Nursing home
Otterbein Middletown
105 Atrium Drive, Franklin, OH 45005 · Map
Non profit - Other · Part of Otterbein Seniorlife (19 facilities) · 60 certified beds
Otterbein Middletown is a Medicare-certified nursing home in Franklin, Ohio. CMS rates it 4 out of 5 stars overall (4/5 for staffing, 3/5 for health inspections). Nurse staffing is 4.60 hours per resident per day, above the Ohio average of 3.72. Its most recent inspection on Aug 15, 2022 cited 10 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Otterbein Middletown compares
This facility vs. the Ohio and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Ohio avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.60 | 3.72 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.59 | 0.63 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 3.26 | 2.14 | 2.34 | above avg |
| Nursing staff turnover | 31.7% | 49.8% | 46.4% | below avg |
| Deficiencies cited, last inspection | 10.0 | 10.2 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the January 8, 2026 inspection was corrected by February 9, 2026
What inspectors found at Otterbein Middletown
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jan 8, 2026 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jan 8, 2026 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jan 8, 2026 · Full report (PDF) - Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Jan 8, 2026 · Full report (PDF) - Potential for harm
Provide appropriate foot care.
Quality of Life and Care Deficiencies · Jan 8, 2026 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies · Jan 8, 2026 · Full report (PDF) - Potential for harm
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 Rights Deficiencies · Jan 8, 2026 · Full report (PDF) - Potential for harm
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 · Jan 8, 2026 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Oct 14, 2025 · Full report (PDF) - Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · May 19, 2023 - Potential for harm
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · May 19, 2023 - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Aug 15, 2022
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 105 Atrium Drive
Franklin, OH 45005 - CMS certification #
- 366376
- Ownership
- Non profit - Other
- Certified beds
- 60
- Avg residents/day
- 55.6
- Provider type
- Medicare and Medicaid
- First certified
- 2009-06-08
- Chain
- Otterbein Seniorlife (19 facilities)
- Setting
- Urban
Part of Otterbein Seniorlife
Otterbein Seniorlife operates 19 nursing facilities across the United States. View all Otterbein Seniorlife facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Otterbein Middletown using Google Maps.
Other public records
- Staff pay 1 federal wage case with violations found, since 2022
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Mar 9, 2022 to Mar 8, 2024. Violations found: Fair Labor Standards Act (pay and hours). Employer as DOL recorded it: Otterbein Middletown SeniorLife Neighborhood (Otterbein Middletown, LLC). Case 1991095.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Atrium Medical Center, Franklin. 0.5 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Arlington Pointe, Middletown. 2.3 miles away, straight line.
- Nearest home health agency office
- Delight Health Services, Middletown. 1.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 0.8 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 45005 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Atrium Dialysis, Middletown, 2.4 miles away, straight line (CMS rating 3 of 5 stars)
Davita Butler County Dialysis, Middletown, 3.0 miles away, straight line (CMS rating 3 of 5 stars)
Davita Butler County Home Training Dialysis, Liberty Township, 5.5 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 23 Medicare hospices tell CMS they serve ZIP code 45005.
Hospice Care Of Middletown Inc, office in Middletown, 2.4 miles away, straight line (CMS family survey rating 5 of 5 stars)
Otterbein Hospice LLC, office in Lebanon, 4.1 miles away, straight line
Crossroads Hospice Of Dayton, LLC, office in Dayton, 10.7 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Mvhe Inc, Middletown. 0.5 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane very low, inland flooding relatively moderate, wildfire very low, tornado relatively moderate, heat wave relatively low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Otterbein Middletown a good nursing home?
CMS gives Otterbein Middletown an overall rating of 4 out of 5 stars, including 4/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Otterbein Middletown staffed?
Otterbein Middletown reports 4.60 total nurse hours per resident per day, compared with the Ohio average of 3.72.
Has Otterbein Middletown had inspection problems?
Its most recent CMS inspection cited 10 deficiencies.
How many beds does Otterbein Middletown have?
Otterbein Middletown is certified for 60 beds.