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Medicare overall rating 4 of 5 stars
Certified beds60
Medicare / MedicaidMedicare & Medicaid
OwnershipNon-profit (church related)

About Otterbein Middletown

Otterbein Middletown is a 60-bed nonprofit nursing home in Franklin, OH. Medicare rates it 4 out of 5 stars overall (above average); the average in Ohio is 3.2. At its last full inspection (Jan 2026), inspectors found 9 problems, close to the Ohio average of 10.5. None of the problems in its recent inspections were found to have harmed residents. Nurses and aides spend about 4 hr 12 min a day with each resident, more than the Ohio average of 3 hr 41 min. About 28% of its nursing staff left in the past year. It has had no federal fines in the last three years. Its quality ratings are similar for short-term rehab (5 of 5) and long-term care (5 of 5).

Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology

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Key details

Facility nameOtterbein Middletown
LocationWarren County, Ohio
Address105 Atrium Drive, Franklin, OH 45005 · Warren County
CMS provider number366376
Ownership typeNon-profit (church related)
Operating companyOtterbein SeniorLife · 20 homes
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceJune 8, 2009 (17 years)
✓ Medicare✓ Medicaid

Certified for Medicaid; ask whether a Medicaid bed is available.

Quality & inspections

Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.

Overall rating4 of 5Above average
Health inspections3 of 5Average
Quality measures5 of 5Much above average
Staffing4 of 5Above average

Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.

What Medicare found

4 strengths and 1 thing to ask about in Medicare's inspection, fine and staffing records for this home.

Strengths

  • Serious health citationsNone on recordNo citations for actual harm or immediate jeopardy since Oct 2025.
    Strength
  • Fines and penaltiesNoneNo federal fines or payment denials in the last three years.
    Strength
  • Nurse staffing per resident4 hr 12 min a dayOhio average: 3 hr 41 min
    Strength
  • Nursing staff turnover28% a yearOhio average: 49%
    Strength

About average

  • Health citations at last inspection9 (Jan 2026)Ohio average: 10.5. Most citations are minor and corrected within weeks.
    About average

Things to ask about

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  • Registered nurse time per resident33 min a dayOhio average: 38 min
    Worse than state average

Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Ohio average. Problems may have been corrected since; ask the home about anything listed here. How we choose these

Short-term rehab or long-term care?

Medicare rates these separately, and many homes are better at one than the other.

Short-term rehab

For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.

Medicare quality rating: 5 of 5 (much above average)

  • Sent back to the hospital28.5%State average: 24.9%
    About average
  • Needed an emergency room visit8.7%State average: 12.9%
    Better than average
  • Newly given antipsychotic drugs0.0%State average: 1.2%
    Better than average

Physical therapist time: about 4 minutes per resident a day. That is more than the state average of 3 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.

Long-term care

For residents who live at the home for months or years.

Medicare quality rating: 5 of 5 (much above average)

  • Falls with a major injury1.3%State average: 3.2%
    Better than average
  • Pressure sores (bedsores)2.5%State average: 3.4%
    Better than average
  • Given antipsychotic drugs10.2%State average: 8.8%
    About average

Source: Medicare (CMS) quality measures, compared with the Ohio average. Lower is better for every rate shown.

Who pays, and how full it is

Many residents here pay privately or through insurance. In Ohio, Medicaid pays for 48% of resident days at a typical home.

  • 18% Medicaid
  • 12% Medicare
  • 71% Private pay, insurance and other
Beds in use, on average91%Ohio typical: 85%
Cost of care per resident day$364Ohio typical: $331

Shares of resident days, from the home’s Medicare cost report for the year ending December 2024. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.

Ratings over time

Its overall Medicare rating is 4 stars now, down from 5 stars in January 2019. It has ranged from 3 to 5 stars and changed 11 times.

Overall rating4★
Health inspections3★
Staffing4★
Quality of care5★
Nurse hours per resident per day4.2
20192020202120222023202420252026
Show the values by year
MonthOverallInspectionsStaffingQualityNurse hours
Jan 201953455.6
Jan 202055444.9
Jan 202155445.5
Jan 202255335.0
Jan 202333223.7
Jan 202433344.6
Feb 202554454.7
Feb 202643454.6
Sep 202643454.2

Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology

See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home

From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.

Inspection summary

How this facility compares to state and national averages on CMS-reported problems.

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Three-survey history

Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.

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Explore the area

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Family reviews

No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.