Merrill Gardens at Sheldon Park

Last inspection

August 11, 2025

Inspections

5, 6 deficiencies cited

Substantiated abuse

5

Substantiated licensing violations

4

Regulatory actions

0

Fines assessed

$1,251.00 (5 violations)

Current owner since

April 1, 2020

Inspections

• August 11, 2025: Kitchen, 1 deficiency cited report
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread
• August 23, 2024: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0
• July 5, 2023: State Licensure, 1 deficiency cited report
  • C0000: Comment severity level 0
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread, corrected July 19, 2023
• August 16, 2022: Complaint Investig., 2 deficiencies cited report
  • C0010: Licensing Complaint Investigation severity level 2, scope L2 Isolated
  • C0360: Staffing Requirements and Training: Staffing severity level 2, scope L2 Isolated
  • C0361: Acuity-Based Staffing Tool severity level 2, scope L2 Isolated
• April 11, 2022: Validation, 2 deficiencies cited report
  • C0000: Comment severity level 0
  • C0252: Resident Move-In and Eval: Res Evaluation severity level 2, scope L2 Isolated, corrected June 12, 2022
  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread, corrected June 12, 2022

Substantiated abuse or neglect

• October 5, 2022: Failed to properly plan care Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $250.00; report
  Rules: 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare); 411-054-0036 (Service Plan – General)
  State’s findings

  The facility failed to implement interventions and appropriately care plan related to the Alleged Victim’s (AV)’s catheter issues. According to documentation, On or about October 05, 2022, AV was founded soaked in urine. The failure resulted in AV experiencing unreasonable discomfort and a loss of dignity, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

• April 6, 2022: Failed to follow care plan Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $188.00; report
  Rules: 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare); 411-054-0036 (Service Plan – General)
  State’s findings

  On or about April 06, 2022, Alleged Perpetrator 2 (AP2) failed to follow The Alleged Victim (AV) care plan to provide assistance with toileting. The failure resulted in AV being found in wet briefs by another staff member. AP2's actions is a violation of resident rights, is considered neglect of care and constitute abuse. The facility failed to ensure care plans were followed, which is a violation of Oregon Administrative Rules.

• January 8, 2022: Failed to properly plan care Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $250.00; 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); 411-054-0036 (Service Plan – General)
  State’s findings

  The facility failed to implement appropriate monitoring related to the Alleged Victim’s (AV) known history of falls. The failure resulted in AV sustaining a bruise from an unknown origin, causing unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

• November 7, 2021: Failed to protect resident from financial exploitation Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $375.00; 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); 411-054-0200 (Residential Care Facility Building Requirements)
  State’s findings

  On or about November 7, 2021, the Alleged Victim (AV) fount that $40-$50 in cash was missing from his/her wallet. AV had a locking drawer, however, it had been previously broken and was easily opened by pulling on it. Alleged Perpetrator #2 (AP2, Unknown) is responsible for financial abuse, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to provide a working locking cabinet or safe for AV, leaving AV vulnerable for financial abuse, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

• November 2, 2021: Failed to protect resident from financial exploitation Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $188.00; 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); 411-054-0200 (Residential Care Facility Building Requirements)
  State’s findings

  On or about November 1, 2021, the Alleged Victim (AV) received $60.00 and placed this money in his/her wallet and placed in AV's top dresser drawer. AV did not have a safe in his/her room at this time. On or about November 3, AV went to get his/her money and the money was missing. On or about November 2, 2021, Alleged Perpetrator #2 (AP2) was seen going into AV's room while AV was at dinner. There was no reason for AP2 to be in AV's room at that time. AP2 is responsible for financial abuse, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to provide a locking cabinet or safe for AV, leaving AV vulnerable for financial abuse, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

Substantiated licensing violations

• March 24, 2024: Failed to protect resident from financial exploitation Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare)
  State’s findings

  The allegation that the facility failed to protect the Alleged Victim (AV) from financial exploitation was investigated and the determination was not substantiated. The allegation that the Unknown Alleged Perpetrator (AP2) failed to protect AV from financial exploitation was investigated and the determination was Substantiated.

• September 22, 2022: Failed to provide a safe medication administration system Licensing Violation; Level 3 - Moderate harm or potential for serious harm; report
  Rules: 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare); 411-054-0055 (Medications and Treatments)
  State’s findings

  Alleged Perpetrator 2 (AP2) failed to provide a safe medication administration system to ensure The Alleged Victim’s (AV) medications were administered as ordered. On or about September 22, 2022, AP2 administered AV medication that belonged another resident placing him/her at risk of serious harm. AP2's actions are considered neglect of care and constitutes abuse. The facility failed to provide a safe medication administration system which is a violation of Oregon Administrative Rules.

• August 10, 2022: Failed to provide appropriate staffing 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 have sufficient staff to meet the scheduled and unscheduled needs of the residents in accordance with OAR 411-054-0070(1) per complaint that it takes staff up to 1 hour and 45 minutes to respond to call lights.

• August 4, 2022: Failed to protect resident from financial exploitation Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 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 August 4, 2022, Alleged Victim (AV) had approximately $400 in cash missing. Alleged Perpetrator (AP2) (unknown) wrongfully took money belonging to AV, AP2 actions are a violation of resident rights is considered neglect of care and constitutes abuse. The facility failed to protect AV from Financial exploitation which 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 108 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.