The Cottages
Nursing home in Pella, Iowa, CMS certification number 165607
1742 Main Street, Pella, IA 50219 · Marion County
- CMS overall rating
- 1 of 5 stars
- Certified beds
- 100
- Certified for
- Medicare and Medicaid
- Last standard inspection
- August 25, 2025
- Deficiencies at that inspection
- 13
- Fines in 3 years
- $52,060 (3)
Does The Cottages take Medicare and Medicaid?
Yes to both. The Cottages is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 4 of 5 |
| Quality of resident care | 3 of 5 |
| Long-stay quality | 3 of 5 |
| Short-stay quality | 4 of 5 |
Nurse staffing hours and turnover
These are the hours The Cottages reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 4.22
- Registered nurse hours
- 0.81
- Licensed practical nurse hours
- 0.69
- Nurse aide hours
- 2.73
- Weekend total hours
- 3.93
- Nursing staff turnover
- 56.9%
- Registered nurse turnover
- 55.6%
- Administrators who left
- 1
Health inspections and complaints
Inspectors last made a standard visit on August 25, 2025 and cited 13 deficiencies, plus 6 from complaint visits.
The visit before, on September 26, 2024, found 3.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined The Cottages 3 times in the past 3 years, for $52,060 in total.
Beds and residents
On an average day 90.8 residents live here, about 91% of its 100 certified beds.
- Certified beds
- 100
- Average residents per day
- 90.8
- Certified since
- May 30, 2014
- Part of a continuing care community
- Yes
Who owns The Cottages
- Legal business name
- Hearthstone a Ministry of Wesleylife LLC
- Ownership type
- Non profit - Corporation
- Chain
- 10 homes nationally under Wesleylife, 3.6-star chain average
Other nursing homes near The Cottages
- Accura Healthcare of Knoxville, LLC606 North Seventh Street, Knoxville 50138
- West Ridge Specialty Care1904 West Howard Street, Knoxville 50138
- Oskaloosa Care Center605 Highway 432, Oskaloosa 52577
- Crystal Heights Care Center1514 High Avenue West, Oskaloosa 52577
- Northern Mahaska Specialty Care2401 Crestview Drive, Oskaloosa 52577
Who inspects nursing homes in Iowa
Iowa's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Iowa, or see how assisted living and nursing homes differ.
Is this your facility?
If you run The Cottages, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about The Cottages
What is the CMS star rating of The Cottages?
1 out of 5 stars overall.
Does The Cottages accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at The Cottages?
13 cited at the last standard visit.
Who owns The Cottages?
Hearthstone a Ministry of Wesleylife LLC, non profit - corporation.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.