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The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
May offer a more intimate, personalized care environment.
Occupancy is moderate, suggesting balanced demand.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
31% of new residents, usually for short-term rehab.
58% of new residents, often for short stays.
12% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
In line with Iowa average
Friendship Home Association is administrated by Rae Ann Tucker.
In Iowa, the Department of Inspections, Appeals, and Licensing conducts unannounced health and safety surveys to monitor compliance and protect residents in long-term care settings.
Iowa average: 17 visits/inspections
Iowa average: 0 inspections
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
The most recent inspection on September 22, 2025, identified one deficiency related to acceptance of a credible allegation of substantial compliance and plan of correction. Earlier inspections showed a mixed record with deficiencies primarily involving resident supervision and notification, food safety and preparation, documentation accuracy, and infection control. Complaint investigations substantiated issues with supervision leading to a resident elopement and medication management errors, while most other complaints were unsubstantiated. There were no fines, immediate jeopardy findings, or license actions listed in the available reports. The facility’s inspection history shows some recurring themes but also periods of substantial compliance, indicating a variable pattern without a clear trend toward consistent improvement or decline.
Iowa average 4.9
Last Health inspection on Sep 2025
Iowa average 21.7
Iowa average 4.11
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
9 of 15 citations resulted from standard inspections; and 6 of 15 resulted from complaint investigations.
0
100% better than Iowa average
Iowa average: 0.6
1
11% worse than Iowa average
Iowa average: 0.9
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Sep 04, 2025
Corrected
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Sep 04, 2025
Corrected
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Aug 01, 2024
Corrected
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 01, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Audubon, IA 500251300
Audubon, IA 500251300
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
0% compared with Iowa average
Iowa average ratio: 2.00:1
5% better than Iowa average
Iowa average: 7.4 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hours
This role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hours
This role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
This role is partially covered by contractors.
Total hours from contractors
3,803 contractor hours this quarter
| Certified Nursing Assistant | 22 | 29 | 51 | 9,252 | 91 | 100% | 8.3 |
| Licensed Practical Nurse | 3 | 8 | 11 | 2,377 | 91 | 100% | 8.4 |
| Registered Nurse | 7 | 4 | 11 | 1,716 | 87 | 96% | 9.6 |
| Medication Aide/Technician | 2 | 1 | 3 | 1,005 | 90 | 99% | 8.4 |
| Dental Services Staff | 1 | 0 | 1 | 439 | 56 | 62% | 7.8 |
| Dietitian | 1 | 0 | 1 | 414 | 58 | 64% | 7.1 |
| Administrator | 1 | 0 | 1 | 389 | 54 | 59% | 7.2 |
| Other Dietary Services Staff | 1 | 0 | 1 | 368 | 50 | 55% | 7.4 |
| Nurse Practitioner | 1 | 0 | 1 | 328 | 47 | 52% | 7 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 309 | 40 | 44% | 7.4 |
| RN Director of Nursing | 1 | 0 | 1 | 240 | 32 | 35% | 7.5 |
| Speech Language Pathologist | 0 | 2 | 2 | 101 | 47 | 52% | 2.1 |
| Occupational Therapy Aide | 0 | 1 | 1 | 64 | 13 | 14% | 4.9 |
| Physical Therapy Aide | 0 | 1 | 1 | 55 | 45 | 49% | 1.2 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 26 | 18 | 20% | 1.5 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 19 | 3 | 3% | 6.4 |
| Physical Therapy Assistant | 0 | 1 | 1 | 14 | 13 | 14% | 1.1 |
| Qualified Social Worker | 0 | 1 | 1 | 2 | 2 | 2% | 1 |
| Medical Director | 0 | 1 | 1 | 1 | 1 | 1% | 1 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.2
40% better than Iowa average
Iowa average: 10.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.2
30% better than Iowa average
Iowa average: 21.6
Percent of long-stay residents whose need for help with daily activities has increased
14.7%
22% better than Iowa average
Iowa average: 18.8%
Percent of long-stay residents whose ability to move independently worsened
12.1%
39% better than Iowa average
Iowa average: 19.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
18.7%
29% better than Iowa average
Iowa average: 26.2%
Percent of long-stay residents experiencing one or more falls with major injury
1.2%
66% better than Iowa average
Iowa average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
0.0%
100% better than Iowa average
Iowa average: 4.4%
Percent of long-stay residents with a urinary tract infection
2.6%
In line with Iowa average
Iowa average: 2.5%
Percent of long-stay residents who lose too much weight
2.7%
45% better than Iowa average
Iowa average: 5.0%
Percent of long-stay residents who have depressive symptoms
1.3%
67% better than Iowa average
Iowa average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
32.3%
70% worse than Iowa average
Iowa average: 19.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.4%
5% better than Iowa average
Iowa average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.7%
In line with Iowa average
Iowa average: 95.3%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
75.0%
12% worse than Iowa average
Iowa average: 85.1%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
37% lower than Iowa average
Iowa average: $48K
194% more fines than Iowa average
Iowa average: 1.7
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Iowa average
Iowa average: 0.5
Penalties are imposed by CMS for violations of federal nursing home regulations.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 6, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 30, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 23, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 2, 2023
Last updated: Jan 2026
Historical financial and operational data for Friendship Home Association based on CMS SNF Cost Reports.
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