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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 47th out of 270 homes in Indiana.| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 44m per day | ▲ 10% State avg: 40m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 35m per day | ▼ 24% State avg: 46m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 23m per day | ▲ 5% State avg: 2h 16m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 26m per day | ▲ 6% State avg: 3h 14m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 4m per day | ■ Avg State avg: 4m per day · National avg: 4m per day |
|
RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 32m per day | ▲ 19% State avg: 27m per day · National avg: 28m per day |
Most residents typically stay for a few weeks or months before returning home or moving on.
44% of new residents, usually for short-term rehab.
43% of new residents, often for short stays.
12% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #12 / 271Payroll — State benchmarkedThis home is ranked 12th out of 271 homes in Indiana.Shows total annual staff payroll benchmarked to the Indiana average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Higher than the Indiana average: 68.1%Compass Park is legally operated by Johnson Memorial Hospital, and administrated by William Pierce.
Key information about the people who lead and staff this community.
In Indiana, the Department of Health, Division of Long Term Care is the primary regulatory body that performs onsite inspections and quality of care reviews for all licensed facilities.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Indiana state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies are formal regulatory issues recorded during state inspections.
| Metric | This Facility | IN Average | vs. IN Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 24 | 36 | This facility has 33% fewer total deficiencies than a typical Indiana nursing home (24 vs. IN avg 36). Click this badge to view the full Indiana ranking.↓ 33% better |
|
Deficiencies per year
Average deficiencies per year since 2022.
| 6 | 9 | This facility has 33% fewer deficiencies per year than a typical Indiana nursing home (6 vs. IN avg 9). Click this badge to view the full Indiana ranking.↓ 33% better |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 1.1 | 1.9 | This facility has 42% fewer deficiencies per inspection than a typical Indiana nursing home (1.1 vs. IN avg 1.9). Click this badge to view the full Indiana ranking.↓ 42% better |
State inspections evaluate whether the facility meets health and safety standards.
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on December 19, 2024, was a complaint investigation that found no deficiencies related to the allegations. Earlier inspections showed a mixed pattern with several citations primarily involving Life Safety Code issues such as fire alarm system maintenance, unsecured oxygen cylinders, and door safety, as well as deficiencies in resident notification policies, infection control practices, and employee testing. Complaint investigations were mostly unsubstantiated, with one substantiated complaint that did not result in cited deficiencies. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s record shows some recurring Life Safety and procedural issues, but recent inspections indicate compliance and improvement in key areas.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsIndiana average 6
Last Health inspection on Sep 2024
Indiana average 25
Indiana average 4.12
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 10 citations resulted from standard inspections.
100% better than Indiana averageIndiana average: 0.2
100% better than Indiana averageIndiana average: 0.6
Corrected
Corrected
Corrected
Corrected
Compass Park is located in FRANKLIN, Indiana.
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0.0 miles from city center
Estimated distance in miles from Franklin's city center to Compass Park's address, calculated via Google Maps.
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Reporting period: April 1 – June 30, 2025 (Q2 2025). Source: CMS Payroll-Based Journal report.
1516907% better than Indiana average
0% compared with Indiana average
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursThis role is partially covered by contractors.
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Total hours from contractors
3,741 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
| Certified Nursing Assistant | 82 | 5 | 87 | 27,602 | 91 | 100% | 8 |
| Registered Nurse | 34 | 11 | 45 | 8,510 | 91 | 100% | 8.5 |
| Licensed Practical Nurse | 20 | 7 | 27 | 5,989 | 91 | 100% | 8.7 |
| Other Dietary Services Staff | 7 | 0 | 7 | 2,967 | 90 | 99% | 7.5 |
| RN Director of Nursing | 4 | 0 | 4 | 1,957 | 70 | 77% | 7.7 |
| Nurse Aide in Training | 13 | 0 | 13 | 1,864 | 78 | 86% | 7.6 |
| Medication Aide/Technician | 9 | 2 | 11 | 1,361 | 83 | 91% | 8.2 |
| Speech Language Pathologist | 0 | 3 | 3 | 901 | 65 | 71% | 7.3 |
| Respiratory Therapy Technician | 0 | 5 | 5 | 725 | 79 | 87% | 6.3 |
| Physical Therapy Assistant | 0 | 5 | 5 | 629 | 66 | 73% | 5.4 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 543 | 64 | 70% | 8.5 |
| Dietitian | 1 | 0 | 1 | 513 | 62 | 68% | 8.3 |
| Dental Services Staff | 1 | 0 | 1 | 510 | 59 | 65% | 8.7 |
| Administrator | 1 | 0 | 1 | 504 | 63 | 69% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 489 | 62 | 68% | 7.9 |
| Mental Health Service Worker | 2 | 0 | 2 | 455 | 54 | 59% | 8.4 |
| Physical Therapy Aide | 0 | 3 | 3 | 453 | 60 | 66% | 7.3 |
| Qualified Social Worker | 0 | 1 | 1 | 292 | 64 | 70% | 4.6 |
| Medical Director | 0 | 1 | 1 | 230 | 45 | 49% | 5.1 |
| Occupational Therapy Aide | 0 | 1 | 1 | 73 | 15 | 16% | 4.9 |
| Feeding Assistant | 0 | 1 | 1 | 13 | 12 | 13% | 1.1 |
| Qualified Activities Professional | 0 | 1 | 1 | 10 | 2 | 2% | 5.2 |
| Other Physician | 0 | 1 | 1 | 9 | 6 | 7% | 1.5 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
147Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.6
82% worse than Indiana averageIndiana average: 8.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
26.4
55% worse than Indiana averageIndiana average: 17.1
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
24.3%
102% worse than Indiana averageIndiana average: 12.0%
Percent of long-stay residents whose ability to move independently worsened
26.8%
87% worse than Indiana averageIndiana average: 14.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
28.1%
14% worse than Indiana averageIndiana average: 24.6%
Percent of long-stay residents experiencing one or more falls with major injury
7.4%
91% worse than Indiana averageIndiana average: 3.9%
Percent of long-stay high risk residents with pressure ulcers
7.1%
62% worse than Indiana averageIndiana average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.4%
68% better than Indiana averageIndiana average: 1.2%
Percent of long-stay residents who lose too much weight
7.6%
33% worse than Indiana averageIndiana average: 5.7%
Percent of long-stay residents who have depressive symptoms
3.7%
85% better than Indiana averageIndiana average: 24.1%
Percent of long-stay residents who received an antipsychotic medication
10.0%
19% better than Indiana averageIndiana average: 12.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.8%
7% better than Indiana averageIndiana average: 93.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.8%
In line with Indiana averageIndiana average: 95.4%
Number of hospitalizations per 1,000 long-stay resident days.
1.52
5% better than Indiana averageIndiana average: 1.60
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.26
53% worse than Indiana averageIndiana average: 1.48
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
91.9%
12% better than Indiana averageIndiana average: 81.7%
Percent of short-stay residents who newly received an antipsychotic medication
1.1%
23% better than Indiana averageIndiana average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
86.1%
9% better than Indiana averageIndiana average: 79.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
24.8%
11% worse than Indiana averageIndiana average: 22.4%
Percentage of short-stay residents who had an outpatient emergency department visit.
9.8%
7% better than Indiana averageIndiana average: 10.5%
Percentage of SNF residents who experience falls with major injury during their stay.
0.9%
13% worse than Indiana averageIndiana average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
48.9%
9% worse than Indiana averageIndiana average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
43.7%
14% worse than Indiana averageIndiana average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
The information below is reported by the Indiana Department of Health, Division of Long Term Care.
| Adams Woodcrest |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Decatur | 167 | 67.1% | -3% | 3.69 | -10% | +7% | $0 | 2 | 2.0 | - | 108 | - | 79 | Adams County Memorial Hospital | $12.8M | $8.7M | 67.7% | 155747 | ||||
| Adams Heritage |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Monroeville | 61 | 60.7% | -13% | 4.12 | +29% | +20% | $0 | 2 | 1.0 | - | 39 | A+ | 40 | Adams County Memorial Hospital | $5.5M | $3.8M | 69.2% | 155729 | ||||
| Compass Park |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Franklin | 167 | 89.8% | +29% | 4.04 | +113% | +18% | $0 | 10 | 3.3 | - | 139 | A+ | 80 | William Pierce | $20.1M | $11.7M | 58.3% | 155593 | ||||
| Addison Pointe Health & Rehabilitation Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Chesterton | 100 | 93.0% | +34% | 3.16 | -5% | -8% | $9.9k | 27 | 4.5 | 1 | 93 | - | 73 | Steven Dobben | $15.3M | $6.4M | 41.5% | 155805 | ||||
| Albany Health Care & Rehabilitation Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Albany | 102 | 75.5% | +9% | 3.51 | +4% | +2% | $0 | 19 | 3.2 | 1 | 77 | - | 34 | Melanie Troxwell | $12.4M | $5.2M | 41.7% | 155432 |
Historical financial and operational data for Compass Park based on CMS SNF Cost Reports.
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Marissa Meahl is the Director of Nursing at Compass Park.
The legal owner and operator of Compass Park is Johnson Memorial Hospital.
Compass Park has a walk score of 80. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to IN state health department records, Compass Park's license number is 25-001133-1.
According to IN state health department records, Compass Park's license expires on December 31, 2025.
Compass Park's occupancy is 89%.
William Pierce is the administrator of Compass Park.
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