Print Violation: 00430112-AP-381904

Provider Information

Mt Angel Towers

ONE TOWERS LANE BOX 2120
Mount Angel, OR 97362

Date: 9/26/2025
Report number: 00430112-AP-381904
Type: Licensing Violation
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide a safe medication administration system
Result: Substantiated
Rule(s) Violated: External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0055(1)(a) and (f)
Findings: On or about September 26, 2025, the Alleged Victim’s (AV) blood pressure medication was ordered by AV's physician to be increased from 5 mg to 10 mg. The facility did not accurately process and implement this physician’s order. As a result, AV did not receive the increased dosage until September 30, 2025, four days after the order was issued. During this period, AV experienced elevated blood pressure readings but did not report pain or suffer adverse side effects. Although AV did not experience a negative health outcome, the facility failed to administer AV's medication as prescribed which is a violation of Oregon Administrative Rules. Alleged Perpetrator 2 (AP2) allegedly neglected AV. An investigation determined no abuse occurred by AP2.