The Ching Villas: Medical Records Violations - HI
The resident transferred to a hospital on September 18. Four days later, family member FM3 collected five bags of belongings from the nursing station, including two clear plastic bags that hadn't been inspected during pickup.
At home, FM3 found the soiled brief inside one of the clear bags, photographed the contamination, and filed a complaint with state regulators on September 25.
The contaminated bag contained both the resident's protective boots and the waste-stained bed pad. In photographs reviewed by inspectors, brown material was clearly visible at the bottom of the clear bag, and "any reasonable person could identify blue material (bed pad/brief), inside the bag just by looking at it," according to the inspection report.
Two certified nursing assistants, CNA45 and CNA3, confirmed they had packed the resident's belongings after the hospital transfer. Both worked in the resident's assigned room and placed the bagged items at the nursing station for family pickup.
When confronted with photographs of the contaminated belongings, CNA45 recognized all five bags as the resident's property but denied packing the clear bags containing the soiled materials. CNA45 admitted to packing only the two blue personal belongings bags.
CNA3 took a different approach during questioning. While confirming that bed pads were visible at the bottom of the contaminated clear bag, CNA3 insisted "he/she would not have knowingly put the resident's belongings in with a soiled bed pad/brief." The aide couldn't recall which specific bags had been packed.
Neither aide could explain how the contaminated materials ended up mixed with clean personal items.
Surveillance footage from the facility captured the handoff between unit clerk UC and family member FM3. The video showed both people examining two blue belongings bags but never opening or inspecting the clear bag that contained the soiled bed pad.
The facility administrator reviewed both the surveillance footage and photographs of the contaminated belongings during the inspection. The administrator confirmed that bed pads and protective boots were visible through the clear bag and verified it was the same bag seen in the video being given to the family.
When pressed by inspectors, the administrator acknowledged the bed pads were soiled and confirmed "the bag which contained soiled bed pads/briefs was given to R1's FM3 as part of the resident's belongings."
The contamination represented a failure of basic infection control protocols. Federal regulations require nursing homes to maintain programs preventing the spread of infectious materials, including proper handling and disposal of soiled linens and personal care items.
The incident occurred despite the four-day gap between the resident's hospital transfer and family pickup, providing ample time for staff to properly sort belongings and dispose of contaminated materials.
State inspectors classified the violation as causing "minimal harm or potential for actual harm" but noted the facility's failure to ensure safe handling and disposal of soiled materials. The complaint investigation revealed systemic problems with how staff managed resident belongings during transfers.
FM3's discovery of the contaminated materials came three days after pickup, when the family was going through the belongings at home. The soiled bed pad had been sealed in the clear bag with clean personal items for at least a week, from the September 18 transfer through the September 22 pickup and subsequent days at the family's residence.
The facility's infection control program failed to prevent contaminated waste materials from leaving the building mixed with a patient's personal belongings, creating potential health risks for family members handling what they believed were clean possessions.
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 20, 2026 · Our methodology
THE CHING VILLAS in HONOLULU, HI was cited for violations during a health inspection on October 9, 2025.
The resident transferred to a 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.