Otterbein Middletown
Strong Medicare quality ratings; families often praise homelike, open-concept small house design. Still worth an in-person visit.
based on 78 Google reviews

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What this means for your family
Otterbein Middletown offers a unique, homelike environment that many families find comforting, and their therapy department is highly regarded for successful rehab outcomes. However, you must be proactive regarding care; families should specifically ask about current staffing ratios and how the facility manages call-light response times during off-peak hours to ensure your loved one's needs are met promptly.
Google Reviews
Google Reviews
78 reviews on Google“Otterbein Middletown is a small-house model nursing facility that receives high praise for its homelike environment, attentive therapy teams, and compassionate nursing staff. However, several families have reported critical concerns regarding significant delays in call-light response times, inconsistent staffing levels, and occasional lapses in basic care, particularly during night shifts.”
Quality Themes
Tap a score for detailsStrengths
- Homelike, open-concept small house design
- Highly effective physical and occupational therapy
- Warm, compassionate nursing and aide staff
- Person-centered, dignified care approach
Concerns
- Excessive delays in call-light response times (mentioned by 6 reviewers)
- Understaffing leading to neglect of basic needs (mentioned by 4 reviewers)
- Inconsistent medication management and pain relief (mentioned by 3 reviewers)
- Poor communication regarding resident care status (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 79 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1I noticed your 'small house' design creates a very homelike atmosphere; how does this layout help staff stay connected to residents throughout the day?
- 2We saw that you are very active in responding to online feedback; how do you use that family input to improve your communication processes regarding a resident's daily care status?
- 3With the physical and occupational therapy programs being a highlight here, how do you ensure that therapy goals are integrated into the resident's daily routine?
- 4When a resident needs assistance, what is the standard protocol for call-light response, and how do you ensure that needs are met promptly during shift changes?
- 5How does your team coordinate to ensure that medication management remains consistent and that pain relief needs are addressed effectively for every resident?
- 6Given the recent health inspection findings, what specific steps is the leadership team taking to address those areas and improve the overall care experience?
Personalized based on this facility's data
Key Review Excerpts
“The aides were great. The therapists couldn't be better. Food was well prepared and plentiful. Overall this was the best rehab I have been in, and this was my third.”
“The small house model creates such a homelike environment—it’s not just about care, it’s about connection, dignity, and quality of life.”
“Everytime he uses the call light, it take 30-40 minutes to get a response. Staff keep talking loudly enough just so we hear 'No one is going to tell me I'm not doing my job'.”
Staffing
Staffing Hours
per resident/day · Medicare 2026RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
10
measures
3
measures
4
measures
Residents whose walking got worse
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose bladder or bowel control got worse
Residents needing more daily help over time
Residents vaccinated for pneumonia
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has faced recurring issues primarily in fire safety systems and resident care quality, with families filing complaints that led to findings about accident prevention and pain management. The most frequent problems involve fire alarm systems, emergency preparedness, and ensuring safe environments for residents. While most deficiencies show correction dates, some fire safety issues have persisted across multiple surveys, and recent complaint-triggered inspections indicate ongoing family concerns about care standards.
Jan 8, 2026Routine12
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
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.
Resident Rights Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Quality of Life and Care Deficiencies
Provide appropriate foot care.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Oct 14, 2025Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
May 19, 2023Complaint2
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Aug 15, 2022Routine17
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Miscellaneous Deficiencies
Provide a written emergency evacuation plan.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Egress Deficiencies
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.
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies
Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
Quality of Life and Care Deficiencies
Provide or obtain dental services for each resident.
Aug 29, 2019Routine5
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Ownership & Operations
Who Operates This Facility
Otterbein Middletown
nonprofit
Chain Affiliation
Otterbein Seniorlife
19 facilities nationwide
Chain avg rating: 2.8/5 · Rank 4 of 19
Ownership & Management
Owners
Otterbein Neighborhoods, LLC
Owner · Organization
Otterbein Home
Owner (parent company) · Organization
Baker, Steve
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Galbut, Abraham
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Galbut, Daniel
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Galbut, David
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Galbut, Eric
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Galbut, Robert
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Paritzky, Jonathan
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Rombro, David
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Wilson, Jill
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Zisek, Todd
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact
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References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
78 reviews from families & visitors
Official Website
Visit otterbein.org
Medicare data downloads
Original nursing home datasets
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