Compass Park
800 Freemason Parkway, Franklin, IN 46131 · Johnson County · (317) 736-6141
167 certified beds, about 147 residents a day · Non profit - Other · Medicare and Medicaid since 1996
CMS high performing icon Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 155593 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 11, 2025, inspectors cited 1 health deficiency (the Indiana average is 7.2, the national average 9.2).
None of its 8 health citations since November 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.62 hours per resident per day, against 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 0.67 of those hours.
33.6% of nursing staff left within the year CMS measured (Indiana average 45.9%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
311/23
409/24
108/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 8 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
6D
1E
0F
Potential for minimal harm
0A
0B
1C
August 11, 2025Standard inspection · 1 citation
- D Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure privacy was provided during personal care for 1 of 7 residents observed for personal care. (Resident 137)
September 20, 2024Standard inspection · 4 citations
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on interview and record review, the facility failed to ensure that written notification was provided to the resident, the resident's representative, and to the Office of the State Long-Term Care Ombudsman for 3 of 5 residents reviewed for written transfer and discharge notification. (Resident 140, Resident 1, Resident 123)
- D Notify 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.
Inspectors wroteBased on interview and record review, the facility failed to ensure a written bed hold notification was provided to the resident and to the resident's representative for 3 of 5 residents reviewed for bed hold notifications. (Resident 1, Resident 123, and Resident 140)
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on interview and record review, the facility failed to ensure a baseline care plan was developed for 1 of 5 residents reviewed for new admissions. The baseline care plan lacked a information on Enhanced Barrier Precautions. (Resident 82)
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure the infection control practices were implemented for 1 of 8 residents observed with Enhanced Barrier Precautions (EPB). Personal Protective Equipment (PPE) was not used to administer medications via a feeding tube for a resident on EPB. (Resident 82) Finding Includes: During an observation on 9/18/24 at 8:47 a.m., LPN 2 prepared medications to be administered via a feeding tube. LPN 2 took the medications into Resident 82's room, closed the door for privacy, washed her hands, and applied gloves. LPN 2 had begun to administer the medications. LPN 2 was queried if Resident 82 was on EBP. LPN 2 stopped and walked over to supplies of PPE and put on a gown. During an observation on 9/16/24 at 9:50 a.m., an Enhanced Barrier Precaution Sign was posted on the outside of Resident 82's room. [...]
November 8, 2023Standard inspection · 3 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure food was served in a sanitary manner for 2 of 3 kitchen observations. Staff hair was not covered while in the kitchen. (Kitchen Staff 2, Kitchen Staff 3, Kitchen Staff 4, [NAME] 5, Kitchen Staff 6)
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation and interview, the facility failed to ensure potentially hazardous materials were kept secure behind locked doors to prevent resident's access to the materials for 1 of 5 observations. (Electrical Closet)
- C Post nurse staffing information every day.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the daily posted nurse staffing reflected the actual hours worked by staff and failed to ensure the post was easily accessible for staff and guests for 3 of 5 days during the survey period.
Fire safety inspections
10 fire safety citations on file: 5 on August 11, 2025, 3 on September 20, 2024, 2 on November 8, 2023.
Every fire safety citation10 citations
- F Implement emergency and standby power systems.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Ensure that testing and maintenance of electrical equipment is performed.
- E Have restrictions on the use of highly flammable decorations.
- F Have simulated fire drills held at unexpected times.
- E Have proper medical gas storage and administration areas.
- C Have approved installation, maintenance and testing program for fire alarm systems.
- E Install corridor and hallway doors that block smoke.
- E Ensure proper usage of power strips and extension cords.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Indiana | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.62 | 3.69 | 3.86 |
| Registered nurses | 0.67 | 0.67 | 0.69 |
| All nursing staff on weekends | 3.21 | 3.25 | 3.42 |
| Nurse aides | 2.38 | ||
| Licensed practical nurses | 0.58 | ||
| Nursing staff turnover (share who left in a year) | 33.6% | 45.9% | 45.8% |
| Registered nurse turnover | 23.1% | 40.3% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.43 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.79 on weekdays and 3.21 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.81 in April to June 2025 to 3.62 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.62 | 0.67 | 3.79 | 3.21 | 0.9% | 0 of 90 | 147 |
| Oct to Dec 2025 | 3.58 | 0.70 | 3.70 | 3.25 | 0.4% | 0 of 92 | 145 |
| Jul to Sep 2025 | 3.70 | 0.73 | 3.85 | 3.31 | 0.6% | 0 of 92 | 145 |
| Apr to Jun 2025 | 3.81 | 0.75 | 3.96 | 3.43 | 0.8% | 0 of 91 | 139 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Indiana, Jan to Mar 2026 | 3.63 | 0.62 | 3.80 | 3.19 | 3.4% | 0.4% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Indiana | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 25.1 | 11.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.6 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.4 | 1.1 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.3 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.3 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 27.2 | 11.9 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.8 | 3.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 11.5 | 13.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 27.4 | 22.2 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 8.8 | 10.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.7 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.0 | 1.4 | 1.8 |
Owners and operators
Legal business name: JOHNSON MEMORIAL HOSPITAL.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Johnson Memorial Hospital | 5% or greater direct ownership interest | Organization | 100% | 01/01/2023 |
| Healthcare Therapy Services Inc | Indirect ownership interest | Organization | 12/01/2016 | |
| Proactive Medical Review and Consultants LLC | Indirect ownership interest | Organization | 05/20/2021 | |
| Dunkle, David | Corporate officer | Individual | 06/01/2019 | |
| Indiana Masonic Home, Inc. | Operational/managerial control | Organization | 01/01/2025 | |
| Johnson Memorial Hospital | Operational/managerial control | Organization | 01/01/2023 | |
| Bates, Steven | Operational/managerial control | Individual | 05/01/2020 | |
| Branigan, Constance | Operational/managerial control | Individual | 08/19/2022 | |
| Clark, Cynthia | Operational/managerial control | Individual | 09/11/2024 | |
| Davis, Chad | Operational/managerial control | Individual | 02/23/2015 | |
| Douglas, Steven | Operational/managerial control | Individual | 06/01/2022 | |
| Dunkle, David | Operational/managerial control | Individual | 06/01/2019 | |
| Everett, April | Operational/managerial control | Individual | 05/31/2022 | |
| Gilpatrick, Michael | Operational/managerial control | Individual | 01/01/2019 | |
| Hughes, Mark | Operational/managerial control | Individual | 04/01/2022 | |
| Lentz, Richard | Operational/managerial control | Individual | 06/01/2023 | |
| Maple, Jerry | Operational/managerial control | Individual | 03/21/2025 | |
| Meahl, Marissa | Operational/managerial control | Individual | 01/24/2022 | |
| Pierce, William | Operational/managerial control | Individual | 02/12/2018 | |
| Reynolds, Don | Operational/managerial control | Individual | 06/19/2020 | |
| Seipel, Randolph | Operational/managerial control | Individual | 05/24/2024 | |
| Spencer, Charles | Operational/managerial control | Individual | 04/06/2015 | |
| Around the Clock Healthcare Services, Inc. | Adp of the SNF | Organization | 01/01/2025 | |
| Healthcare Therapy Services Inc | Adp of the SNF | Organization | 12/01/2016 | |
| Imh Realty Inc | Adp of the SNF | Organization | 01/01/2023 | |
| Indiana Masonic Home, Inc. | Adp of the SNF | Organization | 01/01/2025 | |
| Johnson Memorial Hospital | Adp of the SNF | Organization | 01/01/2023 | |
| Proactive Medical Review and Consultants LLC | Adp of the SNF | Organization | 05/20/2021 | |
| Bates, Steven | Adp of the SNF | Individual | 05/01/2020 | |
| Branigan, Constance | Adp of the SNF | Individual | 08/19/2022 | |
| Clark, Cynthia | Adp of the SNF | Individual | 09/11/2024 | |
| Davis, Chad | Adp of the SNF | Individual | 02/23/2015 | |
| Douglas, Steven | Adp of the SNF | Individual | 06/01/2022 | |
| Everett, April | Adp of the SNF | Individual | 05/31/2022 | |
| Gilpatrick, Michael | Adp of the SNF | Individual | 01/01/2019 | |
| Goins, Dianna | Adp of the SNF | Individual | 10/30/2023 | |
| Hughes, Mark | Adp of the SNF | Individual | 04/01/2022 | |
| Lentz, Richard | Adp of the SNF | Individual | 06/01/2023 | |
| Maple, Jerry | Adp of the SNF | Individual | 03/21/2025 | |
| McGlacken, Mardena | Adp of the SNF | Individual | 03/23/2020 | |
| Meahl, Marissa | Adp of the SNF | Individual | 01/24/2022 | |
| Palafox, Maria | Adp of the SNF | Individual | 05/30/2023 | |
| Pierce, William | Adp of the SNF | Individual | 02/12/2018 | |
| Reynolds, Don | Adp of the SNF | Individual | 06/19/2020 | |
| Seipel, Randolph | Adp of the SNF | Individual | 05/24/2024 | |
| Spencer, Charles | Adp of the SNF | Individual | 04/06/2015 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on August 11, 2025: "Keep residents' personal and medical records private and confidential."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on September 20, 2024: "Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted"
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on September 20, 2024: "Provide and implement an infection prevention and control program."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on November 8, 2023: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.21 hours per resident per day, below the Indiana average of 3.25.
Other nursing homes nearby
- Homeview Center of Franklin Franklin, 0.2 mi · 5 of 5 stars · 5 citations
- Otterbein Franklin Seniorlife Comm Res & Com Care Franklin, 1.5 mi · 3 of 5 stars · 17 citations
- Hickory Creek at Franklin Franklin, 1.8 mi · 5 of 5 stars · 6 citations
- Franklin Meadows Franklin, 2.1 mi · 4 of 5 stars · 13 citations
- Greenwood Village South Greenwood, 9.6 mi · 5 of 5 stars · 6 citations
- Aspen Trace Health & Living Community Greenwood, 9.7 mi · 5 of 5 stars · 2 citations
- Greenwood Healthcare Center Greenwood, 11.5 mi · 2 of 5 stars · 17 citations
- Greenwood Health and Living Community Greenwood, 11.8 mi · 3 of 5 stars · 14 citations
Indiana contacts for a concern about a nursing home
These are the official offices in Indiana. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Indiana Department of Health, Division of Long-Term Care, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Indiana Long-Term Care Ombudsman Program, 800-622-4484. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Indiana Department of Health, Nursing Home Report Cards, where Indiana publishes its own records on licensed homes.
Common questions
- What is Compass Park's Medicare star rating?
- CMS rates Compass Park 5 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Compass Park get at its last inspection?
- 1 health deficiency at the standard inspection on August 11, 2025. The Indiana average is 7.2.
- Has Compass Park been fined?
- CMS lists no fines in the last three years.
- Does Compass Park accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Compass Park?
- CMS lists 46 owners and managers. Legal business name: JOHNSON MEMORIAL HOSPITAL.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.