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Macdonald Residence

605 NW COUCH STREET, Portland, OR 97209 · Assisted living · 54 licensed beds · Open

17 abuse/neglect finding(s) on record68 state violations on recordAccepts Medicaid

What the licence record says about this community

Oregon licence type
Assisted living. One of 240 in Oregon with this licence.
Licensed beds
54 — a mid-size community — the size most families picture as assisted living. Larger than 56% of licensed communities in Oregon (state median 49).
Choices in this town
83 licensed communities in Portland, 28 with this same licence type. 31 with a memory-care designation.

Oregon publishes memory-care designations and this community does not carry one. If dementia is part of the picture, ask what happens as it progresses — and ask what behaviour triggers a discharge notice, in writing.

State inspection record

Assisted living is licensed and inspected by the state, not by Medicare/Medicaid — so there is no federal 5-star rating. Below is this community’s record from the state licensing agency.

68 findings from state inspections, most recent first.

  • Licensing Violation9/29/2023 · OR0004530700
    Failed to use an ABST
  • Abuse: Neglect9/24/2021 · 00161968-AP-128429
    Failed to provide a safe medication administration system
  • Abuse: Verbal/Mental abuse9/20/2017 · BC173651
    Failed to provide safe environment
  • Licensing Violation9/14/2014 · BC148602
    Failed to administer ordered medication
  • Abuse: Financial abuse9/12/2012 · BC121236
    Failed to provide safe environment
  • Licensing Violation8/31/2011 · BC118139
    Failed to provide a safe medication administration system
  • Abuse: Neglect8/29/2013 · BC134273
    Failed to provide a safe medication administration system
  • Licensing Violation8/15/2025 · 00420673-AP-372078
    Failed to protect resident from financial exploitation
  • Licensing Violation8/15/2025 · CALMS - 00109658
    Failed to staff as indicated by ABST
  • Licensing Violation8/09/2013 · BC134097
    Failed to administer medication as ordered
  • Licensing Violation8/04/2014 · BC148023
    Failed to provide a safe medication administration system
  • Licensing Violation8/01/2022 · CALMS - 00030756
    Failed to submit timely or adequate staffing documentation
  • Licensing Violation8/01/2014 · BC148009
    Failed to provide a safe medication administration system
  • Licensing Violation7/31/2013 · BC133982
    Failed to provide a safe medication administration system
  • Abuse: Neglect7/29/2021 · 00152947-AP-121274
    Failed to provide safe environment
  • Licensing Violation7/26/2014 · BC147929
    Failed to provide a safe medication administration system
  • Licensing Violation7/19/2014 · BC147869
    Failed to provide a safe medication administration system
  • Licensing Violation7/11/2024 · OR0005201001
    Failed to provide safe environment
  • Licensing Violation7/07/2015 · BC152006
    Failed to administer medication as ordered
  • Licensing Violation6/23/2012 · BC120413
    Failed to administer medication as ordered
  • Licensing Violation6/20/2017 · BC172124
    Failed to administer medication as ordered
  • Licensing Violation6/09/2013 · BC133486
    Failed to provide a safe medication administration system
  • Licensing Violation6/04/2013 · BC133483
    Failed to administer medication as ordered
  • Abuse: Neglect6/02/2024 · 00335623-AP-384227
    Failed to properly plan care
  • Licensing Violation5/30/2016 · BC166030
    Failed to provide a safe medication administration system
  • Licensing Violation5/26/2023 · OR0004269800
    Failed to meet the scheduled and unscheduled needs of residents
  • Abuse: Neglect5/24/2022 · 00202079-AP-162807
    Failed to administer medication as ordered
  • Licensing Violation5/16/2019 · OR0001906200
    Failed to provide a safe medication administration system
  • Licensing Violation5/15/2025 · CALMS - 00109595
    Failed to use an ABST
  • Abuse: Neglect5/13/2022 · 00199926-AP-160756
    Failed to provide safe environment
  • Licensing Violation5/11/2023 · OR0004233600
    Failed to administer medication as ordered
  • Licensing Violation5/09/2023 · OR0004229100
    Failed to administer medication as ordered
  • Licensing Violation5/06/2014 · BC147012
    Failed to provide a safe medication administration system
  • Licensing Violation5/05/2025 · CALMS - 00109593
    Failed to use an ABST
  • Licensing Violation5/02/2023 · OR0004213600
    Failed to administer medication as ordered
  • Abuse: Neglect4/30/2020 · 00081805-AP-060918
    Failed to provide safe environment
  • Licensing Violation4/27/2025 · CALMS - 00109592
    Failed to use an ABST
  • Abuse: Neglect4/27/2022 · 00197179-AP-158188
    Failed to provide a safe medication administration system
  • Abuse: Neglect4/24/2024 · 00335623-AP-286679
    Failed to administer medication as ordered
  • Licensing Violation4/22/2025 · 00396810-AP-347520
    Failed to administer medication as ordered
  • Licensing Violation4/03/2024 · 00323102-AP-274913
    Failed to provide a safe medication administration system
  • Licensing Violation3/21/2013 · BC132777
    Failed to provide a safe medication administration system
  • Licensing Violation2/23/2015 · BC150406
    Failed to administer medication as ordered
  • Licensing Violation2/21/2020 · 00072783-AP-053268
    Failed to provide safe environment
  • Abuse: Neglect2/14/2023 · 00248881-AP-204941
    Failed to provide a safe medication administration system
  • Licensing Violation2/12/2023 · OR0004195000
    Failed to administer medication as ordered
  • Licensing Violation2/12/2023 · OR0004195001
    Failed to provide service
  • Licensing Violation2/10/2013 · BC132408
    Failed to provide a safe medication administration system
  • Licensing Violation2/04/2026 · CALMS - 00102451
    Failed to provide a safe medication administration system
  • Licensing Violation12/20/2022 · 00238840-AP-195941
    Failed to provide a safe medication administration system
  • Licensing Violation12/19/2011 · BC118797
    Failed to provide a safe medication administration system
  • Licensing Violation12/09/2024 · 00370833-AP-321182
    Failed to provide a safe medication administration system
  • Licensing Violation12/08/2013 · BC135340
    Failed to administer medication as ordered
  • Abuse: Neglect12/04/2021 · 00177616-AP-141215
    Failed to address resident's behavior
  • Abuse: Neglect12/04/2014 · BC149518
    Failed to provide a safe medication administration system
  • Abuse: Neglect11/20/2025 · 00440726-AP-392747
    Failed to properly plan care
  • Licensing Violation11/15/2022 · 00232108-AP-190033
    Failed to administer medication as ordered
  • Licensing Violation11/14/2022 · OR0003986600
    Failed to administer medication as ordered
  • Licensing Violation10/25/2012 · BC121428
    Failed to provide a safe medication administration system
  • Licensing Violation10/20/2022 · OR0003837800
    Failed to provide service
  • Licensing Violation10/16/2014 · BC148984
    Failed to administer medication as ordered
  • Licensing Violation1/27/2023 · 00247147-AP-218222
    Failed to protect resident from mental or emotional abuse
  • Licensing Violation1/25/2025 · 00379682-AP-330253
    Failed to provide or assist with hygiene
  • Abuse: Neglect1/22/2023 · 00247147-AP-203231
    Failed to provide a safe medication administration system
  • Licensing Violation1/11/2015 · BC159914
    Failed to provide a safe medication administration system
  • Licensing Violation1/02/2023 · 00239674-AP-197187
    Failed to provide a safe medication administration system
  • Licensing Violation1/02/2012 · BC128864
    Failed to provide a safe medication administration system
  • Abuse: Neglect1/01/2024 · 00305360-AP-258294
    Failed to provide safe environment

Inspections

5 state inspections on record, citing 21 deficiencies in total.

What it costs around here

Typical monthly cost in Oregon
$6,875/mo
Assisted living
$8,075/mo
Memory care†our estimate — not surveyed

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

† Memory care is our estimate, not survey data: CareScout does not survey memory care, so we take the assisted-living median for the state and add $1,200/month — the typical secured-dementia-unit premium. It is a planning figure with no state-level detail behind it, and real memory-care pricing varies far more than that. Treat it as a starting point and ask the community for its own memory-care rate.

Estimated cost range · regional

In Oregon, assisted living typically runs about $5,500–$8,250/month.

This is a regional estimate modeled from published survey data (the CareScout/Genworth state median, ±20%) — not this community’s actual price, which it sets privately. Ask the community for its current all-in monthly rate and what each care level adds.

Does this community take Medicaid?

Yes — Oregon’s licensing record lists this community as accepting Medicaid. That is not the same as having a Medicaid place open now: ask whether one is available today, and what happens if a resident’s savings run out later.

Oregon Medicaid helps pay for assisted living only in limited circumstances. A waiver pays for care, never for room and board. Which Oregon waivers, waitlists and how to apply →

Cost

Assisted-living and memory-care prices are set by each community and not publicly disclosed — no state or federal source publishes them, and the “starting at” figures on referral sites are estimates, not this community’s real rate. Ask the community directly for its current monthly price and what it includes (base rent versus care-level add-ons and memory-care premiums).

Worried about someone here? How to report it

If you have seen something that concerns you — neglect, an injury, medication problems, or a resident who seems afraid — you do not need proof to report it. Reporting is what triggers an inspection, and inspections are what put a record on this page in the first place.

  • The state licensing agency — Oregon licenses this community and is the body that can inspect it and act on a complaint. Complaints can usually be made anonymously.
  • Your Long-Term Care Ombudsman — free, independent, and works for the resident, not the state or the company. They will visit and advocate. Find yours via the Eldercare Locator at 1-800-677-1116 or theconsumervoice.org/get_help ↗.
  • Adult Protective Services — for suspected abuse, neglect or financial exploitation of a vulnerable adult. The Eldercare Locator above routes you to your local APS office.
  • If someone is in immediate danger, call 911 first. Report to the agencies above afterwards — the two are separate, and one does not do the job of the other.

We are a data site, not a regulator: we cannot investigate or intervene, and there is no point reporting it to us. The three routes above are the ones with actual power.

Location & what’s nearby

Open in Google Maps ↗

Hospital
LEGACY GOOD SAMARITAN MEDICAL CENTER1.1 mi
★★★★ 4/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
Central City Concern - CCC Recovery Center<0.1 mi
33 NW Broadway
Pharmacy
Rite Aid0.3 mi
622 SW Alder St · (503) 226-6791 · Call to confirm hours
Grocery
Helen's Market<0.1 mi
2 NW Broadway · (503) 241-7840 · Call to confirm hours
Park
North Park Blocks0.1 mi
300 NW Park Ave · (503) 823-7529 · Typically dawn to dusk
Place of worship
Saint Andre Bessette Catholic Church<0.1 mi
601 W Burnside St · (503) 228-0746

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Source: Oregon DHS Office of Licensing & Regulatory Oversight (public record), last pulled from the state 2026-07-15.

What to do next

Understand itQuestions to ask on a tourThe things staffing brochures leave out — what to ask and what to watch for.→Afford itCan you afford it, long-term?Assisted living runs private-pay. Model the years and taxes in My Plan — free, private.→DecideIs assisted living the right fit?A two-minute check: assisted living, memory care, home help, or skilled nursing.→