Nursing home
Courtyard Gardens Nursing and Rehab Center
999 West Harrisburg Pike, Middletown, PA 17057 · Map
Non profit - Corporation · 102 certified beds
Courtyard Gardens Nursing and Rehab Center is a Medicare-certified nursing home in Middletown, Pennsylvania. CMS rates it 4 out of 5 stars overall (3/5 for staffing, 4/5 for health inspections). Nurse staffing is 3.94 hours per resident per day, above the Pennsylvania average of 3.89. Its most recent inspection on Sep 19, 2024 cited 5 deficiencies.
- 2 fines totaling $12,315In CMS records: 2 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Courtyard Gardens Nursing and Rehab Center compares
This facility vs. the Pennsylvania and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Pennsylvania avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.94 | 3.89 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.58 | 0.78 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.45 | 2.20 | 2.34 | above avg |
| Nursing staff turnover | 42.6% | 46.6% | 46.4% | below avg |
| Deficiencies cited, last inspection | 5.0 | 10.1 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the January 27, 2026 inspection was corrected by February 20, 2026
Penalties in CMS records: 2 fines totaling $12,315, 2 total penalties.
What inspectors found at Courtyard Gardens Nursing and Rehab Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Actual harm
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Jan 27, 2026 · Full report (PDF) - Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jan 27, 2026 · Full report (PDF) - Potential for harm
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services Deficiencies · Jan 27, 2026 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Jan 27, 2026 · Full report (PDF) - Potential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Sep 19, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Sep 19, 2024 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Sep 19, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Nov 7, 2023 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Nov 7, 2023 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Nov 7, 2023 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Nov 7, 2023 · Full report (PDF) - Potential for harm
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · Nov 7, 2023 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 999 West Harrisburg Pike
Middletown, PA 17057 - CMS certification #
- 395518
- Ownership
- Non profit - Corporation
- Certified beds
- 102
- Avg residents/day
- 88.8
- Provider type
- Medicare and Medicaid
- First certified
- 1982-04-01
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Courtyard Gardens Nursing and Rehab Center using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Upmc Pinnacle Hospitals, Harrisburg. 7.3 miles away, straight line. CMS overall hospital rating: 4 of 5 stars. Location approximate.
- Nearest Medicare nursing home
- Oak Hill Center for Rehabilitation and Nursing, Middletown. 1.0 mile away, straight line.
- Nearest home health agency office
- Golden Home Health Care, Harrisburg. 4.9 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 0.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 17057 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fkc Liberty Dialysis Middletown, Middletown, 2.3 miles away, straight line (CMS rating 4 of 5 stars)
Fkc Newberry Commons, Etters, 3.5 miles away, straight line (CMS rating 3 of 5 stars)
Davita Rutherford Dialysis, Harrisburg, 4.8 miles away, straight line - Hospice
- 17 Medicare hospices tell CMS they serve ZIP code 17057.
Lifesong Hospice And Palliative Care, office in Harrisburg, 5.3 miles away, straight line (CMS family survey rating 3 of 5 stars)
Bayada Hospice, office in Harrisburg, 5.9 miles away, straight line (CMS family survey rating 4 of 5 stars)
Morning Star Hospice And Palliative Care Solutions, LLC, office in Harrisburg, 6.6 miles away, straight line - Nearest geriatric medicine practice
- The Milton S Hershey Medical Center Physicians Group, Hershey. 7.3 miles away, straight line. 2 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane relatively moderate, inland flooding relatively high, wildfire very low, tornado relatively moderate, heat wave relatively moderate, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
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Frequently asked questions
Is Courtyard Gardens Nursing and Rehab Center a good nursing home?
CMS gives Courtyard Gardens Nursing and Rehab Center an overall rating of 4 out of 5 stars, including 3/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Courtyard Gardens Nursing and Rehab Center staffed?
Courtyard Gardens Nursing and Rehab Center reports 3.94 total nurse hours per resident per day, compared with the Pennsylvania average of 3.89.
Has Courtyard Gardens Nursing and Rehab Center had inspection problems?
Its most recent CMS inspection cited 5 deficiencies.
How many beds does Courtyard Gardens Nursing and Rehab Center have?
Courtyard Gardens Nursing and Rehab Center is certified for 102 beds.