Pearl at Kruse Way, the
4550 Carman Drive · Lake Oswego, OR · 97035 · 5036756055
74 certified beds For profit - Limited Liability company Chain: Avamere
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
61% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 5 of 5 Inspections: 4 of 5 Staffing: 5 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 5.76 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.21 | 0.55–0.75 |
| Weekend hours / resident-day | 4.90 | ≈ weekday level |
| Nursing turnover / year | 61% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (22 in the current record)
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Potential for harm · D November 21, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected December 25, 2025 · Resident Rights
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Potential for harm · D November 21, 2025
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected December 25, 2025 · Pharmacy Service
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Potential for harm · D January 23, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 17, 2025 · Quality of Life and Care
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Potential for harm · D January 23, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected February 17, 2025 · Quality of Life and Care
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Potential for harm · D August 2, 2024
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected September 10, 2024 · Resident Rights
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Potential for harm · E August 2, 2024
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected September 10, 2024 · Resident Assessment and Care Planning
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Potential for harm · E August 2, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 10, 2024 · Quality of Life and Care
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Potential for harm · E August 2, 2024
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected September 10, 2024 · Pharmacy Service
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Potential for harm · E August 2, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 10, 2024 · Nutrition and Dietary
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Potential for harm · D June 27, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 17, 2024 · Quality of Life and Care
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Potential for harm · D June 27, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 17, 2024 · Quality of Life and Care
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Potential for harm · E July 14, 2023
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected August 30, 2023 · Resident Rights
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Potential for harm · D July 14, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 30, 2023 · Resident Assessment and Care Planning
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Potential for harm · D July 14, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected August 30, 2023 · Resident Assessment and Care Planning
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Potential for harm · F July 14, 2023
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected August 20, 2023 · Administration
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Potential for harm · E July 14, 2023
Provide and implement an infection prevention and control program.
Corrected August 30, 2023 · Infection Control
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Potential for harm · D July 14, 2023
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected August 30, 2023 · Nursing and Physician Services
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Potential for harm · D July 14, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 30, 2023 · Quality of Life and Care
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Potential for harm · D July 14, 2023 · found via complaint
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected October 13, 2023 · Quality of Life and Care
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Potential for harm · F July 14, 2023 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected October 13, 2023 · Nursing and Physician Services
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Potential for harm · D July 14, 2023 · found via complaint
Observe each nurse aide's job performance and give regular training.
Corrected August 30, 2023 · Nursing and Physician Services
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Potential for harm · E July 14, 2023 · found via complaint
Post nurse staffing information every day.
Corrected October 13, 2023 · Nursing and Physician Services
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 385271 · certified since January 25, 2006. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.