Friendship Home Association is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1994-10-03. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (712) 563-2651 or your local Medicaid office to verify current eligibility.

Friendship Home Association holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 5 out of 5 stars. This is made up of three components: Health Inspection (4★), Staffing (4★), and Quality of Resident Care (5★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 82.5/100, placing it #2606 of 14703 facilities nationally and #66 of 390 in Iowa. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Friendship Home Association receives a reported average of 3 hours 41 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 42 minutes; Licensed Practical Nurse (LPN) — 36 minutes; Nurse Aide — 2 hours 23 minutes. On weekends, total nurse staffing is 3 hours 10 minutes per resident per day. The CMS Staffing Rating for this facility is 4 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 52.3%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 5 fine(s) totaling $30,227. 7 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 5 fine(s) totaling $30,227, and 0 Medicare payment denial(s). Total penalties: 5. The Total Weighted Health Survey Score is 21.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Friendship Home Association ranks 2606th out of 14,703 facilities (composite score: 82.5/100), placing it in the top 25% nationwide. Within IA, it ranks 66th out of 390 nursing homes. For 2026 staffing: total nurse hours rank #7,304 nationally and RN hours rank #5,033 nationally (#170 in IA). Our composite quality score of 82.5/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Audubon, visit: https://nursinghomesnearme.org/iowa/audubon/