Quick answers
- Where is The Cottages?
- 1742 Main Street, Pella, IA 50219, in Marion County, Iowa.
- What is the phone number of The Cottages?
- (641) 628-1244, as listed by Medicare (CMS).
- What is the Medicare star rating of The Cottages?
- Medicare overall rating: 1 out of 5 stars (CMS data updated 2026-10-01).
- Has The Cottages been fined?
- Medicare lists 3 fines totaling $52,060.
- What did inspectors find at The Cottages?
- In its last three inspection cycles (June 29, 2023 to June 4, 2026), Medicare lists 23 health citations; the most serious was level K. 3 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (June 29, 2023 to June 4, 2026), The Cottages had 23 health citations; the most serious was level K (immediate jeopardy to resident health or safety). 3 of them were level G or higher (actual harm or immediate jeopardy). It was fined $52,060 in total (3 fines, the latest on June 4, 2026). Nurse staffing is 4.22 hours per resident per day; the Iowa average is 3.86 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: August 25, 2025 — 13 health citations
Inspections in this cycle: August 25, 2025 (standard health inspection); November 25, 2025 (complaint investigation); June 4, 2026 (complaint investigation).
F0689 Level G
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
F0689 Level G
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 11 less serious citations (levels A to F)
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0600 Level D
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0605 Level D
“Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
F0755 Level D
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0759 Level D
“Ensure medication error rates are not 5 percent or greater.”
F0760 Level D
“Ensure that residents are free from significant medication errors.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0883 Level D
“Develop and implement policies and procedures for flu and pneumonia vaccinations.”
Previous cycle: September 26, 2024 — 4 health citations
Inspections in this cycle: September 26, 2024 (standard health inspection); February 24, 2025 (complaint investigation); August 25, 2025 (complaint investigation).
F0689 Level K
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
immediate jeopardy to resident health or safety; pattern (some residents) · Quality of Life and Care Deficiencies
Show 3 less serious citations (levels A to F)
F0578 Level 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.”
F0692 Level D
“Provide enough food/fluids to maintain a resident's health.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
Earlier cycle: June 29, 2023 — 6 health citations
Inspections in this cycle: June 29, 2023 (standard health inspection); May 16, 2024 (complaint investigation).
Show 6 citations (levels A to F, no actual harm)
F0725 Level E
“Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0657 Level D
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0803 Level 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.”
F0804 Level D
“Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”
F0812 Level D
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (12)
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0920 Level D
“Ensure proper usage of power strips and extension cords.”
K0324 Level F
“Provide properly protected cooking facilities.”
K0345 Level F
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0351 Level D
“Install an approved automatic sprinkler system.”
K0521 Level D
“Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.”
K0920 Level D
“Ensure proper usage of power strips and extension cords.”
K0922 Level D
“Meet requirements for the use and maintenance of medical gas equipment.”
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0345 Level E
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0353 Level E
“Inspect, test, and maintain automatic sprinkler systems.”
Fines and payment denials
Total fines over about the last three years: $52,060 (3 fines). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| June 4, 2026 | Fine | $12,006 |
| August 25, 2025 | Fine | $26,800 |
| February 24, 2025 | Fine | $13,254 |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Iowa | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.81 | 0.74 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.69 | 0.56 | 0.86 |
| Nurse aide hours per resident per day | 2.73 | 2.56 | 2.35 |
| Total nurse staff hours per resident per day | 4.22 | 3.86 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.93 | 3.38 | 3.43 |
| RN hours per resident per day on the weekend | 0.49 | 0.51 | 0.48 |
| Nursing staff turnover (per year) | 56.9% | 44.1% | 45.3% |
| RN turnover (per year) | 55.6% | 42.1% | 42.5% |
| Administrators who left in the last year | 1.0 | 0.4 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 10 nursing homes: Wesleylife.
Legal business name: Hearthstone a Ministry of Wesleylife LLC.
Owners and managers Medicare lists (3)
| Name | Role | Share | Since |
|---|---|---|---|
| Hearthstone a Ministry of Wesleylife LLC | Direct owner | — | September 25, 2009 |
| Wesleylife | Direct owner | — | September 21, 2010 |
| Wesley Retirement Services Inc | Indirect owner | 100% | September 25, 2009 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 100 |
| Average residents per day | 90.8 |
| Takes part in | Medicare and Medicaid |
| Ownership | Non-profit – corporation |
| Group or chain (affiliated entity) | Wesleylife |
| Legal business name | Hearthstone a Ministry of Wesleylife LLC |
| First approved by Medicare/Medicaid | 2014-05-30 |
| Part of a continuing care retirement community | Yes |
| Resident and family councils | None |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 1742 Main Street, Pella, IA 50219 |
| County | Marion County |
| State | Iowa |
| Phone | (641) 628‑1244 |
| CMS Certification Number | 165607 |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Accura Healthcare of Knoxville, LLC11 mi · Knoxville, IA · 2 of 5 stars
- West Ridge Specialty Care13 mi · Knoxville, IA · 4 of 5 stars
- Oskaloosa Care Center16 mi · Oskaloosa, IA · 1 of 5 stars
- Crystal Heights Care Center16 mi · Oskaloosa, IA · 3 of 5 stars
- Northern Mahaska Specialty Care16 mi · Oskaloosa, IA · 3 of 5 stars
Nearest hospital emergency rooms
- Pella Regional Health Center0.8 mi · Pella, IA · Critical Access Hospital
- Knoxville Hospital & Clinics13 mi · Knoxville, IA · Critical Access Hospital
- Mahaska Health Partnership17 mi · Oskaloosa, IA · Critical Access Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13