Otterbein Middletown
105 Atrium Drive, Franklin, OH 45005 · Warren County · 60 certified beds · avg 54 residents/day · certified since Jun 8, 2009
Part of chain: OTTERBEIN SENIORLIFE (20 facilities, chain avg rating 3.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (19)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jan 8, 2026 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Jan 8, 2026 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jan 8, 2026 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jan 8, 2026 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Jan 8, 2026 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Jan 8, 2026 | D · Potential for harm, one-off | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. |
| Jan 8, 2026 | D · Potential for harm, one-off | The facility did not provide proper foot care for residents. Foot care includes routine care like nail trimming and attention to foot problems, which matter greatly for older adults. |
| Jan 8, 2026 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Oct 14, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Aug 15, 2022 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Aug 15, 2022 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Aug 15, 2022 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Aug 15, 2022 | D · Potential for harm, one-off | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Aug 15, 2022 | D · Potential for harm, one-off | The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids. |
| Aug 15, 2022 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Aug 15, 2022 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Aug 15, 2022 | D · Potential for harm, one-off | The facility did not provide timely, quality laboratory tests to meet residents' needs. |
| Aug 15, 2022 | D · Potential for harm, one-off | The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care. |
| Aug 29, 2019 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (9 → 8).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 1 | 0 | D |
| 2022 | 9 | 0 | E |
| 2025 | 1 | 0 | D |
| 2026 | 8 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Ohio avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.99 | 3.45 | 3.95 | top 16% in Ohio; top 40% in the U.S. |
| Registered Nurse hours | 0.53 | 0.60 | 0.69 | bottom 46% in Ohio; bottom 41% in the U.S. |
| Weekend total nurse staffing | 3.74 | 3.07 | 3.50 | top 11% in Ohio; top 32% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.38 | 0.42 | 0.48 | bottom 49% in Ohio; bottom 48% in the U.S. |
| Total nursing staff turnover (%) | 28.0 | 48.7 | 45.8 | top 6% in Ohio; top 11% in the U.S. |
| RN turnover (%) | 0.0 | 43.9 | 42.9 | top 1% in Ohio; top 1% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.19, RN 0.55, weekend 3.93. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
Non profit - Church related
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Otterbein Home | Organization | 5% or Greater Indirect Ownership Interest | 100% | 12/01/2021 |
| Otterbein Neighborhoods, LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 01/01/2016 |
| App, Lynn | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/2021 |
| Baker, Steve | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 04/04/2025 |
| Bartlett, Victoria | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/2021 |
| Bayliff, Becky | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/2021 |
| Brownson, William | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/2021 |
| Burke, Daniel | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/2021 |
| Coleman, Robert | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/2021 |
| Dixon, Koby | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/2021 |
| Dixon, Koby | Individual | ADP of the SNF | NOT APPLICABLE | 06/11/2025 |
| Fraley, Ralph | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/2021 |
| Functional Pathways of Tennessee LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/01/2018 |
| Functional Pathways of Tennessee LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/04/2025 |
| Galbut, Abraham | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 04/04/2025 |
| Galbut, Daniel | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 04/06/2025 |
| Galbut, David | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 04/04/2025 |
| Galbut, Eric | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 04/06/2025 |
| Galbut, Robert | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 04/04/2025 |
| Glosser, Heidi | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/2021 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "How soon after admission is a full assessment completed, and how are the findings shared with the family?"
- "How is routine foot care handled here, and does a podiatrist visit regularly?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Arlington Pointe Care Center | 2.3 mi | Middletown, OH | ★★★★☆ | 4/5 | |
| The Laurels of Middletown | 3.3 mi | Middletown, OH | ★★★★☆ | 3/5 | |
| Willow Knoll Post-Acute and Senior Living | 3.5 mi | Middletown, OH | ★★★☆☆ | 4/5 | |
| Momentous Health at Franklin | 3.8 mi | Franklin, OH | ★☆☆☆☆ | 1/5 | |
| Otterbein Lebanon Retirement Community | 4.1 mi | Lebanon, OH | ★★★★★ | 4/5 | |
| Ohio Living Mount Pleasant | 4.8 mi | Monroe, OH | ★★★★☆ | 3/5 | |
| Carlisle Manor Health Care INC | 5.6 mi | Carlisle, OH | ★★★★☆ | 4/5 | |
| Hillspring Health Care & Rehab | 5.7 mi | Springboro, OH | ★★★★★ | 4/5 | |
| Majestic Care of Middletown LLC | 6.2 mi | Middletown, OH | ★★☆☆☆ | 1/5 | |
| Cedars of Lebanon Care Center | 7.1 mi | Lebanon, OH | ★★☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 366376.