The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Friendship Home
Registered name: Friendship Home Association
Audubon, IA · Medicare-certified · 46 beds
In good standing
Non-profit
Data as of July 1, 2026
4 of 5 overall
Friendship Home in Audubon, IA has an overall rating of 4 out of 5 stars, with 4-star health inspection and staffing ratings and a 3-star quality measures rating. It reported 3.92 nurse staffing hours per resident per day versus the 4.1-hour federal benchmark, had $0 in fines over the last 24 months, and recent inspection citations included accident hazards/supervision, abuse/neglect/theft prevention policies, and menu/nutrition requirements.
Facility ratings
Health inspections
Staffing
3.9229 hrs/resident/day
Quality measures
Last inspection: September 4, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9229.
Staffing detail
- Registered nurses
- 0.54
- Licensed practical nurses
- 0.71
- Nurse aides
- 2.66
- Weekend nursing
- 3.34
Hours per resident per day.
Total staff turnover: 61%
Registered nurse turnover: 60%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
32.4%40%Worsening
Residents with a fall causing major injury
0%2.7%Worsening
Residents with pressure ulcers (bedsores)
0%3%Worsening
Residents with a urinary tract infection
7%2.7%Improving
Residents who lost too much weight
2.7%4%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
8.3%44%Worsening
Residents whose ability to walk got worse
5.4%20.8%Worsening
Long-stay residents on antianxiety or sleep medication
18.9%20%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
26.7%25.7%Improving
Residents with depressive symptoms
0%2.9%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—97.7%—
Long-stay residents given the pneumonia vaccine
100%94.6%Worsening
Short-stay residents given the pneumonia vaccine
—77.1%—
What the inspectors found
The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited August 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 607 — 42 CFR §483.12 — S/S: E
The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited August 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 803 — 42 CFR §483.60 — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited November 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 5 fines · $30,227 in total fines.
- $2,797
Federal fine
Nov 6, 2023
- $2,447
Federal fine
Oct 30, 2023
- $2,098
Federal fine
Oct 23, 2023
- $4,194
Federal fine
Oct 2, 2023
- $18,691
Federal fine
Jul 20, 2023
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 37 residents on an average day (80% of 46 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 31 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.