I'm very happy to be in this assisted living facility and feel fortunate. The staff and residents are wonderful and family-like - I have affection for the staff and miss some residents who have moved on; reception is always helpful and the care is health-focused (my doctors are thrilled). I enjoyed small comforts like the excellent chicken wrap with pickles, appreciate that SSDI/SSI is handled, and am truly grateful.
Current/former resident
Jul 2026
Pricing
Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.
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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
Reviews
3.13·(16)
Overall rating
5
4
3
2
1
Care
2.3
Staff
2.6
Meals
3.0
Amenities
3.1
Value
3.1
Pros
Compassionate and friendly caregiving staff
Family-like community atmosphere
Helpful reception and front-desk staff
Positive clinical coordination and health-focused care
Enjoyable dining options and praised menu items
Strong resident–staff relationships and appreciation
Cons
Inconsistent staffing and reliance on agency personnel
Insufficient staff orientation and training
Gaps in clinical-incident response and family communication
Sanitation and odor concerns in some areas
Unreliable meal-access and dining continuity
Safety and security process weaknesses
Managerial favoritism and nepotistic practices
Workplace culture and staff-conduct oversight issues
Poor customer-service responsiveness
Summary of reviews
Overall impression: Reviews describe a facility with a mixture of strongly positive personal interactions and persistent operational shortcomings. Many families and residents express affection for individual caregivers and value a family-like atmosphere; several commenters said they felt fortunate and pleased with medical coordination in particular. At the same time, reviewers raise significant concerns about staffing, safety, sanitation, and management practices that affect the reliability of daily care.
Care quality and clinical issues: Positive comments highlight attentive caregiving and health-focused decision-making that satisfied some residents and their physicians. However, reviewers also described staffing shortages and a heavy reliance on agency personnel; those staffing patterns were associated with inconsistent care delivery, including delays or interruptions in routine care and meal service. There are also serious single-case concerns described by reviewers that raised questions about the facility's handling of critical incidents; these included concerns following a resident's death and allegations of resident-to-resident sexual misconduct. Together these items point to gaps in clinical-incident response, documentation, and communication with families.
Staff and workplace culture: Many reviews praise individual staff members as friendly and compassionate, and reception staff are often called helpful. Conversely, there are recurring complaints about inadequate orientation for new hires, favoritism or nepotistic practices on some units, and supervisory inaction. Reviewers described a tense workplace culture in places — including reports of physical aggression between employees and instances where staff conduct and tone toward caregivers or families were questioned — suggesting weaknesses in staff-conduct oversight and conflict resolution.
Dining and activities: Dining feedback is mixed. Some residents and family members praised specific meals and the food quality on occasion, while other accounts point to interrupted or restricted meal access during certain shifts. There is limited explicit information about structured recreational programming in the reviews provided; the prevailing sense is that social relationships and informal community connections are strong for those who enjoy the setting, but programmatic activity feedback is sparse.
Facilities and safety: Reviewers raised sanitation and odor concerns in particular areas, and at least one account mentioned a prolonged missing-resident event that highlighted supervision and safety-process weaknesses. Security staff conduct was also criticized by some reviewers, contributing to a perception of inconsistent safety practices. These facility-level issues suggest a need for stronger environmental controls, clearer supervision protocols, and improved safety auditing.
Management and communication: Management-related concerns are prominent. Reviewers described perceived favoritism, nepotism, and examples of staff termination decisions that generated controversy. Several comments criticized a lack of responsiveness from leadership and weak customer-service interaction, which compounded family frustrations when clinical or safety questions arose. Positive experiences tend to be tied to specific staff members rather than to consistent organizational performance.
Notable patterns and takeaways: The dominant pattern is a split between strong individual relationships and uneven operational reliability. Prospective residents and families should weigh the importance of warm, attentive caregivers and moments of effective medical coordination against recurring reports of inconsistent staffing, sanitation and safety process gaps, and leadership/communication issues. For families considering the facility, suggested questions for management include how agency staffing is used and supervised, what orientation and training new hires receive, how the facility documents and communicates about incidents, and what steps are being taken to address sanitation and safety concerns.
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Location
Macdonald Residence is located at 605 NW Couch St, Portland, OR, 97209.
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.
People often ask...
Macdonald Residence offers competitive pricing, with rates starting at a cost of $5,506 per month.
Macdonald Residence offers assisted living.
The full address for this community is 605 NW Couch St, Portland, OR 97209.
No, Macdonald Residence does not offer respite care.
Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.
Safety & Compliance
In Oregon, the Department of Human Services' Aging & People with Disabilities program licenses assisted living and residential care facilities, conducting inspections, complaint investigations, and renewals.
Found a violation of safe medication administration; orders were not carried out as prescribed.
Licensing—Failed to provide a safe medication administration system
20 Nov 2025Abuse: Neglect
20 Nov 2025Abuse: Neglect
Found neglect and abuse due to failure to properly plan care and address fall risks, leading to injuries from falls.
Abuse—Failed to properly plan care
15 Aug 2025Inspection
15 Aug 2025Inspection
Investigated a complaint and found a violation involving failure to protect a resident from financial exploitation, resulting in abuse.
Licensing—Failed to protect resident from financial exploitation
15 Aug 2025Inspection
15 Aug 2025Inspection
Determined that staffing did not align with ABST indicators and failed to meet resident needs.
Licensing—Failed to staff as indicated by ABST
15 May 2025Inspection
15 May 2025Inspection
Identified a deficiency in acuity-based staffing, failing to develop, maintain, and implement an Acuity Based Staffing Tool.
Licensing—Failed to use an ABST
05 May 2025Inspection
05 May 2025Inspection
Identified a deficiency for failing to develop, maintain, and implement an Acuity Based Staffing Tool.
Licensing—Failed to use an ABST
27 Apr 2025Inspection
27 Apr 2025Inspection
Investigated an allegation that an acuity-based staffing tool was not used and identified a deficiency related to staffing based on acuity.
Licensing—Failed to use an ABST
22 Apr 2025Inspection
22 Apr 2025Inspection
Investigated a medication administration issue and found a failure to provide a safe medication administration system, with the resident experiencing no negative outcome.
Licensing—Failed to administer medication as ordered
25 Jan 2025Inspection
25 Jan 2025Inspection
Investigated a case where a caregiver left a resident alone during shower assistance, causing fear and risk of harm.
Licensing—Failed to provide or assist with hygiene
09 Dec 2024Inspection
09 Dec 2024Inspection
Investigated a medication incident and found a failure to provide a safe medication administration system, with a resident requiring emergency treatment and hospitalization.
Licensing—Failed to provide a safe medication administration system
11 Jul 2024Inspection
11 Jul 2024Inspection
Found a violation for failing to provide a safe environment that protects residents' health, safety, or welfare.
Licensing—Failed to provide safe environment
13 Jun 2024Complaint
13 Jun 2024Complaint
Investigated a complaint and identified deficiencies in resident records, medication administration, and acuity-based staffing.
Deficiency—Licensing Complaint Investigation
Deficiency—Facility Administration: Records
Deficiency—Reasonable Precautions
Deficiency—Systems: Treatment Orders
Deficiency—Acuity-Based Staffing Tool
02 Jun 2024Abuse: Neglect
02 Jun 2024Abuse: Neglect
Determined that a fall-risk resident was not properly cared for in care planning, resulting in a fall and wrist injury. A $225 fine was assessed.
Abuse—Failed to properly plan care
24 Apr 2024Abuse: Neglect
24 Apr 2024Abuse: Neglect
Investigated found a violation for failing to administer medications as ordered, placing the resident at risk, and a $225 fine was assessed.
Abuse—Failed to administer medication as ordered
03 Apr 2024Inspection
03 Apr 2024Inspection
Investigated a medication administration incident and found violations related to unsafe medication administration and inadequate services.
Licensing—Failed to provide a safe medication administration system
25 Jan 2024Licensure
25 Jan 2024Licensure
Identified significant food storage, preparation, sanitation, and general kitchen maintenance deficiencies during the initial finding, with follow-up reviews showing progress and eventual substantial compliance.
Deficiency—Inspections and Investigation: Insp Interval
01 Jan 2024Abuse: Neglect
01 Jan 2024Abuse: Neglect
Found a failure to provide a safe environment, with staff aware the hot water machine ran hot and no interventions implemented, resulting in lip burns.
Abuse—Failed to provide safe environment
13 Oct 2023License Condition
13 Oct 2023License Condition
Investigated the allegation of failing to use an ABST and found that an ABST was not used as required.
Regulatory Action—Failed to use an ABST
29 Sept 2023Inspection
29 Sept 2023Inspection
Investigated an allegation of not using an acuity-based staffing tool and found a failure to fully implement and update the tool.
Licensing—Failed to use an ABST
01 Jun 2023Complaint
01 Jun 2023Complaint
Found deficiencies in service plan development, medication orders, and staffing tool implementation.
Deficiency—Licensing Complaint Investigation
Deficiency—Service Plan: General
Deficiency—Systems: Treatment Orders
Deficiency—Staffing Requirements and Training: Staffing
Deficiency—Acuity-Based Staffing Tool
26 May 2023Inspection
26 May 2023Inspection
Investigated and found insufficient direct care staff to meet residents' scheduled and unscheduled needs.
Licensing—Failed to meet the scheduled and unscheduled needs of residents
11 May 2023Inspection
11 May 2023Inspection
Found medication orders were not carried out as prescribed.
Licensing—Failed to administer medication as ordered
09 May 2023Inspection
09 May 2023Inspection
Investigated and found that medication orders were not carried out as prescribed.
Licensing—Failed to administer medication as ordered
02 May 2023Inspection
02 May 2023Inspection
Found failure to carry out medication orders as prescribed.
Licensing—Failed to administer medication as ordered
13 Mar 2023Validation
13 Mar 2023Validation
Identified multiple deficiencies across monitoring of changes in condition, health services coordination, medication administration, staff training, fire safety, and building cleanliness.
Deficiency—Comment
Deficiency—Change of Condition and Monitoring
Deficiency—Resident Health Services
Deficiency—Rn Delegation and Teaching
Deficiency—Res Hlth Srvc: On- and Off-Site Health Srvc
Deficiency—Systems: Treatment Orders
Deficiency—Systems: Resident Right to Refuse
Deficiency—Staffing Requirements and Training – Pre-Serv
Deficiency—Training Within 30 Days: Direct Care Staff
Deficiency—Annual and Biennial Inservice For All Staff
Deficiency—Fire and Life Safety: Safety
Deficiency—Fire and Life Safety: Training For Residents
Deficiency—Inspections and Investigation: Insp Interval
Investigated an allegation of neglect in medication administration and found that a safe medication administration system was not provided, delaying an antibiotic and leading to hospitalization; a $1,500 fine was assessed.
Abuse—Failed to provide a safe medication administration system
12 Feb 2023Inspection
12 Feb 2023Inspection
Investigated and found that medication orders were not carried out as prescribed.
Licensing—Failed to administer medication as ordered
12 Feb 2023Inspection
12 Feb 2023Inspection
Found that the service plan failed to reflect the resident's needs.
Licensing—Failed to provide service
27 Jan 2023Inspection
27 Jan 2023Inspection
Investigated the verbal/emotional abuse allegation and found that a staff member threatened a resident, causing undue stress, and protection from abuse was inadequate; a fine was assessed.
Licensing—Failed to protect resident from mental or emotional abuse
22 Jan 2023Abuse: Neglect
22 Jan 2023Abuse: Neglect
Found a violation for failure to provide a safe medication administration system, resulting in medications not being available and the resident requiring hospital treatment. A $1,500 fine was assessed.
Abuse—Failed to provide a safe medication administration system
11 Jan 2023Licensure
11 Jan 2023Licensure
Found sanitation and maintenance deficiencies in the kitchen, including poor cleanliness, improper storage, and temperature control issues. A follow-up visit determined substantial compliance.
Investigated a medication administration incident and found an incorrect dose was given, causing dizziness, along with a deficient medication administration system.
Licensing—Failed to provide a safe medication administration system
20 Dec 2022Inspection
20 Dec 2022Inspection
Investigated the allegation of unsafe medication management and found a violation for failing to provide a safe medication administration system for the resident.
Licensing—Failed to provide a safe medication administration system
15 Nov 2022Inspection
15 Nov 2022Inspection
Found that two or more unauthorized doses of a PRN antianxiety medication were administered beyond physician orders.
Licensing—Failed to administer medication as ordered
14 Nov 2022Inspection
14 Nov 2022Inspection
Found that medication and treatment orders were not carried out as prescribed.
Licensing—Failed to administer medication as ordered
20 Oct 2022Inspection
20 Oct 2022Inspection
Investigated the complaint and identified a deficiency related to missing written, signed orders for medications and treatments in resident records.
Licensing—Failed to provide service
01 Aug 2022Inspection
01 Aug 2022Inspection
Determined that weekly vaccination reporting requirements were not met for 30 days.
Licensing—Failed to submit timely or adequate staffing documentation
24 May 2022Abuse: Neglect
24 May 2022Abuse: Neglect
Investigated and found that medication was not administered as ordered for about three days, causing discomfort and constituting neglect and abuse.
Abuse—Failed to administer medication as ordered
13 May 2022Abuse: Neglect
13 May 2022Abuse: Neglect
Found a failure to provide a safe environment, risking serious harm and discomfort; a $1500 fine was assessed.
Abuse—Failed to provide safe environment
27 Apr 2022Abuse: Neglect
27 Apr 2022Abuse: Neglect
Found violations for failing to maintain a safe medication administration system, resulting in a resident receiving the wrong medication and needing emergency care.
Abuse—Failed to provide a safe medication administration system
04 Dec 2021Abuse: Neglect
04 Dec 2021Abuse: Neglect
Investigated found failures to address resident behaviors, resulting in misappropriation of another resident's money and risk of serious harm, with violations identified and a fine assessed.
Abuse—Failed to address resident's behavior
24 Sept 2021Abuse: Neglect
24 Sept 2021Abuse: Neglect
Determined that a safe medication administration system was not provided, with staff errors causing incorrect mood/anxiety medication doses on multiple passes, increasing anxiety and worsening the condition.
Abuse—Failed to provide a safe medication administration system
29 Jul 2021Abuse: Neglect
29 Jul 2021Abuse: Neglect
Found a failure to provide a safe environment that led to a fall and potential harm; a fine was assessed.
Abuse—Failed to provide safe environment
30 Apr 2020Abuse: Neglect
30 Apr 2020Abuse: Neglect
Determined that a safety failure allowed a resident to elope, resulting in an abuse/neglect finding and a civil penalty.
Abuse—Failed to provide safe environment
21 Feb 2020Inspection
21 Feb 2020Inspection
Determined that a safe environment was not provided and that medication belonging to a resident was wrongfully taken, resulting in financial loss.
Licensing—Failed to provide safe environment
16 May 2019Inspection
16 May 2019Inspection
Investigated a complaint and found lack of professional oversight of the medication administration system, with staff administering the incorrect medication to a resident.
Licensing—Failed to provide a safe medication administration system
20 Sept 2017Abuse: Verbal/Mental abuse
20 Sept 2017Abuse: Verbal/Mental abuse
Investigated a verbal/mental abuse allegation and found a failure to provide a safe environment.
Abuse—Failed to provide safe environment
20 Jun 2017Inspection
20 Jun 2017Inspection
Investigated a medication administration issue and determined a medication error occurred. A licensing violation was identified.
Licensing—Failed to administer medication as ordered
30 May 2016Inspection
30 May 2016Inspection
Identified deficiencies in maintaining an adequate medication system. A licensing violation related to safe medication administration was found.
Licensing—Failed to provide a safe medication administration system
07 Jul 2015Inspection
07 Jul 2015Inspection
Found that medications were not administered as ordered.
Licensing—Failed to administer medication as ordered
23 Feb 2015Inspection
23 Feb 2015Inspection
Found that medications were not administered as ordered.
Licensing—Failed to administer medication as ordered
11 Jan 2015Inspection
11 Jan 2015Inspection
Investigated the allegation and found an inadequate medication system.
Licensing—Failed to provide a safe medication administration system
04 Dec 2014Abuse: Neglect
04 Dec 2014Abuse: Neglect
Identified a failure to maintain an adequate medication administration system, with a fine assessed.
Abuse—Failed to provide a safe medication administration system
16 Oct 2014Inspection
16 Oct 2014Inspection
Found that RV medication was not administered as ordered.
Licensing—Failed to administer medication as ordered
14 Sept 2014Inspection
14 Sept 2014Inspection
Found a failure to maintain an adequate medication system.
Licensing—Failed to administer ordered medication
04 Aug 2014Inspection
04 Aug 2014Inspection
Found that the provider failed to provide a safe medication administration system.
Licensing—Failed to provide a safe medication administration system
01 Aug 2014Inspection
01 Aug 2014Inspection
Found a deficiency in the safe medication administration system. A $250 fine was assessed.
Licensing—Failed to provide a safe medication administration system
26 Jul 2014Inspection
26 Jul 2014Inspection
Investigated the allegation and found a failure to maintain a safe medication administration system.
Licensing—Failed to provide a safe medication administration system
19 Jul 2014Inspection
19 Jul 2014Inspection
Found a failure to provide a safe medication administration system, with potential for moderate harm.
Licensing—Failed to provide a safe medication administration system
06 May 2014Inspection
06 May 2014Inspection
Found that the provider failed to maintain an adequate medication system.
Licensing—Failed to provide a safe medication administration system
08 Dec 2013Inspection
08 Dec 2013Inspection
Found deficiencies in the medication system after investigating an allegation of improper medication administration.
Licensing—Failed to administer medication as ordered
29 Aug 2013Abuse: Neglect
29 Aug 2013Abuse: Neglect
Found failure to maintain an adequate medication administration system. A $300 fine was assessed.
Abuse—Failed to provide a safe medication administration system
09 Aug 2013Inspection
09 Aug 2013Inspection
Identified failures in administering medication as ordered and in maintaining an adequate medication system.
Licensing—Failed to administer medication as ordered
31 Jul 2013Inspection
31 Jul 2013Inspection
Investigated an allegation of a failure to provide a safe medication administration system and found an inaccurate medication system.
Licensing—Failed to provide a safe medication administration system
09 Jun 2013Inspection
09 Jun 2013Inspection
Found a deficiency involving failure to maintain a safe medication administration system. The allegation was substantiated.
Licensing—Failed to provide a safe medication administration system
04 Jun 2013Inspection
04 Jun 2013Inspection
Investigated and found a failure to administer medication as ordered, identifying a deficiency in the medication management system.
Licensing—Failed to administer medication as ordered
21 Mar 2013Inspection
21 Mar 2013Inspection
Investigated an allegation and found a failure to provide a safe medication administration system.
Licensing—Failed to provide a safe medication administration system
10 Feb 2013Inspection
10 Feb 2013Inspection
Found failure to maintain a safe medication system.
Licensing—Failed to provide a safe medication administration system
25 Oct 2012Inspection
25 Oct 2012Inspection
Identified a deficiency in providing a safe medication administration system.
Licensing—Failed to provide a safe medication administration system
12 Sept 2012Abuse: Financial abuse
12 Sept 2012Abuse: Financial abuse
Found that a safe medication system was not maintained.
Abuse—Failed to provide safe environment
23 Jun 2012Inspection
23 Jun 2012Inspection
Investigated the medication administration allegation and found an inadequate medication system.
Licensing—Failed to administer medication as ordered
02 Jan 2012Inspection
02 Jan 2012Inspection
Determined that a safe medication administration system was not maintained.
Licensing—Failed to provide a safe medication administration system
19 Dec 2011Inspection
19 Dec 2011Inspection
Found a violation for failing to maintain a safe medication administration system.
Licensing—Failed to provide a safe medication administration system
31 Aug 2011Inspection
31 Aug 2011Inspection
Found failure to maintain an adequate medication system, creating potential for harm.
Licensing—Failed to provide a safe medication administration system
Disclaimer
Mirador Living is not affiliated with the owner or operator(s) of Macdonald Residence. The information above has not been verified or approved by the owner or operator. For exact information, please contact Macdonald Residence directly. There is no cost for this service. We are compensated by the community you select.
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