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Nursing HomeMedicaid Top Rated

Friendship Home Association

Strong Medicare quality ratings; families often praise clean and well-maintained facility. Still worth an in-person visit.

714 Division, Audubon, IA 5002546 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.2/5

based on 17 Google reviews

5
4
3
2
1
Friendship Home Association Nursing Home in Audubon, IA — Street View
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What this means for your family

Friendship Home Association is praised for its cleanliness and active social calendar, making it a welcoming environment for residents. When touring, we recommend asking how the facility vets and supervises agency staff to ensure they maintain the same standard of care as permanent employees.

Google Reviews

Google Reviews

17 reviews on Google
Friendship Home Association receives consistent praise for its cleanliness and welcoming atmosphere, with visitors noting that residents seem well-engaged in daily activities. However, the facility lacks detailed feedback, and one concerning report mentions unprofessional behavior from agency staff, highlighting a potential need for better oversight of temporary personnel.

Quality Themes

Tap a score for details
FoodN/AStaff8.0Clean10.0Activities9.0MedsN/AMemoryN/AComms8.0ValueN/A

Strengths

  • Clean and well-maintained facility
  • Welcoming and courteous staff
  • Active social environment with regular activities
  • Consistent communication with family members

Concerns

  • Professionalism issues with agency/temporary staff

Rating Trends

Tap a year to see what changed

2343.82018(5)4.22019(5)5.02021(1)5.02022(2)3.02023(2)5.02024(1)5.02026(1)

Distribution · 17 analyzed

5
10
4
3
3
2
2
1
1
1

How They Respond to Reviews

29%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1With 16 state violations noted over the past year, could you walk me through the steps the facility has taken to address these findings and improve quality of care?
  • 2I noticed that staffing levels are rated at 4 stars; how do you ensure consistent quality and professionalism when relying on agency or temporary staff members?
  • 3It is great to see the facility is well-maintained; what specific social activities or programs are currently the most popular among the 46 residents here?
  • 4Given the 4-star health inspection rating, what is your process for maintaining high standards of care during routine state surveys?
  • 5I appreciate that the team is known for being communicative; what is the best way for family members to stay updated on their loved one's daily well-being?
  • 6How does your nursing team coordinate with local medical providers to handle urgent health changes or emergencies for residents?

Personalized based on this facility's data


Key Review Excerpts

From my experience as a Pastor who does services here and visits regularly, the facility is always clean and tidy. The staff has always been welcoming and courteous both to me and the residents.

Regular visitor/Pastor · 2024★★★★★

Very nice place my friends mom has been there for a couple months now and they keep her daughter very well informed

Long-term resident's family · 2019★★★★

Friendly and knowledgeable staff. Very clean.

Visitor/Family · 2022★★★★★
Source: 17 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.64hrs
86%
Registered nurses for medical care
Total Nursing
3.73hrs
91%
All nurses + aides combined
Staff Turnover
50%
Lower is better (< 30% = good)
RN Turnover
0%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 15 measures

Medicare Rating
4/ 5
Better Than Avg

11

measures

Worse Than Avg

4

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility34.4%
Worse than Avg
Here
34.4%
US
15.5%
IA
19.4%
😔

Residents with depression symptoms

↓ Lower is better
This Facility3.1%
Better than Avg
Here
3.1%
US
12.1%
IA
4.1%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility17.7%
Better than Avg
Here
17.7%
US
19.4%
IA
25.9%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
IA
93.9%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility11.8%
Better than Avg
Here
11.8%
US
15.3%
IA
17.5%
🩹

Residents with pressure sores (bedsores)

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
4.9%
IA
4.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility71.9%
Worse than Avg
Here
71.9%
US
81.8%
IA
84.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

2deficiencies
5penalties
Well below state avg (6.2)
6 complaint-triggered
$30,227 in fines

Friendship Home Association has faced recurring issues across multiple surveys, with families filing six complaints that triggered federal investigations. The facility shows persistent problems with fire safety systems, accident prevention, and medication management, with the same deficiencies appearing repeatedly across different inspection dates. While all violations have been reportedly corrected, the pattern of recurring issues in critical safety areas warrants careful consideration during your visit.

Sep 4, 2025Complaint
2
0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Jun 19, 2025Routine
5
0352Potential for harm · WidespreadCorrected

Smoke Deficiencies

Properly install and monitor supervisory attachments on automatic sprinkler systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0921Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0362Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

0761Potential for harm · PatternCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Aug 1, 2024Routine
13
0341Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0914Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0607Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0803Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0351Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0372Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

Nov 9, 2023Routine
7
0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0836Potential for harm · IsolatedCorrected

Administration Deficiencies

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.

0868Potential for harm · IsolatedCorrected

Administration Deficiencies

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Jul 20, 2023Complaint
4
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Federal Penalties

Fine

Nov 6, 2023

$2,797

Fine

Oct 30, 2023

$2,447

Fine

Oct 23, 2023

$2,098

Fine

Oct 2, 2023

$4,194

Fine

Jul 20, 2023

$18,691

State Inspection History

State Inspections

Source: Iowa Dept. of Inspections, Appeals & Licensing

10total
16deficiencies
Jan 27, 2026Complaint
Clean

Fed violations: 0, State violations: 0

Sep 22, 2025Other
Clean

Fed violations: 0, State violations: 0

Sep 4, 2025Other
Clean

Fed violations: 2, State violations: 0

Jun 19, 2025Inspection
Clean

Fed violations: 0, State violations: 0

Aug 22, 2024Inspection
Clean

Fed violations: 0, State violations: 0

Aug 1, 2024Inspection
Clean

Fed violations: 4, State violations: 0

Dec 19, 2023Inspection
Clean

Fed violations: 0, State violations: 0

Nov 9, 2023Inspection
Clean

Fed violations: 5, State violations: 0

Ownership & Operations

Who Operates This Facility

Owner / Operator

Friendship Home Association

Organization Type

nonprofit

Ownership & Management

Key personnel

Andersen, JessicaW-2 Managing EmployeeAlt, MelindaOfficer / DirectorAndersen, JessicaOfficer / DirectorAndersen, TimothyOfficer / DirectorDeist, GenelleOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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