Nursing homeActive
Friendship Home Association
714 Division, Audubon, IA 50025712563265146 certified beds · 37 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
4
since 2023
Deficiencies
11
● 0● 11● 0
Penalties · 3 yrs
$11,536
4 fines
Last survey
2025-09-04
Complaint
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 4
Staffing 4
Quality 3
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Iowa Department of Inspections, Appeals & Licensing · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-09-04 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2025-06-19 | Standard | 000 | CMS-2567 (Care Compare) | — |
| 2024-08-01 | Standard | 040 | CMS-2567 (Care Compare) | — |
| 2023-11-09 | Standard | 050 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Iowa Department of Inspections, Appeals & Licensing publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-05Record 165232-20250904-F580
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-05Record 165232-20250904-F689
F578Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-22Record 165232-20240801-F578
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-22Record 165232-20240801-F607
F803Ensure 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.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-22Record 165232-20240801-F803
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-22Record 165232-20240801-F812
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-12-04Record 165232-20231109-F804
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-12-04Record 165232-20231109-F812
F836Ensure 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.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-04Record 165232-20231109-F836
F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyScope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-04Record 165232-20231109-F868
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-19Record 165232-20231109-F880
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2023-11-06 | Civil money penalty | $2,797 | CMS · Penalties |
| 2023-10-30 | Civil money penalty | $2,447 | CMS · Penalties |
| 2023-10-23 | Civil money penalty | $2,098 | CMS · Penalties |
| 2023-10-02 | Civil money penalty | $4,194 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.54
Facility
Iowa
National
Iowa 0.74 · National 0.69
Total nurse hours per resident day3.92
Facility
Iowa
National
Iowa 3.82 · National 3.86
Weekend total nurse hours3.34
Facility
Iowa
National
Iowa 3.37 · National 3.42
Total nursing staff turnover61%
Facility
Iowa
National
Iowa 44% · National 46%
Registered nurse turnover60%
Facility
Iowa
National
Iowa 42% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Iowa | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 0.7% | 4.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 1.2% | 3.8% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 36.5% | 19.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 4.9% | 2.4% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 17.9% | 17.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 6.3% | 4.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 16.7% | 20.8% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Andersen, Jessica Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Alt, Melinda Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Andersen, Jessica Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Andersen, Jessica Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Andersen, Timothy Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Andersen, Timothy Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Deist, Genelle Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Deist, Genelle Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Edwards, Jeffrey Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Edwards, Jeffrey Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Frolich, Pattie Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Jones, Mark Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Nelsen, Karen Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Wede, Susan Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Iowa.
No county cost figures on file for Audubon.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Exira Care Center Exira | 9.3 mi | 2026-05-06 | 0141 |
| Salem Lutheran Home Elk Horn | 10.8 mi | 2026-05-22 | 0301 |
| Thomas Rest Haven Coon Rapids | 16.9 mi | 2026-01-15 | 1112 |
| Caring Acres Nursing and Rehab Center Anita | 21.1 mi | 2026-06-04 | 0493 |
| Heritage House Atlantic | 22.2 mi | 2025-09-11 | 040 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |