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Nursing HomeMedicaid

Courtyard Gardens Nursing and Rehab Ctr

Strong Medicare quality ratings. Still worth an in-person visit before deciding.

999 West Harrisburg Pike, Middletown, PA 17057102 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Courtyard Gardens Nursing and Rehab Ctr Nursing Home in Middletown, PA — Street View
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What this means for your family

Choosing Courtyard Gardens Nursing and Rehab Ctr means your loved one is in a facility that ranks well on Medicare quality measures. While no facility is perfect, the clinical data here is encouraging.

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.57hrs
76%
Registered nurses for medical care
Total Nursing
3.69hrs
90%
All nurses + aides combined
Staff Turnover
45%
Lower is better (< 30% = good)
RN Turnover
31%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

4

measures

Worse Than Avg

9

measures

Mixed Results

4

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.6%
Better than Avg
Here
1.6%
US
12.1%
PA
8.3%
Dauphin
15.8%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚶

Residents whose walking got worse

↓ Lower is better
This Facility29.2%
Worse than Avg
Here
29.2%
US
15.3%
PA
18.4%
Dauphin
17.0%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility85.1%
Mixed vs Avgs
Here
85.1%
US
93.4%
PA
87.1%
Dauphin
79.7%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility21.3%
Worse than Avg
Here
21.3%
US
14.4%
PA
17.5%
Dauphin
14.9%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility26.1%
Worse than Avg
Here
26.1%
US
19.4%
PA
26.0%
Dauphin
24.2%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility16.8%
Mixed vs Avgs
Here
16.8%
US
15.5%
PA
17.7%
Dauphin
21.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility56.8%
Worse than Avg
Here
56.8%
US
81.8%
PA
69.2%
Dauphin
56.7%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility61.8%
Mixed vs Avgs
Here
61.8%
US
79.8%
PA
68.7%
Dauphin
56.6%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.5%
Worse than Avg
Here
2.5%
US
1.6%
PA
1.4%
Dauphin
0.9%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

5deficiencies
1penalties
Well below state avg (10.1)
4 complaint-triggered
$12,315 in fines

Serious concerns remain unresolved at this facility following family complaints, with four recent deficiencies lacking correction plans for pain management, accident prevention, appropriate care delivery, and nursing competencies. The facility has recurring issues with care planning, treatment quality, and safety measures. While earlier building and safety violations were corrected, the current uncorrected care deficiencies and pattern of family-reported problems suggest significant ongoing quality issues.

Jan 27, 2026Complaint
4
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0697Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

0684Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0726Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

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.

Sep 19, 2024Routine
3
0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Nov 7, 2023Routine
8
0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0225Potential for harm · PatternCorrected

Egress Deficiencies

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

0582Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0100Minimal · WidespreadCorrected

Construction Deficiencies

Meet other general requirements.

0732Minimal · PatternCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

Nov 3, 2022Routine
7
0291Potential for harm · WidespreadCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0100Potential for harm · PatternCorrected

Construction Deficiencies

Meet other general requirements.

0133Potential for harm · PatternCorrected

Construction Deficiencies

Install a two-hour-resistant firewall separation.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0918Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Federal Penalties

Fine

Aug 14, 2023

$8,469

Ownership & Operations

Who Operates This Facility

Owner / Operator

Courtyard Gardens Nursing and Rehab Ctr

Organization Type

nonprofit

Ownership & Management

Key personnel

Eaby, DouglasOfficer / DirectorVogel, LouisManagerEaby, DouglasTrustee of the SnfOsevala, NicoleAdp of the SnfVogel, LouisAdp of the Snf
Source: Medicare provider data

Contact

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References & Resources

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