Pricing ranges from
    $5,506 – 7,157/month
    AnonymousStaff member
    1.0

    Warm staff but negligent management

    I love the residents and many frontline staff - warm, family-like, helpful reception, and yes the chicken wrap with pickles is great - but management ruins it. Leadership is inactive, nepotistic, and hostile to caregivers; orientation is poor, staffing shortages force agency hires who aren't supported, and departments don't address issues. I've seen neglect and safety failures: resident missing for two days, feces smeared on walls with a strong odor, resident-to-resident assaults, an employee punching an autistic coworker, denial of food, negligent nursing and even a patient death. I'm grateful for the caring staff and residents, but I don't feel safe and can't recommend this place.

    Pricing

    $5,506+/moSemi-privateAssisted Living
    $6,607+/mo1 BedroomAssisted Living
    $7,157+/moStudioAssisted Living

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    3.27 · 15 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.3
    • Staff

      2.6
    • Meals

      3.0
    • Amenities

      3.3
    • Value

      3.3

    Pros

    • Friendly, affectionate staff
    • Family-like resident environment
    • Helpful reception staff
    • Residents described as wonderful
    • Assisted living appropriate for SSDI/SSI residents
    • Health-focused decision-making
    • Medical staff/MDs reportedly pleased
    • Positive personal experiences and gratitude from some families
    • Good dining item noted (chicken wrap)

    Cons

    • Negligent nursing staff reported
    • Reported resident death
    • Heavy reliance on agency/temporary staff
    • Agency staff allegedly not feeding residents
    • Departments unresponsive or fail to handle issues
    • Resident-to-resident sexual assault reported
    • Favoritism toward residents on high-acuity floors
    • Nepotism and unfair termination allegations
    • Director criticized as inactive and strained with residents
    • Poor orientation and hostility toward caregivers
    • Resident neglect and safety concerns
    • Resident missing for two days
    • Feces smeared on walls and strong odors/sanitation problems
    • Violent staff incident (employee punched autistic coworker)
    • Denial of food to a resident
    • Toxic work environment
    • Poor management and customer service
    • Disrespectful security staff
    • Specific staff complaints (e.g., kitchen manager named)

    Summary review

    Overall impression: The reviews for Macdonald Residence are highly polarized, with a mixture of strong positive sentiments from some residents and families and very serious negative allegations from others. Positive comments emphasize warm, family-like relationships between staff and residents, good interpersonal experiences, helpful reception staff, certain pleasing aspects of dining, and some satisfaction from medical professionals. Negative reports raise multiple, severe concerns about care quality, safety, staffing, sanitation, management, and workplace culture that collectively suggest systemic problems in operations and oversight.

    Care quality and staffing: Multiple reviews flag negligent nursing care and at least one report of a resident death, raising red flags about the facility's ability to provide safe clinical care. Staffing shortages and a heavy reliance on agency or temporary staff are repeatedly mentioned; some reviews specifically allege agency staff were not feeding residents. There are also accusations of neglect such as denial of food and a report of a resident missing for two days. Favoritism toward higher-acuity floors and inconsistent care practices are described, which could create uneven standards of care and risk for more vulnerable residents. Conversely, other reviews note that some families and medical providers are satisfied, praising the facility's health-focused decisions and reporting MDs as pleased — indicating that positive clinical experiences do exist for certain residents.

    Safety, incident reporting, and sanitation: Several reviews allege extremely serious safety and sanitation incidents. These include a reported resident-to-resident sexual assault, feces smeared on walls, strong odors, and a resident missing for an extended period. There is also a described physical assault between employees, including an incident in which one employee reportedly punched a coworker who is autistic. Such allegations, if accurate, point to significant failures in supervision, incident reporting, staff training, environmental hygiene, and protection of vulnerable residents and staff. These complaints represent urgent concerns for regulators, families, and prospective residents.

    Workplace culture and management: The reviews describe a split picture regarding staff culture. On the positive side, multiple reviewers express affection for staff, describe a family-like atmosphere, and report gratitude for the care received. On the negative side, reviewers report nepotism, favoritism, unfair terminations tied to accusations, lack of orientation for new staff, hostility toward caregivers, and a toxic work environment. The director is specifically criticized in several summaries as inactive and having strained relationships with residents. There are also comments that various departments do not handle issues appropriately, suggesting a breakdown in internal accountability and communication. Overall, management and human-resources practices are a recurring source of dissatisfaction and appear to contribute to turnover and morale problems.

    Operations, customer service, and specific staff mentions: Reviewers cite poor management, disrespectful security staff, and generally poor customer service in some accounts, while other reviewers compliment helpful reception staff. A few reviews call out specific personnel (for example, naming a kitchen manager) in the context of operational problems, indicating that certain staff members are focal points of both praise and criticism. The dichotomy between helpful front-desk interactions and complaints about security or department responsiveness suggests inconsistent training and enforcement of standards across roles.

    Dining and amenities: Food receives mixed remarks: one review enthusiastically praises a chicken wrap with pickles, and other comments indicate residents and families enjoyed meals. At least one review alleges food was withheld from a resident, which is a serious care concern rather than a mere dining preference issue. Taken together, dining may be generally acceptable for some residents but has isolated incidents that warrant investigation.

    Patterns and implications: The reviews show persistent themes of staffing instability, inconsistent care standards, and troubling safety/sanitation incidents alongside clearly positive interpersonal relationships and pockets of good clinical and reception-level service. This juxtaposition suggests that outcomes for residents may depend heavily on which staff members are on duty and the particular unit or shift. The frequency and severity of negative reports — including alleged sexual assault, a missing resident, unsanitary conditions, and violent employee conduct — merit immediate attention from facility leadership, licensing bodies, or ombudsmen to verify facts, ensure resident safety, and remediate systemic failures.

    Recommendations for families and decision-makers: Prospective residents and families should seek detailed, up-to-date information from the facility about staffing ratios, use of agency staff, incident reporting and response protocols, infection-control/sanitation practices, staff training and orientation, and oversight by leadership. Ask about background checks, harassment/violence prevention policies, and how the facility prevents and responds to resident-to-resident incidents. Families currently using the facility who observe concerning behavior or conditions should document specifics, escalate to facility leadership and regulatory authorities, and consider involving the local long-term care ombudsman.

    Conclusion: Macdonald Residence appears to provide genuine, positive interpersonal experiences and some effective clinical decisions for certain residents, but multiple serious allegations indicate inconsistent care quality and potentially dangerous lapses in safety, staffing, sanitation, and management. The negative reports are substantive and diverse enough that they should not be dismissed as isolated complaints; they point to systemic vulnerabilities that require urgent, transparent corrective action. At the same time, the positive reports show reasons for cautious optimism if leadership can address the documented deficiencies and stabilize staffing and oversight.

    Location

    Map showing location of Macdonald Residence

    About Macdonald Residence

    Macdonald Residence, often affectionately called MacRes, is a specialized 54-unit assisted living facility dedicated to serving Medicaid-eligible adults in downtown Portland. The community provides comprehensive, high-quality care within an environment designed to cultivate genuine belonging and comfort, ensuring that every resident feels truly at home. MacRes focuses on addressing both behavioral health and assisted living requirements, recognizing that many residents have experienced significant trauma, periods of housing instability, and financial challenges. This sensitivity to residents’ backgrounds is a crucial part of the supportive care philosophy that guides daily operations.

    At Macdonald Residence, residents benefit from 24-hour personal care delivered by a committed and skilled staff. The team prioritizes building meaningful relationships with residents, understanding that these connections are essential for overall wellbeing and successful healthcare outcomes. Support for staff is also a central focus, as MacRes employs a dedicated three-person behavioral health team and invests in employee training and industry-leading benefits. This ensures that caregivers are well-equipped to meet the diverse and often complex needs of those they serve.

    The living arrangements at Macdonald Residence are tailored to comfort and privacy, featuring studio units with full bathrooms. The facility boasts home-cooked meals prepared daily with fresh, healthy ingredients, fostering a sense of routine and nourishment. The residence opens onto an urban courtyard, providing residents with a peaceful retreat in the heart of the city. In addition to daily assistance and meal services, residents receive medication management and coordinated healthcare and transportation services, allowing them to maintain as much independence as possible while still enjoying vital supports.

    Community and inclusivity are central values at Macdonald Residence, where connections are built not only among residents and staff, but also through events such as an on-site drag show, helping to strengthen bonds and contribute to the vibrant atmosphere of the residence. Whether offering a warm meal, a listening ear, or a moment of celebration, MacRes is dedicated to fostering a sense of belonging for all who call it home. This commitment shines through both in daily care and in the broader mission to help every individual thrive within a supportive, understanding community.

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