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Friendship Home Association

Audubon, IA · Medicare and Medicaid-certified nursing home (CCN 165232) · 46 certified beds

CMS overall rating: 4★ (state average 3.07★ — above state average)
Health inspection: 4 · Quality measures: 3 · Staffing: 4
Federal fines: 4 totaling $11,536
Phone: (712) 563-2651 · Verify on Medicare Care Compare ↗

Friendship Home Association has an overall CMS rating of 4 stars, above Iowa's state average of 3.07 stars, with a 4-star health inspection rating and a 4-star staffing rating.

Friendship Home Association reports 3.92 total nurse hours per resident per day, including 0.54 RN hours per resident per day, with a staffing turnover rate of 60.5% and a 4-star CMS staffing rating.

CMS records show Friendship Home Association has 4 federal fines totaling $11,536.00 and no payment denials; the facility does not currently display CMS's abuse icon and is not in the Special Focus program.

Overall rating vs. benchmarks
Friendship Home Assoc… Friendship Home Assoc…: 4★ 4★ IA average IA average: 3.07★ 3.07★

About this facility

Friendship Home Association is a 46-bed nursing home in Audubon, Iowa, certified by Medicare and Medicaid since October 1994. It operates as a non-profit corporation and reports an average of 37 residents. There is no chain affiliation and no ownership change in the last 12 months.

According to CMS Care Compare, Friendship Home Association holds an overall rating of 4 stars, above the Iowa state average of 3.07 stars. Its health inspection rating is 4 stars, its staffing rating is 4 stars, and its quality measure (QM) rating is 3 stars. These four ratings each reflect different aspects of CMS's evaluation: health inspections, staffing levels, quality measures, and the blended overall score.

Nurse staffing totals 3.92 hours per resident per day, including 0.54 RN hours per resident per day. Nursing staff turnover is reported at 60.5%, a figure families may want to discuss further with staff.

On penalties, CMS records show 4 fines totaling $11,536.00 for this facility, and no payment denials on record. There is no abuse icon displayed for this facility on Care Compare, and it is not currently designated under CMS's Special Focus program, which is reserved for facilities identified as persistently underperforming and placed under increased inspection scrutiny.

This profile is drawn entirely from CMS Care Compare data. Families are encouraged to review the current inspection record and quality details directly on Medicare Care Compare before making a decision.

Questions families ask

What is this nursing home's CMS overall star rating and how does it compare to the state average?

Friendship Home Association has an overall rating of 4 stars, which is above Iowa's state average of 3.07 stars.

Does this facility accept Medicare, Medicaid, or both?

It accepts both Medicare and Medicaid.

How well is this facility staffed — nurse hours per resident and turnover?

Total nurse staffing is 3.92 hours per resident per day, including 0.54 RN hours per resident per day, with a staffing turnover rate of 60.5% and a 4-star staffing rating.

Does this facility have federal fines or penalties on record?

Yes, CMS records show 4 fines totaling $11,536.00 and no payment denials.

Has CMS flagged this facility for abuse or placed it in the Special Focus program?

No, this facility does not have CMS's abuse icon displayed and is not designated under the Special Focus program.

How large is this facility and how many residents live there?

Friendship Home Association is certified for 46 beds and reports an average of 37 residents.

Who owns this facility — and is it part of a chain?

It is owned by a non-profit corporation and is not part of a chain, according to the data provided.

How long has this facility been Medicare/Medicaid certified?

It has been certified since October 3, 1994.

What do the four different CMS star ratings mean?

CMS rates facilities on health inspections, staffing, quality measures, and an overall blended score; Friendship Home Association scores 4, 4, 3, and 4 stars respectively.

Does this facility offer short-term rehabilitation as well as long-term care?

The data provided does not specify service types; contact the facility at 7125632651 and verify on Medicare Care Compare.

What should I look for when touring this facility?

The data does not cover tour details; contact the facility at 7125632651 to arrange a visit and verify current conditions on Medicare Care Compare.

How do I verify this facility's current record on Medicare Care Compare?

You can review the full current record at https://www.medicare.gov/care-compare/details/nursing-home/165232?state=IA.

Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.