Home›Iowa›Audubon County›Friendship Home Association
B
Good

Friendship Home Association

714 Division · Audubon, IA 50025

7125632651 · Non profit - Corporation

46 beds43.4 residents77 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
B
Good
RN Staff
B
Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Friendship Home Association receives an overall staffing grade of B (Good). With 3.6934 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.6987 HPRD, below the recommended 0.75. It is 0.20 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 18.6% compared to weekdays. The facility relies heavily on temporary agency staff (22.34% of hours), suggesting potential workforce instability.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (2)

⚠️RN staffing (0.6987 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️22.34% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (2)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.6934hrs/resident/day▼ 0.20
CMS benchmark: 3.48
RN HPRD
0.6987hrs/resident/day▲ 0.02
Recommended: 0.75
Weekend Drop-off
18.6%
3.8982 weekday → 3.1733 weekend
Agency Staff
22.34%
0.43% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.1377hrs/resident/day
Direct care aides
LPN HPRD
0.6092hrs/resident/day
Licensed practical nurses
Consistency
0.5013std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Audubon County Average+0.05 HPRD
3.65
03.69 HPRD
vs. Iowa State Average-0.12 HPRD
3.82
03.69 HPRD
vs. National Average-0.20 HPRD
3.90
03.69 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Friendship Home Association ★
Audubon · This facility
—
B
3.69340.6987★★★★★
Salem Lutheran Home
Elk Horn
10.8 mi
D
2.94530.5758★☆☆☆☆
Thomas Rest Haven
COON RAPIDS
16.9 mi
C
4.54780.5163★★☆☆☆
Caring Acres Nursing and Rehab Center
Anita
21 mi
C
3.03990.8025★☆☆☆☆
Elm Crest Retirement Community
Harlan
21.1 mi
B
3.9950.8869★★☆☆☆
Atlantic Specialty Care
Atlantic
22.7 mi
C
3.25250.5757★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
15
Total Deficiencies
$30,227
Fines Assessed
Sep 4, 2025Health
2 deficiencies cited
▼
Aug 1, 2024Health
4 deficiencies cited
▼
Nov 9, 2023Health
5 deficiencies cited
▼
Jul 20, 2023Health
4 deficiencies cited· Includes actual harm
▼

Penalty History

Nov 6, 2023Fine
$2,797
Oct 30, 2023Fine
$2,447
Oct 23, 2023Fine
$2,098
Oct 2, 2023Fine
$4,194
Jul 20, 2023Fine
$18,691
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.