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.
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).
Last yrNowTrend
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).
Last yrNowTrend
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.
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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.
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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.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — 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 3 health deficiencies.
See what inspectors found
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.
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INSPECTION
Health inspection found 5 health deficiencies.
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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.