The Ching Villas

In the surveyor’s words

From the most serious findings on record at The Ching Villas, in the surveyor’s own words.

• Actual harm, isolatedF726Oct 13, 2022

  Based on document review and interviews, two certified nurse assistants (CNA)2, and CNA3 did not possess the competencies and skill sets necessary to provide services to safely meet two residents (R)1 and R4's needs in a manner that promotes physical, mental and psychological well-being. CNA2 roughly assisted R1 with the urinal causing harm, an abrasion on his penis. In addition, when CNA3 found R4 unresponsive with cords wrapped around her neck in an attempted suicide, after undoing the cords, CNA3 left R4 alone and went to the nursing station to inform the nurse. As a result of these behaviors R1 suffered harm, and the initial staff response to assess and treat R4 was delayed, and put her at risk of further potential of self-harm when alone. […]

• No harm, potential for more than minimal, patternF812Jan 16, 2026

  Based on observation and interview, the facility failed to ensure that food items stored in the walk-in refrigerator were labeled properly and old food discarded. This deficient practice places residents in the facility at risk for foodborne illness.Findings Include:During an initial walkthrough of the kitchen with the Dietary Manager (DM) on 01/13/26 at 09:00 AM, in the walk-in refrigerator, observed meatloaf stored beyond the discard date of 12/24, and turkey beyond the discard date of 01/11. A tray of Salisbury steak was observed with an open date of 11/24 and no discard date. Concurrent interview with the DM noted that these items should have been thrown out to prevent serving expired food and residents risking foodborne illness.

• No harm, potential for more than minimal, patternF825Jan 16, 2026

  Based on observations, interviews, and record review, the facility failed to ensure five out of 10 residents (Resident (R), 112, R182, R177, R179, and R180) sampled for receiving specialized services, received physical therapy (PT) treatments according to their prescribed treatment plan. PT treatments help to assist the residents to restore his/her highest level of physical functioning. This deficient practice affects the resident's ability to meet their therapy goals. Findings Include: Observation and interview with R182 in her room on 01/13/26 at 2:00 PM. R182 said she fell on her front stairs at home and fractured her foot. She said she was getting therapy, but she wasn't supposed to put weight on her foot. Observed R182 lying in her bed, with a blue colored cast on her lower right leg. […]

• No harm, potential for more than minimal, patternF580Oct 9, 2025

  Based on interviews and record reviews, the facility failed to notify the physician that two of three residents (R)1, and R2 sampled had a change of condition that required administration of oxygen. The deficient practice of not notifying the physician of a change of condition could affect any resident, and places them at risk for not getting the appropriate treatment that may result in a negative outcome. Findings include:R1's electronic medical record (EMR) reviewed. R1 was an [AGE] year-old male admitted to the facility on [DATE] for rehabilitation after hospitalization for an acute stroke. As a result of his stroke, he had dysphagia (difficulty swallowing), expressive aphasia (communication disorder due to stroke that affects person's ability to speak, write, and understand). […]

• No harm, potential for more than minimal, patternF842Oct 9, 2025

  Based on medical record review, document review and interviews, the facility failed to ensure the medical records of three Resident's (R)1, R2 and R3 were complete and accurate. 1) R1 and R2's records did not include complete, accurate documentation of oxygen administration. 2) R1's records included a nursing progress note of an assessment on a different resident and in error, entered into the wrong record. 3) R3's discharge notice included inaccurate information regarding her current condition.Findings include:R1's electronic medical record reviewed (EMR). R1 was an [AGE] year-old male admitted to the facility on [DATE] for rehabilitation after hospitalization for an acute stroke. […]