nursing home in Milford, NH
The Elms Center
71 Elm Street, Milford, NH 03055 · (603) 673-2907
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★1
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
The Elms Center at a glance
The Elms Center is a 52-bed for-profit nursing home in Milford, New Hampshire (Hillsborough County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the New Hampshire average of 3.
Residents receive about 3 hours of nursing care per day (0.7 of them from registered nurses), worse than the state average of 3.9 hours.
Its most recent standard health inspection (February 24, 2026) found 2 health citations. The New Hampshire average is 4.
Federal regulators fined it 1 time in the past three years, totaling $9,770.
Nursing staff turnover is 64% per year (state average 44.1%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 52
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- 603 Healthcare
- Medicare-certified since
- August 1, 1996
- Resident/family council
- Resident
- County
- Hillsborough County
- CMS Certification Number
- 305068
Ratings
| Measure | This facility | New Hampshire avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 3 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 3.3 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.2 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 1 / 5 | 3 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 3.2 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | New Hampshire avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.02 hrs | 3.90 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.74 hrs | 0.78 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 1.66 hrs | 2.34 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.67 hrs | 3.47 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 64% | 44.1% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 77.8% | 40.9% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 1 | 0 | 1 | Worse |
Inspections
| Measure | This facility | New Hampshire avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 2 | 4 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 1 | 0 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 21 | 24.6 | 80.6 | Better |
Penalties
| Measure | This facility | New Hampshire avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $9,770 | $7,928 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | New Hampshire avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 52 | 100 | 107 | |
| Average residents per day | 44 | 81 | 86 | |
| Occupancy | 85% | 81.4% | 80.9% |
Long-stay residents
| Measure | This facility | New Hampshire avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 4.9% | 4.4% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 5.3% | 4.2% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 18% | 17.8% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 2% | 2.1% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 1% | 1.1% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 30.6% | 22.7% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 29.9% | 17.5% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 5.7% | 5.4% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 43.6% | 13.7% | 12.8% | Worse |
| Long-stay residents who were physically restrained (lower is better) | 0.6% | 0.2% | 0.1% | Worse |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 28.2% | 19% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 27.2% | 25.7% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 93% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 95.7% | 97.3% | 93.6% | Average |
Short-stay residents
| Measure | This facility | New Hampshire avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.3% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 57.1% | 83% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 69.3% | 86.8% | 82% | Worse |
Inspection citations
State inspectors cited this home for 19 health deficiencies and 9 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 27, 2026 Complaint | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. Resident Assessment and Care Planning Deficiencies · Tag F0635 | D Potential harm, isolated | Past Non-Compliance |
| February 24, 2026 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | D Potential harm, isolated | Corrected March 23, 2026 |
| February 24, 2026 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | D Potential harm, isolated | Corrected March 23, 2026 |
| February 24, 2026 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | B No harm, pattern | Corrected March 23, 2026 |
| February 24, 2026 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected March 19, 2026 |
| January 10, 2025 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | F Potential harm, widespread | Corrected March 7, 2025 |
| January 10, 2025 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | E Potential harm, pattern | Corrected March 7, 2025 |
| January 10, 2025 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | C No harm, widespread | Corrected March 7, 2025 |
| January 10, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected February 7, 2025 |
| January 10, 2025 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected February 21, 2025 |
| January 10, 2025 Standard | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · Tag F0868 | D Potential harm, isolated | Corrected February 6, 2025 |
| January 10, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | D Potential harm, isolated | Corrected January 27, 2025 |
| January 10, 2025 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected February 25, 2025 |
| January 10, 2025 Standard | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Tag F0552 | D Potential harm, isolated | Corrected February 7, 2025 |
| January 10, 2025 Standard | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected February 7, 2025 |
| January 10, 2025 Standard | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | C No harm, widespread | Corrected February 7, 2025 |
| January 10, 2025 Standard | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Administration Deficiencies · Tag F0838 | C No harm, widespread | Corrected January 30, 2025 |
| January 10, 2025 Standard | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Tag F0637 | B No harm, pattern | Corrected February 2, 2025 |
| January 25, 2024 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected February 16, 2024 |
| January 25, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | D Potential harm, isolated | Corrected February 16, 2024 |
| January 25, 2024 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | C No harm, widespread | Corrected February 16, 2024 |
| January 25, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected February 22, 2024 |
| January 25, 2024 Standard | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | F Potential harm, widespread | Corrected March 1, 2024 |
| January 25, 2024 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected February 23, 2024 |
| January 25, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected February 22, 2024 |
| January 25, 2024 Standard | Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised. Nutrition and Dietary Deficiencies · Tag F0811 | D Potential harm, isolated | Corrected February 23, 2024 |
| January 25, 2024 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected February 26, 2024 |
| January 25, 2024 Standard | Allow resident to participate in the development and implementation of his or her person-centered plan of care. Resident Rights Deficiencies · Tag F0553 | C No harm, widespread | Corrected March 1, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with 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. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $9,770 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| January 25, 2024 | Fine | $9,770 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| PR NH HOLDINGS LLC Organization | 5% or greater direct ownership interest | 48% | 02/19/2024 |
| RR NH HOLDINGS LLC Organization | 5% or greater direct ownership interest | 48% | 02/19/2024 |
| 603 HEALTHCARE LLC Organization | adp of the snf | NOT APPLICABLE | 01/29/2025 |
| MANCHIN, CRYSTAL Individual | adp of the snf | NOT APPLICABLE | 09/01/2024 |
| OJUTALAYO, AYOBAMI Individual | adp of the snf | NOT APPLICABLE | 09/01/2025 |
| STEVENSON, SEAN Individual | direct ownership interest | NOT APPLICABLE | 02/19/2024 |
| RAUSMAN, PHILIP Individual | indirect ownership interest | NOT APPLICABLE | 09/01/2024 |
| RAUSMAN, ROBERT Individual | indirect ownership interest | NOT APPLICABLE | 09/01/2024 |
| 603 HEALTHCARE LLC Organization | operational/managerial control | NOT APPLICABLE | 09/01/2024 |
| MANCHIN, CRYSTAL Individual | operational/managerial control | NOT APPLICABLE | 09/01/2024 |
| OJUTALAYO, AYOBAMI Individual | operational/managerial control | NOT APPLICABLE | 09/01/2024 |
| STEVENSON, SEAN Individual | operational/managerial control | NOT APPLICABLE | 09/01/2024 |
Other nursing homes near The Elms Center
Crestwood Center
40 Crosby Street, Milford, NH 03055 · under 1 mi
For-profit · 82 beds · Part of Genesis Healthcare
★★★★★4Above average- ★★★★★5Much above average
Nashua Post Acute Care
55 Harris Road, Nashua, NH 03062 · 11.7 mi
For-profit · 290 beds · Part of Marquis Health Services
★★★★★1Much below averageBedford Nursing & Rehabilitation Center
480 Donald Street, Bedford, NH 03110 · 12.2 mi
For-profit · 102 beds
- Special Focus candidate
★★★★★1Much below averageRidgewood Center, Genesis Healthcare
25 Ridgewood Road, Bedford, NH 03110 · 12.4 mi
For-profit · 150 beds · Part of Genesis Healthcare
★★★★★2Below averageBedford Hills Center
30 Colby Court, Bedford, NH 03110 · 12.5 mi
For-profit · 147 beds · Part of 603 Healthcare
★★★★★4Above average
Frequently asked questions
What is The Elms Center's rating?
The Elms Center has 2 out of 5 stars on the CMS overall star rating. The average for New Hampshire nursing homes is 3 stars.
How many inspection citations did The Elms Center receive?
Its most recent standard health inspection found 2 citations, compared with a New Hampshire average of 4. Every citation is listed on this page with its severity.
Does The Elms Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns The Elms Center?
It is for profit - limited liability company and part of 603 Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is The Elms Center and how do I contact it?
The Elms Center is at 71 Elm Street, Milford, NH 03055. Phone: (603) 673-2907.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.