Franklin, OH

Otterbein Middletown

4-star overall rating with 3-star inspections with 10 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle

105 Atrium Drive, Franklin, OH

(513) 727-4590

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

60

Certified beds

Average residents

56

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Otterbein Seniorlife

Operator or chain grouping

Approved since

2009-06-08

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

19 facilities

Chain averages 3 overall / 3 health / 3 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

No

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.59

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

0.75

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

3.26

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

4.60

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.34

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

4.40

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.41

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.60

CMS adjusted RN staffing hours

Adjusted total hours

4.65

CMS adjusted total nurse staffing hours

Case-mix index

1.35

Higher values indicate more complex resident acuity

RN turnover

38%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

32%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

2,313

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

50.28

Composite VBP score used to determine payment impact.

Payment multiplier

1.0044

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

3.20

Baseline 23.23% · Performance 20.94% · Measure score 3.20 · Achievement 1.06 · Improvement 3.20

Healthcare-associated infections

6.29

Baseline 8.72% · Performance 6.19% · Measure score 6.29 · Achievement 5.49 · Improvement 6.29

Total nurse turnover

5.49

Baseline 68.63% · Performance 42.39% · Measure score 5.49 · Achievement 5.21 · Improvement 5.49

Adjusted total nurse staffing

5.13

Baseline 4.73 hours · Performance 4.54 hours · Measure score 5.13 · Achievement 5.13 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.39%	10.72% 0.7 pts worse	No Different than the National Rate · Eligible stays 177 · Observed rate 12.99% · Lower 95% interval 8.25%
Discharge to community	63.68%	50.57% 13.1 pts better	Better than the National Rate · Eligible stays 169 · Observed rate 60.95% · Lower 95% interval 55.9%
Medicare spending per beneficiary	0.89	1.02 0.1 pts better
Drug regimen review with follow-up	98.26%	95.27% 3 pts better	Numerator 113 · Denominator 115
Falls with major injury	0.87%	0.77% 0.1 pts worse	Numerator 1 · Denominator 115
Discharge self-care score	65.85%	53.69% 12.2 pts better	Numerator 54 · Denominator 82
Discharge mobility score	58.54%	50.94% 7.6 pts better	Numerator 48 · Denominator 82
Pressure ulcers or injuries, new or worsened	1.74%	2.29% 0.6 pts better	Numerator 2 · Denominator 115 · Adjusted rate 2.39%
Healthcare-associated infections requiring hospitalization	6.19%	7.12% 0.9 pts better	No Different than the National Rate · Eligible stays 93 · Observed rate 4.3% · Lower 95% interval 3.19%
Staff COVID-19 vaccination coverage	5.15%	8.2% 3 pts worse	Numerator 5 · Denominator 97
Staff flu vaccination coverage	9.09%	42% 32.9 pts worse	Numerator 12 · Denominator 132
Discharge function score	64.63%	56.45% 8.2 pts better	Numerator 53 · Denominator 82
Transfer of health information to provider	96.67%	95.95% 0.7 pts better	Numerator 29 · Denominator 30
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 74 · Denominator 74
Resident COVID-19 vaccinations up to date	6.9%	25.2% 18.3 pts worse	Numerator 4 · Denominator 58

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	92.4% 7.6 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	95.2%	94.5% 0.7 pts better	95.5% 0.3 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 95.2%
Percentage of long-stay residents experiencing one or more falls with major injury	3.9%	3.3% 0.6 pts worse	3.3% 0.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 5.4% · Q3 2.8% · Q4 0.0% · 4Q avg 3.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	14.5%	26.1% 11.6 pts better	11.4% 3.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.9% · Q2 9.4% · Q3 12.5% · Q4 27.8% · 4Q avg 14.5%
Percentage of long-stay residents who lose too much weight	12.7%	6.2% 6.5 pts worse	5.4% 7.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 12.9% · Q2 10.7% · Q3 24.1% · Q4 3.3% · 4Q avg 12.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	31.9%	25.4% 6.5 pts worse	19.6% 12.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 34.4% · Q2 25.0% · Q3 31.0% · Q4 36.7% · 4Q avg 31.9%
Percentage of long-stay residents who received an antipsychotic medication	8.5%	11.5% 3 pts better	16.7% 8.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 4.3% · Q3 13.6% · Q4 12.5% · 4Q avg 8.5% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	1.4%	7.7% 6.3 pts better	16.3% 14.9 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 1.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	5.9%	6.2% 0.3 pts better	14.9% 9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.4% · Q2 0.0% · Q3 7.1% · Q4 6.7% · 4Q avg 5.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.2% 0.2 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.7%	0.5% 0.2 pts worse	1.7% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.7% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	28.5%	21.7% 6.8 pts worse	19.8% 8.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 28.9% · Q2 26.1% · Q3 25.9% · Q4 32.8% · 4Q avg 28.5%
Percentage of long-stay residents with pressure ulcers	1.7%	3.7% 2 pts better	5.1% 3.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 5.1% · Q4 1.9% · 4Q avg 1.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	96.5%	78.1% 18.4 pts better	81.7% 14.8 pts better	Short Stay · 2024Q4-2025Q3 · Q1 92.8% · Q2 96.8% · Q3 98.8% · Q4 97.5% · 4Q avg 96.5%
Percentage of short-stay residents who had an outpatient emergency department visit	9.7%	12.5% 2.8 pts better	12.0% 2.3 pts better	Short Stay · 20240701-20250630 · Adjusted 9.7% · Observed 9.5% · Expected 11.0% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.2%	1.2% 1 pts better	1.6% 1.4 pts better	Short Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	90.9%	75.6% 15.3 pts better	79.7% 11.2 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 90.9%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	29.8%	25.1% 4.7 pts worse	23.9% 5.9 pts worse	Short Stay · 20240701-20250630 · Adjusted 29.8% · Observed 28.6% · Expected 22.8% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2022-08-15 · Fire 2022-08-15

10 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

8 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2019-08-29 · Fire 2019-08-29

1 health deficiencies

Top issue: Resident Assessment and Care Planning (1 deficiency)

4 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 3 Health 2018-07-03 · Fire 2018-07-03

2 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

8 fire-safety deficiencies

Top issue: Emergency Preparedness (5 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2022-08-15

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-11-18

F · Potential for more than minimal harm 2022-08-15

K346 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-11-18

F · Potential for more than minimal harm 2022-08-15

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-11-18

F · Potential for more than minimal harm 2022-08-15

K354 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-11-18

F · Potential for more than minimal harm 2022-08-15

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2022-11-18

F · Potential for more than minimal harm 2022-08-15

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2022-11-18

F · Potential for more than minimal harm 2022-08-15

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2022-11-18

E · Potential for more than minimal harm 2022-08-15

K222 · Egress Deficiencies

Fire Safety

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.

Corrected 2022-11-18

E · Potential for more than minimal harm 2019-08-29

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2019-09-16

E · Potential for more than minimal harm 2019-08-29

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2019-09-16

E · Potential for more than minimal harm 2019-08-29

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2019-09-16

E · Potential for more than minimal harm 2019-08-29

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2019-09-16

F · Potential for more than minimal harm 2018-07-03

E18 · Emergency Preparedness Deficiencies

Fire Safety

Establish procedures for tracking staff and patients during an emergency.

Corrected 2018-08-20

F · Potential for more than minimal harm 2018-07-03

E30 · Emergency Preparedness Deficiencies

Fire Safety

List the names and contact information of those in the facility.

Corrected 2018-08-20

F · Potential for more than minimal harm 2018-07-03

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2018-08-20

F · Potential for more than minimal harm 2018-07-03

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2018-08-20

F · Potential for more than minimal harm 2018-07-03

E9 · Emergency Preparedness Deficiencies

Fire Safety

Include a process for Emergency Preparedness collaboration.

Corrected 2018-08-20

F · Potential for more than minimal harm 2018-07-03

K222 · Egress Deficiencies

Fire Safety

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.

Corrected 2018-08-20

F · Potential for more than minimal harm 2018-07-03

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2018-08-20

F · Potential for more than minimal harm 2018-07-03

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2018-08-20

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-10-14

F689 · Quality of Life and Care Deficiencies

Health

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

Not marked corrected

D · Potential for more than minimal harm 2023-05-19

F697 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-06-15

D · Potential for more than minimal harm 2023-05-19

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2023-06-15

E · Potential for more than minimal harm 2022-08-15

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-11-18

E · Potential for more than minimal harm 2022-08-15

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2022-11-18

E · Potential for more than minimal harm 2022-08-15

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-11-18

D · Potential for more than minimal harm 2022-08-15

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2022-11-18

D · Potential for more than minimal harm 2022-08-15

F685 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-11-18

D · Potential for more than minimal harm 2022-08-15

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2022-11-18

D · Potential for more than minimal harm 2022-08-15

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-11-18

D · Potential for more than minimal harm 2022-08-15

F770 · Administration Deficiencies

Health

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

Corrected 2022-11-18

D · Potential for more than minimal harm 2022-08-15

F791 · Quality of Life and Care Deficiencies

Health

Provide or obtain dental services for each resident.

Corrected 2022-11-18

D · Potential for more than minimal harm 2019-08-29

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2019-09-16

Penalties and ownership

What sits behind the stars

Ownership

Otterbein Home

5% Or Greater Indirect Ownership Interest · Organization

100% 18 facilities 2021-12-01

Otterbein Neighborhoods, LLC

5% Or Greater Direct Ownership Interest · Organization

100% 9 facilities 2016-01-01

App, Lynn