CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 1656072026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

The Cottages

1742 Main Street · Pella, IA 50219 · Marion County

CMS OVERALL RATING★☆☆☆☆1/5CMS field—not our score or recommendation
Certified beds100CMS provider file
Recent citation rows35current CMS citation release
Penalty rows3current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12025-08-25132025-08-252
Cycle 22024-09-2642024-09-267
Cycle 32023-06-2962023-06-293
02 / CITATION DETAIL

35 rows in the current release

3 rows carry G–L scope/severity codes; 1 carry J–L. 5 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2026-06-04 · HEALTHF0550Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Correction field: Deficient, Provider has date of correction · 2026-06-12 · complaint
2026-06-04 · HEALTHF0689Severity G · isolated actual harm

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Correction field: Past Non-Compliance · 2026-05-18 · complaint
2025-11-25 · HEALTHF0600Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Correction field: Deficient, Provider has date of correction · 2025-12-11 · complaint
2025-11-25 · HEALTHF0609Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Correction field: Deficient, Provider has date of correction · 2025-12-11 · complaint
2025-08-25 · HEALTHF0605Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Correction field: Deficient, Provider has date of correction · 2025-09-25
2025-08-25 · HEALTHF0656Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Correction field: Deficient, Provider has date of correction · 2025-09-25
2025-08-25 · HEALTHF0689Severity G · isolated actual harm

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Correction field: Deficient, Provider has date of correction · 2025-09-25 · complaint
2025-08-25 · HEALTHF0695Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Correction field: Deficient, Provider has date of correction · 2025-09-25
2025-08-25 · HEALTHF0755Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Correction field: Deficient, Provider has date of correction · 2025-09-25 · complaint
2025-08-25 · HEALTHF0759Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

Correction field: Deficient, Provider has date of correction · 2025-09-25
2025-08-25 · HEALTHF0760Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Correction field: Deficient, Provider has date of correction · 2025-09-25
2025-08-25 · HEALTHF0880Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2025-09-25
2025-08-25 · HEALTHF0883Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Correction field: Deficient, Provider has date of correction · 2025-09-25
2025-08-25 · FIREK0353Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Correction field: Deficient, Provider has date of correction · 2025-09-03
2025-08-25 · FIREK0920Severity D · isolated; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Correction field: Deficient, Provider has date of correction · 2025-08-20
2025-02-24 · HEALTHF0689Severity K · pattern of immediate jeopardy

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Correction field: Deficient, Provider has date of correction · 2025-02-25 · complaint
2024-09-26 · HEALTHF0578Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2024-10-21
2024-09-26 · HEALTHF0692Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

Correction field: Deficient, Provider has date of correction · 2024-10-21
2024-09-26 · HEALTHF0880Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2024-10-21
2024-09-26 · FIREK0324Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Provide properly protected cooking facilities.

Correction field: Deficient, Provider has date of correction · 2024-10-26
2024-09-26 · FIREK0345Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

Correction field: Deficient, Provider has date of correction · 2024-10-26
2024-09-26 · FIREK0351Severity D · isolated; potential for more than minimal harm

Smoke Deficiencies

Install an approved automatic sprinkler system.

Correction field: Deficient, Provider has date of correction · 2024-10-26
2024-09-26 · FIREK0353Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Correction field: Waiver has been granted · 2024-10-31
2024-09-26 · FIREK0521Severity D · isolated; potential for more than minimal harm

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Correction field: Deficient, Provider has date of correction · 2024-10-11
03 / ENFORCEMENT FILE

Penalties reported by CMS

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
2026-06-04Fine$12,0060
2025-08-25Fine$26,8000
2025-02-24Fine$13,2540
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • HEARTHSTONE A MINISTRY OF WESLEYLIFE LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    NO PERCENTAGE PROVIDED · since 09/25/2009
  • WESLEYLIFEOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    NO PERCENTAGE PROVIDED · since 09/21/2010
  • WESLEY RETIREMENT SERVICES INCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
    100% · since 09/25/2009
  • HAMILTON, NANCYIndividual · W-2 MANAGING EMPLOYEE
    NOT APPLICABLE · since 12/07/2009
  • ALBERTSON, KERMITIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2018
  • GILROY, ABBEYIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2016
  • LAGREE, ROGERIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2015
  • LORENCE, JOANNEIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 09/25/2009
  • RASMUSSEN, CHADIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2011
  • RUCH, ROBERTIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 09/25/2009
  • STOUT, DAVIDIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2011
  • TAYLOR, CHRISTINAIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2018
  • WATSON, SUSANIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2014
  • KRETZINGER, ROBERTIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 09/25/2009
  • HARTSOOK, LONDAIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 04/09/2012

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Reported hours and turnover

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours4.18per resident day
RN hours0.92per resident day
Weekend nurse hours3.89per resident day
Staff turnover50.0%CMS reported field
06 / LOCAL RECORDS

Other published facilities nearby

Open the Iowa ledger →

No second facility in the same city met the directory rule.

BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.