Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

The Cottages

Pella, IA · 100 certified beds · Last Life Safety survey August 25, 2025

CMS Certification Number 165607 · first certified May 2014

Also on this campus

The same campus holds a state-licensed assisted living facility, with its own state record on the Assisted Living Index: Friesland Al and Zeeland Memory Support (1742 Main Street). Matched by the street address the two records share. The records are separate and are never added together.

Ownership

Operated by WESLEYLIFE · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

12
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
3
Tags cited more than once
Across separate surveys
8
Inspection & testing records
Of the citations on file

Position within IA

12 citations — more than 47% of the 387 certified nursing homes in IA. Compared within IA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 2 citations; the earlier surveys in the window averaged 5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Past the typical window (July 2026 to September 2026). Most IA facilities have been surveyed by November 2026. This facility’s last Life Safety survey was August 2025. Facilities in IA are typically surveyed 11–13 months after the last one (median 12), measured over 700 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

2 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

5 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 12 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in IA, and nationally. Surveyors differ markedly between states, so the IA figure is the meaningful one.

This facility12IA median12National median11
Citations on file over three years, compared
MeasureCitations
This facility12
Median facility in IA12
Median facility nationally11

Survey history

Citations at each Life Safety survey
32023-0672024-0922025-08
Citations at each Life Safety survey
Survey dateCitations
June 29, 20233
September 26, 20247
August 25, 20252

Most-cited tags

Most-cited tags at this facility
K-03533K-03452K-09202K-07121K-03241K-05211K-09221K-03511
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.32025-08-25
K-0345Have approved installation, maintenance and testing program for fire alarm systems.22024-09-26
K-0920Ensure proper usage of power strips and extension cords.22025-08-25
K-0712Have simulated fire drills held at unexpected times.12023-06-29
K-0324Provide properly protected cooking facilities.12024-09-26
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.12024-09-26
K-0922Meet requirements for the use and maintenance of medical gas equipment.12024-09-26
K-0351Install an approved automatic sprinkler system.12024-09-26

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 7
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Services Deficiencies 1
  • Miscellaneous Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies7
Gas, Vacuum, and Electrical Systems Deficiencies3
Services Deficiencies1
Miscellaneous Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

August 25, 2025 — 2 citations

Citations issued on August 25, 2025
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (September 3, 2025)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (August 20, 2025)

September 26, 2024 — 7 citations

Citations issued on September 26, 2024
TagWhat the surveyor checksStatus
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (October 26, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (October 26, 2024)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (October 26, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Waiver has been granted (October 31, 2024)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (October 11, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (October 26, 2024)
K-0922Meet requirements for the use and maintenance of medical gas equipment.Deficient, Provider has date of correction (October 26, 2024)

June 29, 2023 — 3 citations

Citations issued on June 29, 2023
TagWhat the surveyor checksStatus
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (June 29, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (June 29, 2023)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (June 29, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.