Above average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Compass Park during CMS and state inspections, most recent first.
A resident receiving hospice care and diagnosed with idiopathic pulmonary fibrosis was observed getting incontinent care with the door half open while a CNA provided care. RN and DON stated the door should be closed during personal care, and the facility policy required resident privacy to be maintained.
The facility failed to provide written transfer notifications to three residents, their representatives, and the Ombudsman. Residents with various medical conditions were transferred to the hospital without the required documentation. Social Services confirmed the lack of notifications, despite the facility's policy requiring adherence to federal and state guidelines.
The facility failed to provide written bed hold notifications to three residents and their representatives during hospital transfers. Despite having a Medical or Therapeutic Leave Policy, the facility lacked a specific bed hold policy, resulting in non-compliance with Federal and State guidelines.
A facility failed to include Enhanced Barrier Precautions in the baseline care plan for a newly admitted resident with a feeding tube and suprapubic catheter. The omission was identified during a review of the resident's clinical record and confirmed by the DON.
A facility failed to implement proper infection control practices for a resident under Enhanced Barrier Precautions (EBP). An LPN administered medications via a feeding tube without initially wearing a gown, despite an EBP sign posted outside the resident's room. The DON confirmed the requirement for gown and gloves during high-contact care activities, as outlined in the facility's Infection Control Policy.
Failure to Maintain Privacy During Incontinent Care
Penalty
Summary
The facility failed to ensure privacy was provided during personal care for 1 of 7 residents observed for personal care. Resident 137, who had a diagnosis of idiopathic pulmonary fibrosis and had elected hospice care, was observed receiving incontinent care while lying in bed on his right side facing the wall, with CNA 2 holding the resident in place with one hand and cleaning the resident's coccyx with the other hand. At the time of the observation, the resident's door was half open. During interview, RN 3 stated the door should not be open when providing incontinence care, and the DON later stated privacy should be provided by closing the resident's door during personal care. The facility policy titled Promoting/Maintaining Resident Dignity also indicated resident privacy should be maintained.
Failure to Provide Written Transfer Notifications
Penalty
Summary
The facility failed to provide written notification of transfer or discharge to residents, their representatives, and the Office of the State Long-Term Care Ombudsman for three residents. Resident 140, diagnosed with COPD, chronic respiratory failure, and orthostatic hypotension, was transferred to the hospital emergency department on 7/4/24 without the required written notification being documented in the clinical record. Similarly, Resident 1, with diagnoses including diabetes, acute and chronic respiratory failure, and heart failure, was transferred to the hospital on multiple occasions (3/6/24, 3/14/24, and 4/25/24) without documentation of the necessary written notifications. Resident 123, who had cirrhosis of the liver, anxiety, schizoid personality disorder, and dementia, was also transferred to the hospital on 8/11/24 without the required written notification. During an interview, Social Services 4 confirmed that the facility had not provided the necessary written notifications for these transfers. The facility's current policy, dated 6/6/2007, was reviewed and indicated that residents leaving for medical reasons should be notified in accordance with federal and state guidelines, which was not adhered to in these cases.
Failure to Provide Bed Hold Notifications
Penalty
Summary
The facility failed to provide written bed hold notifications to residents and their representatives for three residents who were transferred to the hospital. Resident 1, who was moderately cognitively impaired, had multiple transfers to the hospital, but there was no documentation of bed hold notifications being provided to the resident or their guardian. Similarly, Resident 123, also moderately cognitively impaired, was transferred to the hospital without any record of a bed hold notification being given to the resident or their emergency contact. Resident 140, who was cognitively intact, experienced a hospital transfer without receiving a written bed hold notification. Interviews with facility staff, including Social Service 4 and the Director of Nursing Services, confirmed the absence of a specific bed hold policy and the lack of documentation for these notifications. The facility relied on a Medical or Therapeutic Leave Policy, which was not specific to bed hold notifications, indicating a gap in compliance with Federal and State guidelines.
Failure to Include Enhanced Barrier Precautions in Baseline Care Plan
Penalty
Summary
The facility failed to develop a comprehensive baseline care plan for a newly admitted resident, identified as Resident 82, who was reviewed among five residents for new admissions. The deficiency was noted during an interview and record review, where it was found that the baseline care plan did not include necessary information on Enhanced Barrier Precautions. Resident 82's clinical record, reviewed on September 19, 2024, indicated that the resident had a feeding tube and a suprapubic catheter. Although these medical devices were noted in the Interim Care Plan dated July 25, 2024, the plan lacked the critical information regarding Enhanced Barrier Precautions, which was necessary for the resident's care. The Director of Nursing confirmed that the baseline care plan should have included this information.
Failure to Implement Enhanced Barrier Precautions
Penalty
Summary
The facility failed to implement proper infection control practices for a resident under Enhanced Barrier Precautions (EBP). During an observation, an LPN prepared and administered medications via a feeding tube to a resident on EBP without initially wearing the required personal protective equipment (PPE), specifically a gown. Although the LPN washed her hands and applied gloves, she only put on a gown after being queried about the resident's EBP status. An Enhanced Barrier Precaution sign was posted outside the resident's room, indicating the need for gown and gloves during high-contact care activities. The Director of Nursing confirmed that all staff should wear gloves and gowns when providing direct care to residents on EBP. The facility's current Infection Control Policy, revised in March 2024, outlines the requirement for gown and gloves for residents known to be colonized or infected with multidrug-resistant organisms or those at increased risk of MDRO acquisition.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 423 citations issued within 25 miles in the last 12 months — including the 5 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Franklin
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Homeview Center Of Franklin | 0.2 mi | ★★★★★ | 3 | 0 |
| Otterbein Franklin Seniorlife Comm Res & Com Care | 1.5 mi | ★★★★★ | 17 | 2 |
| Hickory Creek At Franklin | 1.8 mi | ★★★★★ | 6 | 0 |
| Franklin Meadows | 2.1 mi | ★★★★★ | 8 | 0 |
| Greenwood Village South | 9.6 mi | ★★★★★ | 8 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Compass Park.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.