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

    Macdonald Residence

    605 NW Couch St, Portland, OR, 97209
    3.3 · 15 reviews
    • Assisted living
    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

    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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