Elder Care Record

Indiana › Johnson County › Franklin

Compass Park

800 Freemason Parkway, Franklin, IN 46131

CCN 155593 · Non-profit, other · 167 certified beds

Continuing care retirement community
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Compass Park, in Franklin, Indiana, is certified for 167 beds under non-profit, other ownership.

CMS gives it 5 of 5 stars overall, above the Indiana median of 3; the health inspection rating is 5, staffing 4 and quality measures 2.

Inspectors recorded 8 health deficiencies across the three most recent survey cycles (1, 4, 3 by cycle, most recent first), none at the actual-harm level. That is 4.8 per 100 beds, fewer than the state median of 22.9.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 3.6 hours per resident per day (0.7 RN), close to the Indiana median of 3.6; nursing staff turnover is 33.6%.

8health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
3.6nurse hours per resident per daystate median 3.6
88%occupancy (residents ÷ beds)147 residents a day

Compared with county, state and nation

MeasureThis facilityJohnson Co. medianIndiana medianUS average
Overall star rating5533.0
Health citations, 3 cycles891928.7
Citations per 100 beds4.88.122.926.8
Total nurse hours per resident day3.63.63.63.9
RN hours per resident day0.70.50.60.7
Nursing staff turnover33.6%49.0%45.4%45.8%
Fines listed$0$0$0—

County and state figures are medians across facilities (10 in the county, 507 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)1
Cycle 24
Cycle 33

Dark bar: this facility. Grey bar: Indiana average per facility for the same cycle, as published by CMS. Standard health survey dates: 11 Aug 2025, 20 Sep 2024.

Severity mix: D ×6 E ×1 C ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
11 Aug 2025F0583Keep residents' personal and medical records private and confidential.DStandard survey22 Aug 2025
20 Sep 2024F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard survey18 Oct 2024
20 Sep 2024F0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.DStandard survey18 Oct 2024
20 Sep 2024F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey18 Oct 2024
20 Sep 2024F0880Provide and implement an infection prevention and control program.DStandard survey18 Oct 2024
8 Nov 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey23 Nov 2023
8 Nov 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey21 Nov 2023
8 Nov 2023F0732Post nurse staffing information every day.CStandard survey15 Nov 2023

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing3.62 h
Nurse aides2.38 h
LPN0.58 h
RN0.67 h
Weekend total3.21 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Indiana average. Turnover: nursing staff 33.6%, RNs 23.1%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityIndiana medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay25.1%8.3%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.6%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.4%0.5%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay5.3%3.6%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.3%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay27.2%9.3%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay3.8%3.3%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay11.5%11.4%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: non-profit, other. Legal business name: Johnson Memorial Hospital.

OrganisationRole in the CMS recordInterestSince
Johnson Memorial Hospital5% or greater direct ownership interest100%01/01/2023
Healthcare Therapy Services IncIndirect ownership interestNOT APPLICABLE12/01/2016
Proactive Medical Review and Consultants LLCIndirect ownership interestNOT APPLICABLE05/20/2021
Indiana Masonic Home, Inc.Operational/managerial controlNOT APPLICABLE01/01/2025
Johnson Memorial HospitalOperational/managerial controlNOT APPLICABLE01/01/2023
Around the Clock Healthcare Services, Inc.Adp of the snfNOT APPLICABLE01/01/2025
Healthcare Therapy Services IncAdp of the snfNOT APPLICABLE12/01/2016
Imh Realty IncAdp of the snfNOT APPLICABLE01/01/2023
Indiana Masonic Home, Inc.Adp of the snfNOT APPLICABLE01/01/2025
Johnson Memorial HospitalAdp of the snfNOT APPLICABLE01/01/2023
Proactive Medical Review and Consultants LLCAdp of the snfNOT APPLICABLE05/20/2021

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Johnson County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Aspen Trace Health & Living CommunityGreenwood10455121.9—28 Apr 2025
Greenwood MeadowsGreenwood16954295.3—5 Dec 2025
Greenwood Village SouthGreenwood13755364.4—13 Aug 2024
Hickory Creek At FranklinFranklin36552616.7—25 Jun 2026
Homeview Center of FranklinFranklin11955454.2—30 Mar 2026
Franklin MeadowsFranklin1144411311.4—16 Sep 2025
Greenwood Health and Living CommunityGreenwood1113311412.6—16 Apr 2026
Greenwood Healthcare CenterGreenwood185332158.1$8K1 Jul 2025

All 10 facilities in Johnson County

Questions and answers

How many deficiencies has Compass Park been cited for?

8 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Indiana median is 19 per facility.

Has Compass Park been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Compass Park compare?

Reported total nurse staffing is 3.6 hours per resident per day against a Indiana median of 3.6 and a national average of 3.9.

Who operates Compass Park?

Ownership type is non-profit, other. Organisations in the CMS ownership record include Johnson Memorial Hospital, Healthcare Therapy Services Inc and Proactive Medical Review and Consultants LLC. Individual owners and managers are not listed on this site.

When was Compass Park last inspected?

The most recent survey or investigation in the CMS record is dated 11 Aug 2025; the most recent standard health survey was 11 Aug 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.