Kinsington at Redwood Park

Last inspection

June 3, 2024

Inspections

3, 17 deficiencies cited

Substantiated abuse

1

Substantiated licensing violations

7

Regulatory actions

0

Current owner since

November 12, 2015

• No deficiencies cited at the last inspection (June 2024)

Inspections

• June 3, 2024: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0
• March 9, 2023: State Licensure, 2 deficiencies cited report
  • C0000: Comment severity level 0
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread, corrected June 18, 2023
  • C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Widespread, corrected June 18, 2023
  • Z0142: Administration Compliance severity level 2, scope L2 Widespread, corrected June 18, 2023
• November 15, 2022: Validation, 15 deficiencies cited report
  • C0000: Comment severity level 0
  • C0231: Reporting & Investigating Abuse-Other Action severity level 2, scope L2 Isolated, corrected January 16, 2023
  • C0252: Resident Move-In and Eval: Res Evaluation severity level 2, scope L2 Pattern, corrected January 16, 2023
  • C0260: Service Plan: General severity level 2, scope L2 Isolated, corrected January 16, 2023
  • C0270: Change of Condition and Monitoring severity level 2, scope L2 Pattern, corrected January 16, 2023
  Show all 16

  • C0290: Res Hlth Srvc: On- and Off-Site Health Srvc severity level 2, scope L2 Pattern, corrected January 16, 2023
  • C0303: Systems: Treatment Orders severity level 2, scope L2 Pattern, corrected January 16, 2023
  • C0305: Systems: Resident Right to Refuse severity level 2, scope L2 Isolated, corrected January 16, 2023
  • C0330: Systems: Psychotropic Medication severity level 2, scope L2 Pattern, corrected January 16, 2023
  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread, corrected January 16, 2023
  • C0545: Plumbing Systems severity level 2, scope L2 Widespread, corrected January 16, 2023
  • Z0142: Administration Compliance severity level 2, scope L2 Widespread, corrected January 16, 2023
  • Z0155: Staff Training Requirements severity level 2, scope L2 Pattern, corrected January 16, 2023
  • Z0162: Compliance With Rules Health Care severity level 2, scope L2 Pattern, corrected January 16, 2023
  • Z0164: Activities severity level 2, scope L2 Pattern, corrected January 16, 2023
  • Z0173: Secure Outdoor Recreation Area severity level 2, scope L2 Widespread, corrected January 16, 2023

Substantiated abuse or neglect

• January 7, 2023: Failed to assist with toileting Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-020-0002 (Definitions)
  State’s findings

  According to the documentation, the facility failed to provide toileting assistance to the Alleged Victim (AV) timely. An investigation determined a licensing violation occurred.

Substantiated licensing violations

• July 4, 2026: Failed to provide safe environment Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0025 (Facility Administration); 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare)
  State’s findings

  The Alleged Victim (AV) relies on the facility to provide a safe environment. AV is serviced planned as someone who exit seeks and elopement risk. Alleged Perpetrator 2 (AP2) went through the door that leads to an unsecured area and did not look back to see if the door is closed. AV went through the unsecured door and was found out in the community by staff approximately and hour later. The facility failed to provide a safe environment for AV, which is a violation of resident rights and Oregon Administrative Rule. AP2 failed to provide a safe environment for AV, which is neglect and constitutes abuse.

• August 4, 2025: Failed to provide service Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0025 (Facility Administration); 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare)
  State’s findings

  The Alleged Victim (AV) relies on the facility to provide care and services. According to an investigation, on or about August 4, 2025, AV suffered an unwitnessed fall. AV is care planned for safety checks to be done every two hours and to have their door open. Alleged Perpetrator 2 (AP2) was assigned to AV did not check on AV in the scheduled two-hour time limit. The facility failed to provide care and services, and this is a violation of Oregon Administrative Rules. AP2 failed to provide care and services to AV which is a violation of resident rights, considered neglect which constitutes abuse.

• February 10, 2025: Failed to staff as indicated by ABST Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0070 (Staffing Requirements and Training)
  State’s findings

  The facility failed to develop and maintain acuity-based staffing which is a violation of Oregon Administrative Rules.

• January 7, 2025: Failed to protect resident from verbal abuse Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0025 (Facility Administration); 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare)
  State’s findings

  On or about January 7, 2025, Alleged Perpetrator #2 (AP2) was trying to wake up the Alleged Victim (AV) to assist with taking him/her to the restroom. AV is known to be difficult to wake up. AV was seen by staff using his/her pointer finger and middle finger to repeatedly thump AV on the head to wake AV up. AV was observed by staff coming out of the restroom by staff holding the side of their head and a red mark was noticed on AV's head. Later that same evening, AP2 was seen pulling on AV's arms, cussing and raising his/her voice at AV to wake AV up. AP2's actions are a violation of resident rights, are considered neglect of care and constitute physical and verbal abuse. The facility's failure to protect AV from physical and verbal abuse is a violation of Oregon Administrative Rules.

• January 7, 2025: Failed to staff as indicated by ABST Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0070 (Staffing Requirements and Training)
  State’s findings

  The facility failed to develop, maintain, and implement an Acuity Based Staffing Tool which is a violation of Oregon Administrative Rules.

• December 24, 2024: Failed to staff as indicated by ABST Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0070 (Staffing Requirements and Training)
  State’s findings

  The facility failed to develop, maintain, and implement an Acuity Based Staffing Tool which is a violation of Oregon Administrative Rules.

• June 18, 2024: Failed to protect resident from inappropriate sexual contact Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0025 (Facility Administration); 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare)
  State’s findings

  The Alleged Victim (AV) is a resident of the facility and relies on the facility for care. Alleged Perpetrator #2 (AP2) worked at the facility. On or about June 18, 2024, facility staff became aware of a relationship between AV and AP2. AV and AP2 both admitted to the relationship and admitted to hugging and kissing. AP2 was properly trained and signed documentation understanding that sexual abuse is not permitted and that residents have a right to be free of sexual abuse. AP2's actions are a violation of resident rights, are considered neglect of care and constitute sexual abuse. The facility's failure is a violation of Oregon Administrative Rules.

Read the full record on the state’s site →

ODHS lists only substantiated violations: “either a substantiated instance of abuse or a licensing violation. Open investigations and complaints that are being appealed by the provider are not listed.” Oregon counts neglect as a form of abuse; see the state’s definitions of abuse. Each violation shows the level ODHS gives it, in the state’s words (for example “2 - Minor harm or potential for moderate harm”), and any fine ODHS assessed. Inspection citations show the state’s severity level and scope, and the date ODHS recorded the problem as corrected when it lists one. Rule names come from the Oregon Administrative Rules. ODHS: “Formal regulatory actions can range from a condition placed upon a license due to non-compliance or a notice to revoke a license.” This community is licensed for 30 residents; larger communities are inspected and reported on more often, so read counts with size in mind. Source: Oregon Department of Human Services, Long-Term Care Licensing, data as of October 15, 2026, showing the last five years. Always visit in person and ask the community about anything listed here.