Friendship Home Association

Name: Friendship Home Association
Address: 714 Division, Audubon, IA, 50025, US
Telephone: 7125632651

714 Division, Audubon, IA 50025 · Audubon County · 46 certified beds · avg 37 residents/day · certified since Oct 3, 1994

4/5

Health inspection rating (on-site)

Serious findings on record

$11,536

Fines, last 3 years

5.32

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

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 self-reported quality measures.

All citations in the current public record (11)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Sep 4, 2025	D · Potential for harm, one-off	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
Sep 4, 2025	D · Potential for harm, one-off	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
Aug 1, 2024	E · Potential for harm, repeated	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.
Aug 1, 2024	E · Potential for harm, repeated	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.
Aug 1, 2024	E · Potential for harm, repeated	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.
Aug 1, 2024	D · Potential for harm, one-off	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.
Nov 9, 2023	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Nov 9, 2023	E · Potential for harm, repeated	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.
Nov 9, 2023	D · Potential for harm, one-off	The facility was not properly licensed, or did not operate in compliance with federal, state, and local laws, regulations, and accepted professional standards.
Nov 9, 2023	D · Potential for harm, one-off	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.
Nov 9, 2023	D · Potential for harm, one-off	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.

Inspection trend by year

Year	Citations	Worst severity that year
2023	5	E
2024	4	E
2025	2	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.

Fines and enforcement (last 3 years)

4 fines totaling $11,536.

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

Nurse staffing (from payroll records, adjusted for how much care residents need)

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, 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. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: —/5

Who owns this facility

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

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"If my family member falls or their condition changes, exactly when and how will I be notified?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
"Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"Could I join residents for a meal to see the food quality and temperature for myself?"
"Can you tell me about this citation and confirm your license and compliance status today?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
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

Compare this facility with the 3 closest →

All facilities in Audubon →

Facility data as of CMS processing date 2026-08-01. CCN 165232.

The Care File

Visit checklist — Friendship Home Association

714 Division, Audubon, IA 50025 · 7125632651

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $11,536

Questions for the administrator:

☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
☐ "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "Could I join residents for a meal to see the food quality and temperature for myself?"
☐ "Can you tell me about this citation and confirm your license and compliance status today?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 165232 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)