Federal inspection record · CMS data as of October 1, 2026
The PEARL AT KRUSE WAY
4550 Carman Drive, Lake Oswego, OR · (503) 675-6055
- Certified beds
- 74
- Residents per day
- 41
- Ownership
- For-Profit
- Chain
- Avamere
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 25, 2006
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Oregon.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Oregon homes
The PEARL AT KRUSE WAY carries 19 inspection points. That is fewer than 88% of Oregon's 126 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Oregon: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–14 pts
- 4★ 14–41 pts
- 3★ 41–65 pts
- 2★ 65–95.25 pts
- 1★ over 95.25 pts
Bars show every rated home in Oregon by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
22 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care7E
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Nursing and Physician Services4F
- F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E
Post nurse staffing information every day.
- D
Observe each nurse aide's job performance and give regular training.
- D
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Resident Rights3E
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- E
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.
Resident Assessment and Care Planning3E
- E
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Pharmacy Service2E
- D
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
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.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration1F
- F
Have a plan that describes the process for conducting QAPI and QAA activities.
Infection Control1E
- E
Provide and implement an infection prevention and control program.
Inspection history
2025-11-21
2 health deficiencies · 1 fire-safety deficiencies
Top issue: Pharmacy Service (1 deficiency)
2024-08-02
7 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2023-07-14
13 health deficiencies · 6 fire-safety deficiencies
Top issue: Nursing and Physician Services (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 5 h 49 min of nursing staff time a day, 1 h 14 min of it from a registered nurse.
This home
5 h 49 min
Oregon average
5 h 8 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 58% of nursing staff and 67% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine12 pts better | 97.8% | 85.8% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.5 pts better | 15.5% | 16.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.2 pts better | 0.2% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine10.1 pts better | 91.0% | 80.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.5 pts worse | 22.4% | 21.9% | 23.4% |
·
Who owns and runs it
4 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Carr, Kirsten | Contracted Managing Employee · Individual | 0% | 1 facilities |
| Kofstad, Mary | Corporate Officer · Individual | 0% | 22 facilities |
| Margolis, Erik | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Simpson, Andrew | Corporate Officer · Individual | 0% | 18 facilities |
·
Fire safety
9 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke4F
- D
Meet other general requirements.
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous2F
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
Emergency Preparedness1F
- F
Implement emergency and standby power systems.
Gas, Vacuum, and Electrical Systems1F
- F
Have generator or other power source capable of supplying service within 10 seconds.
Egress1D
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
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Other homes nearby
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Tigard Rehabilitation And Care
Tigard, OR · Sapphire Health Services · Special Focus
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 5 h 25 min
- Fines
- $57,681
-
Fernwood Supportive Living At Madrona Grove
Portland, OR
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- —
- Fines
- $0
-
Willamette View Health Center
Milwaukie, OR
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 10 h 9 min
- Fines
- $0