Courtyard Gardens Nursing and Rehab Ctr
999 West Harrisburg Pike · Middletown, PA · 17057 · 7179443351
102 certified beds Non profit - Corporation Part of a CCRC
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 4 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.69 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.57 | 0.55–0.75 |
| Weekend hours / resident-day | 3.24 | ≈ weekday level |
| Nursing turnover / year | 45% | median 45% |
| Fines (3-yr window) | 1 · $8,469 |
Inspection citations (15 in the current record)
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Actual harm · G January 27, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 20, 2026 · Quality of Life and Care
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Actual harm · G January 27, 2026 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected February 20, 2026 · Quality of Life and Care
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Potential for harm · E January 27, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 20, 2026 · Quality of Life and Care
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Potential for harm · E January 27, 2026 · found via complaint
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.
Corrected February 20, 2026 · Nursing and Physician Services
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Potential for harm · D September 19, 2024
Ensure each resident receives an accurate assessment.
Corrected October 18, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 19, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected October 18, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 19, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected October 18, 2024 · Quality of Life and Care
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Potential for harm · D November 7, 2023
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected December 20, 2023 · Resident Rights
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Potential for harm · D November 7, 2023
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected December 20, 2023 · Resident Assessment and Care Planning
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Potential for harm · D November 7, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 20, 2023 · Quality of Life and Care
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Potential for harm · E November 7, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 20, 2023 · Nutrition and Dietary
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Potential for harm · F November 7, 2023
Provide and implement an infection prevention and control program.
Corrected December 20, 2023 · Infection Control
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No harm found · B November 7, 2023
Post nurse staffing information every day.
Corrected December 20, 2023 · Nursing and Physician Services
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Potential for harm · D November 3, 2022
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected November 30, 2022 · Resident Assessment and Care Planning
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Potential for harm · D November 3, 2022
Provide safe and appropriate respiratory care for a resident when needed.
Corrected November 30, 2022 · Quality of Life and Care
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 14, 2023 | Fine | $8,469 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 395518 · certified since April 1, 1982. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.