Friendship Home Association
714 Division, Audubon, IA, 50025
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Non profit - Corporation
- Certified beds
- 46 · avg 40 residents/day
- Total nursing staff turnover
- 50% — higher than most Iowa nursing homesIowa avg: 44.4% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 0% — lower than most Iowa nursing homesIowa avg: 42.9% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Iowa averageIowa avg: 0.5 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 5 fines · $30,227 total
Medicare certification
- CMS Certification Number
- 165232
- Certified beds
- 46 beds · avg 40 residents/day
- Ownership type
- Non profit - Corporation
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Friendship Home Association
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Disclosed owners (9 on record)
- Karen e. Nelsen
Corporate Director · 11% · since 2022
- Mark Jones
Corporate Director · 11% · since 2021
- Melinda m Alt
Corporate Director · 11% · since 2021
- Pattie Frolich
Corporate Director · 11% · since 2020
- Jessica Andersen
Corporate Director · since 2018
- Genelle Deist
Corporate Officer · 11% · since 2018
+ 3 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, as of May 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 15)
- D0689·Sep 4, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0580·Sep 4, 2025Complaint
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- E0812·Aug 1, 2024
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E0803·Aug 1, 2024
Nutrition and Dietary Deficiencies
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.
- E0607·Aug 1, 2024
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D0578·Aug 1, 2024
Resident Rights Deficiencies
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.
- D0880·Nov 9, 2023
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0868·Nov 9, 2023
Administration Deficiencies
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Federal penalties
By year
- 20235 fines · $30K
Most recent events
- Nov 6, 2023Fine · $2,797
- Oct 30, 2023Fine · $2,447
- Oct 23, 2023Fine · $2,098
- Oct 2, 2023Fine · $4,194
- Jul 20, 2023Fine · $19K
Largest single fine on record: $19K.
Fire-safety citations
16 Life-Safety-Code citations on file. Most recent: Jun 19, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Friendship Home Associationinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.