All states › Oregon › Lake Oswego › The PEARL AT KRUSE WAY
4550 Carman Drive Lake Oswego, OR 97035 · Clackamas County
CMS certification number 385271 · See this home on Medicare Care Compare
Is The PEARL AT KRUSE WAY a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for The PEARL AT KRUSE WAY as of October 2026.
CMS rates it 4 out of 5 stars overall, above the Oregon average of 3.2.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 5.82 hours per resident per day at The PEARL AT KRUSE WAY, above the Oregon median of 4.98 (US median: 3.72). About 1.23 of those hours are from registered nurses. On weekends it falls to 5.06 hours, 13% below its all-week average. 57.7% of nursing staff left within a year (Oregon median 40.8%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at The PEARL AT KRUSE WAY: Medicare and Medicaid
The PEARL AT KRUSE WAY is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Oregon's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on November 21, 2025 and found 2 deficiencies. In total, inspectors issued 22 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 22 citations at The PEARL AT KRUSE WAY across 5 inspection dates, 4 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 22 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were quality of life and care (7) and nursing and physician services (4). The most serious was cited under the CMS rule to "provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift" (tag F0725, level F, July 14, 2023).
November 21, 2025 · 2 citations
DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
DEnsure 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.
January 23, 2025 · 2 citations · includes complaint inspection
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
August 2, 2024 · 5 citations
ECreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
EProvide appropriate treatment and care according to orders, resident’s preferences and goals.
EEnsure 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.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DEnsure that residents are fully informed and understand their health status, care and treatments.
June 27, 2024 · 2 citations · includes complaint inspection
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
July 14, 2023 · 11 citations
FProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
FHave a plan that describes the process for conducting QAPI and QAA activities.
EHonor 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.
EPost nurse staffing information every day.
EProvide and implement an infection prevention and control program.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
DObserve each nurse aide's job performance and give regular training.
DEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Questions to ask on a tour of The PEARL AT KRUSE WAY
- Nursing staff turnover was 57.7% a year. How many of the staff come from agencies?
- The home averages about 55% of its beds filled. Are any units closed?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 4/5 | 4/5 | 4/5 | 3/5 |
| August 2026 | 4/5 | 4/5 | 4/5 | 3/5 |
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Location
Hospitals near The PEARL AT KRUSE WAY
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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3.0 mi
Legacy Meridian Park Medical Center TualatinEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 2h 57m for patients treated and sent home
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4.9 mi
Providence Milwaukie Hospital MilwaukieEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 54m for patients treated and sent home
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5.6 mi
Portland VA Medical Center PortlandEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 3h 13m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near The PEARL AT KRUSE WAY › All nursing homes in Lake Oswego ›
Compare The PEARL AT KRUSE WAY with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Willamette View Health Center · Milwaukie · 5 stars · 3.4 mi
- Marquis Tualatin Post Acute Rehab · Tualatin · 5 stars · 3.9 mi
- Marquis Vermont Hills · Portland · 5 stars · 4.4 mi
- Marquis Autumn Hills Memory Care · Portland · 5 stars · 4.8 mi
Other Avamere nursing homes in Oregon
- Avamere at Three Fountains · Medford · 5 stars
- Avamere Rehabilitation of Clackamas · Gladstone · 5 stars
- Avamere Crestview of Portland · Portland · 4 stars
- Avamere Court at Keizer · Keizer · 4 stars
- Avamere Rehabilitation of King City · Tigard · 4 stars
- Avamere Rehabilitation of Newport · Newport · 4 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 27 Avamere nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.