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Nursing HomeMedicaid

Otterbein Middletown

Strong Medicare quality ratings; families often praise homelike, open-concept small house design. Still worth an in-person visit.

105 Atrium Drive, Franklin, OH 4500560 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
4.5/5

based on 78 Google reviews

5
4
3
2
1
Otterbein Middletown Nursing Home in Franklin, OH — Street View
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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 details
Food8.0Staff6.0Clean7.0Activities8.0Meds3.0MemoryN/AComms4.0ValueN/A

Strengths

  • 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

234'16(1)'19(1)'21(6)'23(15)'25(26)'26(9)

Distribution · 79 analyzed

5
67
4
1
3
1
2
1
1
9
11 reviews posted between Apr 17, 2023Apr 20, 2023 · 11 were 5-star

How They Respond to Reviews

97%response rate

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.

Rehab patient · 2025★★★★★

The small house model creates such a homelike environment—it’s not just about care, it’s about connection, dignity, and quality of life.

Family member · 2025★★★★★

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'.

Family member · 2025★★★☆☆
Source: 78 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.53hrs
71%
Registered nurses for medical care
Total Nursing
4.13hrs
OK
All nurses + aides combined
Staff Turnover
38%
Lower is better (< 30% = good)
RN Turnover
29%
Lower is better (< 30% = good)

RN 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

Medicare Rating
5/ 5
Better Than Avg

10

measures

Worse Than Avg

3

measures

Mixed Results

4

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility1.4%
Better than Avg
Here
1.4%
US
15.3%
OH
6.9%
Warren
12.5%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility31.1%
Worse than Avg
Here
31.1%
US
19.5%
OH
25.4%
Warren
26.5%
😔

Residents with depression symptoms

↓ Lower is better
This Facility22.6%
Mixed vs Avgs
Here
22.6%
US
12.1%
OH
28.2%
Warren
22.8%

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

↓ Lower is better
This Facility29.7%
Worse than Avg
Here
29.7%
US
19.4%
OH
21.6%
Warren
20.9%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility4.2%
Better than Avg
Here
4.2%
US
14.4%
OH
5.8%
Warren
11.4%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
OH
92.6%
Warren
92.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility97.3%
Better than Avg
Here
97.3%
US
81.8%
OH
78.4%
Warren
83.0%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility90.9%
Better than Avg
Here
90.9%
US
79.7%
OH
75.6%
Warren
83.0%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
OH
1.2%
Warren
1.7%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

9deficiencies
Near state avg (10.1)
3 complaint-triggered

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, 2026Routine
12
0321Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0521Potential for harm · WidespreadCorrected

Services Deficiencies

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

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0578Potential for harm · IsolatedCorrected

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.

0584Potential for harm · IsolatedCorrected

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.

0636Potential for harm · IsolatedCorrected

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.

0687Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate foot care.

0842Potential for harm · IsolatedCorrected

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, 2025Complaint
1
0689Potential for harm · IsolatedResolved (past non-compliance)

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, 2023Complaint
2
0697Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

0842Potential for harm · IsolatedCorrected

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, 2022Routine
17
0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0346Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0354Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0711Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0222Potential for harm · PatternCorrected

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.

0679Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0685Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0690Potential for harm · IsolatedCorrected

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.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0770Potential for harm · IsolatedCorrected

Administration Deficiencies

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

0791Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide or obtain dental services for each resident.

Aug 29, 2019Routine
5
0345Potential for harm · PatternCorrected

Smoke Deficiencies

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

0761Potential for harm · PatternCorrected

Miscellaneous Deficiencies

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

0914Potential for harm · PatternCorrected

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.

0923Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0644Potential for harm · IsolatedCorrected

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

Owner / Operator

Otterbein Middletown

Organization Type

nonprofit

Chain Affiliation

Chain Name

Otterbein Seniorlife

Chain Size

19 facilities nationwide

Chain avg rating: 2.8/5 · Rank 4 of 19

Ownership & Management

Owners

Otterbein Neighborhoods, LLC

Owner · Organization

100%

Otterbein Home

Owner (parent company) · Organization

100%

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

Green, JamesOfficer / DirectorWilson, JillOfficer / DirectorFunctional Pathways of Tennessee LLCManagerOtterbein HomeManagerApp, LynnManager
Source: Medicare provider data

Contact

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References & Resources

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