Nancy Ann Keith, 68, of Middletown, Ohio, passed away Thursday, April 7, 2022 at her residence. She was born July 26, 1953 in Clay County, Kentucky, but lived in Middletown most of her life. She was employed as a Dietary Manager at Otterbein Senior Living for 30 years, retiring in 2018. Nancy was a member of the Poasttown First Church of God. She enjoyed quilting and sewing, and being outdoors, especially working in her flower garden. Preceding her in death were her parents, Robert and Lillian (Asbury) Sebastian; and her husband, Charles Keith in 2009. She is survived by two sons, Christopher Michael Rogers and Nathan Allen Keith; four grandchildren Sommer, Riley, Laelyn and Rylie; three great grandchildren; and several nieces, nephews, extended family and friends. Visitation will be Thursday, April 14, 2022 from 5:00 p.m. to 7:00 p.m. at the Herr-Riggs Funeral Home, 210 S. Main St., Middletown. Graveside services will be Friday, April 15, 2022 at Haddix Cemetery, Haddix, Breathitt County, Kentucky at 3:00 PM, followed by burial next to her husband.