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Complaint Investigation

Friendship Home Association

September 4, 2025 · Audubon, IA · 714 Division
Citations 2
CMS Rating 4/5
Beds 46
Provider ID 165232
Healthcare Facility
Friendship Home Association
Audubon, IA  ·  View full profile →
Inspection Summary

Friendship Home Association in Audubon, IA — inspection on September 4, 2025.

Found 2 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0580
Resident Rights Deficiencies
Potential for More Than Minimal Harm

physician's response of yes, may use wander guard dated 9/1/25.Review of Resident #3's EHR titled, Progress Report documented no notification of new order for wander guard to Resident #3's representative / Power of Attorney (POA).On 9/3/25 at 2:06 PM Resident #3's POA stated she knew that Resident #3 had a wander guard because Resident #3 talked to her about it. Resident #3's POA stated she was not notified by the facility staff that Resident #3 had a wander guard placed on her. Resident #3's POA stated Resident #3 had talked to her on the phone and was upset about the wander guard. Resident #3's POA explained that was how she found out Resident #3 had a wander guard placed. On 9/4/25 at 4:04 PM Staff A, Licensed Practical Nurse (LPN) stated she had applied a wander guard to Resident #3 because on 9/1/25 Resident #3 was trying to leave with her sister out the double doors.

Staff A explained she requested the order for the wander guard from the physician and did not notify the residents representative / POA of new order or placement of the wander guard.

Staff A acknowledged she should have notified Resident #3's representative / POA.On 9/3/25 at 3:11 PM the DON stated Resident #2 had a wander guard on and it was removed.

The DON explained she had left it to Staff B to notify Resident #2's family.

The DON acknowledged there was no documentation for family/representative/POA notification for wander guard use on Resident #2 or #3.

The DON stated she would expect that there would be family notification of the wander guard placement as well as any new order for a resident at the facility. On 9/4/25 at 11:36 AM the Administrator stated the facility's expectation was the resident's family / POA would be notified of new orders, change in orders, medication changes, or incidents.

The Administrator explained there would be an order from a physician for the wander guard use.

The Administrator acknowledged she would expect notification to the resident's family / POA of the wander guard application. On 9/4/25 at 9:00 AM the DON explained the facility had no policy with family/POA notification of change in condition, new orders, change in orders or application of wander guard.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

09/04/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Friendship Home Association

714 Division Audubon, IA 50025

SUMMARY STATEMENT OF DEFICIENCIES

Federal health inspectors cited Friendship Home Association in Audubon, IA for a deficiency under regulatory tag F-F0689 during a complaint investigation conducted on 2025-09-04.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 2 deficiencies cited during this inspection of Friendship Home Association.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-05.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Audubon, IA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Friendship Home Association or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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