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Nursing HomeMedicaid Top Rated

Pearl at Kruse Way, the

Strong Medicare quality ratings; families often praise beautiful, hotel-like facility environment. Still worth an in-person visit.

4550 Carman Drive, Waluga · Lake Oswego, OR 9703574 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
3.3/5

based on 51 Google reviews

5
4
3
2
1

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What this means for your family

While the facility is physically beautiful and has some dedicated staff members, the recent trend of reviews indicates significant systemic issues with understaffing and medical oversight. If you choose this facility, you must be prepared to be highly involved in your loved one's daily care, specifically monitoring medication administration and ensuring call buttons are answered promptly.

Google Reviews

Google Reviews

51 reviews on Google
The Pearl at Kruse Way receives highly polarized feedback, with many families praising the facility's aesthetic appeal and individual staff members, while others report severe concerns regarding patient safety and neglect. Recurring complaints highlight significant issues with understaffing, medication errors, and slow response times to call buttons, particularly for residents requiring assistance with mobility. While some families report successful rehab outcomes, others describe life-threatening lapses in medical oversight and poor communication.

Quality Themes

Tap a score for details
Food2.0Staff5.0Clean7.0Activities4.0Meds2.0Memory5.0Comms3.0ValueN/A

Strengths

  • Beautiful, hotel-like facility environment
  • Compassionate and skilled individual nursing staff
  • Effective physical and occupational therapy teams
  • Professional and helpful administrative staff

Concerns

  • Chronic understaffing leading to slow call button response times (mentioned by 8 reviewers)
  • Medication management errors and delays (mentioned by 5 reviewers)
  • Poor communication and lack of organizational oversight (mentioned by 5 reviewers)
  • Inadequate fall prevention and mobility assistance (mentioned by 4 reviewers)
  • Poor food quality and dietary order errors (mentioned by 5 reviewers)

Rating Trends

Tap a year to see what changed

234'13(1)'16(3)'18(6)'20(6)'22(2)'24(8)'26(2)

Distribution · 49 analyzed

5
24
4
2
3
0
2
1
1
22

How They Respond to Reviews

87%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed the facility has a beautiful, hotel-like atmosphere; how do you ensure that the daily activity programming matches the high quality of the environment?
  • 2Given the importance of timely assistance, what is your current process for monitoring and responding to resident call buttons during peak hours?
  • 3Could you walk me through your system for medication management to ensure that residents receive the correct dosages and schedules consistently?
  • 4I see that you are active in responding to feedback online; how do you use that family input to improve communication and organizational oversight within the facility?
  • 5What specific protocols do you have in place for fall prevention and mobility assistance to ensure residents remain safe while moving throughout the building?
  • 6How do you handle dietary requirements and meal quality to ensure that residents receive both nutritious and enjoyable dining experiences?

Personalized based on this facility's data


Key Review Excerpts

The care at the Pearl was life threatening to my mother. She complained of a UTI for a week at the Pearl. I told them to do a UTI test and the container sat on her dresser for a week.

Memory care family member · 2024☆☆☆☆

The staff was compassionate and did their best to make my mom comfortable during her stay. The nursing staff was very professional, knowledgeable, and conscientious about understanding her health history.

Rehab patient family member · 2021★★★★★

They fed her food that she was not supposed to eat more than once even after I took the issue up to administration and was assured that it was being handled - it wasn't at all an the problem continued.

Long-term resident's family · 2018☆☆☆☆
Source: 51 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.21hrs
OK
Registered nurses for medical care
Total Nursing
5.76hrs
OK
All nurses + aides combined
Staff Turnover
61%
Lower is better (< 30% = good)
RN Turnover
50%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 3 measures

Medicare Rating
3/ 5
Better Than Avg

3

measures

Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility95.4%
Better than Avg
Here
95.4%
US
79.7%
OR
81.2%
Clackamas
74.3%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility96.6%
Better than Avg
Here
96.6%
US
81.8%
OR
85.5%
Clackamas
85.0%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.7%
Better than Avg
Here
0.7%
US
1.6%
OR
1.5%
Clackamas
1.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

2deficiencies
Well below state avg (10.4)
9 complaint-triggered

This facility has faced multiple complaints from families, resulting in 9 complaint-triggered deficiencies across recent surveys, particularly concerning quality of care, nursing supervision, and resident safety. The main problem areas include quality of care and treatment, nursing staffing and supervision, and fire safety systems. While all deficiencies show correction dates, the pattern of recurring issues with quality of care and safety across multiple surveys suggests ongoing operational challenges that families should carefully consider.

Nov 21, 2025Routine
3
0041Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

Jan 23, 2025Complaint
2
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Aug 2, 2024Routine
7
0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0655Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0684Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0552Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

0932Potential for harm · IsolatedCorrected

Smoke Deficiencies

Meet other general requirements.

Jun 27, 2024Complaint
2
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Jul 14, 2023Routine
12
0865Potential for harm · WidespreadCorrected

Administration Deficiencies

Have a plan that describes the process for conducting QAPI and QAA activities.

0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0947Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

0211Potential for harm · IsolatedCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Jul 14, 2023Complaint
5
0725Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0732Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0730Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Observe each nurse aide's job performance and give regular training.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Pearl at Kruse Way, the

Organization Type

for profit

Chain Affiliation

Chain Name

Avamere

Chain Size

29 facilities nationwide

Chain avg rating: 2.9/5 · Rank 10 of 33

Ownership & Management

Key personnel

Carr, KirstenContracted Managing EmployeeMargolis, ErikW-2 Managing EmployeeKofstad, MaryOfficer / DirectorSimpson, AndrewOfficer / Director
Source: Medicare provider data

Contact

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References & Resources

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