Macdonald Residence
$9,000 – $9,000/mo
Starting price
Assisted Living
Care types
Private, Studio, 1 Bedroom
Room options
Yes
Wheelchair access
About Macdonald Residence
Macdonald Residence is a 54-unit assisted living facility in Portland's Old Town neighborhood, uniquely dedicated to serving Medicaid-eligible adults, many of whom face complex behavioral health and housing challenges. The community emphasizes 24-hour personal care, medication management, and fresh home-cooked meals, supported by a specialized behavioral health team. Residents live in private studios with access to communal spaces and community-sponsored activities that foster connection. Located near Legacy Good Samaritan Medical Center and local cafes, Macdonald Residence integrates healthcare with urban convenience. Ongoing renovations aim to improve comfort with new elevators and upgraded heating and cooling, reflecting a commitment to sustaining affordable, supportive housing for vulnerable seniors.
Our Care Approach
Macdonald Residence focuses on providing 24-hour personal care tailored to Medicaid-eligible adults with complex behavioral health needs. The presence of a dedicated behavioral health team and emphasis on staff support highlight an approach centered on managing trauma and mental health challenges, though reviews suggest inconsistencies in care delivery and supervision.
Family Experience
Family and visitor experiences appear mixed; some appreciate the supportive staff and community engagement, while others express frustration with communication and care quality. Limited positive feedback suggests occasional meaningful interactions, but concerns about neglect may affect overall family confidence.
Care & Services
Services and care programs available at Macdonald Residence.
Medical Care Services
Includes 24-hour nursing support, medication management, and healthcare coordination, with a behavioral health team to assist residents with mental health needs.
Personal Care Services
Assistance with daily living activities such as bathing, dressing, and mobility support is provided around the clock.
Specialized Care
Focus on behavioral health support for residents transitioning from homelessness and managing complex mental health issues; memory care is not offered.
Interested in learning more about the care options?
Living Environment
Cleanliness & Maintenance
Reviews indicate concerns about neglect and poor hygiene for some residents, though ongoing renovations are planned to improve facility infrastructure including heating, cooling, and elevator access.
Atmosphere & Community Feel
The environment is challenging with reports of staff tension and toxic dynamics, yet some residents and staff experience meaningful social connections and community activities.
Safety & Security
Safety issues have been raised in reviews, including inadequate supervision of residents and unresolved incidents, suggesting room for improvement in security and resident monitoring.
Amenities
Reviews
Based on 15 reviews
Reviews for Macdonald Residence reveal a deeply divided experience. Several staff and visitor accounts express serious concerns about neglect, poor management, and unsafe conditions, including reports of inadequate supervision and favoritism. Conversely, some reviews highlight positive personal connections with residents and helpful staff members. Overall, the community's reputation is mixed, with significant criticism about care quality and workplace environment alongside appreciation from a few individuals.
- Helpful reception staff
- Meaningful connections formed with some residents
- Supportive behavioral health team backing staff
- Serious neglect and unsupervised residents reported
- Allegations of favoritism and poor management
- Toxic work environment and staff conflicts
Vladilena
I picked up a shift here through the caregiving agency I worked with. While I typically work one-on-one with in-home clients, I decided to try helping at this facility. It was a deeply unsettling experience. All of the rumors you hear about facilities, they are real. I will never again work with this facility, they need to be shut down. This is only speaking from my one experience… When I arrived, I was handed an iPod and a radio, with no explanation. I was sent straight to a floor with no orientation, and no idea what my duties were supposed to be. Some of the staff were friendly, while some hated the caregivers from my company, and they were not afraid to show it or voice it. Staff warned me about one particular resident and told me not to speak to her, or touch any of her belongings. I didn’t ask questions at first, but I was told later she had been missing inside the building for two days. When she was finally found (her bedroom), she had smeared feces all over the walls of her room, and had eaten some of it. It seemed like they hadn’t really bothered looking for her. When she walked past me, her odor was enough to knock out half a block. Her hair was matted, and her white sandals were stained brown. It was clear that she had been severely neglected. This facility left me extremely concerned about the care and safety of its residents.
Kianna Gaskill
•Nursing staff is negligent leading as far as patient death as well as backlash to direct care when any concerns are voiced • Agency staff riddled throughout the building due to inability to maintain in-house staffing (as well as not feeding agency staff despite scheduled 16hr shifts) •Multiple instances of departments not handling issues within their scope (such as sexual assault from resident to resident) •Favoritism- individuals on high acuity floors for extended periods of time with no break
Marcus Curtis
Worst place ever security talks to u like u don’t have no self respect are none of that definitely needs better customer service
6 more residents rated this community with an average of 3.5 stars
Families love this community. See if it’s the right fit for you.
Pricing
$9,000 – $9,000/mo
Pricing varies by room type, care level, and services selected.
Available Room Types
Value Consideration
At $9,000 per month, Macdonald Residence is priced above the Portland average for assisted living. While it offers specialized services for a vulnerable population and comprehensive care, mixed reviews about care quality and facility conditions may impact perceived value for families seeking dependable support.
Location & Neighborhood
About the Area
Situated in Portland's historic Old Town, Macdonald Residence benefits from an urban setting rich in culture and community resources. The area offers easy access to medical facilities, pharmacies, and local eateries, providing residents with practical conveniences and opportunities for social outings within walking distance.
Nearby Attractions
- Legacy Good Samaritan Medical Center
- Dutch Bros Coffee
- Deschutes Brewery Portland Public House
Public Transportation
- Portland Streetcar
- TriMet Bus Lines
Questions & Answers
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