All states › Pennsylvania › Middletown › Courtyard Gardens Nursing and Rehab Center
999 West Harrisburg Pike Middletown, PA 17057 · Dauphin County
All 2 nursing homes in Middletown, PA (2 take Medicaid)
CMS certification number 395518 · See this home on Medicare Care Compare
Is Courtyard Gardens Nursing and Rehab Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Courtyard Gardens Nursing and Rehab Center as of October 2026.
CMS rates it 3 out of 5 stars overall, about the same as the Pennsylvania average of 3.0.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.76 hours per resident per day at Courtyard Gardens Nursing and Rehab Center, above the Pennsylvania median of 3.64 (US median: 3.72). About 0.50 of those hours are from registered nurses. On weekends it falls to 3.30 hours, 12% below its all-week average. 52.3% of nursing staff left within a year (Pennsylvania median 44.6%).
About this nursing home
Paying for care at Courtyard Gardens Nursing and Rehab Center: Medicare and Medicaid
Courtyard Gardens Nursing and Rehab Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Pennsylvania's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on September 19, 2024 and found 3 deficiencies, plus 4 from complaint inspections in the same period. CMS notes that this home's most recent inspection was more than two years ago. In total, inspectors issued 15 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 15 citations at Courtyard Gardens Nursing and Rehab Center across 4 inspection dates, 4 of them from complaint investigations. 2 were at the actual-harm level (G–I), most recently on January 27, 2026. The most common areas cited were quality of life and care (6) and resident assessment and care planning (4). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level G, January 27, 2026).
January 27, 2026 · 4 citations · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
GProvide safe, appropriate pain management for a resident who requires such services.
EProvide appropriate treatment and care according to orders, resident’s preferences and goals.
EEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
September 19, 2024 · 3 citations
DEnsure each resident receives an accurate assessment.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
November 7, 2023 · 6 citations
FProvide and implement an infection prevention and control program.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
BPost nurse staffing information every day.
November 3, 2022 · 2 citations
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DProvide safe and appropriate respiratory care for a resident when needed.
Questions to ask on a tour of Courtyard Gardens Nursing and Rehab Center
- Inspectors cited the home at the actual-harm level on January 27, 2026 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- CMS rates short-stay quality 2 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- The last standard inspection was more than two years ago. Can I see any recent complaint inspection results?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 3/5 | 2/5 | 3/5 |
| August 2026 | 4/5 | 4/5 | 3/5 | 3/5 |
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Location
Hospitals near Courtyard Gardens Nursing and Rehab Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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6.0 mi
Milton S Hershey Medical Center HersheyEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 4h 21m for patients treated and sent home
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7.8 mi
Pinnacle Health Hospitals HarrisburgEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 35m for patients treated and sent home
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9.9 mi
Holy Spirit Hospital Camp HillEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 4h 12m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Courtyard Gardens Nursing and Rehab Center › All nursing homes in Middletown ›
Compare Courtyard Gardens Nursing and Rehab Center with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Masonic Village at Elizabethtown · Elizabethtown · 5 stars · 8.7 mi
- Homeland Center · Harrisburg · 5 stars · 9.3 mi
- The Gardens at Camp Hill · Camp Hill · 4 stars · 9.7 mi
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.