Federal inspection record · CMS data as of October 1, 2026
The Cottages
1742 Main Street, Pella, IA · (641) 628-1244
- Certified beds
- 100
- Residents per day
- 91
- Ownership
- Non-Profit
- Chain
- Wesleylife
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 30, 2014
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Iowa.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Iowa homes
The Cottages carries 98.25 inspection points. That is fewer than 16% of Iowa's 385 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Iowa: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–7 pts
- 4★ 7–21 pts
- 3★ 21–41 pts
- 2★ 41–86.5 pts
- 1★ over 86.5 pts
Bars show every rated home in Iowa by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
23 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (3)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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K
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Freedom from Abuse, Neglect, and Exploitation3D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Quality of Life and Care3D
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Pharmacy Service3D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure medication error rates are not 5 percent or greater.
- D
Ensure that residents are free from significant medication errors.
Infection Control3D
- D
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
Provide and implement an infection prevention and control program.
Nutrition and Dietary3D
- D
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
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights2D
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
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 Assessment and Care Planning2D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Nursing and Physician Services1E
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspection history
2025-08-25
13 health deficiencies · 2 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
2024-09-26
4 health deficiencies · 7 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2023-06-29
6 health deficiencies · 3 fire-safety deficiencies
Top issue: Nutrition and Dietary (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 13 min of nursing staff time a day, 48 min of it from a registered nurse.
This home
4 h 13 min
Iowa average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 57% of nursing staff and 56% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$52,060 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-06-04 | Fine | $12,006 |
| 2025-08-25 | Fine | $26,800 |
| 2025-02-24 | Fine | $13,254 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.5 pts better | 0.9 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts worse | 2.3 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.8 pts better | 96.0% | 94.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.1 pts better | 98.9% | 95.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury7 pts worse | 10.9% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.3 pts worse | 4.5% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.5 pts better | 2.9% | 4.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.3 pts worse | 25.3% | 21.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication0.1 pts worse | 19.9% | 19.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened1.8 pts worse | 17.0% | 15.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.4 pts worse | 21.0% | 16.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.4 pts better | 0.0% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.2 pts better | 2.2% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.2 pts better | 19.8% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.2 pts better | 2.9% | 4.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine7.2 pts better | 91.2% | 84.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit4.6 pts worse | 17.6% | 13.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.7 pts better | 1.4% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine10.8 pts better | 85.2% | 74.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission20.7 pts better | 0.0% | 20.7% | 23.4% |
·
Who owns and runs it
15 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Wesley Retirement Services Inc | 5% Or Greater Indirect Ownership Interest · Organization | 100% | 8 facilities |
| Albertson, Kermit | Corporate Director · Individual | 0% | 8 facilities |
| Gilroy, Abbey | Corporate Director · Individual | 0% | 7 facilities |
| Hamilton, Nancy | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Hartsook, Londa | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hearthstone A Ministry Of Wesleylife LLC | 5% Or Greater Direct Ownership Interest · Organization | 0% | 1 facilities |
| Kretzinger, Robert | Corporate Officer · Individual | 0% | 10 facilities |
| Lagree, Roger | Corporate Director · Individual | 0% | 7 facilities |
| Lorence, Joanne | Corporate Director · Individual | 0% | 1 facilities |
| Rasmussen, Chad | Corporate Director · Individual | 0% | 8 facilities |
| Ruch, Robert | Corporate Director · Individual | 0% | 8 facilities |
| Stout, David | Corporate Director · Individual | 0% | 8 facilities |
| Taylor, Christina | Corporate Director · Individual | 0% | 8 facilities |
| Watson, Susan | Corporate Director · Individual | 0% | 8 facilities |
| Wesleylife | 5% Or Greater Direct Ownership Interest · Organization | 0% | 10 facilities |
·
Fire safety
12 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke7F
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Install an approved automatic sprinkler system.
- E
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems3D
- D
Ensure proper usage of power strips and extension cords.
- D
Ensure proper usage of power strips and extension cords.
- D
Meet requirements for the use and maintenance of medical gas equipment.
Services1D
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Miscellaneous1F
- F
Have simulated fire drills held at unexpected times.
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Other homes nearby
-
Accura Healthcare of Knoxville, LLC
Knoxville, IA · Accura Healthcare
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 27 min
- Fines
- $16,153
-
West Ridge Specialty Care
Knoxville, IA · Care Initiatives
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 2 h 53 min
- Fines
- $0
-
Oskaloosa Care Center
Oskaloosa, IA
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 33 min
- Fines
- $45,354