Pricing ranges from
    $6,344 – 8,247/month

    Bickford of Middletown

    4375 Union Rd, Franklin, OH, 45005
    • Assisted living
    • Memory care
    AnonymousLoved one of resident
    4.0

    Bright, clean, social, pricey, inconsistent

    I toured this newer, very clean facility and liked the homey, country feel and bright, roomy apartments. The dining is restaurant-style with good meals and flexible choices, and activities are abundant (bingo, crafts, outings, live music) - the activities director Cindy Depew is outstanding. Staff were warm, caring and generally responsive, residents looked happy, and being pet-friendly was a big plus. Downsides: it's pricey, can be understaffed at times, and administrative/consistency issues have been reported. Overall I feel it's a strong choice for an active, social senior if the cost and level-of-care needs fit.

    Pricing

    $6,344+/moSemi-privateAssisted Living
    $7,612+/mo1 BedroomAssisted Living
    $8,247+/moStudioAssisted Living

    Schedule a Tour

    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Memory care community services

    • Mild cognitive impairment
    • Specialized memory care programming

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    4.42 · 124 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      4.3
    • Staff

      4.4
    • Meals

      3.9
    • Amenities

      4.2
    • Value

      2.8

    Pros

    • Consistently praised, compassionate and attentive staff
    • Strong, engaged activities program (notably activities director Cindy)
    • Clean, newer and well-maintained facility
    • Restaurant-style dining with homemade meals and flexible menu options
    • Numerous daily and monthly activities and outings
    • Memory care offered with attempts to maximize independence
    • Spacious one-bedroom apartments and well-laid-out rooms
    • On-site amenities (gym, chapel, library, salon, movie/exercise/music rooms)
    • Pleasant grounds, gardens, and outdoor/fenced courtyard
    • Home-like atmosphere and family-like staff-resident relationships
    • Good communication from some staff and proactive health updates
    • Transparent pricing noted by some reviewers
    • Accommodates home dialysis
    • Transportation to errands and outings (doctor visits may incur extra fee)
    • Housekeeping and room upkeep frequently praised
    • Long-tenured staff and continuity in key caregivers in many reports
    • Quiet, country or relaxed setting appreciated by residents
    • Pet-friendly (dog and cat friendly reported)
    • One-level/simple layout and convenient location near hospital
    • Social dining encouraged and attentive dining staff
    • Positive end-of-life/hospice care experiences for some families
    • Weekly crafts, theme events, live music, bingo, and social gatherings
    • Library, arts and crafts room, and designated memory-care garden
    • Good family involvement and regular reporting in many cases
    • Rooms and common areas described as bright, attractive, and homey

    Cons

    • Frequent reports of short-staffing and staffing shortages
    • Inconsistent day-to-day care and variable staff performance
    • Serious clinical incidents reported (pressure ulcers/bedsores, UTIs, E. coli)
    • Delayed fall detection and monitoring concerns in some cases
    • Inconsistent housekeeping (rooms not always properly made or cleaned)
    • Administration/management poor responsiveness or communication lapses
    • Billing errors, unclear billing processes, and off-site billing department
    • Some decline or variability in food quality reported
    • Expensive pricing and perception of being pricey compared to peers
    • Turnover and declines after ownership/management changes reported
    • Need for external caregiver due to insufficient in-house care at times
    • Slow bathroom assistance and long meal wait times reported
    • Some families experienced unreturned salon funds or unresolved complaints
    • Admissions/waitlist delays and limited openings
    • Occasional mismatch between online impressions/tours and in-person experience

    Summary review

    Overall sentiment: The reviews for Bickford of Middletown are strongly weighted toward positive experiences, with recurring praise for the quality of interpersonal care, the breadth of activities, and the physical environment. Many families and residents describe the staff as compassionate, attentive, and family-oriented; the activities program as robust and engaging (with multiple mentions of an energetic activities director, Cindy); and the facility as newer, clean, and well-maintained. These positive themes consistently appear across independent reviews and span assisted living and memory-care experiences. That said, a notable minority of reviews raise serious concerns about staffing levels, clinical incidents, and administrative responsiveness — issues that temper the otherwise favorable view and warrant careful consideration by prospective residents and families.

    Staff and caregiving: Praise for staff is the most dominant theme. Nurses, caregivers, aides, and kitchen staff are repeatedly described as kind, patient, and willing to go above and beyond. Many reviewers emphasize long-tenured staff members, individualized attention, proactive health communication, and cases where care improved residents’ medical conditions or quality of life. Memory-care families frequently note that staff kept their loved ones at an appropriate level of independence for as long as possible and provided compassionate end-of-life support in some cases. However, multiple reports also cite inconsistent day-to-day staffing—particularly transient or lower-rated day staff relative to nursing—and a recurring pattern of being short-staffed. These staffing problems are linked in several reviews to slower response times, missed assistance (e.g., slow bathroom help), and in a few severe instances to clinical problems such as pressure ulcers, UTIs, or delayed fall detection. In short: when core staff are present and experienced the care is highly praised; when staffing fluctuates, care quality can decline substantially.

    Facilities and amenities: Reviewers consistently compliment the physical plant: the building is frequently described as newer, attractive, bright, and clean. Common spaces — dining rooms, craft rooms, chapel, gym, library, movie and music rooms, and garden/courtyard areas — receive positive attention for being well-appointed and welcoming. Apartment layouts (one-bedroom and couple-sized rooms) are commonly described as spacious and well laid out, with in-room kitchenettes in some units. The country or quiet setting and proximity to a hospital are noted as advantages. A small number of reviews mention cosmetic or minor maintenance issues and occasional inconsistencies in housekeeping, but most families report tidy rooms and pleasant grounds.

    Dining and meals: Dining is frequently cited as a strength. Many reviews describe a restaurant-style dining area, homemade meals, flexible menu choices, and a pleasant fine-dining atmosphere. Multiple reviewers remark that the kitchen staff makes food from scratch and that residents enjoy the menu options, theme meals, pastries, and even extras like an ice cream bar. A minority of reviews mention variability in food quality (some decline noted), and a few note that room service or takeout-style meals during quarantine were inferior. Overall, dining is a notable positive but not uniformly perfect.

    Activities and social life: Activities are a clear standout. The schedule is described as full — bingo, arts and crafts, live music, exercise, puzzle and card groups, happy hours, monthly outings, and special themed events are routinely mentioned. The activities director (frequently named Cindy Depew) receives multiple independent commendations for organization, creativity, and personal attention in engaging residents. Families credit the activities program with improving mood, reducing loneliness, and helping residents adjust. This programming is a major selling point of the community.

    Management, communication, and billing: Reviews present mixed experiences with administration. Many families praise attentive management and good two-way communication, prompt issue resolution, and transparent pricing. Conversely, a significant number of reviews report problems: unanswered complaint calls, no callbacks, billing errors, off-site billing departments, unclear itemized charges, and perceived incoherent administrative responses. Some reviewers describe a decline in customer service and increased turnover following ownership or policy changes, indicating that administrative consistency is an area of vulnerability for the community.

    Safety and clinical concerns: Although many reviews highlight strong clinical oversight and proactive health updates, a meaningful subset raise important safety concerns. Short-staffing is repeatedly linked to delayed responses and, in extreme cases, adverse outcomes such as pressure ulcers, serious infections (UTI, E. coli), and alleged near-death situations. A few families describe delayed fall detection or a room placement that limited monitoring. Medication management is described positively in many reviews (prompt updates, good control of conditions), but other reviews cite medication-management issues, inconsistent bathing/assistance, and overall inadequate attention for higher-acuity residents. These reports suggest variability in clinical reliability that prospective families should probe directly during tours and reference checks.

    Cost, availability, and fit: Perceptions about cost vary. Several reviewers consider pricing transparent or competitive; many others describe the community as pricey or more expensive than alternatives. There are reports of waitlists and limited openings. Suitability depends on needs: the community is repeatedly characterized as providing a warm, social, activity-rich environment that is an excellent fit for residents needing assisted living or memory support without very high medical acuity. Reviewers caution that residents with higher-care needs may outgrow the level of day-to-day assistance available without supplemental private caregivers.

    Patterns and recommendations for prospective families: The reviews form a coherent pattern: Bickford of Middletown offers a warm, activity-rich, clean, and professionally staffed environment that families frequently praise for compassion, food, and resident engagement. The most consistent risk factors are staffing shortages and administrative inconsistencies that can affect clinical safety and billing. Severe incidents are reported but appear less common than positive outcomes. For prospective residents and families, the evidence suggests focusing on verifying current staffing ratios (especially on specific shifts), asking about turnover and recent ownership changes, reviewing incident and compliance records if available, confirming billing processes and lineup of fees (transport to doctor visits, salon charges, etc.), and checking how they handle higher-acuity needs or escalation to hospice. An in-person tour is recommended (multiple reviewers report that the in-person feeling is stronger than online impressions), and speaking with current families about recent staffing and care consistency will provide the most up-to-date perspective.

    Conclusion: In aggregate, Bickford of Middletown receives strong and repeated praise for its people, programming, and physical environment. The primary caveats are staffing consistency, administrative responsiveness, and a few reported serious clinical lapses. These mixed elements create a picture of a community that often delivers excellent, family-like care and enriching daily life, while also exhibiting operational vulnerabilities that prospective families should investigate further to ensure a good fit with a loved one’s medical and personal needs.

    Location

    Map showing location of Bickford of Middletown

    About Bickford of Middletown

    Bickford of Middletown sits in Franklin, Ohio, surrounded by nice views of Ohio farmland, and the staff there have over 30 years of experience helping families. The building, which opened in 2009, offers 151 assisted living units, including private apartments with many closets and some with washers and dryers, and you'll also find wide doors for wheelchair access, walk-in showers, and ADA-compliant bathrooms, so it works well for people needing mobility help. People can pick from assisted living, independent living, and a specialty Memory Care program for those who need support with Alzheimer's or dementia, and each person gets a personalized care plan through their nationally recognized HigherPath senior health model, which means a proactive care team looks after safety and well-being. There are caregivers awake 24/7 ready to help with things like toileting, bathing, grooming, dressing, feeding by spoon, and getting around; they'll also help with money management, medication management and administration, and even therapy and pharmacy services on site, and folks with low mobility get extra care. Physical therapy, exercise and wellness programs, a social activity calendar, and transportation using a dedicated van to medical appointments, stores, or church make day-to-day life easier. Residents eat three chef-inspired, scratch-made meals each day, including special diets if needed, in a large, brightly lit dining hall, and cleaning is taken care of, with personal laundry, linens, housekeeping, and all maintenance and utilities included. There's a theater room, large balconies, an outdoor patio, walking trails, paths, porch areas, a library, salon and spa services, arts & crafts, access to computers, living room areas for gatherings, and spaces for music and other group activities, so people can stay busy and connect with friends. The building has emergency pull cords, wide, well-lit common areas, and a secure memory care environment with features to stop wandering and reduce confusion, and staff create a caring and joyful atmosphere. Residents get support to be as independent as possible, and the community boasts resident happiness ratings twice the industry average, all while staying close to Middletown-Kettering Health Network Hospital, Atrium Medical Center, and an adjacent YMCA and church. This family-owned, continuing care retirement community provides everything from independent living to assisted living and nursing home care, with all services focused on purposeful, compassionate caregiving and supporting each person's autonomy and comfort.

    About Bickford Senior Living

    Bickford of Middletown is managed by Bickford Senior Living.

    Bickford Senior Living was founded in 1991 by Don and Judie Eby when they were unable to find quality assisted living care for Don's mother, Mary Bickford, who was diagnosed with Alzheimer's disease. The company opened its first facility in November 1992 in Kansas, becoming one of the state's first assisted living residences. Headquartered in Olathe, Kansas, Bickford remains a family-owned and operated business committed to serving families with compassionate care for over three decades. Today, Bickford Senior Living operates approximately 54-61 communities across 10 states, including Illinois, Indiana, Iowa, Kansas, Michigan, Missouri, Nebraska, Ohio, Virginia, and Georgia.

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