Friendship Home Association
Audubon, Audubon County, Iowa · CCN 165232 · Non-profit (Corporation) · not part of a chain
CMS rates Friendship Home Association 4 of 5 overall as of August 2026. 46 certified beds, 37 residents a day on average. 11 citations on record from the current inspection cycles; 4 fines totalling $11,536.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★★☆ 4 of 5 |
|---|---|
| Health inspections | ★★★★☆ 4 of 5 |
| Staffing | ★★★★☆ 4 of 5 |
| Quality measures | ★★★☆☆ 3 of 5 |
| Quality: long-stay / short-stay | 3 / — of 5 |
Staffing
| Total nurse staffing | 3.92287 hours per resident per day |
|---|---|
| Registered nurses | 0.54487 hours per resident per day |
| Weekend total | 3.34329 hours per resident per day |
| Nursing staff turnover | 60.5% (registered nurses 60%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2025-09-04 complaint survey |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · tag F0580 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-05 |
| 2025-09-04 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-05 |
| 2024-08-01 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0607 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-08-22 |
| 2024-08-01 | 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. Nutrition and Dietary Deficiencies · tag F0803 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-08-22 |
| 2024-08-01 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-08-22 |
| 2024-08-01 | 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. Resident Rights Deficiencies · tag F0578 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-08-22 |
| 2023-11-09 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · tag F0804 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-12-04 |
| 2023-11-09 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-12-04 |
| 2023-11-09 | 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. Administration Deficiencies · tag F0836 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-12-04 |
| 2023-11-09 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · tag F0868 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-12-04 |
| 2023-11-09 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-12-19 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2023-11-06 | Fine | $2,797 |
| 2023-10-30 | Fine | $2,447 |
| 2023-10-23 | Fine | $2,098 |
| 2023-10-02 | Fine | $4,194 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Alt, Melinda Individual | corporate director | — | 2021-08-01 |
| Andersen, Jessica Individual | corporate director | — | 2018-08-24 |
| Andersen, Timothy Individual | corporate director | — | 2015-03-01 |
| Deist, Genelle Individual | corporate director | — | 2018-06-01 |
| Edwards, Jeffrey Individual | corporate director | — | 2016-03-01 |
| Frolich, Pattie Individual | corporate director | — | 2020-08-01 |
| Jones, Mark Individual | corporate director | — | 2021-08-01 |
| Nelsen, Karen Individual | corporate director | — | 2022-01-01 |
| Wede, Susan Individual | corporate director | — | 2010-03-01 |
| Andersen, Timothy Individual | corporate officer | — | 2015-03-01 |
| Deist, Genelle Individual | corporate officer | — | 2018-06-01 |
| Edwards, Jeffrey Individual | corporate officer | — | 2016-03-01 |
| Andersen, Jessica Individual | operational/managerial control | — | 2018-08-24 |
| Andersen, Jessica Individual | w-2 managing employee | — | 2018-08-24 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Friendship Home Association.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Audubon County.