Otterbein Middletown
105 ATRIUM DRIVE, Franklin, OH 45005
Franklin, Ohio · CMS verdict
Otterbein Middletown's CMS overall star rating runs above the Ohio state average (3.2) and reflects above-average quality by the federal five-star measure.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Otterbein Middletown in Franklin, Ohio holds a CMS overall rating of 4 of 5 stars and a PlainElderCare Quality & Compliance Index of 74 of 100 (grade C). Its CMS inspection record lists multiple deficiencies. Figures are from CMS Nursing Home Compare.
Quality & Compliance Index (lighter deficiency book)
Its CMS deficiency count sits in the lighter U.S. deficiency tercile (≤16). A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall star rating shown at the top of the page. How this is calculated.
How the 74 is built
Each segment is a dimension's weighted points toward the score, summing to 74.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Otterbein Middletown's lighter CMS deficiency book
Quality ratings
The rating comes from CMS's most recent Care Compare release (data as of April 2026). CMS rolls three sub-ratings into the overall star: health inspection, staffing, and quality measures. The chart below sets each of them against the Ohio average.
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Franklin, Ohio. Bed capacity and average daily census, where CMS reports them, are in Facility details below. Its ownership type, listed in Facility details, can influence staffing patterns, reinvestment decisions, and admissions policy. With occupancy around 93%, bed usage here sits in the range typical of a stabilized facility.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility; the counts are in Facility details below. CMS has levied no enforcement penalties over the equivalent window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
Figures above come from CMS Nursing Home Compare (Care Compare, data as of April 2026) with state cost medians from the CareScout 2025 Cost of Care Survey. See our methodology for vintage.
How Otterbein Middletown compares to Ohio
CMS five-star sub-ratings (0–5) for this facility against the Ohio facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Ohio state average. Higher is better on all four CMS measures.
Where Otterbein Middletown ranks in Ohio
Among the 911 CMS-rated nursing homes in Ohio, Otterbein Middletown’s 4-star overall rating is higher than 56% of them. The bars show how all Ohio homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
192 Ohio homes share this 4-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 60 |
| Residents | 56 |
| Ownership | Non profit - Other |
| County | Warren |
| Penalties | 0 |
| Deficiencies | 13 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Otterbein Middletown? ▾
4 out of 5 stars is Otterbein Middletown's current CMS overall rating. The chart on this page breaks it into health inspection, staffing, and quality measures against the Ohio average.
How much does a nursing home cost per month in Ohio? ▾
The median cost for a semi-private nursing home room in Ohio is $9,186 per month ($110,230 annually). A private room averages $10,389 per month. Costs are from the CareScout 2025 survey.
What services does Otterbein Middletown offer? ▾
Otterbein Middletown operates as a skilled nursing facility. For the specific care and therapy services, contact the facility: CMS data covers capacity, ownership, ratings, and inspections, not a service menu.
Does Otterbein Middletown have any deficiencies or penalties? ▾
Otterbein Middletown has multiple deficiencies and no penalties recorded by CMS; the counts are in the Facility details table. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in Ohio? ▾
In Ohio, alternatives include assisted living ($6,103/mo), home health aides ($6,483/mo), and adult day care ($1,798/mo).
Keep reading
Also see the Ohio elder-care overview and highest-rated states. Provider ID: 366376.
Read our methodology - how this data is sourced, computed, and verified.