nursing home in Pella, IA
The Cottages
1742 Main Street, Pella, IA 50219 · (641) 628-1244
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★4
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
The Cottages at a glance
The Cottages is a 100-bed non-profit nursing home in Pella, Iowa (Marion County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Iowa average of 3.1.
Residents receive about 4.2 hours of nursing care per day (0.9 of them from registered nurses), better than the state average of 3.8 hours.
Its most recent standard health inspection (August 25, 2025) found 13 health citations. The Iowa average is 6.5.
Federal regulators fined it 3 times in the past three years, totaling $52,060.
Nursing staff turnover is 50% per year (state average 44%).
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Corporation
- Beds
- 100
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Wesleylife
- Medicare-certified since
- May 30, 2014
- Continuing care retirement community
- Yes
- Resident/family council
- None
- County
- Marion County
- CMS Certification Number
- 165607
Ratings
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 3.1 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 3.7 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.3 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 3 / 5 | 3.3 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 3.3 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.18 hrs | 3.82 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 0.92 hrs | 0.74 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.63 hrs | 2.52 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.89 hrs | 3.37 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 50% | 44% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 57.1% | 42.1% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 1 | 0 | 1 | Worse |
Inspections
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 13 | 6 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 6 | 3 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 98.3 | 54.5 | 80.6 | Worse |
Penalties
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 3 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $52,060 | $19,286 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 3 | 1 | 1 | Worse |
Size
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 100 | 65 | 107 | |
| Average residents per day | 87 | 52 | 86 | |
| Occupancy | 87% | 81.5% | 80.9% |
Long-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 8.9% | 3.8% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 3.6% | 4.2% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 21.6% | 19.5% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 1.3% | 2.4% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.3% | 1.5% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 22.2% | 17.1% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 18.3% | 16.6% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 2.2% | 4.6% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 3.3% | 4.2% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.2% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 25.6% | 20.8% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 19.6% | 25.6% | 19% | Average |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 95.3% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 95.5% | 94% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1.9% | 2.1% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 93.1% | 73.3% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 91.9% | 84% | 82% | Better |
Inspection citations
State inspectors cited this home for 23 health deficiencies and 12 fire safety deficiencies in the inspection records CMS currently publishes. 3 citations involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 4, 2026 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected May 18, 2026 |
| June 4, 2026 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected June 12, 2026 |
| November 25, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected December 11, 2025 |
| November 25, 2025 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected December 11, 2025 |
| August 25, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected September 3, 2025 |
| August 25, 2025 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected August 20, 2025 |
| August 25, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected September 25, 2025 |
| August 25, 2025 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected September 25, 2025 |
| August 25, 2025 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected September 25, 2025 |
| August 25, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected September 25, 2025 |
| August 25, 2025 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected September 25, 2025 |
| August 25, 2025 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected September 25, 2025 |
| August 25, 2025 Standard | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 | D Potential harm, isolated | Corrected September 25, 2025 |
| August 25, 2025 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected September 25, 2025 |
| August 25, 2025 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected September 25, 2025 |
| February 24, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | K Immediate jeopardy, pattern | Corrected February 25, 2025 |
| September 26, 2024 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected October 26, 2024 |
| September 26, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected October 26, 2024 |
| September 26, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected October 31, 2024 |
| September 26, 2024 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected October 26, 2024 |
| September 26, 2024 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | D Potential harm, isolated | Corrected October 26, 2024 |
| September 26, 2024 Fire safety | Meet requirements for the use and maintenance of medical gas equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0922 | D Potential harm, isolated | Corrected October 26, 2024 |
| September 26, 2024 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | D Potential harm, isolated | Corrected October 11, 2024 |
| September 26, 2024 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected October 21, 2024 |
| September 26, 2024 Standard | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected October 21, 2024 |
| September 26, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected October 21, 2024 |
| May 16, 2024 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected June 4, 2024 |
| June 29, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected June 29, 2023 |
| June 29, 2023 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | E Potential harm, pattern | Corrected June 29, 2023 |
| June 29, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected June 29, 2023 |
| June 29, 2023 Standard | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | E Potential harm, pattern | Corrected July 20, 2023 |
| June 29, 2023 Standard | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Tag F0803 | D Potential harm, isolated | Corrected July 20, 2023 |
| June 29, 2023 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected July 20, 2023 |
| June 29, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | D Potential harm, isolated | Corrected July 20, 2023 |
| June 29, 2023 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | D Potential harm, isolated | Corrected July 20, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 3 federal penalties in the past three years, including $52,060 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| June 4, 2026 | Fine | $12,006 |
| August 25, 2025 | Fine | $26,800 |
| February 24, 2025 | Fine | $13,254 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| HEARTHSTONE A MINISTRY OF WESLEYLIFE LLC Organization | 5% or greater direct ownership interest | — | 09/25/2009 |
| WESLEYLIFE Organization | 5% or greater direct ownership interest | — | 09/21/2010 |
| WESLEY RETIREMENT SERVICES INC Organization | 5% or greater indirect ownership interest | 100% | 09/25/2009 |
| ALBERTSON, KERMIT Individual | corporate director | NOT APPLICABLE | 01/01/2018 |
| GILROY, ABBEY Individual | corporate director | NOT APPLICABLE | 01/01/2016 |
| LAGREE, ROGER Individual | corporate director | NOT APPLICABLE | 01/01/2015 |
| LORENCE, JOANNE Individual | corporate director | NOT APPLICABLE | 09/25/2009 |
| RASMUSSEN, CHAD Individual | corporate director | NOT APPLICABLE | 01/01/2011 |
| RUCH, ROBERT Individual | corporate director | NOT APPLICABLE | 09/25/2009 |
| STOUT, DAVID Individual | corporate director | NOT APPLICABLE | 01/01/2011 |
| TAYLOR, CHRISTINA Individual | corporate director | NOT APPLICABLE | 01/01/2018 |
| WATSON, SUSAN Individual | corporate director | NOT APPLICABLE | 01/01/2014 |
| KRETZINGER, ROBERT Individual | corporate officer | NOT APPLICABLE | 09/25/2009 |
| HARTSOOK, LONDA Individual | operational/managerial control | NOT APPLICABLE | 04/09/2012 |
| HAMILTON, NANCY Individual | w-2 managing employee | NOT APPLICABLE | 12/07/2009 |
Other nursing homes near The Cottages
Accura Healthcare of Knoxville, LLC
606 North Seventh Street, Knoxville, IA 50138 · 11.4 mi
For-profit · 60 beds · Part of Accura Healthcare
★★★★★2Below averageWest Ridge Specialty Care
1904 West Howard Street, Knoxville, IA 50138 · 12.9 mi
Non-profit · 78 beds · Part of Care Initiatives
★★★★★4Above average- ★★★★★1Much below average
Crystal Heights Care Center
1514 High Avenue West, Oskaloosa, IA 52577 · 15.9 mi
For-profit · 72 beds · Part of The Ensign Group
★★★★★3AverageNorthern Mahaska Specialty Care
2401 Crestview Drive, Oskaloosa, IA 52577 · 16 mi
Non-profit · 79 beds · Part of Care Initiatives
★★★★★3AverageAccura Healthcare of Pleasantville, LLC
909 North State Street, Pleasantville, IA 50225 · 18.6 mi
For-profit · 46 beds · Part of Accura Healthcare
★★★★★1Much below average
Frequently asked questions
What is The Cottages's rating?
The Cottages has 1 out of 5 stars on the CMS overall star rating. The average for Iowa nursing homes is 3.1 stars.
How many inspection citations did The Cottages receive?
Its most recent standard health inspection found 13 citations, compared with a Iowa average of 6.5. Every citation is listed on this page with its severity.
Does The Cottages accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns The Cottages?
It is non profit - corporation and part of Wesleylife. The ownership section on this page lists the owners and managers reported to CMS.
Where is The Cottages and how do I contact it?
The Cottages is at 1742 Main Street, Pella, IA 50219. Phone: (641) 628-1244.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.