Nursing homes › Oregon › The Pearl at Kruse Way
4550 Carman Drive, Lake Oswego, OR 97035 · (503) 675-6055 · 74 certified beds
Per CMS filings, this facility is affiliated with Avamere, a group operating 27 facilities in 2 states. Group record: average rating 3.0/5, 0 abuse citation icons, 0 facilities on the Special Focus list, $677,354 in federal fines. This facility rates above its group average (3.0/5).
Total nurse staffing: 5.64 (Oregon median: 4.95). RN hours: 1.15. Weekend total: 4.81. Nursing staff turnover: 60%.
All-time on record: 22 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-11-21 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Health | corrected 2025-12-25 |
| 2025-11-21 | 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. | D | Health | corrected 2025-12-25 |
| 2025-01-23 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2025-02-17 |
| 2025-01-23 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | complaint | corrected 2025-02-17 |
| 2024-08-02 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Health | corrected 2024-09-10 |
| 2024-08-02 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Health | corrected 2024-09-10 |
| 2024-08-02 | 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. | E | Health | corrected 2024-09-10 |
| 2024-08-02 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2024-09-10 |
| 2024-08-02 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Health | corrected 2024-09-10 |
| 2024-06-27 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2024-07-17 |
| 2024-06-27 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2024-07-17 |
| 2023-07-14 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Health | corrected 2023-10-13 |
| 2023-07-14 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Health | corrected 2023-08-20 |
| 2023-07-14 | 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. | E | Health | corrected 2023-08-30 |
| 2023-07-14 | Post nurse staffing information every day. | E | Health | corrected 2023-10-13 |
| 2023-07-14 | Provide and implement an infection prevention and control program. | E | Health | corrected 2023-08-30 |
| 2023-07-14 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2023-08-30 |
| 2023-07-14 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2023-08-30 |
| 2023-07-14 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2023-08-30 |
| 2023-07-14 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Health | corrected 2023-10-13 |
| 2023-07-14 | Observe each nurse aide's job performance and give regular training. | D | Health | corrected 2023-08-30 |
| 2023-07-14 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Health | corrected 2023-08-30 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| KOFSTAD, MARY | Corporate Officer | Individual | NOT APPLICABLE | since 02/13/2024 |
| SIMPSON, ANDREW | Corporate Officer | Individual | NOT APPLICABLE | since 06/01/2024 |
How to cite this page: CareRecords, “The Pearl at Kruse Way — compliance, penalty and ownership record” (CCN 385271), compiled from the CMS Provider Data Catalog, July 2026 release. https://carerecords.org/nursing-home/the-pearl-at-kruse-way-lake-oswego-or/
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 385271. Corrections: data@carerecords.org.