Pella, IA

The Cottages

2-star overall rating with 1-star inspections with $54,484 in total fines with 11 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

1742 Main Street, Pella, IA

(641) 628-1244

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

100

Certified beds

Average residents

93

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Wesleylife

Operator or chain grouping

Approved since

2014-05-30

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.72

Registered nurse staffing

LPN hours / resident day

0.72

Licensed practical nurse staffing

Aide hours / resident day

2.59

Nurse aide staffing

Weekend hours

3.68

Weekend nurse staffing

RN turnover

31%

Annual RN turnover

Total nurse turnover

44%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 0.8
1.5
0.7 pts better
1.9
1.1 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 2.0
2.1
0.1 pts better
1.8
0.2 pts worse
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.8%
94.0%
3.8 pts better
93.4%
4.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
95.2%
4.8 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 6.3%
3.7%
2.6 pts worse
3.3%
3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 1.7%
4.0%
2.3 pts better
11.4%
9.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 4.7%
4.9%
0.2 pts better
5.4%
0.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 25.3%
20.6%
4.7 pts worse
19.6%
5.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 21.5%
19.8%
1.7 pts worse
16.7%
4.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.2%
0.2 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 20.2%
18.5%
1.7 pts worse
16.3%
3.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 17.7%
18.3%
0.6 pts better
14.9%
2.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.0%
1.7%
0.7 pts better
1.0%
About the same
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.6%
2.5%
1.9 pts better
1.7%
1.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 23.8%
26.0%
2.2 pts better
19.8%
4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 7.6%
4.3%
3.3 pts worse
5.1%
2.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 91.5%
84.3%
7.2 pts better
81.7%
9.8 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 17.7%
13.1%
4.6 pts worse
12.0%
5.7 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 1.2%
1.9%
0.7 pts better
1.6%
0.4 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 93.1%
73.3%
19.8 pts better
79.7%
13.4 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 17.1%
21.3%
4.2 pts better
23.9%
6.8 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-25 · Fire 2025-08-25

11 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2024-09-26 · Fire 2024-09-26

5 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

7 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2023-06-29 · Fire 2023-06-29

5 health deficiencies

Top issue: Nutrition and Dietary (3 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-08-25

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-09-03

D · Potential for more than minimal harm 2025-08-25

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-08-20

F · Potential for more than minimal harm 2024-09-26

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-10-26

F · Potential for more than minimal harm 2024-09-26

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-10-26

F · Potential for more than minimal harm 2024-09-26

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-10-31

D · Potential for more than minimal harm 2024-09-26

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2024-10-26

D · Potential for more than minimal harm 2024-09-26

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2024-10-11

D · Potential for more than minimal harm 2024-09-26

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-10-26

D · Potential for more than minimal harm 2024-09-26

K922 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use and maintenance of medical gas equipment.

Corrected 2024-10-26

F · Potential for more than minimal harm 2023-06-29

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-06-29

E · Potential for more than minimal harm 2023-06-29

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-06-29

E · Potential for more than minimal harm 2023-06-29

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-06-29

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-11-25

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-12-11

D · Potential for more than minimal harm 2025-11-25

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-12-11

G · Actual harm 2025-08-25

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-09-25

D · Potential for more than minimal harm 2025-08-25

F605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Corrected 2025-09-25

D · Potential for more than minimal harm 2025-08-25

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-09-25

D · Potential for more than minimal harm 2025-08-25

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-09-25

D · Potential for more than minimal harm 2025-08-25

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-09-25

D · Potential for more than minimal harm 2025-08-25

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-09-25

D · Potential for more than minimal harm 2025-08-25

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-09-25

D · Potential for more than minimal harm 2025-08-25

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-09-25

D · Potential for more than minimal harm 2025-08-25

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2025-09-25

K · Immediate jeopardy 2025-02-24

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-02-25

D · Potential for more than minimal harm 2024-09-26

F578 · Resident Rights Deficiencies

Health

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.

Corrected 2024-10-21

D · Potential for more than minimal harm 2024-09-26

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2024-10-21

D · Potential for more than minimal harm 2024-09-26

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-10-21

D · Potential for more than minimal harm 2024-05-16

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-06-04

E · Potential for more than minimal harm 2023-06-29

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2023-07-20

D · Potential for more than minimal harm 2023-06-29

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2023-07-20

D · Potential for more than minimal harm 2023-06-29

F803 · Nutrition and Dietary Deficiencies

Health

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.

Corrected 2023-07-20

D · Potential for more than minimal harm 2023-06-29

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2023-07-20

D · Potential for more than minimal harm 2023-06-29

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-07-20

Penalties and ownership

What sits behind the stars

$41,230 2025-08-25

Fine

Fine · fine $41,230

Fine

$13,254 2025-02-24

Fine

Fine · fine $13,254

Fine

Ownership

Wesley Retirement Services Inc

5% Or Greater Indirect Ownership Interest · Organization

100% 8 facilities 2009-09-25
Albertson, Kermit

Corporate Director · Individual

0% 8 facilities 2018-01-01
Gilroy, Abbey

Corporate Director · Individual

0% 7 facilities 2016-01-01
Hamilton, Nancy

W-2 Managing Employee · Individual

0% 1 facilities 2009-12-07
Hartsook, Londa

Operational/Managerial Control · Individual

0% 1 facilities 2012-04-09
Hearthstone A Ministry Of Wesleylife LLC

5% Or Greater Direct Ownership Interest · Organization

0% 1 facilities 2009-09-25
Kretzinger, Robert

Corporate Officer · Individual

0% 10 facilities 2009-09-25
Lagree, Roger

Corporate Director · Individual

0% 7 facilities 2015-01-01
Lorence, Joanne

Corporate Director · Individual

0% 1 facilities 2009-09-25
Rasmussen, Chad

Corporate Director · Individual

0% 8 facilities 2011-01-01
Ruch, Robert

Corporate Director · Individual

0% 8 facilities 2009-09-25
Stout, David

Corporate Director · Individual

0% 8 facilities 2011-01-01
Taylor, Christina

Corporate Director · Individual

0% 8 facilities 2018-01-01
Watson, Susan

Corporate Director · Individual

0% 8 facilities 2014-01-01
Wesleylife

5% Or Greater Direct Ownership Interest · Organization

0% 10 facilities 2010-09-21

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