With a score of 35/100, The Cottages ranks in the bottom tier of Iowa nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.
Staffing at The Cottages is near the national average, with 4.03 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 21 deficiencies at The Cottages, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.03 | 3.8 | Average |
| Registered Nurses (RN) | 0.72 | 0.7 | Average |
| Licensed Practical Nurses (LPN) | 0.72 | 0.7 | Average |
| Certified Nursing Assistants (CNA) | 2.59 | 2.4 | Average |
| Weekend Total Nursing | 3.68 | 3.8 | Average |
| Weekend RN Hours | 0.48 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0600 Severity DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Nov 24, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0609 Severity DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Nov 24, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0689 Severity GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Aug 24, 2025 · Quality of Life and Care Deficiencies
- Tag 0605 Severity DPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Aug 24, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0656 Severity DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Aug 24, 2025 · Resident Assessment and Care Planning Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 7.6% | 4.5% | Worse |
| Falls with major injury | 6.3% | 3.0% | Worse |
| On antipsychotic medication | 21.5% | 14.5% | Worse |
| Urinary tract infections | 0.6% | 2.5% | Better |
| ADL decline (daily activities) | 17.7% | 14.0% | Worse |
| Excessive weight loss | 4.7% | 7.5% | Better |
| New/worsened incontinence | 23.8% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $54,484
How This Grade Was Calculated
This facility's grade of F is based on a score of 35 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 5★ → 20 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -5 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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