The Ching Villas: Care Quality Deficiencies - HI
The resident, identified as R1 in inspection records, was transferred to the hospital on September 18. Staff collected belongings from the room, bagged them, and placed five bags at the nursing station for family pickup four days later.
When Family Member 3 retrieved the bags on September 22, they found the soiled brief among the resident's personal items. The contaminated bag was clearly labeled with the resident's name and room number.
The family filed a complaint three days later, emailing the state agency on September 25 at 7:50 PM. They included photographs documenting the contamination across five bags: one gift bag with a balloon, two blue personal belongings bags, and two clear bags.
In the first photograph, blue material was visible at the bottom of one clear bag. A second image showed the inside of that same bag, revealing brown material identified as feces and urine staining the bed pad.
State inspectors interviewed the two certified nurse aides who had packed the resident's belongings. CNA45 confirmed recognizing all five bags as belonging to R1 and admitted to packing the two blue bags. However, the aide said they did not pack either clear bag.
CNA3 also confirmed the five bags belonged to R1 and could identify the resident's boots at the top of the contaminated clear bag. The aide acknowledged that bed pads were visible at the bottom but insisted they would never have knowingly mixed soiled items with personal belongings.
"I would not have knowingly put the resident's belongings in with a soiled bed pad/brief," CNA3 told inspectors.
Neither aide could recall which specific bags they had packed beyond CNA45's acknowledgment of the two blue bags.
The facility's administrator reviewed surveillance video of the handoff with state inspectors present. The footage showed the unit clerk giving the bags to Family Member 3, who examined two blue bags but did not look through the contaminated clear bag.
When inspectors showed the administrator the photographs, the official confirmed that bed pads and protective boots were visible through the clear bag. The administrator also confirmed the same bag appeared in the surveillance video as part of the belongings sent home with the family.
Most significantly, the administrator acknowledged that the bed pads were indeed soiled with bodily waste.
"The Administrator confirmed the bed pad/briefs were soiled," the inspection report states. "After reviewing the video surveillance and pictures, the Administrator confirmed the bag which contained soiled bed pads/briefs was given to R1's FM3 as part of the resident's belongings."
The contamination violated federal infection prevention and control standards that require safe handling and disposal of soiled materials. Inspectors classified the violation as causing minimal harm or potential for actual harm.
The incident raises questions about staff training and oversight at the facility. Two different aides handled the packing process, yet neither could fully account for how contaminated materials ended up mixed with clean personal belongings.
The clear bag made the contamination visible to anyone handling it, yet staff at multiple levels failed to notice the problem before sending it home with the family.
The family now possesses photographic evidence of the facility's failure to maintain basic infection control protocols, documenting both the exterior visibility of the soiled materials and the extent of contamination inside the bag.
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, identified as R1 in inspection records, was 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.