Elder Care Record

Pennsylvania › Dauphin County › Middletown

Courtyard Gardens Nursing and Rehab Ctr

999 West Harrisburg Pike, Middletown, PA 17057

CCN 395518 · Non-profit, corporation · 102 certified beds

Continuing care retirement community
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Certified for 102 beds, Courtyard Gardens Nursing and Rehab Ctr serves Middletown in Dauphin County, Pennsylvania and has taken Medicare and Medicaid residents since 1982.

CMS gives it 4 of 5 stars overall, above the Pennsylvania median of 3; the health inspection rating is 4, staffing 3 and quality measures 3.

Inspectors recorded 15 health deficiencies across the three most recent survey cycles (7, 6, 2 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 14.7 per 100 beds, fewer than the state median of 22.2.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 3.8 hours per resident per day (0.6 RN), close to the Pennsylvania median of 3.6; nursing staff turnover is 42.0%.

15health deficiencies, 3 survey cycles2 at actual harm or worse
$0fines listed by CMS0 penalties in period
3.8nurse hours per resident per daystate median 3.6
87%occupancy (residents ÷ beds)89 residents a day

Compared with county, state and nation

MeasureThis facilityDauphin Co. medianPennsylvania medianUS average
Overall star rating4233.0
Health citations, 3 cycles15362628.7
Citations per 100 beds14.723.222.226.8
Total nurse hours per resident day3.83.63.63.9
RN hours per resident day0.60.60.70.7
Nursing staff turnover42.0%48.1%44.3%45.8%
Fines listed$0$42,016$0—

County and state figures are medians across facilities (8 in the county, 656 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)7
Cycle 26
Cycle 32

Dark bar: this facility. Grey bar: Pennsylvania average per facility for the same cycle, as published by CMS. Standard health survey dates: 19 Sep 2024, 7 Nov 2023.

Severity mix: G ×2 D ×8 E ×3 F ×1 B ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
27 Jan 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation (under dispute review)20 Feb 2026
27 Jan 2026F0697Provide safe, appropriate pain management for a resident who requires such services.GComplaint investigation (under dispute review)20 Feb 2026
27 Jan 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint investigation20 Feb 2026
27 Jan 2026F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EComplaint investigation20 Feb 2026
19 Sep 2024F0641Ensure each resident receives an accurate assessment.DStandard survey18 Oct 2024
19 Sep 2024F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey18 Oct 2024
19 Sep 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey18 Oct 2024
7 Nov 2023F0880Provide and implement an infection prevention and control program.FStandard survey20 Dec 2023
7 Nov 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey20 Dec 2023
7 Nov 2023F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard survey20 Dec 2023
7 Nov 2023F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey20 Dec 2023
7 Nov 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey20 Dec 2023
7 Nov 2023F0732Post nurse staffing information every day.BStandard survey20 Dec 2023
3 Nov 2022F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey30 Nov 2022
3 Nov 2022F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey30 Nov 2022

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing3.84 h
Nurse aides2.3 h
LPN0.99 h
RN0.55 h
Weekend total3.39 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Pennsylvania average. Turnover: nursing staff 42.0%, RNs 35.7%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityPennsylvania medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay22.1%15.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.7%0.4%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay2.4%1.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay3.0%2.9%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay2.2%1.0%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay30.8%16.1%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay3.9%4.5%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay17.1%17.2%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: non-profit, corporation. Legal business name: Odd Fellows Home Of Pennsylvania.

No organisations are listed in the CMS ownership record for this facility.

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Dauphin County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Homeland CenterHarrisburg954441111.6—4 Feb 2026
Capitol Rehabilitation and Healthcare CenterHarrisburg1383323223.2—14 Jan 2026
Northern Dauphin Nursing and Rehabilitation Centerabuse iconMillersburg1942234121.1$12K23 Dec 2025
Oak Hill Center For Rehabilitation and NursingMiddletown1362116044.1$62K7 Apr 2026
Spring Creek Rehabilitation and Nursing CenterHarrisburg404224368.9$72K14 May 2026
Amoroso Healthcare and Rehabilitation WoodridgeHarrisburg951123031.6$42K12 May 2026
River'S Bend Health & Rehab Centerabuse iconHarrisburg1981125829.3$45K1 Jul 2026

All 8 facilities in Dauphin County

Questions and answers

How many deficiencies has Courtyard Gardens Nursing and Rehab Ctr been cited for?

15 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Pennsylvania median is 26 per facility.

Has Courtyard Gardens Nursing and Rehab Ctr been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Courtyard Gardens Nursing and Rehab Ctr compare?

Reported total nurse staffing is 3.8 hours per resident per day against a Pennsylvania median of 3.6 and a national average of 3.9.

Who operates Courtyard Gardens Nursing and Rehab Ctr?

Ownership type is non-profit, corporation. Individual owners and managers are not listed on this site.

When was Courtyard Gardens Nursing and Rehab Ctr last inspected?

The most recent survey or investigation in the CMS record is dated 27 Jan 2026; the most recent standard health survey was 19 Sep 2024.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.