714 Division, Audubon, IA 50025 (opens Google Maps) · Audubon County · (712) 563-2651· 46 certified beds · avg 37 residents/day · certified since Oct 3, 1994 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5 · how star ratings work →
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
Showing the latest 3 of 11 inspection findings. Open the full record below to read every finding.
The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint F-0580
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint F-0689
The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. F-0607
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Sep 4, 2025 | D · Potential for more than minimal harm, isolated | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint · F-0580 |
| Sep 4, 2025 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689 |
| Aug 1, 2024 | E · Potential for more than minimal harm, pattern | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · F-0607 |
| Aug 1, 2024 | E · Potential for more than minimal harm, pattern | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · F-0803 |
| Aug 1, 2024 | E · Potential for more than minimal harm, pattern | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Aug 1, 2024 | D · Potential for more than minimal harm, isolated | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · F-0578 |
| Nov 9, 2023 | E · Potential for more than minimal harm, pattern | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804 |
| Nov 9, 2023 | E · Potential for more than minimal harm, pattern | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Nov 9, 2023 | D · Potential for more than minimal harm, isolated | The facility was not properly licensed, or did not operate in compliance with federal, state, and local laws, regulations, and accepted professional standards. · F-0836 |
| Nov 9, 2023 | D · Potential for more than minimal harm, isolated | The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months. · F-0868 |
| Nov 9, 2023 | D · Potential for more than minimal harm, isolated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 5 | 0 | E |
| 2024 | 4 | 0 | E |
| 2025 | 2 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
How to file a complaint about care →
4 fines totaling $11,536.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
| Date | Type | Amount / length |
|---|---|---|
| Nov 6, 2023 | Fine | $2,797 |
| Oct 30, 2023 | Fine | $2,447 |
| Oct 23, 2023 | Fine | $2,098 |
| Oct 2, 2023 | Fine | $4,194 |
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Iowa avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 5.32 | 4.37 | 3.95 | top 11% in Iowa; top 9% in the U.S. |
| Registered Nurse hours | 0.74 | 0.85 | 0.69 | bottom 42% in Iowa; top 32% in the U.S. |
| Weekend total nurse staffing | 4.54 | 3.86 | 3.50 | top 15% in Iowa; top 12% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.40 | 0.51 | 0.48 | bottom 36% in Iowa; top 48% in the U.S. |
| Total nursing staff turnover (%) | 60.5 | 44.0 | 45.8 | bottom 11% in Iowa; bottom 16% in the U.S. |
| RN turnover (%) | 60.0 | 42.1 | 42.9 | bottom 26% in Iowa; bottom 22% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.92, RN 0.54, weekend 3.34.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.92 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: —/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Friendship Home Association. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Alt, Melinda | Individual | Corporate Director | NOT APPLICABLE | 08/01/2021 |
| Andersen, Jessica | Individual | W-2 Managing Employee | NOT APPLICABLE | 08/24/2018 |
| Andersen, Jessica | Individual | Corporate Director | NOT APPLICABLE | 08/24/2018 |
| Andersen, Jessica | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/24/2018 |
| Andersen, Timothy | Individual | Corporate Director | NOT APPLICABLE | 03/01/2015 |
| Andersen, Timothy | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2015 |
| Deist, Genelle | Individual | Corporate Director | NOT APPLICABLE | 06/01/2018 |
| Deist, Genelle | Individual | Corporate Officer | NOT APPLICABLE | 06/01/2018 |
| Edwards, Jeffrey | Individual | Corporate Director | NOT APPLICABLE | 03/01/2016 |
| Edwards, Jeffrey | Individual | Corporate Officer | 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 |
All 14 owning or managing parties CMS has on file are shown — none excluded.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Exira Care Center | 9.3 mi | Exira, IA | ★★☆☆☆ | 2/5 | |
| Salem Lutheran Home | 10.8 mi | Elk Horn, IA | ★☆☆☆☆ | 1/5 | |
| Thomas Rest Haven | 16.9 mi | Coon Rapids, IA | ★★☆☆☆ | 2/5 |
Facility data as of CMS processing date 2026-08-01. CCN 165232.
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