GoodStanding

Nursing home report

Friendship Home

Registered name: Friendship Home Association

Audubon, IA · Medicare-certified · 46 beds

In good standing
Non-profit
Data as of September 1, 2026
3 of 5 overall

Friendship Home in Audubon, IA has an overall rating of 3 out of 5 stars, with 3-star health inspection and quality ratings and a 4-star staffing rating. Reported nurse staffing is 3.92 hours per resident per day, slightly below the federal benchmark of 4.1, with $0 in fines in the last 24 months.

Facility ratings

Health inspections

Staffing

3.9229 hrs/resident/day

Quality measures

Last inspection: July 30, 2026Penalties, 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 nursing home failed to provide the required notice or documentation about a resident’s needs, appeal rights, or bed-hold policy. Cited July 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 628 — 42 CFR §483.15(c)(2) — S/S: E

The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited July 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 641 — 42 CFR §483.20(g) — S/S: E

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

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  3. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  4. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  5. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found
  6. INSPECTION

    Health inspection found 5 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 4 fines · $11,536 in total fines.

  • Federal fine

    Nov 6, 2023

    $2,797
  • Federal fine

    Oct 30, 2023

    $2,447
  • Federal fine

    Oct 23, 2023

    $2,098
  • Federal fine

    Oct 2, 2023

    $4,194

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 32 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.