The Cottages: Staffing, Turnover, and Inspection Record
The Cottages is a 100-bed nonprofit nursing home in Pella, Iowa, part of Wesleylife. In the CMS August 2026 release it reported 2.63 nurse aide hours per resident per day, 5% above the Iowa average of 2.51, and 50.0% nursing staff turnover (Iowa average 44.0%).
The Cottages
1742 Main StreetPella, IA 50219
Marion County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At The Cottages, nurse aides logged 2.63 hours per resident per day, 5% above the Iowa average. With about 87 residents a day, that works out to roughly 229 aide hours a day, or about 29 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 7% below the all-days figure.
| Hours per resident per day | This home | Iowa avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.63 | 2.51 | 2.32 |
| Licensed practical nurses | 0.63 | 0.56 | 0.86 |
| Registered nurses | 0.92 | 0.74 | 0.69 |
| All nursing staff | 4.18 | 3.82 | 3.86 |
| All nursing staff, weekends | 3.89 | 3.37 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
50.0% of nursing staff at The Cottages left over the year CMS measured, against a Iowa average of 44.0% and a US average of 45.8%. Registered nurse turnover was 57.1%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Aug 25, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 13 health deficiencies (Iowa average 6.5). CMS lists 3 fines totaling $52,060 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Jun 4, 2026 | Fine | $12,006 |
| Aug 25, 2025 | Fine | $26,800 |
| Feb 24, 2025 | Fine | $13,254 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. The Cottages holds 1 of 5 overall; the Iowa average is 3.1.
About The Cottages
- Ownership: Non profit - Corporation
- Chain: Wesleylife, 10 homes
- Legal name: Hearthstone a Ministry of Wesleylife LLC
- Medicare and Medicaid certified since: May 30, 2014
- Part of a continuing care retirement community
- Area: rural
Nursing homes near The Cottages
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Accura Healthcare of Knoxville, LLC Knoxville | 11.4 | 60 | 2.12 | 3.47 | 53.2% | 2 | $16,153 |
| West Ridge Specialty Care Knoxville | 12.9 | 78 | 1.87 | 3.10 | 53.2% | 3 | None |
| Oskaloosa Care Center Oskaloosa | 15.5 | 83 | 2.56 | 3.66 | 62.6% | 1 | $45,354 |
| Crystal Heights Care Center Oskaloosa | 15.9 | 72 | 2.25 | 3.07 | 63.5% | 2 | $10,489 |
| Northern Mahaska Specialty Care Oskaloosa | 16.0 | 79 | 2.07 | 3.20 | 31.3% | 2 | $39,033 |
| Accura Healthcare of Pleasantville, LLC Pleasantville | 18.6 | 46 | 2.38 | 3.45 | 53.7% | 1 | $28,724 |
| Traditions Memory Care of Newton Newton · many days without an RN | 19.5 | 46 | 2.03 | 2.99 | 21.2% | 3 | None |
| Accura Healthcare of Newton East, LLC Newton · many days without an RN | 19.5 | 54 | 2.12 | 3.14 | 38.2% | 1 | $19,744 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.