Friendship Home Association: Staffing, Turnover, and Inspection Record
Friendship Home Association is a 46-bed nonprofit nursing home in Audubon, Iowa. In the CMS August 2026 release it reported 2.66 nurse aide hours per resident per day, 6% above the Iowa average of 2.51, and 60.5% nursing staff turnover (Iowa average 44.0%).
Friendship Home Association
714 DivisionAudubon, IA 50025
Audubon County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Friendship Home Association, nurse aides logged 2.66 hours per resident per day, 6% above the Iowa average. With about 37 residents a day, that works out to roughly 99 aide hours a day, or about 12 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 15% below the all-days figure.
| Hours per resident per day | This home | Iowa avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.66 | 2.51 | 2.32 |
| Licensed practical nurses | 0.71 | 0.56 | 0.86 |
| Registered nurses | 0.54 | 0.74 | 0.69 |
| All nursing staff | 3.92 | 3.82 | 3.86 |
| All nursing staff, weekends | 3.34 | 3.37 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
60.5% of nursing staff at Friendship Home Association left over the year CMS measured, against a Iowa average of 44.0% and a US average of 45.8%. Registered nurse turnover was 60.0%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jun 19, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 2 health deficiencies (Iowa average 6.5). CMS lists 4 fines totaling $11,536 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Nov 6, 2023 | Fine | $2,797 |
| Oct 30, 2023 | Fine | $2,447 |
| Oct 23, 2023 | Fine | $2,098 |
| Oct 2, 2023 | Fine | $4,194 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Friendship Home Association holds 4 of 5 overall; the Iowa average is 3.1.
About Friendship Home Association
- Ownership: Non profit - Corporation
- Medicare and Medicaid certified since: Oct 3, 1994
- Councils: resident council
- Area: rural
Nursing homes near Friendship Home Association
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Exira Care Center Exira | 9.3 | 60 | 2.42 | 3.74 | 50.0% | 2 | $22,880 |
| Salem Lutheran Home Elk Horn | 10.8 | 64 | 2.58 | 3.86 | 63.0% | 1 | None |
| Thomas Rest Haven Coon Rapids | 16.9 | 57 | 3.25 | 4.71 | 46.5% | 2 | $11,190 |
| Caring Acres Nursing and Rehab Center Anita · SFF candidate | 21.1 | 41 | 2.07 | 3.60 | 73.3% | 1 | $51,773 |
| Elm Crest Retirement Community Harlan | 21.1 | 50 | 2.69 | 3.99 | 71.7% | 2 | None |
| Heritage House Atlantic | 22.2 | 61 | 2.60 | 3.96 | 33.3% | 5 | None |
| Atlantic Specialty Care Atlantic | 22.7 | 90 | 2.17 | 2.96 | 28.3% | 3 | None |
| The New Homestead Care Center Guthrie Center | 23.0 | 58 | 2.58 | 3.47 | 56.3% | 3 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.