The Ching Villas: Infection Control Failures - HI
The resident had been transferred to the hospital on September 18. Staff collected belongings from the room and placed five bags at the nursing station until family member FM3 picked them up on September 22.
When FM3 opened the bags at home, one clear bag contained the soiled brief alongside the resident's boots. The brown staining was visible through the clear plastic.
Photos submitted with the complaint showed five bags total: one gift bag with a balloon, two blue personal belongings bags, and two clear bags. In the first clear bag, blue material was visible at the bottom. A second photo documented the inside of that bag, showing the visibly soiled item with brown material.
Two certified nurse aides who packed the belongings gave conflicting accounts during the October 8 inspection. CNA45 confirmed recognizing all five bags as the resident's belongings and admitted to packing the two blue bags. But CNA45 said he didn't pack any clear bags.
CNA3 also confirmed all five bags belonged to the resident. When shown the photo of the clear bag with bed pads visible at the bottom, CNA3 identified the resident's boots at the top of the same bag. CNA3 couldn't recall which specific bags he had packed but insisted he would never knowingly put belongings in with a soiled bed pad.
Neither aide could explain how the contaminated brief ended up with the resident's personal items.
The facility's administrator reviewed surveillance video showing the unit clerk handing off the belongings to FM3. In the footage, FM3 and the unit clerk looked through two of the blue bags but didn't examine the clear bag that contained the soiled brief.
When inspectors showed the administrator the photos of the clear bag, he confirmed that bed pads and protective boots were visible through the plastic. He identified the same bag in the surveillance video as part of the belongings given to the family.
The administrator also confirmed the bed pads were soiled.
The contamination violated the facility's infection prevention and control requirements. Soiled items should have been disposed of properly, not bagged with personal belongings and handed to family members.
The state received the complaint via email on September 25 at 7:50 PM, three days after the family discovered the contaminated items. Photos accompanied the complaint, clearly showing the brown staining on the bed pad mixed with the resident's boots and other belongings.
Staff had four days between the resident's hospital transfer and the family pickup to properly sort belongings from contaminated items. The clear bags made the bed pads visible to anyone handling them, yet no staff member caught the error before the handoff.
The inspection found the facility failed to ensure safe handling and disposal of the soiled bed pad for this resident. The violation was classified as minimal harm or potential for actual harm, affecting few residents.
FM3 had expected to receive only clean personal belongings when collecting items from their relative's room. Instead, they discovered feces-stained materials that should have been disposed of as medical waste, not preserved as keepsakes.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for The Ching Villas from 2025-10-09 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 24, 2026 · Our methodology
THE CHING VILLAS in HONOLULU, HI was cited for violations during a health inspection on October 9, 2025.
The resident had been transferred to the hospital on September 18.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.