The PEARL AT KRUSE WAY

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

65.4% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 295 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 57.1% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 119 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 1.31 therapist hours per resident per day in 2026Q1 — more than 99% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 25% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 74 beds and averages 40.6 residents a day — about 55% occupied, or roughly 33 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 5.64 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.15 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.31 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 4.81 hrs/resident/day on weekends vs 5.98 on weekdays — 20% thinner on weekends — a notable drop. RN hours go from 1.43 to 0.48 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 60% is well above the national median of 45%. 1 administrator has left in the past year.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

22 citations, most serious first. The 10 most serious are shown; the remaining 12 are one tap away and print in full.

• Potential for harm · D2025-11-21 · tag F0628 — isolated
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, it was determined the facility failed to notify the Office of the State Long Term Care Ombudsman (LTCO) when residents transferred to the hospital or discharged from the facility for 2 of 4 sampled residents (#s 7 and 46) reviewed for hospitalization and discharge. This placed residents at risk for being unable to receive assistance from the LTCO. Findings include:The facility's 3/2021 Transfer or Discharge Notice Policy indicated the following:- The resident and his or her representative are given a thirty day advance written notice of an impending transfer or discharge from this facility.- A copy of the notice is sent to the Office of the State Long-Term Care Ombudsman at the same time the notice of transfer or discharge is provided to the resident and representative. 1. Resident 7 was admitted to the facility in 9/2025 with diagnoses including hypo-osmolality and hyponatremia (retention of water by loss of sodium or both). Resident 7 was discharged home on 9/24/25.A…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-11-21 · tag F0761 — failed to label and store drugs safely — isolated
  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.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on interview and record review it was determined the facility failed to discard expired medications for 1 of 1 medication storage room reviewed for medication storage. This placed residents at risk for lack of medication efficacy. Findings include:On 9/30/25 at 10:35 AM a review of the OTC (over the counter) medication storage room revealed four bottles of Milk of Magnesia (laxative) expired on 6/2025, two bottles of TUMS (antacid for heartburn) expired on 3/2025, and two bottles of Renovite (multivitamin for kidney disease) expired on 7/2025.On 9/30/25 at 10:40 AM Staff 9 (CMA) acknowledged the medications were expired.On 9/30/25 at 10:42 AM Staff 4 (Former DNS) acknowledged the medications were expired and stated it was her expectation nurses and CMAs checked for expired medications at least weekly. Staff 4 further stated Central Supply staff were to check expiration dates before placing medications in the OTC room and medication carts

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-01-23 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review it was determined the facility failed to follow physician orders and implement bowel care for 1 of 3 sampled residents (#4) reviewed for constipation. This placed residents at risk for medical complications from constipation including bowel impaction. Findings include: The facility's 10/2020 Bowel Care Protocol indicated the following: -If a resident did not have a bowel movement for three consecutive days then evening shift was to run a report and administer Milk of Magnesia (MOM). If no results, then day shift was to administer a suppository and if no results then a Fleets enema was to be administered. Resident 4 admitted to the facility on [DATE] with diagnoses including femur fracture. The 1/6/24 physician order indicated Resident 4 was to receive the following: -Milk of Magnesia 30 ml every 24 hours PRN for bowel care and constipation. -Dulcolax suppository 10 mg insert rectally PRN for constipation, give for no bowel movement for four days for constipation if MOM was…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-01-23 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review it was determined the facility failed to assess and monitor pressure ulcers for 1 of 3 sampled residents (#4) reviewed for pressure ulcers. This placed residents at risk for worsening pressure ulcers. Findings include: Resident 4 admitted to the facility on [DATE] with diagnoses including femur fracture. Resident 4 discharged from the facility on 1/29/24. The 1/6/24 admission Nursing Database indicated Resident 4 did not have skin issues. The 1/2024 TAR indicated weekly skin audits were completed on 1/13/24 and 1/20/24 and no new skin issues were identified. The 1/22/24 physician progress note indicated the following: -Bilateral pressure injuries on heels with no open areas or drainage. The heels were floated and in cushion boots. -Pressure ulcer of the left buttock Stage 2 (Partial thickness skin loss). There was no evidence in Resident 4's clinical record to indicate the pressure ulcers were assessed including staging and measuring the wounds. The 1/2024 care plan did not…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-08-02 · tag F0655 — pattern
  Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review it was determined the facility failed to provide a summary of the baseline care plan to 5 of 5 sampled residents (#s 19, 124, 125, 130, and 133) reviewed for pain, rehab services and unnecessary medication. This placed residents at risk for being uninformed of their plan of care. Findings include: 1. Resident 19 admitted in 7/2024 with diagnoses including aftercare following joint replacement surgery and depression. The admission MDS dated [DATE] indicated Resident 19 was cognitively intact. No information was found in the resident's clinical record to indicate a baseline care plan or summary was provided to the resident. On 7/29/24 at 11:26 AM Resident 19 stated she/he did not receive any care plan paperwork. On 8/1/24 at 11:24 AM Staff 2 (DNS) confirmed a copy of the resident's baseline care plan was not provided to Resident 19. 2. Resident 124 admitted 7/2024 with diagnoses including bone fractures and hearing loss. A 7/26/24 cognition assessment indicated Resident 124 was…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-08-02 · tag F0684 — failed to provide proper treatment and quality of care — pattern
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review it was determined the facility failed to ensure physician orders were followed for 4 of 8 sampled residents (#s 125, 135, 181, and 228) reviewed for medications. This placed residents at risk for reduced medication efficacy and adverse medication side effects. Findings include: 1. Resident 228 admitted to the facility in 7/2024 with diagnoses including hypertension and prostate cancer. An 8/2/24 facility audit of Resident 228's medication administrations from 7/27/24 through 8/1/24 revealed the following: - On 7/31/24 seven medications were administered one hour and 38 minutes to two hours and 49 minutes late. - On 8/1/24 four medications were administered one hour and 30 minutes late. On 8/2/24 Staff 2 (DNS) confirmed the medications were not administered timely. 2. Resident 135 admitted to the facility in 7/2024 with diagnoses including paralysis and depression. An 8/2/24 facility audit of Resident 135's medication administrations from 7/27/24 through 8/1/24 revealed the following: - On 7/31/24 four medications were administered 47 minutes to…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-08-02 · tag F0761 — failed to label and store drugs safely — pattern
  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.
  What the surveyor found here — the official record, unedited, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interview it was determined the facility failed to ensure medications were secured and only accessible to authorized persons for 1 of 2 sampled medication carts and 1 of 1 treatment cart reviewed for medication storage. This placed residents at risk for drug diversion. Findings include: 1. On 8/1/24 at 7:53 AM a medication cart on [NAME] Hall was observed to be unlocked and unattended outside of room [ROOM NUMBER]. On 8/1/24 at 7:55 AM Staff 10 (LPN) confirmed the medication cart was left unlocked and unattended. 2. On 7/31/24 between 3:40 PM and 3:53 PM a treatment cart was observed in the East Hall unattended and unlocked. During the continuous observations both staff and visitors were seen walking past the cart. On 7/31/24 at 3:53 PM Staff 3 (RN) confirmed the cart contained insulin and other treatment supplies and was supposed to be locked when not in use. On 8/2/24 at 9:55 AM Staff 2 (DNS) confirmed treatment carts were to be locked when unattended.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-08-02 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview it was determined the facility failed to ensure food was labeled and stored in a manner to prevent food spoilage, expired food was discarded, staff used appropriate hand hygiene, and staff used hair restraints properly for 1 of 1 kitchen and 1 of 2 unit refrigerators reviewed for food storage and handling. This placed residents at risk for food contamination and food-borne illnesses. Findings include: The facility's Food Safety and Sanitation Policy, revised 1/2024, indicated food was to be labeled and dated. The policy also indicated hair restraints were required to cover all head hair. 1. On 7/29/24 at 9:48 AM during an initial tour of the facility's walk-in refrigerator and freezer the following were observed: Refrigerator: - dark liquid in a clear dispenser with a spigot had no label or date - bagged grapes sitting in brown liquid in a cardboard tray - three plastic clamshell packs of strawberries were mushy and had white fuzz - small metal container labeled, Ham, with a use by date of 7/24/24 - to go container with a use by date of 7/26/24 -…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-08-02 · tag F0552 — isolated
  Ensure that residents are fully informed and understand their health status, care and treatments.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review it was determined the facility failed to notify a resident of a medication change for 1 of 5 sampled residents (#19) reviewed for unnecessary medications. This placed residents at risk for lack of participation in treatment decisions. Findings include: Resident 19 admitted to the facility in 7/2024 with diagnoses including depression. The admission MDS dated [DATE] indicated Resident 19 was cognitively intact. The 7/2024 MAR indicated 40 mg of Citalopram was administered at bedtime from 7/7/24 through 7/19/24. Pharmacy recommendations dated 7/17/24 included a request to decrease Resident 19's Citalopram (anti-depressant medication) from 40 mg to 20 mg with a provider agreement and signature dated 7/18/24. A nursing note dated 7/19/24 indicated a gradual dosage decrease of Citalopram from 40 mg to 30 mg and then 20 mg per provider order. The 7/2024 MAR indicated 30 mg of Citalopram was administered from 7/20/24 through 7/22/24. Progress notes from 7/21/24 to 7/22/24 indicated…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-06-27 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on interview and record review it was determined the facility failed to administer medications at the prescribed dose for 1 of 3 sampled residents (#3) reviewed for physician orders. This placed residents at risk to receive a sub-therapeutic dose of medication. Findings include: Resident 3 was admitted to the facility in 12/2023, with diagnoses including high blood pressure. Resident 3's 12/15/23 Physician Orders included an order for metoprolol (a high blood pressure medication) 50 mg every evening. Review of Resident 3's 12/2023 and 1/2024 MARs revealed the resident received 25 mg of metoprolol instead of 50 mg from 12/15/23 through 1/8/24. On 6/27/24 at 8:39 AM, Staff 4 (Regional RN) verified Resident 3 was administered 25 mg of metoprolol instead of the 50 mg as ordered from 12/15/23 through 1/8/24.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to AVAMERE — 27 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $1.8M paid to related parties — landlords or management companies under common ownership — equal to about 15% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in OR