress Deficiencies

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.

Corrected 2019-04-04

E · Potential for more than minimal harm 2019-02-13

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2019-04-04

D · Potential for more than minimal harm 2019-02-13

K901 · Electrical Deficiencies

Fire Safety

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

Corrected 2019-04-04

C · Minimal harm 2019-02-13

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2019-04-04

C · Minimal harm 2019-02-13

E26 · Emergency Preparedness Deficiencies

Fire Safety

Establish roles under a Waiver declared by secretary.

Corrected 2019-04-04

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-12-11

F684 · Quality of Life and Care Deficiencies

Health

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

Not marked corrected

D · Potential for more than minimal harm 2025-12-11

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Not marked corrected

D · Potential for more than minimal harm 2025-12-11

F628 · Resident Rights Deficiencies

Health

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Not marked corrected

D · Potential for more than minimal harm 2025-12-11

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.

Not marked corrected

D · Potential for more than minimal harm 2025-12-11

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Not marked corrected

D · Potential for more than minimal harm 2025-12-11

F711 · Nursing and Physician Services Deficiencies

Health

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

Not marked corrected

G · Actual harm 2025-09-10

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-10-17

D · Potential for more than minimal harm 2025-09-10

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 2025-10-17

D · Potential for more than minimal harm 2025-09-10

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 2025-10-17

E · Potential for more than minimal harm 2024-11-07

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 2025-01-15

D · Potential for more than minimal harm 2024-11-07

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 2025-01-15

D · Potential for more than minimal harm 2024-11-07

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-01-15

D · Potential for more than minimal harm 2024-11-07

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 2025-01-15

D · Potential for more than minimal harm 2024-11-07

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-01-15

D · Potential for more than minimal harm 2024-11-07

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2025-01-15

D · Potential for more than minimal harm 2024-11-07

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 2025-01-15

D · Potential for more than minimal harm 2024-11-07

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2025-01-15

D · Potential for more than minimal harm 2024-11-07

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 2025-01-15

G · Actual harm 2024-08-07

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 2024-09-12

D · Potential for more than minimal harm 2024-08-07

F552 · Resident Rights Deficiencies

Health

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2024-09-12

D · Potential for more than minimal harm 2024-08-07

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 2024-09-12

D · Potential for more than minimal harm 2024-08-07

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 2024-09-12

D · Potential for more than minimal harm 2024-08-07

F744 · Quality of Life and Care Deficiencies

Health

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Corrected 2024-09-12

D · Potential for more than minimal harm 2024-08-07

F838 · Administration Deficiencies

Health

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Corrected 2024-09-12

D · Potential for more than minimal harm 2023-09-18

F730 · Nursing and Physician Services Deficiencies

Health

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

Corrected 2023-11-02

E · Potential for more than minimal harm 2023-03-09

F700 · Quality of Life and Care Deficiencies

Health

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Corrected 2023-05-05

E · Potential for more than minimal harm 2019-02-13

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2019-04-09

D · Potential for more than minimal harm 2019-02-13

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 2019-04-09

D · Potential for more than minimal harm 2019-02-13

F637 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident when there is a significant change in condition

Corrected 2019-04-09

D · Potential for more than minimal harm 2019-02-13

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 2019-04-09

D · Potential for more than minimal harm 2019-02-13

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2019-04-09

D · Potential for more than minimal harm 2019-02-13

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2019-04-09

D · Potential for more than minimal harm 2019-02-13

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2019-04-09

Penalties and ownership

What sits behind the stars

$46,079 2024-08-07

Fine

Fine · fine $46,079

Fine

Ownership

Einhorn, Sharon

5% Or Greater Direct Ownership Interest · Individual

43% 13 facilities 2017-01-10
Friedman, Devorah

5% Or Greater Direct Ownership Interest · Individual

43% 13 facilities 2017-01-10
Zucker, Yossie

5% Or Greater Direct Ownership Interest · Individual

5% 24 facilities 2017-01-10
Abolahrari, Saba

Operational/Managerial Control · Individual

0% 1 facilities 2024-03-01
Capowski, Kira

Operational/Managerial Control · Individual

0% 1 facilities 2016-06-20
Friedman, Devorah

Corporate Officer · Individual

0% 13 facilities 2017-01-10
Kiprovski, Igor

Operational/Managerial Control · Individual

0% 1 facilities 2025-09-03

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