The Cottages is certified as a Medicare and Medicaid facility and has been approved to provide these services since 2014-05-30. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (641) 628-1244 or your local Medicaid office to verify current eligibility.

The Cottages holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 2 out of 5 stars. This is made up of three components: Health Inspection (1★), Staffing (5★), and Quality of Resident Care (3★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 68.6/100, placing it #8918 of 14703 facilities nationally and #225 of 390 in Iowa. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at The Cottages receives a reported average of 4 hours 2 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 43 minutes; Licensed Practical Nurse (LPN) — 43 minutes; Nurse Aide — 2 hours 35 minutes. On weekends, total nurse staffing is 3 hours 41 minutes per resident per day. The CMS Staffing Rating for this facility is 5 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 44.3%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 2 fine(s) totaling $54,484. 3 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 2 fine(s) totaling $54,484, and 0 Medicare payment denial(s). Total penalties: 2. The Total Weighted Health Survey Score is 86.25 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, The Cottages ranks 8918th out of 14,703 facilities (composite score: 68.6/100), placing it in the below average nationwide. Within IA, it ranks 225th out of 390 nursing homes. For 2026 staffing: total nurse hours rank #4,635 nationally and RN hours rank #4,692 nationally (#157 in IA). Our composite quality score of 68.6/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Pella, visit: https://nursinghomesnearme.org/iowa/pella/