The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited January 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
COURTYARD GARDENS NURSING AND REHAB CTR
MIDDLETOWN, PA · Medicare-certified · 102 beds
In good standing
Non-profit
4 of 5 overall
4 out of 5 stars overall. Courtyard Gardens Nursing and Rehab Ctr in Middletown, PA has a strong health inspection rating (4/5) and no fines in the last 24 months, but staffing and quality are only 3/5 and reported nurse staffing is below the federal benchmark (3.69 vs 4.1 hours per resident per day); recent inspection issues involved accident hazards/supervision, pain management, and infection prevention and control.
Facility ratings
Health inspections
Staffing
3.6856 hrs/resident/day
Quality measures
Last inspection: January 27, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6856.
Staffing detail
- Registered nurses
- 0.57
- Licensed practical nurses
- 0.89
- Nurse aides
- 2.22
- Weekend nursing
- 3.24
Hours per resident per day.
Total staff turnover: 45%
Registered nurse turnover: 31%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
15%17.2%Worsening
Residents with a fall causing major injury
3.7%2.6%Improving
Residents with pressure ulcers (bedsores)
4.2%4.1%No change
Residents with a urinary tract infection
4.9%2.6%Improving
Residents who lost too much weight
3.9%14.7%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
22.1%26.2%Worsening
Residents whose ability to walk got worse
29%32.5%Worsening
Long-stay residents on antianxiety or sleep medication
17.5%16%Improving
Short-stay residents newly given an antipsychotic
4.8%2.5%Improving
Residents with a long-term catheter
1.2%0%Improving
Residents with new or worsening incontinence
27.2%30.7%Worsening
Residents with depressive symptoms
0%1.3%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—96.7%—
Long-stay residents given the pneumonia vaccine
92.6%80.8%Worsening
Short-stay residents given the seasonal flu vaccine
—61.8%—
Short-stay residents given the pneumonia vaccine
60.4%58.8%Worsening
What the inspectors found
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited January 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: G
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited November 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited January 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: E
The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited January 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 726 — 42 CFR §483.35 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $12,315 in total fines.
- $8,469
Federal fine
Aug 14, 2023
- $3,846
Federal fine
Jun 5, 2023
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 92.3 residents on an average day (90% of 102 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 44 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.