The Pearl at Kruse Way

Assisted Living in Lake Oswego

CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Pearl at Kruse Way

Assisted Living in Lake Oswego

CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
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The Pearl at Kruse Way accepts Medicare and private pay.

Overview of The Pearl at Kruse Way

The Pearl at Kruse Way is a compassionate nursing home in Lake Oswego, OR, that offers memory care, skilled nursing, and rehabilitation. The community continuously promotes a nurturing environment, dedicated to residents’ comfort and healing. Here, residents receive top-notch services, including a 24-hour nurse call system, on-site therapy, and transportation services, to enrich their living experiences. Focusing on residents’ safety and independence, the community strives to craft care plans tailored to their needs and preferences.

Engaging activities and various social events also ensure residents can live actively and remain happy. With various safety features, including grab bars and emergency call buttons, as well as a spa bath and an outdoor deck, residents can freely interact with their peers and relax. Local shops, restaurants, and healthcare providers are also available nearby, ensuring accessibility and convenience. This nursing home is a good option for senior care in Oregon, especially with its dedicated services and top-notch amenities.

(503) 675-6055

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
3/5 ■ Avg Oregon average: 3.1/5
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
3/5 ▲ 0.2 Oregon average: 2.9/5
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
4/5 ▲ 0.3 Oregon average: 3.7/5
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
3/5 ▼ 0.5 Oregon average: 3.5/5

Staffing hours breakdown

Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day — compared to Oregon state averages

Total nursing care / resident Info This home is ranked 54th out of 78 homes in Oregon.

Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 53m per day
Rank #54 / 78Nurse hours — state benchmarkedThis home is ranked 54th out of 78 homes in Oregon.Shows adjusted nurse hours per resident per day benchmarked to the Oregon average, with a ranking across 78 Oregon SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
This facility Oregon avg (5h 12m per day)
vs Oregon avg
-6%

1 of 6 metrics below state avg

Standout metric Physical Therapist is +380% above state avg
Staff typeHours / dayvs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. 1h 9m per day ▲ 68% State avg: 41m per day · National avg: 41m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. 1h 3m per day ▲ 17% State avg: 54m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 3h 38m per day ▲ 8% State avg: 3h 22m per day · National avg: 2h 20m per day
Total Nursing (Weekend) Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours. 4h 51m per day ▲ 11% State avg: 4h 23m per day · National avg: 3h 26m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation. 24m per day ▲ 380% State avg: 5m per day · National avg: 4m per day
RN (Weekend) Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent. 23m per day ▼ 12% State avg: 26m per day · National avg: 28m per day

Capacity and availability

Avg. Length of Stay
18 days

Who this home usually serves

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

Breakdown by payment type

Medicare

30% of new residents, usually for short-term rehab.

Typical stay 17 days

Private pay

70% of new residents, often for short stays.

Typical stay 1 - 2 months

Finances and operations

Privately-owned community
Home revenue
$12.3M
Operating loss
-$1.2M
Privately-owned community
Home revenue
$12.3M Rank #38 / 73Revenue — state benchmarkedThis home is ranked 38th out of 73 homes in Oregon.Shows this facility's annual revenue compared to the Oregon SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.
Operating loss
-$1.2M
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations. Rank #35 / 73Payroll — state benchmarkedThis home is ranked 35th out of 73 homes in Oregon.Shows total annual staff payroll benchmarked to the Oregon average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
$4.2M
34% of revenue Rank #37 / 73Payroll % — state benchmarkedThis home is ranked 37th out of 73 homes in Oregon.Shows payroll as a percentage of revenue versus the Oregon average. Well-run SNFs often land around 55–65%. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$9.3M
Total costs $13.5M
Bed community size
74-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
Years in operation
20 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 70 / 100 Rank #16 / 38Walk Score — state benchmarkedThis home is ranked 16th out of 38 homes in Oregon.Shows how walkable this facility's neighborhood is compared to the average Walk Score across Oregon SNFs. Higher scores benefit residents, families, and staff.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

Occupancy

Occupancy rate
71%
Rank #29 / 74Occupancy rate — state benchmarkedThis home is ranked 29th out of 74 homes in Oregon.Shows this facility's occupancy rate versus the Oregon average, with its statewide rank out of 74. Higher occupancy signals strong local demand and financial stability.
Higher than the Oregon average: 65.7%
Occupied beds
52 / 74
Average residents 55 per day

License Details

Facility TypeSnf/nf Dual Cert
StatusActive
IssuanceDecember 29, 2005
CountyClackamas
CMS Certification Number385271

Ownership & Operating Entity

The Pearl at Kruse Way is legally operated by Avamere Lake Oswego Operations Investors, LLC, and administrated by Erik Margolis.

Memory & Specialized Care

1 service
Offers Alzheimer's Care

Contact Information

Fax(503) 675-6077

Additional Policies & Features

Pets Allowed
Smoking Allowed

Types of Care at The Pearl at Kruse Way

Assisted Living

Contact The Pearl at Kruse Way

Access & Eligibility

Ways to qualify for care at this community, including accepted programs.

Medicaid Accepted

This facility is certified for eligible Medicaid services.

Medicare Accepted

This facility is certified for eligible Medicare services.

Inspection History

In Oregon, the Department of Human Services, Aging and People with Disabilities performs unannounced surveys and regular inspections to ensure resident safety in all care settings.

10 visits/inspections Info Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.

Latest inspection

Date November 21, 2025

10 licensing violations

Violations of state licensing requirements identified during facility inspections.

57 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Oregon average: 31 deficiencies

5.7 deficiencies per inspection

Oregon average: 4.4 deficiencies per inspection

Inspection Report Summary for The Pearl at Kruse Way

The most recent inspection on November 21, 2025, found deficiencies related to discharge notifications and expired medications in storage. Earlier inspections showed a pattern of deficiencies involving quality of care, staffing, medication management, and safety, with some issues corrected over time but others persisting. Inspectors cited concerns with care planning, pressure ulcer treatment, medication storage, and resident safety across multiple reports. Complaint investigations were unsubstantiated or not listed in the available reports. The facility’s inspection history indicates ongoing challenges with several care and operational areas, with no clear pattern of consistent improvement.

Health Inspection History

Inspections
Total health inspections 4

Oregon average 5.1


Last Health inspection on Jan 2025

Total health citations
20 Rank #20 / 76Health citations — state benchmarkedThis home is ranked 20th out of 76 homes in Oregon.Shows this facility's total health deficiency citations benchmarked to the Oregon state average, with a ranking across all 76 OR SNFs. Lower citation counts earn a better rank.

Oregon average 34

Citations per inspection
5 Rank #26 / 76Citations per inspection — state benchmarkedThis home is ranked 26th out of 76 homes in Oregon.Shows average deficiency citations per CMS inspection for this facility versus the Oregon mean across 76 SNFs with citation data. Lower is better.

Oregon average 6.86


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

11 of 20 citations resulted from standard inspections; 4 of 20 resulted from complaint investigations; and 5 of 20 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical Health citations More info
0
100% better than Oregon average

Oregon average: 0.5


Serious Health citations More info 0
100% better than Oregon average

Oregon average: 1.2

0 critical citations More info Oregon average: 0.5

0 serious citations More info Oregon average: 1.2

20 moderate citations More info Oregon average: 32.1

0 minor citations More info Oregon average: 0.2
Citations history (last 3 years)
Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Jan 23, 2025
Corrected

Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Jan 23, 2025
Corrected

Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Aug 02, 2024
Corrected

Pharmacy moderate citation Info Issues related to medication management, including how drugs are stored, administered, and monitored. Aug 02, 2024
Corrected

Financial Assistance for
Assisted Living in Oregon

The Pearl at Kruse Way is located in Oswego, Oregon.
Here are the financial assistance programs available to residents in Oregon.

Get Financial aid guidance

Oregon Project Independence (OPI)

OPI

Age 60+
General Oregon resident, at risk of nursing home but not Medicaid-eligible.
Income Limits ~$2,000/month individual, varies
Asset Limits $5,000 individual
OR

Cost-sharing required; rural/urban balance.

Benefits
In-home care (3-5 hours/week) Respite (up to 10 days/year) Adult day care (~$70/day) Transportation (~5 trips/month)

Oregon Medicaid Community-Based Care

OR Medicaid CBC

Age 65+ or disabled
General Oregon resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
OR

High demand in urban areas (e.g., Portland).

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care ($70/day) Home modifications ($1,500 avg.)

Program of All-Inclusive Care for the Elderly (PACE)

Oregon PACE (e.g., Providence ElderPlace)

Age 55+
General OR resident (specific counties), NFLOC, safe with PACE support.
Income Limits (2025) ~$2,829/month (Medicaid-eligible); private pay option available.
Asset Limits $2,000 (individual), $3,000 (couple) for Medicaid enrollees.
OR

Available in 11 counties (e.g., Multnomah, Washington); Providence ElderPlace dominant provider.

Benefits
Personal care (5-7 hours/day) Medical care Meals Transportation Respite Therapies

Medicare Savings Program (MSP)

Oregon Medicare Savings Program

Age 65+ or disabled
General OR resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
OR

Three tiers; includes Extra Help for Part D; no waitlist.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Low-Income Home Energy Assistance Program (LIHEAP)

Oregon LIHEAP

Age 60+ prioritized
General OR resident, low-income household.
Income Limits (2025) ~$3,970/month individual, 185% FPL
Asset Limits Not assessed; income-focused.
OR

Covers gas, electric, oil; emergency aid via Oregon Energy Fund (OEF).

Benefits
Heating/cooling aid ($300-$1,000/season) Emergency aid ($500 max via OEF)

Family Caregiver Support Program (FCSP)

Oregon Family Caregiver Support Program

Age
General Caregivers of 60+ needing care or 55+ caregivers of others; OR resident; functional needs (2+ ADLs).
Income Limits (2025) No strict cap; prioritizes low-income ~$24,980/year
Asset Limits Not assessed; need-based.
OR

15 regions; rural priority; includes grandparent caregivers.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($60/day) Training Supplies (~$500/year)

Senior Community Service Employment Program (SCSEP)

Oregon SCSEP

Age 55+
General unemployed, low-income, OR resident.
Income Limits (2025) ~$1,983/month 125% FPL
Asset Limits Not specified; income-focused.
OR

Priority for veterans, rural residents; Easterseals/AARP partnership.

Benefits
Paid training (~20 hours/week at ~$7.25/hour) Job placement

VA Aid and Attendance (A&A) and Housebound Benefits

Oregon VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General OR resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
OR

High veteran demand; Oregon Veterans’ Homes option.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Senior Property Tax Deferral Program

Oregon Property Tax Deferral for Disabled and Senior Citizens

Age 62+
General OR resident, homeowner 5+ years, low-income.
Income Limits (2025) ~$58,000/year household, adjusted annually
Asset Limits Home value < county median; equity > 15%.
OR

Deferred taxes accrue 6% interest; repaid upon sale/death.

Benefits
Tax deferral (~$1,000-$3,000/year avg., varies by county)

Elderly Nutrition Program (ENP)

Oregon Elderly Nutrition Program

Age 60+
General OR resident (or spouse of any age); no income limit.
Income Limits (2025) None; donations encouraged.
Asset Limits Not assessed.
OR

Includes Meals on Wheels; prioritizes homebound/low-income.

Benefits
Home-delivered or congregate meals (~$5-$7/meal value, 5 meals/week avg.)

Places of interest near The Pearl at Kruse Way

Address 3.9 miles from city center Info Estimated distance in miles from Oswego's city center to The Pearl at Kruse Way's address, calculated via Google Maps.

Calculate Travel Distance to The Pearl at Kruse Way

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Address

Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 143
Employees 113
Contractors 30
Staff to resident ratio 3.49:1
19% better than Oregon average

Oregon average ratio: 2.92:1

Avg staff/day 34
Average shift 7.7 hours
0% compared with Oregon average

Oregon average: 7.8 hours

Total staff hours (quarter) 23,771
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 15
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.8 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 19
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.5 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 47
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.3 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

5.3%

1,262 contractor hours this quarter

Registered Nurse: 9 Licensed Practical Nurse: 8 Occupational Therapy Assistant: 3 Medication Aide/Technician: 2 Respiratory Therapy Technician: 2 Physical Therapy Assistant: 2 Physical Therapy Aide: 1 Other Physician: 1 Medical Director: 1 Physician Assistant: 1
Staff by category
Certified Nursing Assistant470478,92591100%7.3
Licensed Practical Nurse118193,16491100%9.5
Registered Nurse69152,3729099%9.8
Medication Aide/Technician102122,17691100%7.4
Respiratory Therapy Technician82101,1878492%6.7
Physical Therapy Assistant142168948492%5.8
Speech Language Pathologist2027707582%6.9
Physical Therapy Aide3146126571%6.5
Administrator1015126470%8
Nurse Practitioner1015046369%8
RN Director of Nursing1015036774%7.5
Dietitian1014556369%7.2
Other Dietary Services Staff1014505662%8
Clinical Nurse Specialist1014005055%8
Qualified Social Worker2023196470%4.8
Occupational Therapy Aide2022022629%7.2
Physician Assistant0111201719%7.1
Dental Services Staff202931314%7.2
Other Physician011721213%6
Occupational Therapy Assistant0332889%3.5
Medical Director0111267%2
47 Certified Nursing Assistant
% of Days 100%
19 Licensed Practical Nurse
% of Days 100%
15 Registered Nurse
% of Days 99%
12 Medication Aide/Technician
% of Days 100%
10 Respiratory Therapy Technician
% of Days 92%
16 Physical Therapy Assistant
% of Days 92%
2 Speech Language Pathologist
% of Days 82%
4 Physical Therapy Aide
% of Days 71%
1 Administrator
% of Days 70%
1 Nurse Practitioner
% of Days 69%
1 RN Director of Nursing
% of Days 74%
1 Dietitian
% of Days 69%
1 Other Dietary Services Staff
% of Days 62%
1 Clinical Nurse Specialist
% of Days 55%
2 Qualified Social Worker
% of Days 70%
2 Occupational Therapy Aide
% of Days 29%
1 Physician Assistant
% of Days 19%
2 Dental Services Staff
% of Days 14%
1 Other Physician
% of Days 13%
3 Occupational Therapy Assistant
% of Days 9%
1 Medical Director
% of Days 7%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 41
Medicare
40
97.6% of residents
Medicaid
1
2.4% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

Short-stay resident measures
Average Oregon avg: 3.2 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 96.2%
12% better than Oregon average

Oregon average: 86.2%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.7%
8% better than Oregon average

Oregon average: 1.8%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 95.4%
17% better than Oregon average

Oregon average: 81.2%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 24.6%
14% worse than Oregon average

Oregon average: 21.6%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 16.9%
12% worse than Oregon average

Oregon average: 15.1%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.6%
18% better than Oregon average

Oregon average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 77.4%
44% better than Oregon average

Oregon average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 65.4%
29% better than Oregon average

Oregon average: 50.6%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

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