Iowa › Marion County › Pella
The Cottages
1742 Main Street, Pella, IA 50219
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
The Cottages is a Non-profit, corporation nursing home in Pella, Iowa, certified for 100 beds and caring for about 87 residents a day.
CMS gives it 1 of 5 stars overall, below the Iowa median of 3; the health inspection rating is 1, staffing 4 and quality measures 4.
Inspectors recorded 23 health deficiencies across the three most recent survey cycles (13, 4, 6 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 23.0 per 100 beds, about the same as the state median of 27.5.
CMS lists 3 penalties in the period covered: fines totalling $52K.
Reported nurse staffing is 4.2 hours per resident per day (0.9 RN), close to the Iowa median of 3.7; nursing staff turnover is 50.0%.
Compared with county, state and nation
| Measure | This facility | Marion Co. median | Iowa median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 23 | 23 | 16 | 28.7 |
| Citations per 100 beds | 23.0 | 25.0 | 27.5 | 26.8 |
| Total nurse hours per resident day | 4.2 | 3.5 | 3.7 | 3.9 |
| RN hours per resident day | 0.9 | 0.9 | 0.7 | 0.7 |
| Nursing staff turnover | 50.0% | 53.2% | 41.9% | 45.8% |
| Fines listed | $52,060 | $28,724 | $0 | — |
County and state figures are medians across facilities (4 in the county, 387 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Iowa average per facility for the same cycle, as published by CMS. Standard health survey dates: 25 Aug 2025, 26 Sep 2024.
Severity mix: K ×1 G ×2 D ×19 E ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 4 Jun 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 18 May 2026 |
| 4 Jun 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 12 Jun 2026 |
| 25 Nov 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 11 Dec 2025 |
| 25 Nov 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 11 Dec 2025 |
| 25 Aug 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 25 Sep 2025 |
| 25 Aug 2025 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard survey | 25 Sep 2025 |
| 25 Aug 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 25 Sep 2025 |
| 25 Aug 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 25 Sep 2025 |
| 25 Aug 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 25 Sep 2025 |
| 25 Aug 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 25 Sep 2025 |
| 25 Aug 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 25 Sep 2025 |
| 25 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 25 Sep 2025 |
| 25 Aug 2025 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 25 Sep 2025 |
| 24 Feb 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Complaint investigation | 25 Feb 2025 |
| 26 Sep 2024 | F0578 | 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. | D | Standard survey | 21 Oct 2024 |
| 26 Sep 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 21 Oct 2024 |
| 26 Sep 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 21 Oct 2024 |
| 16 May 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 4 Jun 2024 |
| 29 Jun 2023 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard survey | 20 Jul 2023 |
| 29 Jun 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 20 Jul 2023 |
| 29 Jun 2023 | F0803 | 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. | D | Standard survey | 20 Jul 2023 |
| 29 Jun 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard survey | 20 Jul 2023 |
| 29 Jun 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 20 Jul 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 4 Jun 2026 | Fine | $12,006 | |
| 25 Aug 2025 | Fine | $26,800 | |
| 24 Feb 2025 | Fine | $13,254 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Iowa average. Turnover: nursing staff 50.0%, RNs 57.1%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Iowa median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 22.2% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.3% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.3% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 8.9% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.9% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 18.3% | 15.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.6% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 21.6% | 18.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, corporation. Legal business name: Hearthstone A Ministry Of Wesleylife Llc. Chain: Wesleylife (10 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Hearthstone A Ministry of Wesleylife LLC | 5% or greater direct ownership interest | NO PERCENTAGE PROVIDED | 09/25/2009 |
| Wesleylife | 5% or greater direct ownership interest | NO PERCENTAGE PROVIDED | 09/21/2010 |
| Wesley Retirement Services Inc | 5% or greater indirect ownership interest | 100% | 09/25/2009 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Marion County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| West Ridge Specialty Care | Knoxville | 78 | 3 | 3 | 4 | 13 | 16.7 | — | 23 Apr 2026 |
| Accura Healthcare of Knoxville, LLC | Knoxville | 60 | 2 | 2 | 3 | 15 | 25.0 | $16K | 19 Feb 2026 |
| Accura Healthcare of Pleasantville, LLC | Pleasantville | 46 | 1 | 1 | 3 | 45 | 97.8 | $29K | 30 Apr 2026 |
All 4 facilities in Marion County
Questions and answers
How many deficiencies has The Cottages been cited for?
23 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Iowa median is 16 per facility.
Has The Cottages been fined?
Yes. CMS lists fines totalling $52K in the period covered.
How does staffing at The Cottages compare?
Reported total nurse staffing is 4.2 hours per resident per day against a Iowa median of 3.7 and a national average of 3.9.
Who operates The Cottages?
It is part of the Wesleylife chain. Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Hearthstone A Ministry of Wesleylife LLC, Wesleylife and Wesley Retirement Services Inc. Individual owners and managers are not listed on this site.
When was The Cottages last inspected?
The most recent survey or investigation in the CMS record is dated 4 Jun 2026; the most recent standard health survey was 25 Aug 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.