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Nursing homeFAID #4169

Friendship Home Association

714 DIVISION, AUDUBON, IA, 50025

(712) 563-2651

46 licensed beds

★★★★★4/5CMS Five-Star overall4/5 health inspections4/5 staffing3/5 quality measuresSource: CMS Care Compare

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Address

714 Division

Audubon, IA 50025

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Public record summary

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Bed capacity

CMS facility ID

165232

Care type

Nursing home

County

Audubon

Facility name

Friendship Home Association

Street address

714 DIVISION

City / state / ZIP

Audubon, IA 50025

Phone

(712) 563-2651

About this facility — Friendship Home Association

Friendship Home Association is a Medicare/Medicaid-certified skilled nursing facility in Audubon, Iowa. It is licensed for 46 beds — below the median for skilled nursing facilities in Iowa (57 beds).

It is one of 1 senior care facility in Audubon and 389 skilled nursing facilities across Iowa. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Friendship Home Association 27 times across 7 inspections in the last three years, including 4 food-safety citations, and CMS has imposed $11,536 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Operator / owner

Mary Gross

Ownership type

Non profit - Corporation

Registered owners & officers

Alt, Melinda

Director — since 2021

Andersen, Jessica

Managing employee · Director · Operational control — since 2018

Andersen, Timothy

Director · Officer — since 2015

Deist, Genelle

Director · Officer — since 2018

Edwards, Jeffrey

Director · Officer — since 2016

Frolich, Pattie

Director — since 2020

Jones, Mark

Director — since 2021

Nelsen, Karen

Director — since 2022

Wede, Susan

Director — since 2010

Regulatory standing

Licensed / certified since

1994-10-03

CMS overall rating

4 of 5 stars

Health deficiencies

2 at the last standard inspection

Federal fines

$11,536 total

Last standard inspection

2025-06-19

Nurse staffing

3.9 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$301 per day (≈ $9,150/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

48% Medicaid · 2% Medicare · 50% private/other

Occupancy

86% (fiscal year 2023)

Vs. state median

12% below the IA median of $342/day — full state cost breakdown

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 4 food-safety citations on its three-year record — flagged below among the inspections.

2025-09-04Health inspectionComplaint-triggered2 citations

F-0580

D · No harm foundFrom a complaint

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-09-05

F-0689

D · No harm foundFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-09-05

2024-08-01Health inspection4 citations

F-0578

D · No harm found

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2024-08-22

F-0607

E · No harm found

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2024-08-22

F-0803

E · No harm foundFood safety

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2024-08-22

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-08-22

4 earlier / fire-safety inspections (21 citations)

2023-11-09Health inspection5 citations

F-0804

E · No harm foundFood safety

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2023-12-04

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-12-04

F-0836

D · No harm found

Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

Corrected 2023-12-04

F-0868

D · No harm found

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2023-12-04

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2023-12-19

2025-06-19Fire-safety inspection5 citations

K-0352

F · No harm found

Properly install and monitor supervisory attachments on automatic sprinkler systems.

Corrected 2025-07-18

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-06-25

K-0362

E · No harm found

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Corrected 2025-07-01

K-0761

E · No harm found

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-06-25

K-0921

F · No harm found

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2025-06-25

2024-08-01Fire-safety inspection9 citations

K-0321

D · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-08-07

K-0341

F · No harm found

Install a fire alarm system that can be heard throughout the facility.

Corrected 2024-08-15

K-0351

D · No harm found

Install an approved automatic sprinkler system.

Corrected 2024-08-26

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-08-26

K-0372

D · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-08-07

K-0511

D · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2024-08-06

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2024-08-16

K-0914

F · No harm found

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2024-08-15

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-08-06

2023-11-09Fire-safety inspection2 citations

K-0353

D · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-11-14

K-0920

E · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2023-11-17

Federal penalties

2023-11-06Fine$2,797

2023-10-30Fine$2,447

2023-10-23Fine$2,098

2023-10-02Fine$4,194

Total fines$11,536

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 165232.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 27 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-08-31

Source

Federal NPI Registry (NPPES)

NPI 1912998741

Monthly federal file

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered