Nursing HomeInspections

The Cottages

Nursing home in Pella, IA

Medicare & Medicaid certified1★ overall (CMS)

Call (641) 628-1244Send a messageMap ↗

Public-record details

Address
1742 Main Street, Pella, IA 50219
Phone
(641) 628-1244
Listed under
Nonprofit, Part of a retirement community
Medicare CCN
165607
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
4 of 5
Quality measures rating
4 of 5
Certified beds
100
Average residents per day
87
Ownership
Nonprofit, corporation
Legal business name
Hearthstone a Ministry of Wesleylife LLC
Chain
Wesleylife (10 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
May 30, 2014
Changed ownership in last 12 months
No
Continuing care retirement community
Yes
Located inside a hospital
No
Sprinklers in all required areas
Yes

CMS certification number 165607. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Aug 25, 2025. CMS lists 23 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jun 29, 2023 to Jun 4, 2026): 8 from complaint inspections, 3 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Jun 4, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 4, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		G
Actual harm, isolated
Nov 25, 2025Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Nov 25, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Aug 25, 2025Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Aug 25, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Aug 25, 2025Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Aug 25, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection		D
Potential for more than minimal harm, isolated
Aug 25, 2025Ensure medication error rates are not 5 percent or greater.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Aug 25, 2025Ensure that residents are free from significant medication errors.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Aug 25, 2025Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Aug 25, 2025Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 23. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 3 fines totalling $52,060 in the last three years.

Jun 4, 2026Fine: $12,006
Aug 25, 2025Fine: $26,800
Feb 24, 2025Fine: $13,254

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.18 hours
Registered nurse (RN) time per resident per day
0.92 hours
Nurse aide time per resident per day
2.63 hours
Total nurse staffing on weekends
3.89 hours
Nursing staff turnover (yearly)
50%
RN turnover (yearly)
57%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.