Nursing homeActive
The Cottages
1742 Main Street, Pella, IA 502196416281244100 certified beds · 87 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
7
since 2023
Deficiencies
23
● 0● 20● 3
Penalties · 3 yrs
$52,060
3 fines
Last survey
2026-06-04
Complaint
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 4
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Iowa Department of Inspections, Appeals & Licensing · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-06-04 | Complaint | 011 | CMS-2567 (Care Compare) | — |
| 2025-11-25 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2025-08-25 | Standard | 081 | CMS-2567 (Care Compare) | — |
| 2025-02-24 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2024-09-26 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2024-05-16 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-06-29 | Standard | 050 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Iowa Department of Inspections, Appeals & Licensing publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2026-05-18Record 165607-20260604-F689
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-12Record 165607-20260604-F550
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-11Record 165607-20251125-F600
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-11Record 165607-20251125-F609
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-09-25Record 165607-20250825-F689
F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-25Record 165607-20250825-F605
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-25Record 165607-20250825-F656
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-25Record 165607-20250825-F695
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-25Record 165607-20250825-F755
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-25Record 165607-20250825-F759
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-25Record 165607-20250825-F760
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-25Record 165607-20250825-F880
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-25Record 165607-20250825-F883
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity KHarm
Care planningFalls
Pattern; immediate jeopardy to resident health or safety.Corrected 2025-02-25Record 165607-20250224-F689
F578Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-21Record 165607-20240926-F578
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-21Record 165607-20240926-F692
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-21Record 165607-20240926-F880
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-04Record 165607-20240516-F677
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-20Record 165607-20230629-F657
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-07-20Record 165607-20230629-F725
F803Ensure 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.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-20Record 165607-20230629-F803
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-20Record 165607-20230629-F804
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-20Record 165607-20230629-F812
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2026-06-04 | Civil money penalty | $12,006 | CMS · Penalties |
| 2025-08-25 | Civil money penalty | $26,800 | CMS · Penalties |
| 2025-02-24 | Civil money penalty | $13,254 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.92
Facility
Iowa
National
Iowa 0.74 · National 0.69
Total nurse hours per resident day4.18
Facility
Iowa
National
Iowa 3.82 · National 3.86
Weekend total nurse hours3.89
Facility
Iowa
National
Iowa 3.37 · National 3.42
Total nursing staff turnover50%
Facility
Iowa
National
Iowa 44% · National 46%
Registered nurse turnover57%
Facility
Iowa
National
Iowa 42% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Iowa | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 3.6% | 4.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 8.9% | 3.8% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 21.6% | 19.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 1.3% | 2.4% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 22.2% | 17.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 2.2% | 4.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 25.6% | 20.8% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Hearthstone A Ministry Of Wesleylife LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Wesleylife Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Wesley Retirement Services Inc Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | — | — |
| Hartsook, Londa Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Albertson, Kermit Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Gilroy, Abbey Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Hamilton, Nancy Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Kretzinger, Robert Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Lagree, Roger Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Lorence, Joanne Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Rasmussen, Chad Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Ruch, Robert Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Stout, David Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Taylor, Christina Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Watson, Susan Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
Part of a chain
Wesleylife — 10 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Iowa.
No county cost figures on file for Marion.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Accura Healthcare of Knoxville, LLC Knoxville | 11.4 mi | 2026-02-19 | 0141 |
| West Ridge Specialty Care Knoxville | 12.9 mi | 2026-04-23 | 060 |
| Oskaloosa Care Center Oskaloosa | 15.5 mi | 2026-06-11 | 0312 |
| Crystal Heights Care Center Oskaloosa | 15.9 mi | 2025-12-08 | 0160 |
| Accura Healthcare of Newton East, LLC Newton | 19.5 mi | 2026-02-18 | 0381 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |