Nursing HomeInspections

The PEARL AT KRUSE WAY

Nursing home in Lake Oswego, OR

Medicare & Medicaid certified4★ overall (CMS)

Call (503) 675-6055Send a messageMap ↗

Public-record details

Address
4550 Carman Drive, Lake Oswego, OR 97035
Phone
(503) 675-6055
Listed under
For-profit, 4–5 star overall rating, No fines in 3 years
Medicare CCN
385271
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
4 of 5
Staffing rating
4 of 5
Quality measures rating
3 of 5
Certified beds
74
Average residents per day
41
Ownership
For-profit, limited Liability company
Legal business name
Avamere Lake Oswego Operations Investors, LLC
Chain
Avamere (27 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jan 25, 2006
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 385271. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Nov 21, 2025. CMS lists 22 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jul 14, 2023 to Nov 21, 2025): 4 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Nov 21, 2025Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights		D
Potential for more than minimal harm, isolated
Nov 21, 2025Ensure 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…
Pharmacy Service		D
Potential for more than minimal harm, isolated
Jan 23, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Jan 23, 2025Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Aug 2, 2024Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights		D
Potential for more than minimal harm, isolated
Aug 2, 2024Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning		E
Potential for more than minimal harm, pattern
Aug 2, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care		E
Potential for more than minimal harm, pattern
Aug 2, 2024Ensure 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…
Pharmacy Service		E
Potential for more than minimal harm, pattern
Aug 2, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Jun 27, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 27, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Jul 14, 2023Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 22. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
5.64 hours
Registered nurse (RN) time per resident per day
1.15 hours
Nurse aide time per resident per day
3.31 hours
Total nurse staffing on weekends
4.81 hours
Nursing staff turnover (yearly)
60%
RN turnover (yearly)
73%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.