Iowa › Audubon County › Audubon
Friendship Home Association
714 Division, Audubon, IA 50025
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Friendship Home Association is a Non-profit, corporation nursing home in Audubon, Iowa, certified for 46 beds and caring for about 37 residents a day.
CMS gives it 4 of 5 stars overall, above the Iowa median of 3; the health inspection rating is 4, staffing 4 and quality measures 3.
Inspectors recorded 11 health deficiencies across the three most recent survey cycles (2, 4, 5 by cycle, most recent first), none at the actual-harm level. That is 23.9 per 100 beds, about the same as the state median of 27.5.
CMS lists 4 penalties in the period covered: fines totalling $12K.
Reported nurse staffing is 3.9 hours per resident per day (0.5 RN), close to the Iowa median of 3.7; nursing staff turnover is 60.5%.
Compared with county, state and nation
| Measure | This facility | Audubon Co. median | Iowa median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 11 | 21 | 16 | 28.7 |
| Citations per 100 beds | 23.9 | 35.0 | 27.5 | 26.8 |
| Total nurse hours per resident day | 3.9 | 3.9 | 3.7 | 3.9 |
| RN hours per resident day | 0.5 | 0.6 | 0.7 | 0.7 |
| Nursing staff turnover | 60.5% | 60.5% | 41.9% | 45.8% |
| Fines listed | $11,536 | $22,880 | $0 | — |
County and state figures are medians across facilities (2 in the county, 387 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Iowa average per facility for the same cycle, as published by CMS. Standard health survey dates: 19 Jun 2025, 1 Aug 2024.
Severity mix: D ×6 E ×5
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 4 Sep 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 5 Sep 2025 |
| 4 Sep 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 5 Sep 2025 |
| 1 Aug 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 22 Aug 2024 |
| 1 Aug 2024 | F0803 | 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. | E | Standard survey | 22 Aug 2024 |
| 1 Aug 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 22 Aug 2024 |
| 1 Aug 2024 | F0578 | 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. | D | Standard survey | 22 Aug 2024 |
| 9 Nov 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 4 Dec 2023 |
| 9 Nov 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 4 Dec 2023 |
| 9 Nov 2023 | F0836 | 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. | D | Standard survey | 4 Dec 2023 |
| 9 Nov 2023 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D | Standard survey | 4 Dec 2023 |
| 9 Nov 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 19 Dec 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 6 Nov 2023 | Fine | $2,797 | |
| 30 Oct 2023 | Fine | $2,447 | |
| 23 Oct 2023 | Fine | $2,098 | |
| 2 Oct 2023 | Fine | $4,194 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Iowa average. Turnover: nursing staff 60.5%, RNs 60.0%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Iowa median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 17.9% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 4.9% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.2% | 3.4% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 12.7% | 15.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.7% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 36.5% | 18.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, corporation. Legal business name: Friendship Home Association.
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Audubon County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Exira Care Center | Exira | 60 | 2 | 2 | 4 | 21 | 35.0 | $23K | 6 May 2026 |
All 2 facilities in Audubon County
Questions and answers
How many deficiencies has Friendship Home Association been cited for?
11 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Iowa median is 16 per facility.
Has Friendship Home Association been fined?
Yes. CMS lists fines totalling $12K in the period covered.
How does staffing at Friendship Home Association compare?
Reported total nurse staffing is 3.9 hours per resident per day against a Iowa median of 3.7 and a national average of 3.9.
Who operates Friendship Home Association?
Ownership type is non-profit, corporation. Individual owners and managers are not listed on this site.
When was Friendship Home Association last inspected?
The most recent survey or investigation in the CMS record is dated 4 Sep 2025; the most recent standard health survey was 19 Jun 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.