nursing home in Audubon, IA
Friendship Home Association
714 Division, Audubon, IA 50025 · (712) 563-2651
★★★★★3
Average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★4
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Friendship Home Association at a glance
Friendship Home Association is a 46-bed non-profit nursing home in Audubon, Iowa (Audubon County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Iowa average of 3.1.
Residents receive about 3.9 hours of nursing care per day (0.5 of them from registered nurses), close to the state average of 3.8 hours.
Its most recent standard health inspection (June 19, 2025) found 5 health citations. The Iowa average is 6.5.
Federal regulators fined it 4 times in the past three years, totaling $11,536.
Nursing staff turnover is 60.5% per year (state average 44%).
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Corporation
- Beds
- 46
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- October 3, 1994
- Resident/family council
- Resident
- County
- Audubon County
- CMS Certification Number
- 165232
Ratings
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 3.1 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 3.7 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 3 / 5 | 3.3 / 5 | 3.8 / 5 | Worse |
Staffing
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.92 hrs | 3.82 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.54 hrs | 0.74 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.66 hrs | 2.52 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.34 hrs | 3.37 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 60.5% | 44% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 60% | 42.1% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 5 | 6 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 5 | 3 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 28 | 54.5 | 80.6 | Better |
Penalties
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 4 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $11,536 | $19,286 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 4 | 1 | 1 | Worse |
Size
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 46 | 65 | 107 | |
| Average residents per day | 37 | 52 | 86 | |
| Occupancy | 80.4% | 81.5% | 80.9% |
Long-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 1.2% | 3.8% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 0.7% | 4.2% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 36.5% | 19.5% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 4.9% | 2.4% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 1.5% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 17.9% | 17.1% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 12.7% | 16.6% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 6.3% | 4.6% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 3.2% | 4.2% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.2% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 16.7% | 20.8% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 20.1% | 25.6% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 97.7% | 95.3% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 98.8% | 94% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents given a pneumonia vaccine (higher is better) | 77.1% | 84% | 82% | Worse |
Inspection citations
State inspectors cited this home for 14 health deficiencies and 16 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 30, 2026 Complaint | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | E Potential harm, pattern | Deficient, Provider has no plan of correction |
| July 30, 2026 Complaint | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Tag F0628 | E Potential harm, pattern | Deficient, Provider has no plan of correction |
| July 30, 2026 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Deficient, Provider has no plan of correction |
| September 4, 2025 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected September 5, 2025 |
| September 4, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected September 5, 2025 |
| June 19, 2025 Fire safety | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921 | F Potential harm, widespread | Corrected June 25, 2025 |
| June 19, 2025 Fire safety | Properly install and monitor supervisory attachments on automatic sprinkler systems. Smoke Deficiencies · Tag K0352 | F Potential harm, widespread | Corrected July 18, 2025 |
| June 19, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected June 25, 2025 |
| June 19, 2025 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | E Potential harm, pattern | Corrected June 25, 2025 |
| June 19, 2025 Fire safety | Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Smoke Deficiencies · Tag K0362 | E Potential harm, pattern | Corrected July 1, 2025 |
| August 1, 2024 Fire safety | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Tag K0341 | F Potential harm, widespread | Corrected August 15, 2024 |
| August 1, 2024 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected August 16, 2024 |
| August 1, 2024 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | F Potential harm, widespread | Corrected August 15, 2024 |
| August 1, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected August 6, 2024 |
| August 1, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected August 26, 2024 |
| August 1, 2024 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected August 6, 2024 |
| August 1, 2024 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected August 7, 2024 |
| August 1, 2024 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | D Potential harm, isolated | Corrected August 26, 2024 |
| August 1, 2024 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | D Potential harm, isolated | Corrected August 7, 2024 |
| August 1, 2024 Standard | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Tag F0803 | E Potential harm, pattern | Corrected August 22, 2024 |
| August 1, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected August 22, 2024 |
| August 1, 2024 Standard | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | E Potential harm, pattern | Corrected August 22, 2024 |
| August 1, 2024 Standard | 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. Resident Rights Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected August 22, 2024 |
| November 9, 2023 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | E Potential harm, pattern | Corrected November 17, 2023 |
| November 9, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected November 14, 2023 |
| November 9, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected December 4, 2023 |
| November 9, 2023 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected December 4, 2023 |
| November 9, 2023 Standard | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. Administration Deficiencies · Tag F0836 | D Potential harm, isolated | Corrected December 4, 2023 |
| November 9, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected December 19, 2023 |
| November 9, 2023 Standard | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · Tag F0868 | D Potential harm, isolated | Corrected December 4, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 4 federal penalties in the past three years, including $11,536 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| November 6, 2023 | Fine | $2,797 |
| October 30, 2023 | Fine | $2,447 |
| October 23, 2023 | Fine | $2,098 |
| October 2, 2023 | Fine | $4,194 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| ALT, MELINDA Individual | corporate director | NOT APPLICABLE | 08/01/2021 |
| ANDERSEN, JESSICA Individual | corporate director | NOT APPLICABLE | 08/24/2018 |
| ANDERSEN, TIMOTHY Individual | corporate director | NOT APPLICABLE | 03/01/2015 |
| DEIST, GENELLE Individual | corporate director | NOT APPLICABLE | 06/01/2018 |
| EDWARDS, JEFFREY Individual | corporate director | NOT APPLICABLE | 03/01/2016 |
| FROLICH, PATTIE Individual | corporate director | NOT APPLICABLE | 08/01/2020 |
| JONES, MARK Individual | corporate director | NOT APPLICABLE | 08/01/2021 |
| NELSEN, KAREN Individual | corporate director | NOT APPLICABLE | 01/01/2022 |
| WEDE, SUSAN Individual | corporate director | NOT APPLICABLE | 03/01/2010 |
| ANDERSEN, TIMOTHY Individual | corporate officer | NOT APPLICABLE | 03/01/2015 |
| DEIST, GENELLE Individual | corporate officer | NOT APPLICABLE | 06/01/2018 |
| EDWARDS, JEFFREY Individual | corporate officer | NOT APPLICABLE | 03/01/2016 |
| ANDERSEN, JESSICA Individual | operational/managerial control | NOT APPLICABLE | 08/24/2018 |
| ANDERSEN, JESSICA Individual | w-2 managing employee | NOT APPLICABLE | 08/24/2018 |
Other nursing homes near Friendship Home Association
- ★★★★★2Below average
Salem Lutheran Home
2027 College Avenue, Elk Horn, IA 51531 · 10.8 mi
For-profit · 64 beds · Part of Good Samaritan Society
★★★★★1Much below average- ★★★★★2Below average
Caring Acres Nursing and Rehab Center
1000 Hillcrest Drive, Anita, IA 50020 · 21.1 mi
For-profit · 41 beds
★★★★★1Much below averageElm Crest Retirement Community
2104 12th Street, Harlan, IA 51537 · 21.1 mi
Non-profit · 50 beds · Part of American Baptist Homes of the Midwest
★★★★★2Below averageHeritage House
1200 Brookridge Circle, Atlantic, IA 50022 · 22.2 mi
Non-profit · 61 beds · Part of Wesleylife
- CMS high performer
★★★★★5Much above average
Frequently asked questions
What is Friendship Home Association's rating?
Friendship Home Association has 3 out of 5 stars on the CMS overall star rating. The average for Iowa nursing homes is 3.1 stars.
How many inspection citations did Friendship Home Association receive?
Its most recent standard health inspection found 5 citations, compared with a Iowa average of 6.5. Every citation is listed on this page with its severity.
Does Friendship Home Association accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Friendship Home Association?
It is non profit - corporation. The ownership section on this page lists the owners and managers reported to CMS.
Where is Friendship Home Association and how do I contact it?
Friendship Home Association is at 714 Division, Audubon, IA 50025. Phone: (712) 563-2651.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.