Harry And Jeanette Weinberg Care Center

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

57.2% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 75 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 35.5% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 31 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.01 therapist hours per resident per day in 2026Q1 — more than 0% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 267% of this home’s weekday level — it runs therapy at close to weekday levels right through the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 44 beds and averages 34.1 residents a day — about 78% occupied, or roughly 10 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.07 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.69 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.34 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.64 hrs/resident/day on weekends vs 4.24 on weekdays — 14% thinner on weekends. RN hours go from 1.87 to 1.25 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 31% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

19 citations, most serious first. The 10 most serious are shown; the remaining 9 are one tap away and print in full.

• Potential for harm · D2025-01-30 · tag F0637 — isolated
  Assess the resident when there is a significant change in condition
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview the facility failed to identify and submit a significant change for one Resident (R) 21 of three sampled for Nutrition. This deficient practice placed the resident at risk for further functional decline. Findings Include: The facility failed to identify a significant weight loss of greater than 5% in a month, and a decline in Activities of Daily Living (ADLS) which resulted from a fall with major injury and subsequently a fall with dislocation of hardware placed in R21's right hip. During a record review of R21's Electronic Health Record (EHR) found the facility was in the process of reporting a Significant Change for R21 to Center of Medicaid and Medicare Services (CMS) with an Assessment Reference Date (ARD) of 02/05/25. R21 had an unwitnessed fall in the facility in his room on 11/24/24 at 02:58 PM and was sent to the hospital. He was admitted with a fractured neck of his right femur and required a hip replacement surgery. R21 returned to the facility on [DATE] and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-01-30 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews and record review, the facility failed to provide respiratory care in accordance with the Resident's choice for one Resident (R) 19 of three residents sampled for respiratory care. This deficient practice placed the resident at risk of feeling anxious and uncomfortable without the daily use of oxygen. Findings Include: Resident (R) 19 was observed to self-administer and wear oxygen daily. Her use of the oxygen was not reflected in the plan of care, progress notes or ordered by the Physician. Observation on 01/27/25 at 01:50 PM with R19 in her room who was sitting at the bedside in her wheelchair and wearing Oxygen (02) with the nasal cannula, (NC). She was awake and alert and briefly spoke with the surveyor. Observation on 01/28/25 at 09:55 AM in R19's room, who was in her bed wearing O2 via NC. The surveyor asked R19 how she was feeling today and she responded, I'm feeling lightheaded. I'm not normally like this, but lately I've been feeling lightheaded more often. When I'm in…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-01-30 · tag F0761 — failed to label and store drugs safely — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and staff interview the facility failed to assure staff locked one of one treatment cart. The treatment cart contains supplies for dressing changes and prescribed ointments and creams for residents. This deficient practice has the potential to affect residents' safety, residents access to the contents of the cart may result in inappropriate use of ointments and creams. Findings Include: On 01/27/25 at 10:10 AM, the surveyor observed an unlocked treatment cart outside of room [ROOM NUMBER]. Opened the unlocked cart and noticed it contained sterile gauze, foam dressing, tape, and prescribed creams and ointments. After closing the drawer, Registered Nurse (RN) 2 appeared. Inquired of RN2 if the cart was her cart and she said no. Right afterwards RN5 came out of room [ROOM NUMBER]. Inquired if the cart was hers and she said yes. Inquired if the cart is supposed to be locked and she said yes. On 01/28/25 at 03:15 PM interviewed the Director of Nursing (DON) and inquired if the treatment cart is…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-01-30 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations and interview the facility failed to assure staff placed an indwelling urinary catheter covered by a privacy bag off the floor for one Resident (R) 16 of one sampled resident reviewed for urinary catheter. This deficient practice placed the resident at risk for infection. Findings Include: On 01/27/25 at 10:33 AM during an interview with R16 observed her urinary indwelling catheter that was placed in a privacy bag resting on the floor. Inquired with resident if she knew when this occurred but she was not aware when this occurred or by whom. On 01/27/25 at 10:52 AM interviewed Registered Nurse (RN) 5. Asked RN5 to observe where the covered urinary catheter bag was located and she confirmed it was laying on the floor. RN5 stated it is supposed to hang from the bed frame and lifted the privacy bag up off the floor and hung it higher up on R16's bed frame. On 01/30/25 at 12:24 PM interviewed Learning & Development Nurse (LDN) who stated she has done training with all the CNAs regarding peri care for residents with indwelling urinary catheters. LDN stated this…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-02-15 · tag F0623 — isolated
  Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview the facility failed to provide written notification of transfer/discharge for one resident sampled for hospitalization, Resident(R) 26. The deficient practice has the potential to affect all residents at the facility who are transferred or discharged . Findings Include: Review of R26's Electronic Health Record (EHR) on 02/13/24 at 01:15 PM found R26 was transferred to the hospital on [DATE] due to altered mental status. R26 was admitted to the hospital on [DATE] with a diagnosis of encephalopathy (disease of the brain) which was found to be related to a reaction she had to the IV antibiotic (Cefepime) she was receiving. During RR, found R26's daughter was notified by phone of transfer and made aware of R26's clinical situation. No documentation was found R26 or her representative was notified in writing of the transfer/discharge. R26 returned to the facility on [DATE]. On 02/14/24 at 02:16 PM interviewed Social Services Staff (SSS) 2. Inquired if SSS2 or other facility staff…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-02-15 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview the facility failed to develop and implement a comprehensive care plan (CP) for three residents sampled of the 35 residents at the facility. Resident (R) 17, R22 and R27. R17 did not have a care plan for an indwelling urinary catheter and it's care to prevent urinary tract infection (UTI). R22 did not have a care plan for fall prevention after a fall with a head injury. R27 was taking an anticoagulant (blood thinner) for his diagnosis of paroxysmal atrial fibrillation (a rapid erratic heartbeat) and did not have a care plan for bleeding precautions. These deficient practices place the residents at an increase risk for injury and infection. Findings Include: (Cross reference to F880 Infection Prevention & Control) 1) Review of R17's Electronic Health Record (EHR) was done on 02/14/24 at 10:00 AM. R17 is a [AGE] year-old resident who was admitted to the facility on [DATE]. R17's diagnoses include, but are not limited to, Retention of urine (unable to empty bladder of urine).…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-02-15 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations and interview the facility failed to update comprehensive care plans (CP) for four residents sampled, Resident(R) 7, 17, 20 and 84. The deficient practice places all residents at risk for infection or skin breakdown. Findings Include: 1) On 02/12/24 at 02:57 PM met with R17 in his room and observed resident had a peripheral intravenous (IV) catheter on his left arm which was used to administer his IV antibiotic medication to treat his urinary tract infection (UTI). R17 also had an indwelling urinary catheter. On 02/14/24 at 10:00 AM record review of R17's Electronic Health Record (EHR) was done. R17 is a [AGE] year old resident who was admitted to the facility on [DATE]. R17's diagnoses include, but are not limited to, Retention of urine (unable to empty bladder of urine) and Type 2 Diabetes Mellitus (pancreases not able to control blood sugar levels requiring insulin injections) with Diabetic Chronic Kidney Disease. At this time reviewed R17's CP and did not find a care plan for his…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-02-15 · tag F0676 — failed to keep up residents' daily-living abilities — isolated
  Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interview, and record review the facility failed to ensure that three residents requiring maximum assistance with eating meals and snacks, were assisted by staff to eat their meal in a reasonable amount of time for three residents (R)7, R13 and R24 of five in the sample (see F550 for more information on R10 and R30). Three residents waited after their meal was placed on the table in front of them for a staff member to feed them. The staff were observed to rotate among the residents, starting to feed a resident then stopping to leave and help another resident. During the lunch observation, the time from start of the meal until the last resident completed their meal was over one hour. This deficient practice has the potential to affect the residents in the facility who require maximum assistance with eating. Findings include: 1) Electronic Medical Record (EMR) reviewed for R7 on 02/13/24 at 09:25 AM. Minimum data set (MDS) quarterly review dated 12/27/2023 Cognitive function. C- Brief…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-02-15 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to implement interventions for falls for one Resident (R)22 of one in the sample. R22 had a fall that resulted in a head injury. The deficient practice placed R22 at an increased risk for injury, (refer F656). Findings include: Observations during a tour of the facility on 02/12/24 at 08:05 AM. Noted Resident R22 sitting in her wheelchair at the right side of the bed eating her breakfast. Observed a large dark skin discoloration on the right face side of her face that looked consistent with a bruise. Noted a bedside commode at the left side of her bed. Reviewed the facility matrix on 02/12/24 at 1:30 PM. Noted R22 with Alzheimer's/Dementia and a fall with injury. Electronic Medical record review (EMR) on 02/13/24 at 10:16 AM. Noted on 02/06/24 R22 Nursing staff implemented neuro-checks for the resident after a fall. Purpose: To record observations following a fall resulting in a known or head injury or any other conditions requiring…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-02-15 · tag F0726 — failed to have competent, trained nursing staff — isolated
  Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record review, the facility failed to ensure nursing staff had the appropriate competencies to provide nursing services to assure resident safety for one of five residents (Resident (R)14) sampled for unnecessary medication. On 11/27/23 and 01/12/24, Nursing Staff (NS)36 entered erroneous medication orders of a high-risk/high-alert diuretic (Lasix) for R14. As a result of this error, R14 was administered excessive doses of the medication which could have had serious adverse consequences related to dehydration, electrolyte imbalance, and kidney damage for the resident. Findings include: (Cross Reference to F756- Drug Regime Review, Report Irregular, Act On and F757- Drug Regime is Free from Unnecessary Medication) According to Medline Plus (National Library of Medicine), Lasix is a strong diuretic (water pill) and may cause dehydration and electrolyte imbalance . On 02/13/24 at 03:25 PM conducted a record review of R14's Electronic Health Record (EHR). Review of the physician orders…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to GOOD SAMARITAN SOCIETY — 92 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 25 rows in the source record cover these 21 parties — each is shown once here with every role it holds. Nothing is omitted.

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $3.2M paid to related parties — landlords or management companies under common ownership — equal to about 17% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in HI