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.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Friendship Home Association
Audubon, IA · Medicare-certified · 46 beds
In good standing
Non-profit
5 of 5 overall
5 out of 5 stars overall. Friendship Home Association has strong staffing and quality ratings and no fines in the last 24 months, but its reported nurse staffing of 3.73 hours per resident per day is below the 4.1-hour federal benchmark; the health inspection rating is 4 out of 5 stars.
Facility ratings
Health inspections
Staffing
3.7293 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 3.7293.
Staffing detail
- Registered nurses
- 0.64
- Licensed practical nurses
- 0.54
- Nurse aides
- 2.55
- Weekend nursing
- 3.11
Hours per resident per day.
Total staff turnover: 50%
Registered nurse turnover: 0%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
34.4%Worsening
Residents with a fall causing major injury
0.6%Worsening
Residents with pressure ulcers (bedsores)
0%Steady
Residents with a urinary tract infection
4.8%Steady
Residents who lost too much weight
6.6%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
13.5%Improving
Residents whose ability to walk got worse
11.8%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
16.1%Improving
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
17.7%Steady
Residents with depressive symptoms
3.1%Steady
Long-stay residents given the seasonal flu vaccine
97.7%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the pneumonia vaccine
71.9%Steady
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.
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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.
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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.
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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
- 40.1 residents on an average day (87% 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.