PlainNursing
2026 data Public-data reference. official source

COMPASS PARK

Open-data reference.

COMPASS PARK is a non profit - other facility in FRANKLIN, IN with 167 certified beds and a 5-star overall CMS rating. The facility has 10 deficiency records on file.

800 FREEMASON PARKWAY, FRANKLIN, IN 46131

Phone: 3177366141

Overall Rating

5/5

Health Inspection

5/5

Staffing

4/5

Quality Measures

2/5

Long-Stay Quality

2/5

Facility Information

Provider Number
155593
Ownership
Non profit - Other
Provider Type
Medicare and Medicaid
Beds
167
Residents
145
In Hospital
No
County
Johnson
Last Inspection
Aug 11, 2025

Staffing Data

RN Hours
0.73 (nat'l avg: 0.68)
LPN Hours
0.59
CNA Hours
2.38
Total Nursing Hours
3.70 (nat'l avg: 3.89)
PT Hours
0.06
Nursing Turnover
36.2%
RN Turnover
25.9%

What the CMS Record Reveals About COMPASS PARK

COMPASS PARK operates 167 certified beds in FRANKLIN, IN with approximately 145 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (5★), staffing levels (4★), and quality measures (2★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 10 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 3.70 total nursing hours per resident day (national average 3.89), with RN coverage at 0.73 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Non profit - Other" ownership and operating as a "Medicare and Medicaid" provider, COMPASS PARK falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 36.2%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (10 most recent)

D — Isolated - Minimal harm Sep 20, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Oct 18, 2024

D — Isolated - Minimal harm Sep 20, 2024 Tag: 0655

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 18, 2024

D — Isolated - Minimal harm Sep 20, 2024 Tag: 0625

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.

Category: Resident Rights Deficiencies

Corrected: Oct 18, 2024

D — Isolated - Minimal harm Sep 20, 2024 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: Oct 18, 2024

E — Pattern - Minimal harm Nov 8, 2023 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Nov 23, 2023

C — Widespread - No harm Nov 8, 2023 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

Corrected: Nov 15, 2023

D — Isolated - Minimal harm Nov 8, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 21, 2023

D — Isolated - Minimal harm Nov 21, 2022 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 19, 2022

D — Isolated - Minimal harm Nov 21, 2022 Tag: 0698

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 19, 2022

D — Isolated - Minimal harm Nov 21, 2022 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Dec 19, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 25.1% Yes
Percentage of long-stay residents who lose too much weight Long Stay 8.5% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 1.1% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.8% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 4.4% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 6.6% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 99.6% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 94.1% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.3% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 27.7% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 28.8% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 97.8% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 86.0% No
Percentage of long-stay residents with pressure ulcers Long Stay 5.2% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 28.5% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 11.4% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for COMPASS PARK?
COMPASS PARK has an overall CMS rating of 5 out of 5 stars. This rating combines health inspection results (5★), staffing levels (4★), and quality measures (2★).
What are the staffing levels at COMPASS PARK?
COMPASS PARK reports 3.70 total nursing hours per resident day (national average: 3.89). RN hours are 0.73 per resident day (national average: 0.68). Nursing staff turnover is 36.2%.
How many beds does COMPASS PARK have?
COMPASS PARK has 167 certified beds with approximately 145 residents. The facility is located at 800 FREEMASON PARKWAY, FRANKLIN, IN 46131.
Does COMPASS PARK have any deficiencies on record?
Yes, COMPASS PARK has 10 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has COMPASS PARK received any fines or penalties?
No, COMPASS PARK has no fines or penalties on record.
Who owns COMPASS PARK?
COMPASS PARK is classified as "Non profit - Other" ownership. The facility type is "Medicare and Medicaid".
When was COMPASS PARK last inspected?
The most recent health inspection for COMPASS PARK was on Aug 11, 2025. The facility received a health inspection rating of 5 out of 5 stars.
What quality measures are tracked for COMPASS PARK?
COMPASS PARK is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial