Courtyard Gardens Nursing and Rehab Ctr

Name: Courtyard Gardens Nursing and Rehab Ctr
Address: 999 WEST HARRISBURG PIKE, Middletown, PA, 17057, US
Telephone: 7179443351

999 West Harrisburg Pike, Middletown, PA 17057 · Dauphin County · 102 certified beds · avg 89 residents/day · certified since Apr 1, 1982

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.82

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Jan 27, 2026 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Feb 20, 2026 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Jan 27, 2026 · F-0697 · triggered by a complaint

The facility did not provide safe and appropriate pain management for a resident who needed it.

Why it matters: Untreated pain causes needless suffering and can lead to depression, poor sleep, and declining health.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Feb 20, 2026 (Deficient, Provider has date of correction)

All citations in the current public record (15)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jan 27, 2026	▲ G · Actual harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Jan 27, 2026	▲ G · Actual harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint
Jan 27, 2026	E · Potential for harm, repeated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Jan 27, 2026	E · Potential for harm, repeated	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint
Sep 19, 2024	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Sep 19, 2024	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Sep 19, 2024	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Nov 7, 2023	F · Potential for harm, facility-wide	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Nov 7, 2023	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Nov 7, 2023	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Nov 7, 2023	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Nov 7, 2023	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Nov 7, 2023	B · Minimal risk, repeated	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
Nov 3, 2022	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Nov 3, 2022	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (6 → 3).

Year	Citations	Serious (G–L)	Worst severity that year
2022	2	0	D
2023	6	0	F
2024	3	0	D
2026	4	2	G ▲

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Pennsylvania avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.82	3.94	3.95	top 44% in Pennsylvania; top 47% in the U.S.
Registered Nurse hours	0.55	0.80	0.69	bottom 36% in Pennsylvania; bottom 45% in the U.S.
Weekend total nurse staffing	3.37	3.58	3.50	top 49% in Pennsylvania; top 49% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.35	0.56	0.48	bottom 33% in Pennsylvania; bottom 42% in the U.S.
Total nursing staff turnover (%)	42.0	44.5	45.8	top 41% in Pennsylvania; top 42% in the U.S.
RN turnover (%)	35.7	39.9	42.9	top 44% in Pennsylvania; top 39% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.84, RN 0.55, weekend 3.39. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 3/5 · long-stay residents: 4/5 · short-stay residents: 2/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Eaby, Douglas	Individual	Corporate Director	NOT APPLICABLE	05/29/2007
Eaby, Douglas	Individual	Trustee of the SNF	NOT APPLICABLE	05/29/2007
Osevala, Nicole	Individual	ADP of the SNF	NOT APPLICABLE	04/29/2025
Vogel, Louis	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2013
Vogel, Louis	Individual	ADP of the SNF	NOT APPLICABLE	03/12/2025

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you assess and manage residents' pain, especially for those who have trouble communicating?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Oak Hill Center for Rehabilitation and Nursing	1.0 mi	Middletown, PA	★★☆☆☆	1/5
Spring Creek Rehabilitation and Nursing Center	6.3 mi	Harrisburg, PA	★★☆☆☆	2/5
River's Bend Health & Rehab Center	6.8 mi	Harrisburg, PA	★☆☆☆☆	1/5	abuse
Emerald Nursing and Rehabilitation	8.5 mi	Elizabethtown, PA	★★☆☆☆	2/5
Masonic Village at Elizabethtown	8.7 mi	Elizabethtown, PA	★★★★★	5/5
Camp Hill Skilled Nursing and Rehabilitation Ctr	9.1 mi	Camp Hill, PA	★★☆☆☆	2/5	abuse
Homeland Center	9.3 mi	Harrisburg, PA	★★★★☆	4/5
Gardens at Camp Hill, the	9.7 mi	Camp Hill, PA	★★★☆☆	2/5
Gardens at West Shore, the	9.9 mi	Camp Hill, PA	★☆☆☆☆	1/5	abuse
Amoroso Healthcare and Rehabilitation Woodridge	10.1 mi	Harrisburg, PA	★☆☆☆☆	1/5

Compare this facility with the 3 closest →

All facilities in Middletown →

Facility data as of CMS processing date 2026-08-01. CCN 395518.

The Care File

Visit checklist — Courtyard Gardens Nursing and Rehab Ctr

999 West Harrisburg Pike, Middletown, PA 17057 · 7179443351

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Most serious findings on record:

▲ Jan 27, 2026 (F-0689, Actual harm, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
▲ Jan 27, 2026 (F-0697, Actual harm, one-off): The facility did not provide safe and appropriate pain management for a resident who needed it.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 395518 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)