Courtyard Gardens Nursing and Rehab Ctr
999 WEST HARRISBURG PIKE, Middletown, PA 17057
Middletown, Pennsylvania · CMS verdict
Courtyard Gardens Nursing and Rehab Ctr's CMS overall star rating stands at 4 of 5, above the Pennsylvania state average (3.0) and reflecting above-average quality by the federal five-star measure.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Courtyard Gardens Nursing and Rehab Ctr in Middletown, Pennsylvania holds a CMS overall rating of 4 of 5 stars and a PlainElderCare Quality & Compliance Index of 64 of 100 (grade D). The 102-bed facility operates where a semi-private nursing-home room in Pennsylvania runs a median of $11,954 per month. Figures are from CMS Nursing Home Compare.
Quality & Compliance Index (lighter deficiency book)
With 12 CMS deficiencies on file, this facility sits in the lighter U.S. deficiency tercile (≤16). A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 4 of 5 stars. How this is calculated.
How the 64 is built
Each segment is a dimension's weighted points toward the score, summing to 64.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Courtyard Gardens Nursing and Rehab Ctr's lighter CMS deficiency book
Quality ratings
CMS's most recent Care Compare release (data as of April 2026) puts Courtyard Gardens Nursing and Rehab Ctr's overall quality rating at 4 out of 5 stars, a composite of three sub-ratings: health inspection (4/5), staffing (3/5), and quality measures (3/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Middletown, Pennsylvania, this facility operates 102 certified beds with an average daily census of roughly 89 residents - an occupancy rate of about 87%. The facility is classified under non profit - corporation ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 87% occupancy, this facility runs close to its typical range for a stabilized operation.
Same-ownership peers
Within Pennsylvania, Courtyard Gardens Nursing and Rehab Ctr is one of 190 non profit - corporation nursing homes CMS rates. Its 4-star overall rating sits above the non profit - corporation-segment average of 3.9 stars, ahead of roughly 34% of same-ownership peers in the state. Comparing a facility against its own ownership segment holds the business model roughly constant, which helps isolate facility-level performance from the staffing and reinvestment patterns that differ across for-profit, non-profit, and government operators.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility (12 total). CMS has levied 2 enforcement penalties - civil money penalties or denials of payment, during the same window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
Figures above come from CMS Nursing Home Compare (Care Compare, data as of April 2026) with state cost medians from the CareScout 2025 Cost of Care Survey. See our methodology for vintage.
How Courtyard Gardens Nursing and Rehab Ctr compares to Pennsylvania
CMS five-star sub-ratings (0–5) for this facility against the Pennsylvania facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Pennsylvania state average. Higher is better on all four CMS measures.
Where Courtyard Gardens Nursing and Rehab Ctr ranks in Pennsylvania
Among the 653 CMS-rated nursing homes in Pennsylvania, Courtyard Gardens Nursing and Rehab Ctr’s 4-star overall rating is higher than 62% of them. The bars show how all Pennsylvania homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
101 Pennsylvania homes share this 4-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 102 |
| Residents | 89 |
| Ownership | Non profit - Corporation |
| County | Dauphin |
| Penalties | 2 |
| Deficiencies | 12 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Courtyard Gardens Nursing and Rehab Ctr? ▾
CMS rates Courtyard Gardens Nursing and Rehab Ctr at 4 out of 5 stars overall. The three sub-ratings behind that number: health inspection 4/5, staffing 3/5, quality measures 3/5.
How much does a nursing home cost per month in Pennsylvania? ▾
In Pennsylvania, a semi-private nursing home room runs a median $11,954/month ($143,445/year) per the CareScout 2025 survey; private rooms average $13,688/month.
What services does Courtyard Gardens Nursing and Rehab Ctr offer? ▾
Courtyard Gardens Nursing and Rehab Ctr is a skilled nursing facility with 102 beds with approximately 89 current residents. It operates under non profit - corporation ownership. The facility has recorded 12 deficiencies and 2 penalties in CMS inspections.
Does Courtyard Gardens Nursing and Rehab Ctr have any deficiencies or penalties? ▾
Courtyard Gardens Nursing and Rehab Ctr has multiple deficiencies (12 total) and 2 penalties recorded by CMS. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in Pennsylvania? ▾
In Pennsylvania, alternatives include assisted living ($6,480/mo), home health aides ($6,483/mo), and adult day care ($2,535/mo).
Keep reading
Also see the Pennsylvania elder-care overview and highest-rated states. Provider ID: 395518.
Read our methodology - how this data is sourced, computed, and verified.