Macdonald Residence
An assisted living facility in Portland, Oregon 97209
605 NW Couch Street, Portland, Oregon 97209. (503) 241-7374.
Watch and the shortlist are kept with a free account, on every device. Your watch list. Oregon’s own record is on ltclicensing.oregon.gov.
The short answer
Record last released by Oregon Department of Human Services, Aging and People with Disabilities on Nov 2, 2026. We couldn’t read Oregon Department of Human Services, Aging and People with Disabilities’ list since Nov 2, 2026; this record is as of then.
- 15 substantiated violations in the last three years Middle in Multnomah County: 6
- 4 at the state’s most serious level, in three years (needs attention)
- 54 beds, its licensed capacity
Each figure’s source sits beside it, in its section below.
What these words mean6
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- The state’s most serious level
- Each state grades findings on its own scale and in its own words, so the record counts a state’s findings at that state’s top level. Two states’ top levels aren’t the same thing, so the counts aren’t compared across states. Source: How this site reads each state’s scale.
- Accepts Medicaid
- The state’s own list says the place takes part in a Medicaid program (a waiver, a contract or a program like Illinois’s supportive living) that can pay for care for people who qualify. Source: Each state’s list.
- Licence status
- Whether the state’s licence lets the place operate now, in the state’s own words: licensed, on probation (allowed to keep operating on conditions, after problems), provisional, pending or expired. Source: Each state’s licensing agency.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
5 inspections on record since Jan 11, 2023, the latest on Jun 13, 2024, citing 21 deficiencies in all.
15 A complaint allegation the state investigated and found true: the evidence showed it more likely than not happened. Inconclusive means the evidence couldn’t show it either way. Neither inconclusive nor unsubstantiated proves it didn’t happen. Source: California Department of Social Services, complaint findings; each state’s licensing agency. violations in the last three years, 4 of them abuse findings.
Oregon Department of Human Services, Aging and People with Disabilities, Inspections and Substantiated violations. Released Nov 2, 2026. Updated daily.
When those citations happened
15 citations in 11 months of the last 36. Last cited Feb 2026. The last 3 years, to Nov 2, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each citation, in its source’s words
Grouped by visit, newest first, with the level its source gave it.
Oregon Department of Human Services, Aging and People with Disabilities, Substantiated violations. Released Nov 2, 2026. Updated daily.
Feb 4, 2026: substantiated violation1 citation
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Failed to provide a safe medication administration system
Nov 20, 2025: substantiated violation1 citation
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Failed to properly plan care
Aug 15, 2025: substantiated violation2 citations
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Failed to protect resident from financial exploitation
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Failed to staff as indicated by ABST
May 15, 2025: substantiated violation1 citation
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Failed to use an ABST
May 5, 2025: substantiated violation1 citation
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Failed to use an ABST
Apr 27, 2025: substantiated violation1 citation
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Failed to use an ABST
Apr 22, 2025: substantiated violation1 citation
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Failed to administer medication as ordered
Jan 25, 2025: substantiated violation1 citation
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Failed to provide or assist with hygiene
Dec 9, 2024: substantiated violation1 citation
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Failed to provide a safe medication administration system
Jul 11, 2024: substantiated violation1 citation
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Failed to provide safe environment
Jun 2, 2024: substantiated violation1 citation
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Failed to properly plan care
Apr 24, 2024: substantiated violation1 citation
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Failed to administer medication as ordered
Apr 3, 2024: substantiated violation1 citation
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Failed to provide a safe medication administration system
Jan 1, 2024: substantiated violation1 citation
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Failed to provide safe environment
Sep 29, 2023: substantiated violation1 citation
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Failed to use an ABST
May 26, 2023: substantiated violation1 citation
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Failed to meet the scheduled and unscheduled needs of residents
May 11, 2023: substantiated violation1 citation
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Failed to administer medication as ordered
May 9, 2023: substantiated violation1 citation
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Failed to administer medication as ordered
May 2, 2023: substantiated violation1 citation
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Failed to administer medication as ordered
Feb 14, 2023: substantiated violation1 citation
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Failed to provide a safe medication administration system
Feb 12, 2023: substantiated violation2 citations
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Failed to administer medication as ordered
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Failed to provide service
Jan 27, 2023: substantiated violation1 citation
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Failed to protect resident from mental or emotional abuse
Jan 22, 2023: substantiated violation1 citation
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Failed to provide a safe medication administration system
Jan 2, 2023: substantiated violation1 citation
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Failed to provide a safe medication administration system
Dec 20, 2022: substantiated violation1 citation
-
Failed to provide a safe medication administration system
Nov 15, 2022: substantiated violation1 citation
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Failed to administer medication as ordered
Nov 14, 2022: substantiated violation1 citation
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Failed to administer medication as ordered
Oct 20, 2022: substantiated violation1 citation
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Failed to provide service
Aug 1, 2022: substantiated violation1 citation
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Failed to submit timely or adequate staffing documentation
May 24, 2022: substantiated violation1 citation
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Failed to administer medication as ordered
May 13, 2022: substantiated violation1 citation
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Failed to provide safe environment
Apr 27, 2022: substantiated violation1 citation
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Failed to provide a safe medication administration system
Dec 4, 2021: substantiated violation1 citation
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Failed to address resident’s behavior
Sep 24, 2021: substantiated violation1 citation
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Failed to provide a safe medication administration system
Jul 29, 2021: substantiated violation1 citation
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Failed to provide safe environment
Apr 30, 2020: substantiated violation1 citation
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Failed to provide safe environment
Feb 21, 2020: substantiated violation1 citation
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Failed to provide safe environment
May 16, 2019: substantiated violation1 citation
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Failed to provide a safe medication administration system
Sep 20, 2017: substantiated violation1 citation
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Failed to provide safe environment
Jun 20, 2017: substantiated violation1 citation
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Failed to administer medication as ordered
May 30, 2016: substantiated violation1 citation
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Failed to provide a safe medication administration system
Jul 7, 2015: substantiated violation1 citation
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Failed to administer medication as ordered
Feb 23, 2015: substantiated violation1 citation
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Failed to administer medication as ordered
Jan 11, 2015: substantiated violation1 citation
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Failed to provide a safe medication administration system
Dec 4, 2014: substantiated violation1 citation
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Failed to provide a safe medication administration system
Oct 16, 2014: substantiated violation1 citation
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Failed to administer medication as ordered
Sep 14, 2014: substantiated violation1 citation
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Failed to administer ordered medication
Aug 4, 2014: substantiated violation1 citation
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Failed to provide a safe medication administration system
Aug 1, 2014: substantiated violation1 citation
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Failed to provide a safe medication administration system
Jul 26, 2014: substantiated violation1 citation
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Failed to provide a safe medication administration system
Jul 19, 2014: substantiated violation1 citation
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Failed to provide a safe medication administration system
May 6, 2014: substantiated violation1 citation
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Failed to provide a safe medication administration system
Dec 8, 2013: substantiated violation1 citation
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Failed to administer medication as ordered
Aug 29, 2013: substantiated violation1 citation
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Failed to provide a safe medication administration system
Aug 9, 2013: substantiated violation1 citation
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Failed to administer medication as ordered
Jul 31, 2013: substantiated violation1 citation
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Failed to provide a safe medication administration system
Jun 9, 2013: substantiated violation1 citation
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Failed to provide a safe medication administration system
Jun 4, 2013: substantiated violation1 citation
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Failed to administer medication as ordered
Mar 21, 2013: substantiated violation1 citation
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Failed to provide a safe medication administration system
Feb 10, 2013: substantiated violation1 citation
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Failed to provide a safe medication administration system
Oct 25, 2012: substantiated violation1 citation
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Failed to provide a safe medication administration system
Sep 12, 2012: substantiated violation1 citation
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Failed to provide safe environment
Jun 23, 2012: substantiated violation1 citation
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Failed to administer medication as ordered
Jan 2, 2012: substantiated violation1 citation
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Failed to provide a safe medication administration system
Dec 19, 2011: substantiated violation1 citation
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Failed to provide a safe medication administration system
Aug 31, 2011: substantiated violation1 citation
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Failed to provide a safe medication administration system
All 5 visits on record
| Date | Visit | What the record says |
|---|---|---|
| Jun 13, 2024 | Inspection (Complaint Investigation) | 4 deficiencies cited |
| Jan 25, 2024 | Inspection (State Licensure) | 1 deficiency cited |
| Jun 1, 2023 | Inspection (Complaint Investigation) | 4 deficiencies cited |
| Mar 13, 2023 | Inspection (Validation) | 11 deficiencies cited |
| Jan 11, 2023 | Inspection (State Licensure) | 1 deficiency cited |
Is it licensed?
- Assisted living facility, licensed by the Oregon Department of Human Services for 54 residents.
- Not licensed for Care for people living with dementia. Some states license a separate dementia or Alzheimer’s unit; others ask a facility to say what dementia care it gives. This record uses the state’s own field. Source: Each state’s list..
- Accepts Medicaid.
- Oregon provider ID 70M216.
Oregon Department of Human Services, Aging and People with Disabilities, Providers and Regulatory actions. Released Nov 2, 2026. Updated daily.
Has the state acted against it?
- 1 regulatory action on record: licence condition.
- 4 abuse findings A complaint allegation the state investigated and found true: the evidence showed it more likely than not happened. Inconclusive means the evidence couldn’t show it either way. Neither inconclusive nor unsubstantiated proves it didn’t happen. Source: California Department of Social Services, complaint findings; each state’s licensing agency. in the last three years.
Oregon Department of Human Services, Aging and People with Disabilities, Regulatory actions and Substantiated violations. Released Nov 2, 2026. Updated daily.
| Date | What | Detail |
|---|---|---|
| Oct 13, 2023 | Licence condition | Failed to use an ABST. In effect Oct 13, 2023 to Mar 4, 2024. |
Who does the caring?
- Oregon’s lists don’t include staffing levels.
Who holds the licence?
- Oregon’s lists don’t name owners or licensees.
How is it rated?
- Oregon links annual quality reports for assisted living and residential care facilities on its own site; they aren’t read here.
How does it compare nearby?
- Among 79 facilities of this kind in Multnomah County, the middle value for substantiated violations in the last three years was 6; this one had 15.
Oregon Department of Human Services, Aging and People with Disabilities, Substantiated violations. Released Nov 2, 2026. Updated daily.
| Place | Substantiated violations in the last three years |
|---|---|
| The Watermark at the Pearl | 5 |
| Macdonald Residence This assisted living facility | 15 |
| Columbia Place Memory Care | 2 |
| Brookdale Troutdale | 33 |
| Firwood Gardens Rcf | 29 |
| Donham Place Inc. | 0 |
| Gresham Pointe Senior Living | 9 |
| Mt Scott Residential Care Home | 11 |
| The Butte | 5 |
| Cascade Aids Project / Our House of Portland | 0 |
| Tabor Crest Residential Care | 0 |
| Terwilliger Plaza Metcalf Unit | 7 |
What the record doesn’t say
- Oregon doesn’t show complaints still being investigated, or findings under appeal.
- Oregon’s lists name the kind of failure behind each violation, not the rule cited or the inspectors’ words; Oregon’s own record has the reports.
- Oregon’s inspection list covers about the last five years; its violations go back to 2010.
Sources
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Oregon Department of Human Services, Aging and People with Disabilities, Providers (Licensed Long-Term Care Settings Search export, Nov 2, 2026).
Released Nov 2, 2026 and checked Nov 2, 2026. Updated daily. No licence stated (Oregon.gov Terms & Conditions; Oregon Public Records Law, ORS 192).
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Oregon Department of Human Services, Aging and People with Disabilities, Inspections (Licensed Long-Term Care Settings Search export, Nov 2, 2026).
Released Nov 2, 2026 and checked Nov 2, 2026. Updated daily. No licence stated (Oregon.gov Terms & Conditions; Oregon Public Records Law, ORS 192).
-
Oregon Department of Human Services, Aging and People with Disabilities, Substantiated violations (Licensed Long-Term Care Settings Search export, Nov 2, 2026).
Released Nov 2, 2026 and checked Nov 2, 2026. Updated daily. No licence stated (Oregon.gov Terms & Conditions; Oregon Public Records Law, ORS 192).
-
Oregon Department of Human Services, Aging and People with Disabilities, Regulatory actions (Licensed Long-Term Care Settings Search export, Nov 2, 2026).
Released Nov 2, 2026 and checked Nov 2, 2026. Updated daily. No licence stated (Oregon.gov Terms & Conditions; Oregon Public Records Law, ORS 192).
If you believe something here is wrong, a correction starts with the agency whose record this copies: Oregon Department of Human Services, Aging and People with Disabilities. Oregon’s own record is on ltclicensing.oregon.gov. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 2, 2026.
From the facility
The public record above comes first. Anything the facility adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the facility will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the facility”, and paying will never change a finding, a rating or the order of results.