# Friendship Home Association Friendship Home Association is a Medicare/Medicaid-certified nursing home (Nursing home · SNF / NF) in Audubon, IA, CMS Certification Number 165232, with 46 certified beds and about 40 residents per day. CMS rates it 2/5 overall (health inspections 2/5, staffing 4/5, quality measures 3/5). ## Key facts - Status: Active CMS certification - Address: 714 Division, Audubon, IA 50025 (Audubon County) - Ownership type: Non profit - Corporation - Operator (legal business name): [Friendship Home Association](https://carefield.site/operator/op-friendship-home-association) - CMS chain: not part of a CMS-reported chain - Phone: 7125632651 - Medicare Care Compare: https://www.medicare.gov/care-compare/details/nursing-home/165232 ## Inspection record 7 inspections in the CMS window (latest 2026-07-30); 36 citations (15 health, 21 fire safety); 0 at actual harm and 0 at immediate jeopardy; 0 without a verified correction at last report. CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years; no citation in that window is not proof of a clean history. - 2026-07-30 — [E-0004](https://carefield.site/deficiency/cms-e0004) Develop and maintain an Emergency Preparedness Program (EP). — scope/severity F (No actual harm, potential for more than minimal harm); Corrected - 2026-07-30 — [E-0026](https://carefield.site/deficiency/cms-e0026) Establish roles under a Waiver declared by secretary. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected - 2026-07-30 — [K-0291](https://carefield.site/deficiency/cms-k0291) Install emergency lighting that can last at least 1 1/2 hours. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected - 2026-07-30 — [K-0293](https://carefield.site/deficiency/cms-k0293) Have properly located and lighted "Exit" signs. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected - 2026-07-30 — [K-0341](https://carefield.site/deficiency/cms-k0341) Install a fire alarm system that can be heard throughout the facility. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected - 2026-07-30 — [K-0372](https://carefield.site/deficiency/cms-k0372) Ensure smoke barriers are constructed to a 1 hour fire resistance rating. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected - 2026-07-30 — [K-0914](https://carefield.site/deficiency/cms-k0914) Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected - 2026-07-30 — [F-0552](https://carefield.site/deficiency/cms-f0552) Ensure that residents are fully informed and understand their health status, care and treatments. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2026-07-30 — [F-0605](https://carefield.site/deficiency/cms-f0605) Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2026-07-30 — [F-0628](https://carefield.site/deficiency/cms-f0628) Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected; complaint survey - 2026-07-30 — [F-0637](https://carefield.site/deficiency/cms-f0637) Assess the resident when there is a significant change in condition — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2026-07-30 — [F-0641](https://carefield.site/deficiency/cms-f0641) Ensure each resident receives an accurate assessment. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected; complaint survey - 2026-07-30 — [F-0656](https://carefield.site/deficiency/cms-f0656) Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2026-07-30 — [F-0689](https://carefield.site/deficiency/cms-f0689) Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey - 2026-07-30 — [F-0812](https://carefield.site/deficiency/cms-f0812) Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected - 2026-07-30 — [F-0880](https://carefield.site/deficiency/cms-f0880) Provide and implement an infection prevention and control program. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2025-09-04 — [F-0580](https://carefield.site/deficiency/cms-f0580) Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey - 2025-09-04 — [F-0689](https://carefield.site/deficiency/cms-f0689) Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey - 2025-06-19 — [K-0352](https://carefield.site/deficiency/cms-k0352) Properly install and monitor supervisory attachments on automatic sprinkler systems. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected - 2025-06-19 — [K-0353](https://carefield.site/deficiency/cms-k0353) Inspect, test, and maintain automatic sprinkler systems. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected - …and 16 more on the source page. ## Penalties - 2023-11-06 — Civil money penalty (fine): $2,797 - 2023-10-30 — Civil money penalty (fine): $2,447 - 2023-10-23 — Civil money penalty (fine): $2,098 ## Staffing (PBJ, hours per resident per day) - Total nurse: 3.92138 (state avg 3.86085, US 3.90085) - RN: 0.54499 - Nursing staff turnover: 58.3% ## Owners and managers of record (CMS disclosures) - Jessica Andersen — Operational / managerial control, since 2018-08-24 ## Sources - cms_provider_info: https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=165232&conditions%5B0%5D%5Boperator%5D=%3D - cms_ownership: https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=165232&conditions%5B0%5D%5Boperator%5D=%3D - cms_health_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=165232&conditions%5B0%5D%5Boperator%5D=%3D - cms_fire_safety_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=165232&conditions%5B0%5D%5Boperator%5D=%3D - cms_penalties: https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=165232&conditions%5B0%5D%5Boperator%5D=%3D - cms_inspection_dates: https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=165232&conditions%5B0%5D%5Boperator%5D=%3D --- Source page: https://carefield.site/facility/cms-165232 · Carefield — Senior Care Intelligence. Facts come from the CMS Provider Data Catalog (Medicare/Medicaid-certified nursing homes). Missing data never means no issue exists.