I placed my mom here and was impressed - a beautiful, hotel-like facility with compassionate, professional staff, in-house doctors and nurses, excellent PT/OT (Diane and the therapy team were outstanding), attentive CNAs who dressed and fed her, and delicious nutritious meals. Management (Nate) and social services were responsive, memory-care and rehab programs strong, hospice support compassionate, and the grounds/activities welcoming. I'm grateful for the caring team and would recommend this facility.
Loved one of resident
Jul 2026
Schedule a Tour
Amenities
Healthcare services
Activities of daily living assistance
Assistance with bathing
Assistance with dressing
Assistance with transfers
Coordination with health care providers
Hospice waiver
Medication management
Mental wellness program
Healthcare staffing
12-16 hour nursing
24-hour call system
24-hour supervision
Meals and dining
Diabetes diet
Meal preparation and service
Restaurant-style dining
Special dietary restrictions
Room
Air-conditioning
Cable
Fully furnished
Housekeeping and linen services
Kitchenettes
Private bathrooms
Spa
Telephone
Wifi
Memory care community services
Dementia waiver
Mild cognitive impairment
Specialized memory care programming
Transportation
Community operated transportation
Transportation arrangement
Transportation arrangement (medical)
Transportation arrangement (non-medical)
Transportation to doctors appointments
Common areas
Beauty salon
Computer center
Dining room
Fitness room
Gaming room
Garden
Outdoor space
Small library
Wellness center
Community services
Concierge services
Fitness programs
Move-in coordination
Activities
Community-sponsored activities
Planned day trips
Resident-run activities
Scheduled daily activities
Reviews
3.20·(65)
Overall rating
5
4
3
2
1
Care
3.1
Staff
3.2
Meals
2.1
Amenities
3.5
Value
1.4
Pros
Compassionate nursing and caregiving staff
Strong rehabilitation services (physical and occupational therapy)
Skilled wound care and clinical expertise available
Well-maintained, hotel-like facility and grounds
Private rooms with en-suite bathrooms
Engaging activities and social programming
Attentive social services and discharge coordination
Friendly and helpful front-desk staff
Appealing meal offerings and signature brunch/breakfast options
Supportive hospice coordination and end-of-life care
Cons
Insufficient staffing levels and delayed responsiveness
Inconsistent medication administration and clinical follow-through
Gaps in family communication and care-plan transparency
Variable meal-service reliability and food-temperature control
Staff turnover and morale challenges under corporate management
Safety-protocol weaknesses for high-acuity residents
Inconsistent implementation of person-centered memory-care practices
Administrative errors in discharge and intake documentation
Limited parking and after-hours access constraints
Summary of reviews
Reviewers describe The Pearl at Kruse Way as a visually attractive, well-kept facility with many programmatic strengths alongside recurring operational weaknesses. The building, grounds and resident spaces are consistently described as newer and hotel-like, with private rooms and en-suite baths available, a memory-care courtyard, and a range of communal areas. Families and clinicians frequently praise the rehabilitation team (PT/OT), some skilled nursing clinicians, social-services intake, hospice coordination, and several individual nurses and CNAs who provided attentive, compassionate care.
Care quality is mixed across reports. Positive accounts highlight effective rehab plans, expert wound management, timely life-saving interventions in some cases, and thoughtful end-of-life support. However, there are repeatedly cited concerns about inconsistent clinical follow-through: delays in medication administration, occasional medication and documentation errors, untreated or poorly managed wounds or infections in isolated instances, and insufficient monitoring for conditions such as orthostatic hypotension. These indicate variability in clinical reliability rather than a uniform standard of care.
Staffing and communication emerge as central operational themes. Many reviewers compliment specific staff members and front-desk personnel for being welcoming and helpful, and several describe genuine compassion from nursing and caregiving teams. At the same time, staffing levels and turnover are frequently noted as drivers of slow responses to call lights, missed or delayed tasks, and uneven daily assistance. Family communication and care-plan transparency are also inconsistent: some families report thorough updates and coordinated discharge planning, while others encountered unclear verbal instructions, paperwork errors on discharge, and a perception that administrative or insurance considerations overshadowed individualized planning.
Dining and activities are another area of contrast. The facility offers varied programming — group activities, outings, pet therapy, cocktail hours, and highlighted meal events such as Sunday brunch — and some residents enjoyed good meals and dietary customization. Conversely, recurring operational complaints include cold meals, wrong food orders, meal-timing delays, and occasional lapses in diet-appropriate service, indicating variability in food-service reliability.
Management and system-level factors are a repeated concern. Reviewers reference corporate ownership and cited morale and staffing challenges, with some accounts describing management intervention that improved care. Administrative weaknesses include discharge/intake paperwork errors and inconsistent after-hours access procedures (door-lock hours and long waits at call buttons). Parking limitations and access constraints also affect families visiting. Overall, patterns suggest that The Pearl offers strong assets — attractive facilities, capable therapy teams, compassionate staff members, and effective hospice/social-services coordination — but prospective residents and families should probe operational details: staffing ratios and schedules, medication-safety protocols, falls and wound-management procedures, meal-service processes, documentation and discharge workflows, and after-hours access to ensure those operational elements meet their expectations.
Reviews written on Mirador
We have no reviews to show about The Pearl at Kruse Way.
Help other families by writing a review about your experience with this community.
Medicare Ratings
5·/ 5
Overall
Health Inspection
Staffing
Quality Measures
Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov
Location
The Pearl at Kruse Way is located at 4550 Carman Dr, Lake Oswego, OR, 97035.
About The Pearl at Kruse Way
The Pearl At Kruse Way sits in Lake Oswego, Oregon, and is run by Avamere as a senior care community with 45 total beds, a place where different care options are available all in one spot, so you can find skilled nursing, assisted living, independent living, memory care, and respite care within the same location, and that's something that can make changes in health easier to manage down the road. It's a fairly clean, well-kept facility that keeps a knowledgeable staff on hand, including CNAs, occupational therapists, and physical therapists who know how to help people recovering from surgery or dealing with ongoing medical conditions. Skilled therapists work with people to help them get stronger, move better, and stay as independent as possible, and you'll find rehabilitation and therapy happening with personalized plans using their therapy gym and the kinds of equipment you'd expect in a skilled nursing facility. They've got 24-hour healthcare staff with a licensed nurse available around the clock, safety features in every room, and a nurse call system for safety, with staff and doctors working together. The place offers memory care for people living with Alzheimer's disease and other kinds of dementia, and assisted living services where staff helps out with daily living activities. People coming to The Pearl At Kruse Way can get personalized and compassionate care, regular wellness checks, and support from on-site therapists for physical, occupational, and speech-language needs. They have an enhanced memory care unit for those who need it and respite care if a caregiver needs to take a break. Even though there's not a detailed list of amenities, transportation help and a focus on day-to-day routines make it workable for many older adults, and the setting is pretty peaceful, tucked in nature, which can help recovery. Anyone interested can learn more about what they offer by checking their website.
People often ask...
The Pearl at Kruse Way offers assisted living, memory care, and skilled nursing.
There are 12 photos of The Pearl at Kruse Way on Mirador.
The full address for this community is 4550 Carman Dr, Lake Oswego, OR 97035.
No, The Pearl at Kruse Way does not offer respite care.
Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.
Safety & Compliance
In Oregon, the Department of Human Services' Aging & People with Disabilities program licenses assisted living and residential care facilities, conducting inspections, complaint investigations, and renewals.
Investigated a failure to implement services for two-person transfers outlined in a resident's care plan.
Licensing—Failed to follow care plan
07 Oct 2025License Condition
07 Oct 2025License Condition
Found non-compliance with safety and care regulations after a re-licensure survey, citing a failure to provide a safe environment.
Regulatory Action—Failed to provide safe environment
12 Sept 2025Licensure
12 Sept 2025Licensure
Identified multiple regulatory deficiencies across abuse reporting, resident evaluations, service planning, monitoring of changes, health services coordination, medication orders, staffing, fire safety, privacy, and building conditions.
Deficiency—Resident Move-in & Evaluation: Res Evaluation
Deficiency—Service Plan: General
Deficiency—Service Plan: Service Planning Team
Deficiency—Change of Condition and Monitoring
Deficiency—Res Hlth Srvc: On- and Off-Site Health Srvc
Deficiency—Systems: Treatment Orders
Deficiency—Systems: Medication Administration
Deficiency—Acuity Based Staffing Tool - ABST Time
Deficiency—Acuity Based Staffing Tool - Updates & Staffing Plan
Deficiency—Training Within 30 Days of Hire – Direct Care Staff
Deficiency—Fire and Life Safety: Safety
Deficiency—Fire and Life Safety: Training for Residents
Deficiency—General Building Exterior
Deficiency—Doors, Walls, Elevators, Odors
Deficiency—Resident Units
Deficiency—Plumbing Systems
Deficiency—Individual Privacy: Own Unit
Deficiency—Individual Door Locks: Key Access
Deficiency—Staffing Requirements and Training – Pre-service
Deficiency—Administration Compliance
Deficiency—Staff Training Requirements
Deficiency—Compliance with Rules Health Care
Deficiency—Activities
Deficiency—Secure Outdoor Recreation Area
03 Sept 2025Inspection
03 Sept 2025Inspection
Identified inconsistencies between the resident roster, care plans, and ABST data, indicating ABST did not accurately reflect resident needs.
Licensing—Failed to use an ABST
03 Jan 2025Inspection
03 Jan 2025Inspection
Identified deficiencies in the ABST accuracy and related staffing levels, with inconsistencies between the resident roster, care plans, and ABST data.
Licensing—Failed to use an ABST
02 Jan 2025Inspection
02 Jan 2025Inspection
Investigated inconsistencies between the resident roster, care plans, and ABST data and found staffing levels did not reflect residents' needs.
Licensing—Failed to use an ABST
02 Sept 2024Abuse: Neglect
02 Sept 2024Abuse: Neglect
Investigated and found fall-prevention interventions and care planning were not properly implemented, leading to an unwitnessed fall with a fractured arm and prolonged pain.
Abuse—Failed to properly plan care
22 Aug 2024Complaint
22 Aug 2024Complaint
Investigated and found deficiencies in service planning and staffing; residents' needs were not reflected in service plans, and the acuity-based staffing tool was not fully implemented.
Deficiency—Service Plan: General
Deficiency—Staffing Requirements and Training: Staffing
Deficiency—Acuity-Based Staffing Tool
29 Nov 2023Abuse: Neglect
29 Nov 2023Abuse: Neglect
Found deficiencies in care planning and interventions for a resident with a history of falls, resulting in a fall with fracture and related neglect and abuse; a fine was assessed.
Abuse—Failed to properly plan care
12 Sept 2023Inspection
12 Sept 2023Inspection
Found a safety deficiency where a resident experienced pain and discomfort due to rough handling, indicating a failure to provide a safe environment. The allegation involved physical abuse by a staff member.
Licensing—Failed to provide safe environment
22 Mar 2023Inspection
22 Mar 2023Inspection
Investigated noncompliance with weekly vaccination reporting to the proper authority for January through February 2023, resulting in a civil penalty.
Licensing—Failed to submit timely or adequate staffing documentation
16 Feb 2023Inspection
16 Feb 2023Inspection
Found a deficiency for failing to submit timely weekly vaccination reporting for vaccinated individuals, residents and staff. A $6,750 fine was assessed.
Licensing—Failed to submit timely or adequate staffing documentation
13 Feb 2023Inspection
13 Feb 2023Inspection
Found staffing insufficient to meet residents' scheduled and unscheduled needs, risking delayed care.
Licensing—Failed to meet the scheduled and unscheduled needs of residents
13 Feb 2023Inspection
13 Feb 2023Inspection
Found insufficient staffing to meet residents' scheduled and unscheduled needs.
Licensing—Failed to meet the scheduled and unscheduled needs of residents
12 Sept 2022Inspection
12 Sept 2022Inspection
Found neglect of care and an unsafe environment that caused harm.
Licensing—Failed to provide safe environment
01 Aug 2022Inspection
01 Aug 2022Inspection
Concluded that weekly reporting of vaccinated individuals, residents, and staff to the proper authority was not submitted for 30 days, and a fine was assessed.
Licensing—Failed to submit timely or adequate staffing documentation
05 Jul 2022Validation
05 Jul 2022Validation
Determined substantial compliance with applicable regulations.
Deficiency—Comment
01 Jul 2022Inspection
01 Jul 2022Inspection
Found a failure to submit timely weekly vaccination reporting for residents and staff, resulting in a $6,750 fine.
Licensing—Failed to submit timely or adequate staffing documentation
09 Jun 2022Complaint
09 Jun 2022Complaint
Investigated and found that the call system did not connect resident units to care staff or pagers, with manual bells used by some residents and no evaluation of bells as an alternative.
Deficiency—Call Sys, Exit Dr Alarm, Phones, Tv, Or Cable
04 May 2022Inspection
04 May 2022Inspection
Found a deficiency in providing a safe environment due to a call system that fails to connect resident units to care staff or pagers.
Licensing—Failed to provide safe environment
01 Dec 2020Abuse: Neglect
01 Dec 2020Abuse: Neglect
Determined neglect and abuse due to failure to monitor a resident's change of condition, leading to dehydration and multiple falls; a $500 fine was assessed.
Abuse—Failed to provide oversight and monitoring of change of condition
04 Jul 2020Inspection
04 Jul 2020Inspection
Investigated and found that a staff member used inappropriate language toward a resident and the resident was not protected from verbal/emotional abuse.
Licensing—Failed to protect resident from mental or emotional abuse
04 Jul 2020Inspection
04 Jul 2020Inspection
Found that a staff member used derogatory language toward a resident and the provider failed to protect the resident from verbal/emotional abuse.
Licensing—Failed to protect resident from mental or emotional abuse
18 Dec 2017Abuse: Neglect
18 Dec 2017Abuse: Neglect
Investigated a complaint alleging falls-related care planning and found a failure to provide a safe environment.
Abuse—Failed to adequately care plan related to falls
20 Sept 2017Inspection
20 Sept 2017Inspection
Determined that the allegation of failing to provide a safe environment was substantiated. Findings indicated inadequate supervision led to a resident-to-resident altercation.
Licensing—Failed to provide safe environment
19 Sept 2017Inspection
19 Sept 2017Inspection
Investigated a complaint and found that residents did not have individualized nutrition and hydration plans. Found a lapse in compliance with state nutrition and hydration requirements.
Licensing—Failed to provide proper food/nutrition
05 Aug 2017Inspection
05 Aug 2017Inspection
Found a failure to maintain a secure environment that led to a resident elopement.
Licensing—Failed to provide safe environment
31 Jan 2017Inspection
31 Jan 2017Inspection
Investigated and found inadequate supervision that allowed an elopement, indicating a failure to provide a safe environment.
Licensing—Failed to provide safe environment
19 Dec 2016Inspection
19 Dec 2016Inspection
Investigated the allegation and found a failure to provide a safe environment, resulting in a resident-to-resident altercation.
Licensing—Failed to provide safe environment
13 Dec 2016Abuse: Neglect
13 Dec 2016Abuse: Neglect
Investigated a falls-related issue and found inadequate supervision contributed to a resident fall, with a $300 fine assessed for the violation.
Abuse—Failed to adequately care plan related to falls
27 Jul 2015Abuse: Neglect
27 Jul 2015Abuse: Neglect
Investigated an allegation of neglect; found failure to provide oversight and monitoring of change of condition, resulting in a resident to resident altercation with injury.
Abuse—Failed to provide oversight and monitoring of change of condition
02 Sept 2014Abuse: Physical Abuse
02 Sept 2014Abuse: Physical Abuse
Investigated the allegation and found a failure to provide a safe environment, with a resident yelled at, threatened, and treated roughly.
Abuse—Failed to protect resident from rough treatment
10 Feb 2014Inspection
10 Feb 2014Inspection
Found that a resident's rights were not respected and dignity and respect were not provided.
Licensing—Failed to assure resident rights
06 Jul 2013Abuse: Verbal/Mental abuse
06 Jul 2013Abuse: Verbal/Mental abuse
Investigated a verbal/mental abuse allegation and found a failure to protect a resident from verbal abuse and to treat the resident with respect and dignity.
Abuse—Failed to protect resident from verbal abuse
18 Jul 2011Abuse: Physical Abuse
18 Jul 2011Abuse: Physical Abuse
Investigated a physical abuse allegation and identified a safety deficiency that resulted in rough treatment of a resident.
Abuse—Failed to protect resident from rough treatment
18 Jul 2011Inspection
18 Jul 2011Inspection
Investigated an allegation of failure to report potential abuse and found the failure to report in a timely manner.
Licensing—Failed to report potential or suspected abuse
24 Aug 2010Inspection
24 Aug 2010Inspection
Investigated the allegation of a deficient medication administration system and found a failure to have a safe medication administration system.
Licensing—Failed to provide a safe medication administration system
Disclaimer
Mirador Living is not affiliated with the owner or operator(s) of The Pearl at Kruse Way. The information above has not been verified or approved by the owner or operator. For exact information, please contact The Pearl at Kruse Way directly. There is no cost for this service. We are compensated by the community you select.
Are you an owner or operator of this community?
Claim this listing to receive messages from prospective customers and manage your community page.
