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Nursing home

Otterbein Middletown

Franklin, Ohio · Warren County

  • 105 Atrium Drive, Franklin, OH 45005 · Directions
  • (513) 727‑4590
  • Medicare overall rating: 4 of 5 starsMedicare overall rating
  • Ownership: Non-profit – church related
  • 19 health citations in its last 3 inspection cycles (most serious: level E). See the inspection record

Summary

Otterbein Middletown is a Medicare-certified nursing home in Franklin, Ohio, with 60 certified beds. Medicare overall rating: 4 of 5 stars. Most recent standard health inspection: 2026-01-08, with 9 health deficiencies. Ownership: non-profit – church related. Source: Medicare (CMS) Provider Information, data updated 2026-10-01.

What is a nursing home?

A nursing home (skilled nursing facility) gives 24-hour nursing care and help with daily activities. Some people stay for a short time to recover after a hospital stay (rehabilitation); others live there long term. The homes listed here are certified by Medicare and/or Medicaid and inspected by the state.

Official Medicare data

Everything on this page comes from Medicare (CMS) data updated 2026-10-01. It is information, not a recommendation. Call the nursing home and visit before you decide, and talk with your doctor.

In a medical emergency, call 911.

At a glance

Medicare overall rating: 4 of 5 starsMedicare overall rating
60Certified beds
Health inspections: 3 of 5 starsHealth inspections

Quick answers

Where is Otterbein Middletown?
105 Atrium Drive, Franklin, OH 45005, in Warren County, Ohio.
What is the phone number of Otterbein Middletown?
(513) 727-4590, as listed by Medicare (CMS).
What is the Medicare star rating of Otterbein Middletown?
Medicare overall rating: 4 out of 5 stars (CMS data updated 2026-10-01).
Has Otterbein Middletown been fined?
Medicare lists no fines for Otterbein Middletown.
What did inspectors find at Otterbein Middletown?
In its last three inspection cycles (August 29, 2019 to January 8, 2026), Medicare lists 19 health citations; the most serious was level E. See the list below (CMS data updated 2026-10-01).

Medicare ratings, explained

Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.

Overall rating
Overall rating: 4 of 5 stars
Medicare’s summary of the three ratings below, from 1 star (much below average) to 5 stars (much above average).
Health inspections
Health inspections: 3 of 5 stars
Based on state health inspections and complaint investigations of about the last three years, compared with other nursing homes in the same state.
Staffing
Staffing: 4 of 5 stars
Based on how many hours nurses and aides spend with each resident per day (from payroll records) and how often staff leave.
Quality of resident care
Quality of resident care: 5 of 5 stars
Based on how residents do on measures such as falls with injury, pressure sores, getting better at moving around and going back to the hospital.
Short-stay residents (rehab)
Short-stay residents (rehab): 5 of 5 stars
Quality rating for people who stay a short time, usually to recover after a hospital stay.
Long-stay residents
Long-stay residents: 5 of 5 stars
Quality rating for people who live in the nursing home.

Inspections, fines and staffing

In its last three inspection cycles (August 29, 2019 to January 8, 2026), Otterbein Middletown had 19 health citations; the most serious was level E (no actual harm, potential for more than minimal harm). Medicare lists no fines or payment denials for it in the last three years. Nurse staffing is 3.99 hours per resident per day; the Ohio average is 3.71 and the national average is 3.90.

Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.

Inspection history: last three cycles

State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.

What the letters A to L mean
Scope and severity letters
SeriousnessIsolated (a few residents)Pattern (some)Widespread (many)
No actual harm, potential for minimal harmABC
No actual harm, potential for more than minimal harmDEF
Actual harm to residentsGHI
Immediate jeopardy to resident health or safetyJKL

Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.

Most recent cycle: January 8, 2026 — 9 health citations

Inspections in this cycle: October 14, 2025 (complaint investigation); January 8, 2026 (standard health inspection).

Show 9 citations (levels A to F, no actual harm)
  • F0689 Level E January 8, 2026 · corrected February 9, 2026

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

  • F0812 Level E January 8, 2026 · corrected February 9, 2026

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

  • F0880 Level E January 8, 2026 · corrected February 9, 2026

    “Provide and implement an infection prevention and control program.”

  • F0578 Level D January 8, 2026 · corrected February 9, 2026

    “Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.”

  • F0584 Level D January 8, 2026 · corrected February 9, 2026

    “Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.”

  • F0636 Level D January 8, 2026 · corrected February 9, 2026

    “Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.”

  • F0687 Level D January 8, 2026 · corrected February 9, 2026

    “Provide appropriate foot care.”

  • F0842 Level D January 8, 2026 · corrected February 9, 2026

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

  • F0689 Level D October 14, 2025 · from a complaint · past non-compliance (already fixed before the inspection) (October 6, 2025)

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

Previous cycle: August 15, 2022 — 9 health citations

Inspections in this cycle: August 15, 2022 (standard health inspection).

Show 9 citations (levels A to F, no actual harm)
  • F0689 Level E August 15, 2022 · corrected November 18, 2022

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

  • F0812 Level E August 15, 2022 · corrected November 18, 2022

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

  • F0880 Level E August 15, 2022 · corrected November 18, 2022

    “Provide and implement an infection prevention and control program.”

  • F0679 Level D August 15, 2022 · corrected November 18, 2022

    “Provide activities to meet all resident's needs.”

  • F0685 Level D August 15, 2022 · corrected November 18, 2022

    “Assist a resident in gaining access to vision and hearing services.”

  • F0690 Level D August 15, 2022 · corrected November 18, 2022

    “Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”

  • F0695 Level D August 15, 2022 · corrected November 18, 2022

    “Provide safe and appropriate respiratory care for a resident when needed.”

  • F0770 Level D August 15, 2022 · corrected November 18, 2022

    “Provide timely, quality laboratory services/tests to meet the needs of residents.”

  • F0791 Level D August 15, 2022 · corrected November 18, 2022

    “Provide or obtain dental services for each resident.”

Earlier cycle: August 29, 2019 — 1 health citation

Inspections in this cycle: August 29, 2019 (standard health inspection).

Show 1 citation (levels A to F, no actual harm)
  • F0644 Level D August 29, 2019 · corrected September 16, 2019

    “Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.”

Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.

Full inspection reports on Medicare Care Compare →

Fire safety citations (16)
  • K0321 Level F January 8, 2026 · corrected February 9, 2026

    “Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”

  • K0345 Level F January 8, 2026 · corrected February 9, 2026

    “Have approved installation, maintenance and testing program for fire alarm systems.”

  • K0521 Level F January 8, 2026 · corrected February 9, 2026

    “Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.”

  • K0712 Level F January 8, 2026 · corrected February 9, 2026

    “Have simulated fire drills held at unexpected times.”

  • K0345 Level F August 15, 2022 · corrected November 18, 2022

    “Have approved installation, maintenance and testing program for fire alarm systems.”

  • K0346 Level F August 15, 2022 · corrected November 18, 2022

    “Follow proper procedures when the fire alarm was out of service for more than 4 hours.”

  • K0353 Level F August 15, 2022 · corrected November 18, 2022

    “Inspect, test, and maintain automatic sprinkler systems.”

  • K0354 Level F August 15, 2022 · corrected November 18, 2022

    “Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.”

  • K0711 Level F August 15, 2022 · corrected November 18, 2022

    “Provide a written emergency evacuation plan.”

  • K0712 Level F August 15, 2022 · corrected November 18, 2022

    “Have simulated fire drills held at unexpected times.”

  • K0918 Level F August 15, 2022 · corrected November 18, 2022

    “Have generator or other power source capable of supplying service within 10 seconds.”

  • K0222 Level E August 15, 2022 · corrected November 18, 2022

    “Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.”

  • K0345 Level E August 29, 2019 · corrected September 16, 2019

    “Have approved installation, maintenance and testing program for fire alarm systems.”

  • K0761 Level E August 29, 2019 · corrected September 16, 2019

    “To conduct inspection, testing and maintenance of fire doors by qualified individuals.”

  • K0914 Level E August 29, 2019 · corrected September 16, 2019

    “Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.”

  • K0923 Level E August 29, 2019 · corrected September 16, 2019

    “Have proper medical gas storage and administration areas.”

Staffing

Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.

MeasureThis homeOhioNational
Registered nurse (RN) hours per resident per day0.550.640.69
Licensed practical nurse (LPN) hours per resident per day0.820.950.86
Nurse aide hours per resident per day2.632.122.35
Total nurse staff hours per resident per day3.993.713.90
Total nurse staff hours per resident per day on the weekend3.783.293.43
RN hours per resident per day on the weekend0.290.430.48
Nursing staff turnover (per year)29.6%49.0%45.3%
RN turnover (per year)0.0%44.4%42.5%
Administrators who left in the last year1.00.60.5

Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.

Owners and operator

Part of a group of 20 nursing homes: Otterbein Seniorlife.

Legal business name: Otterbein Middletown LLC.

Owners and managers Medicare lists (4)
NameRoleShareSince
Otterbein Neighborhoods, LLCDirect owner100%January 1, 2016
Otterbein HomeIndirect owner100%December 1, 2021
Functional Pathways of Tennessee LLCManagement company (operational or managerial control)NOT APPLICABLEDecember 1, 2018
Otterbein HomeManagement company (operational or managerial control)NOT APPLICABLEDecember 1, 2021

Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.

Compare with other nursing homes

Key facts

TypeNursing home
Certified beds60
Average residents per day54.8
Takes part inMedicare and Medicaid
OwnershipNon-profit – church related
Group or chain (affiliated entity)Otterbein Seniorlife
Legal business nameOtterbein Middletown LLC
First approved by Medicare/Medicaid2009-06-08
Resident and family councilsResident and family councils
Sprinklers in all required areasYes
Changed ownership in the last 12 monthsNo
Address105 Atrium Drive, Franklin, OH 45005
CountyWarren County
StateOhio
Phone(513) 727‑4590
CMS Certification Number366376
Name in Medicare recordsOTTERBEIN MIDDLETOWN
CorrectionsReport an error or suggest an update →

What to ask when you call or visit

A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.

  • Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
  • Can you see the latest state inspection report? Ask how any problems found were fixed.
  • How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
  • Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
  • What therapy (physical, occupational, speech) is offered, and how many days a week?
  • Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
  • What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
  • Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
  • Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
  • Visit more than once, including at a mealtime or in the evening, without an appointment.

Other nursing homes nearby

By straight-line distance (not driving distance).

Nearest hospital emergency rooms

Sources

  1. Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this provider
  3. Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  4. Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  5. Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
  6. Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
  7. State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
  8. Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
  9. Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
  10. Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13