Pella, IA
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
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
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
Chain footprint
11 facilities
Chain averages 4 overall / 3 health / 4 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.72
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.72
Licensed practical nurse staffing · state 0.57 · national 0.87
Aide hours / resident day
2.59
Nurse aide staffing · state 2.53 · national 2.35
Total nurse hours
4.03
All reported nurse hours · state 3.83 · national 3.89
Licensed hours
1.44
RN + LPN hours · state 1.30 · national 1.54
Weekend hours
3.68
Weekend nurse staffing · state 3.35 · national 3.43
Weekend RN hours
0.48
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.84
CMS adjusted RN staffing hours
Adjusted total hours
4.71
CMS adjusted total nurse staffing hours
Case-mix index
1.17
Higher values indicate more complex resident acuity
RN turnover
31%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
44%
Annual nurse turnover · state 44% · national 46%
SNF VBP
Program rank
567
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
67.35
Composite VBP score used to determine payment impact.
Payment multiplier
1.0209
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
10
Baseline 21.68% · Performance 16.93% · Measure score 10 · Achievement 10 · Improvement 9
Healthcare-associated infections
5.86
Baseline 6.28% · Performance 6.08% · Measure score 5.86 · Achievement 5.86 · Improvement 0.99
Total nurse turnover
3.93
Baseline 39.19% · Performance 47.62% · Measure score 3.93 · Achievement 3.93 · Improvement 0
Adjusted total nurse staffing
7.15
Baseline 4.34 hours · Performance 5.11 hours · Measure score 7.15 · Achievement 7.15 · Improvement 4.86
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.52% |
10.72%
2.2 pts better
|
No Different than the National Rate · Eligible stays 156 · Observed rate 3.85% · Lower 95% interval 5.74% |
| Discharge to community | 55.75% |
50.57%
5.2 pts better
|
No Different than the National Rate · Eligible stays 114 · Observed rate 57.02% · Lower 95% interval 49.68% |
| Medicare spending per beneficiary | 0.75 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 92.31% |
95.27%
3 pts worse
|
Numerator 84 · Denominator 91 |
| Falls with major injury | 2.2% |
0.77%
1.4 pts worse
|
Numerator 2 · Denominator 91 |
| Discharge self-care score | 51.28% |
53.69%
2.4 pts worse
|
Numerator 40 · Denominator 78 |
| Discharge mobility score | 53.85% |
50.94%
2.9 pts better
|
Numerator 42 · Denominator 78 |
| Pressure ulcers or injuries, new or worsened | 4.4% |
2.29%
2.1 pts worse
|
Numerator 4 · Denominator 91 · Adjusted rate 5.8% |
| Healthcare-associated infections requiring hospitalization | 6.08% |
7.12%
1 pts better
|
No Different than the National Rate · Eligible stays 81 · Observed rate 2.47% · Lower 95% interval 3.61% |
| Staff COVID-19 vaccination coverage | 5.08% |
8.2%
3.1 pts worse
|
Numerator 6 · Denominator 118 |
| Staff flu vaccination coverage | 6.49% |
42%
35.5 pts worse
|
Numerator 12 · Denominator 185 |
| Discharge function score | 57.69% |
56.45%
1.2 pts better
|
Numerator 45 · Denominator 78 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 97.22% |
96.28%
0.9 pts better
|
Numerator 35 · Denominator 36 |
| Resident COVID-19 vaccinations up to date | 40.43% |
25.2%
15.2 pts better
|
Numerator 19 · Denominator 47 |
Quality measures
| 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 · Adjusted 0.8 · Observed 0.7 · Expected 1.8 · Used in QM five-star |
| 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 · Adjusted 2.0 · Observed 1.8 · Expected 1.5 · Used in QM five-star |
| 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 · Q1 98.8% · Q2 100.0% · Q3 98.7% · Q4 93.6% · 4Q avg 97.8% |
| 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 · 4Q avg 100.0% |
| 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 · Q1 4.7% · Q2 5.0% · Q3 6.7% · Q4 9.0% · 4Q avg 6.3% · Used in QM five-star |
| 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 · Q1 1.2% · Q2 1.3% · Q3 2.7% · Q4 1.3% · 4Q avg 1.7% |
| 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 · Q1 4.8% · Q2 8.2% · Q3 1.8% · Q4 3.6% · 4Q avg 4.7% |
| 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 · Q1 27.4% · Q2 23.0% · Q3 25.0% · Q4 25.9% · 4Q avg 25.3% |
| 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 · Q1 15.7% · Q2 25.0% · Q3 21.7% · Q4 23.9% · 4Q avg 21.5% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| 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 · Q1 17.5% · Q2 28.1% · Q3 16.4% · Q4 18.0% · 4Q avg 20.2% · Used in QM five-star |
| 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 · Q1 9.8% · Q2 18.6% · Q3 22.2% · Q4 21.1% · 4Q avg 17.7% · Used in QM five-star |
| 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 · Q1 2.0% · Q2 1.0% · Q3 1.1% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star |
| 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 · Q1 1.2% · Q2 1.2% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star |
| 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 · Q1 28.2% · Q2 31.0% · Q3 11.3% · Q4 23.7% · 4Q avg 23.8% |
| 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 · Q1 11.8% · Q2 9.6% · Q3 5.7% · Q4 2.5% · 4Q avg 7.6% · Used in QM five-star |
| 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 · Q1 94.6% · Q2 89.0% · Q3 94.1% · Q4 88.6% · 4Q avg 91.5% |
| 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 · Adjusted 17.7% · Observed 15.4% · Expected 9.7% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 2.1% · Q3 2.1% · Q4 0.0% · 4Q avg 1.2% · Used in QM five-star |
| 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 · 4Q avg 93.1% |
| 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 · Adjusted 17.1% · Observed 14.1% · Expected 19.7% · Used in QM five-star |
Survey summary
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)
Top issue: Quality of Life and Care (3 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Nutrition and Dietary (3 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-09-03
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-08-20
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-10-26
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-10-26
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-10-31
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-10-26
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-10-11
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-10-26
Fire Safety
Meet requirements for the use and maintenance of medical gas equipment.
Corrected 2024-10-26
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-06-29
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-06-29
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-06-29
Inspection history
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
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-12-11
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-09-25
Health
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2025-09-25
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
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-09-25
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
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-09-25
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-09-25
Health
Provide and implement an infection prevention and control program.
Corrected 2025-09-25
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-09-25
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-02-25
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
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-10-21
Health
Provide and implement an infection prevention and control program.
Corrected 2024-10-21
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-06-04
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
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
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
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-07-20
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
Fine · fine $41,230
Fine
Fine · fine $13,254
Fine
5% Or Greater Indirect Ownership Interest · Organization
Corporate Director · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
Operational/Managerial Control · Individual
5% Or Greater Direct Ownership Interest · Organization
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
5% Or Greater Direct Ownership Interest · Organization
Nearby options
Knoxville, IA
1-star overall rating with 2-star inspections with $16,153 in total fines with 7 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
Knoxville, IA
4-star overall rating with 4-star inspections with 1 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
Oskaloosa, IA
1-star overall rating with 1-star inspections with $29,679 in total fines with 11 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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