Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00445818-AP-397833
Provider Information
Mt Angel Towers
ONE TOWERS LANE BOX 2120
Mount Angel, OR 97362
- Provider ID
- 50R085
- Administrator
- Alexis Diaz
- Phone
- (503) 845-7211
- aladmin@mountangeltowers.com
Violation Details
- Date
- 12/16/2025
- Report number
- 00445818-AP-397833
- 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
-
411-054-0025(1)(a) and (b)
411-054-0055(1)(a) and (f)
- Findings
- On December 11, 2025, medications were found in the Alleged Victim’s (AV) room. The facility conducted a thorough cleaning and search of the room that same day. Despite this, additional medications, equivalent to two days’ worth, were discovered again in AV’s room on December 16, 2025. Based on facility documentation and interviews, AV's room had been fully searched on December 11, it was determined the medications found on December 16 came from doses that were to be administered to AV between December 12 and December 16, 2025. Medication administration records show that Alleged Perpetrator 2 (AP2) was responsible for administering AV’s medications on December 11, 12, and 15, 2025. AP2 did not watch AV swallow his/her medications. Between December 11, 2025, to December 16, 2025, AV experienced pain and discomfort as a result of not taking his/her medications as prescribed. AP2 failed to follow proper medication administration procedures by not watching AV swallow his/her medication, resulting in AV experiencing unreasonable discomfort. AP2's actions is considered neglect of care which constitutes abuse. The facility failed to provide a safe medication administration system for AV which is a violation of Oregon Administrative Rules.