2 out of 5 stars overall. The Cottages in Pella, IA has a 1-star health inspection rating, a recent federal penalty, and $40,054 in fines over the last 24 months, while staffing is 5 stars and reported nurse staffing of 4.41 hours per resident per day is slightly above the federal benchmark of 4.1.
Last inspection: November 25, 2025Penalties, last 24 months: $40,054recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.4142.
Staffing detail
Registered nurses
0.85
Licensed practical nurses
0.69
Nurse aides
2.87
Weekend nursing
4.16
Hours per resident per day.
Total staff turnover: 45%
Registered nurse turnover: 39%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
25.5%22.4%Improving
Residents with a fall causing major injury
5%10.7%Worsening
Residents with pressure ulcers (bedsores)
9.6%2.2%Improving
Residents with a urinary tract infection
1.2%2.4%Worsening
Residents who lost too much weight
8.2%3.4%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
18.6%22%Worsening
Residents whose ability to walk got worse
28.1%19.3%Improving
Long-stay residents on antianxiety or sleep medication
23%25%Worsening
Short-stay residents newly given an antipsychotic
2.1%3%Worsening
Residents with a long-term catheter
1%0%Improving
Residents with new or worsening incontinence
31%20.7%Improving
Residents with depressive symptoms
1.3%4.9%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%92.9%Worsening
Short-stay residents given the seasonal flu vaccine
—93.1%—
Short-stay residents given the pneumonia vaccine
89%90.4%Improving
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited February 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: K
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited June 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: E
The nursing home failed to protect residents from abuse and neglect by others. Cited November 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: D
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited November 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 609 — 42 CFR §483.12 — S/S: D
The home failed to prevent unnecessary mind-altering medications or ensure medicines did not limit a resident’s ability to function. Cited August 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 605 — 42 CFR §483.12 — S/S: D
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $26,800 was recorded.
INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $13,254 was recorded.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $40,054 in total fines.
Federal fine
Aug 25, 2025
$26,800
Federal fine
Feb 24, 2025
$13,254
Operator & ownership
Ownership
Non profit - Corporation
Chain
Part of WESLEYLIFE · 10 homes · 3.9 stars avg
Occupancy
84.5 residents on an average day (84% of 100 beds)
Medicare history
Certified for 12 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.