Compass Park
800 Freemason Parkway, Franklin, IN 46131
Compass Park is a nursing home in Franklin, Indiana. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
CMS star ratings
- 5 of 5CMS overall star rating
- 5 of 5CMS health inspection star rating
- 4 of 5CMS staffing star rating
- 3 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (317) 736-6141
- Last standard health inspection
- August 11, 2025 (1 year ago)
- Certified beds
- 167
- Residents per day, on average
- 150.6
- Ownership type
- Non profit - Other
- Legal business name
- Johnson Memorial Hospital
- Chain
- Not listed by CMS
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Indiana average (8 vs 23).
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
CMS update of March 25, 2026
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 5 of 5.
1 citation
Health inspection on August 11, 2025
CMS lists this as a standard inspection.
Citation F0583. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Keep residents' personal and medical records private and confidential.
CMS lists it as corrected on August 22, 2025.
5 citations
Fire safety inspection on August 11, 2025
CMS lists this as a standard inspection.
Citation E0041. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Implement emergency and standby power systems.
CMS lists it as corrected on September 26, 2025.
Citation K0345. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on September 26, 2025.
CMS has cited this home for K0345 2 times since 2024.
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on September 26, 2025.
Citation K0921. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure that testing and maintenance of electrical equipment is performed.
CMS lists it as corrected on September 26, 2025.
Citation K0753. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have restrictions on the use of highly flammable decorations.
CMS lists it as corrected on September 26, 2025.
CMS update of April 30, 2025
Star rating
The CMS staffing star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5.
CMS update of February 26, 2025
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of October 30, 2024
Star rating
The CMS overall star rating changed from 5 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
4 citations
Health inspection on September 20, 2024
CMS lists this as a standard inspection.
Citation F0623. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
CMS lists it as corrected on October 18, 2024.
Citation F0625. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on October 18, 2024.
Citation F0655. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
CMS lists it as corrected on October 18, 2024.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on October 18, 2024.
3 citations
Fire safety inspection on September 20, 2024
CMS lists this as a standard inspection.
Citation K0712. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on October 16, 2024.
Citation K0923. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have proper medical gas storage and administration areas.
CMS lists it as corrected on October 16, 2024.
Citation K0345. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on October 16, 2024.
CMS update of July 31, 2024
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
CMS update of April 25, 2024
Star rating
The CMS overall star rating changed from 5 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
CMS update of February 29, 2024
Changed ownership in the last 12 months
CMS no longer shows a change of ownership in the past 12 months.
3 citations
Health inspection on November 8, 2023
CMS lists this as a standard inspection.
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on November 23, 2023.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on November 21, 2023.
Citation F0732. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Post nurse staffing information every day.
CMS lists it as corrected on November 15, 2023.
2 citations
Fire safety inspection on November 8, 2023
CMS lists this as a standard inspection.
Citation K0363. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on December 6, 2023.
Citation K0920. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure proper usage of power strips and extension cords.
CMS lists it as corrected on December 6, 2023.
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- JOHNSON MEMORIAL HOSPITAL5% or greater direct ownership interest · 100% · since 01/01/2023
- HEALTHCARE THERAPY SERVICES INCIndirect ownership interest · not applicable · since 12/01/2016
- PROACTIVE MEDICAL REVIEW AND CONSULTANTS LLCIndirect ownership interest · not applicable · since 05/20/2021
- INDIANA MASONIC HOME, INC.Operational/managerial control · not applicable · since 01/01/2025
- JOHNSON MEMORIAL HOSPITALOperational/managerial control · not applicable · since 01/01/2023
- BATES, STEVENOperational/managerial control · not applicable · since 05/01/2020
- BRANIGAN, CONSTANCEOperational/managerial control · not applicable · since 08/19/2022
- CLARK, CYNTHIAOperational/managerial control · not applicable · since 09/11/2024
- DAVIS, CHADOperational/managerial control · not applicable · since 02/23/2015
- DOUGLAS, STEVENOperational/managerial control · not applicable · since 06/01/2022
- DUNKLE, DAVIDOperational/managerial control · not applicable · since 06/01/2019
- EVERETT, APRILOperational/managerial control · not applicable · since 05/31/2022
- GILPATRICK, MICHAELOperational/managerial control · not applicable · since 01/01/2019
- HUGHES, MARKOperational/managerial control · not applicable · since 04/01/2022
- LENTZ, RICHARDOperational/managerial control · not applicable · since 06/01/2023
- MAPLE, JERRYOperational/managerial control · not applicable · since 03/21/2025
- MEAHL, MARISSAOperational/managerial control · not applicable · since 01/24/2022
- PIERCE, WILLIAMOperational/managerial control · not applicable · since 02/12/2018
- REYNOLDS, DONOperational/managerial control · not applicable · since 06/19/2020
- SEIPEL, RANDOLPHOperational/managerial control · not applicable · since 05/24/2024
- SPENCER, CHARLESOperational/managerial control · not applicable · since 04/06/2015
Questions
When was Compass Park last inspected?
CMS lists August 11, 2025 as the date of its most recent standard health inspection.
How many citations (violations) does Compass Park have?
CMS lists 8 health citations since November 8, 2023. CMS also calls these deficiencies.
Has Compass Park been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Compass Park?
Its CMS overall star rating is 5 of 5.
Is Compass Park a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.