Worth Considering
2
Facilities graded B or better with zero fines
Best Nursing Homes in Middletown, Ohio
2 of 5 nursing homes in Middletown (40%) meet our strict criteria. The Ohio statewide average is 29%.
2 recommended · 1 caution · 2 avoid · data
City Average
3.4
★
+0.00 vs state
Total Beds
548
across 5 facilities
High Risk Facilities
2
1 Grade F
$128,429 in combined fines
Zero Fines
3
/5
passed all inspections
Nurse Availability
0 min
RN time per resident daily
Below CMS recommendation
Why These 2?
The nursing home market in Middletown, Ohio, is adequate, with 5 facilities and 2 recommended options. Families should note that while Willow Knoll Post-Acute and Senior Living stands out with top ratings, 2 facilities carry significant fines totaling $128,429.
Exceptional (Grade A, Trust Score 90+)
- 1 WILLOW KNOLL POST-ACUTE AND SENIOR LIVING (90) — Willow Knoll Post-Acute and Senior Living stands out with its excellent CMS 5★ rating and an impressive Trust Score of 90/100. With an A grade and no fines, this facility prioritizes high-quality care in a comfortable environment for its 58 residents, making it a top choice for senior living in Middletown.
Qualified (Grade B, Trust Score 70-79)
- 2 ARLINGTON POINTE (70) — Arlington Pointe offers a solid B grade and a Trust Score of 70/100, providing a reliable option for senior care. With 107 beds and no fines, this for-profit facility maintains a focus on quality service, though its CMS 3★ rating suggests room for improvement in resident satisfaction.
The other 3 Middletown facilities didn't qualify — 2 carry Grade D or F ratings and 2 have fines totaling $128K.
Recommended
Willow Knoll Post-Acute and Senior Living stands out with its excellent CMS 5★ rating and an impressive Trust Score of 90/100. With an A grade and no fines, this facility prioritizes high-quality care in a comfortable environment for its 58 residents, making it a top choice for senior living in Middletown.
Arlington Pointe offers a solid B grade and a Trust Score of 70/100, providing a reliable option for senior care. With 107 beds and no fines, this for-profit facility maintains a focus on quality service, though its CMS 3★ rating suggests room for improvement in resident satisfaction.
Proceed with Caution
These facilities don't meet our recommendation criteria but may still be viable options.
Best Available Alternative
Staffing Comparison
Staffing levels are the strongest predictor of care quality
| Metric | Top Facility | Middletown Avg | CMS Minimum |
|---|---|---|---|
| RN Hours / Resident / Day | 0.00 | 0.00 | 0.75 |
| CMS Star Rating | 5 stars | 3.4 stars | — |
| Deficiencies / Inspection | 0 | 0.0 | — |
Facilities to Avoid
These facilities have significant quality concerns.
What Disqualified the Other 3?
Our criteria: Trust Grade B or better (score 70+) AND zero fines in 3 years
- Grade F facilities
- 1 Grade F — critical inspection failures
- Facilities with fines
- 2 Have fines totaling $128,429
- Low-scoring facilities
- 2 Scored below B — Trust Scores under 70
- Caution group
- 1 Had good grades but fines disqualified them
Questions Middletown Families Should Ask
Based on what we found in local inspection data
-
1
"What is your current CMS star rating and Trust Score?"
Middletown's city average is 3.4 stars
-
2
"Have you received any fines in the past 3 years?"
2 of 5 Middletown facilities have fines
-
3
"How many RN hours per resident do you provide daily?"
CMS recommends 45 min; Middletown avg is 0 min
-
4
"What were your most recent inspection findings?"
Middletown facilities average 0.0 deficiencies per inspection
Explore Nearby Cities
Houston has strong options, but nearby cities add even more choices
Houston at a Glance
Good News
- 12 facilities meet our strict criteria—20% of the market
- 3 exceptional A-grade facilities with 5-star CMS ratings
- 24 facilities with zero fines in the past 3 years
Be Aware
- 30 facilities carry Grade F—nearly half the market
- $3.2M+ in total fines across 37 facilities
- Worst facility has $448,216 in fines alone
Key Numbers
- Average Trust Score: 48.6 (dragged down by 30 F-grades)
- 82% for-profit, 13% non-profit, 5% government
- 9.4 average deficiencies per facility
Frequently Asked Questions
How many nursing homes in Middletown, OH are recommended?
2 of 5 nursing homes in Middletown (40%) meet our strict criteria of excellent inspection results and a clean record with no fines.
What makes a nursing home in Middletown "recommended"?
A facility earns our recommendation when it achieves a Trust Grade of B or better (score of 70+) AND has zero fines in the past three years. This combination indicates consistent quality care and regulatory compliance.
How should I evaluate nursing homes in Middletown?
Look beyond star ratings. Check for recent fines, abuse citations, staffing levels (especially RN hours), and inspection deficiencies. Visit in person during different times of day to observe care quality firsthand.