Friendship Home Association

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 →

4/5

Health inspection rating (on-site)

inspected Jun 19, 2025

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)

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.

Inspection findings in the public record

Showing the latest 3 of 11 inspection findings. Open the full record below to read every finding.

Sep 4, 2025D · 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, 2025D · 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, 2024E · 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

View all 11 inspection findingsShow only the latest 3 findings

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

Inspection trend by year

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01

All citationsSerious citations (G–L)

2023

2024

2025

All bars start at zero. Exact values and supporting details remain below.

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)

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

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

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01

This facilityIowa averageU.S. average

Total nurse staffing (hours per resident per day)

5.32

4.37

3.95

Registered Nurse hours

0.74

0.85

0.69

Weekend total nurse staffing

4.54

3.86

3.50

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.

Quality measures: assessments & claims

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

Costs & payment

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.

Calculate a stay from a quote you receive

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.

Before you compare prices

Request the room type, effective date and itemized daily rate in writing.
Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.

Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

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.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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?"

Also worth asking anywhere

"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the plan of correction for the findings in your most recent state inspection?"
"CMS reports 61% total nursing staff turnover here — who on the care team has been with you longest?"
"The ownership record on file lists 14 owning or managing parties — who makes the decisions about staffing levels?"
"Can I visit again unannounced, at a mealtime or on a weekend?"

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.

This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).

The Care File

Visit checklist — Friendship Home Association

714 Division, Audubon, IA 50025 · (712) 563-2651

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 plan of correction for the findings in your most recent state inspection?"
☐ "CMS reports 61% total nursing staff turnover here — who on the care team has been with you longest?"
☐ "The ownership record on file lists 14 owning or managing parties — who makes the decisions about staffing levels?"
☐ "Can I visit again unannounced, at a mealtime or on a weekend?"

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)