Friendship Home Association
714 Division · Audubon, IA · 50025 · 7125632651
46 certified beds Non profit - Corporation
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 5 of 5 Inspections: 4 of 5 Staffing: 5 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.73 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.64 | 0.55–0.75 |
| Weekend hours / resident-day | 3.11 | ≈ weekday level |
| Nursing turnover / year | 50% | median 45% |
| Fines (3-yr window) | 5 · $30,227 |
Inspection citations (15 in the current record)
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Potential for harm · D September 4, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected September 5, 2025 · Resident Rights
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Potential for harm · D September 4, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 5, 2025 · Quality of Life and Care
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Potential for harm · D August 1, 2024
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.
Corrected August 22, 2024 · Resident Rights
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Potential for harm · E August 1, 2024
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected August 22, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E August 1, 2024
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.
Corrected August 22, 2024 · Nutrition and Dietary
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Potential for harm · E August 1, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 22, 2024 · Nutrition and Dietary
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Potential for harm · E November 9, 2023
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected December 4, 2023 · Nutrition and Dietary
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Potential for harm · E November 9, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 4, 2023 · Nutrition and Dietary
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Potential for harm · D November 9, 2023
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.
Corrected December 4, 2023 · Administration
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Potential for harm · D November 9, 2023
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected December 4, 2023 · Administration
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Potential for harm · D November 9, 2023
Provide and implement an infection prevention and control program.
Corrected December 19, 2023 · Infection Control
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Actual harm · G July 20, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 16, 2023 · Quality of Life and Care
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Potential for harm · D July 20, 2023 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected August 16, 2023 · Quality of Life and Care
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Potential for harm · D July 20, 2023 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected August 16, 2023 · Pharmacy Service
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Potential for harm · D July 20, 2023 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected August 16, 2023 · Pharmacy Service
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 6, 2023 | Fine | $2,797 |
| October 30, 2023 | Fine | $2,447 |
| October 23, 2023 | Fine | $2,098 |
| October 2, 2023 | Fine | $4,194 |
| July 20, 2023 | Fine | $18,691 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165232 · certified since October 3, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.