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HomeNew HampshireThe Elms Center

The Elms Center

71 Elm Street, Milford, NH 030556036732907WebsiteGoogle Maps
4.4on Google(38 reviews)
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
3/5
Staffing
1/5
Quality
3/5
Beds
52
certified
1 fine(s) totaling $9,770

How The Elms Center Compares in New Hampshire

Facility results compared with averages for CMS-certified nursing homes in New Hampshire. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
2/5
NH average
3.0/5
Below state average
Health inspection rating
3/5
NH average
2.8/5
Close to state average
Staffing rating
1/5
NH average
3.3/5
Below state average
Nursing hours per resident
3.02 hrs/day
NH average
3.91 hrs/day
Below state average
RN hours per resident
0.74 hrs/day
NH average
0.78 hrs/day
Close to state average
Staff turnover
64.0%
NH average
44.1%
Higher than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 2/5 overall CMS rating is below the New Hampshire average of 3.0/5.
Reported nursing time is 3.02 hours per resident per day, below the state average of 3.91.
Staff turnover is 64.0%, higher than the New Hampshire average of 44.1%.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
11
deficiency citations
Inspected Jan 10, 2025
Most recent cycle
2
deficiency citations
Inspected Feb 24, 2026
The most recent cycle recorded 9 fewer deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$12,419/mo
New Hampshire median
Private Room
$13,718/mo
New Hampshire median
Hillsborough County 65+
68,925
16.3% of county
County Population
422,733
Hillsborough County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

The Elms Center is a 2-star Medicare and Medicaid certified nursing home in Milford, New Hampshire with 52 certified beds. It has been operating since 1996. Its overall CMS rating is 2 out of 5.

Beds
52
Avg Residents/Day
44.2
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Aug 1, 1996
Sprinklers
Yes
Council
Resident
County
Hillsborough
Last Inspection
Feb 24, 2026
Deficiencies (Cycle 1)
2
Weighted Score
21.0
Infection Citations
0

Deficiency Citations (19)

F0635Potential for Harm

Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

Survey: May 27, 2026Corrected: NoCycle: 1
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Feb 24, 2026Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jan 10, 2025Corrected: NoCycle: 2
F0552Potential for Harm

Ensure that residents are fully informed and understand their health status, care and treatments.

Survey: Jan 10, 2025Corrected: NoCycle: 2
F0578Potential for Harm

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.

Survey: Jan 10, 2025Corrected: NoCycle: 2
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Jan 10, 2025Corrected: NoCycle: 2
F0761Potential for Harm

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.

Survey: Jan 10, 2025Corrected: NoCycle: 2
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Jan 10, 2025Corrected: NoCycle: 2
F0868Potential for Harm

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Survey: Jan 10, 2025Corrected: NoCycle: 2
F0732Minimal Harm

Post nurse staffing information every day.

Survey: Jan 10, 2025Corrected: NoCycle: 2
F0838Minimal Harm

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.

Survey: Jan 10, 2025Corrected: NoCycle: 2
F0637Minimal Harm

Assess the resident when there is a significant change in condition

Survey: Jan 10, 2025Corrected: NoCycle: 2
F0689Actual Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Jan 25, 2024Corrected: NoCycle: 3
F0725Potential for Harm

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Survey: Jan 25, 2024Corrected: NoCycle: 3
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Jan 25, 2024Corrected: NoCycle: 3
F0761Potential for Harm

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.

Survey: Jan 25, 2024Corrected: NoCycle: 3
F0811Potential for Harm

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.

Survey: Jan 25, 2024Corrected: NoCycle: 3
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jan 25, 2024Corrected: NoCycle: 3
F0553Minimal Harm

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Survey: Jan 25, 2024Corrected: NoCycle: 3
Total Fines
$9,770
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineJan 25, 2024
$9,770

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.66 hrs
National avg: 2.32 hrs
LPN0.62 hrs
National avg: 0.86 hrs
RN0.74 hrs
National avg: 0.69 hrs
Total Nursing3.02 hrs
National avg: 3.86 hrs
Weekend Total2.67 hrs
National avg: 0.00 hrs
Physical Therapist0.03 hrs
National avg: 0.07 hrs
Total Turnover
64.0%
RN Turnover
77.8%
Administrators Left
1

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (12)

NameRoleTypeOwnership %Since
PR NH HOLDINGS LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization48%Feb 19, 2024
RR NH HOLDINGS LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization48%Feb 19, 2024
STEVENSON, SEANDIRECT OWNERSHIP INTERESTIndividualN/AFeb 19, 2024
RAUSMAN, PHILIPINDIRECT OWNERSHIP INTERESTIndividualN/ASep 1, 2024
RAUSMAN, ROBERTINDIRECT OWNERSHIP INTERESTIndividualN/ASep 1, 2024
603 HEALTHCARE LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/ASep 1, 2024
MANCHIN, CRYSTALOPERATIONAL/MANAGERIAL CONTROLIndividualN/ASep 1, 2024
OJUTALAYO, AYOBAMIOPERATIONAL/MANAGERIAL CONTROLIndividualN/ASep 1, 2024
STEVENSON, SEANOPERATIONAL/MANAGERIAL CONTROLIndividualN/ASep 1, 2024
603 HEALTHCARE LLCADP OF THE SNFOrganizationN/AJan 29, 2025
MANCHIN, CRYSTALADP OF THE SNFIndividualN/ASep 1, 2024
OJUTALAYO, AYOBAMIADP OF THE SNFIndividualN/ASep 1, 2025

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for The Elms Center and nearby alternatives.

All New Hampshire facilities
The Elms Center
Milford, NHCurrent facility
CMS
2/5
Health
3/5
Staffing
1/5
Recorded fines: $9,770
Crestwood Center
Milford, NH1,584 ft
CMS
4/5
Health
3/5
Staffing
3/5
Recorded fines: $15,646
Courville at Nashua
Nashua, NH11.3 mi
CMS
4/5
Health
3/5
Staffing
2/5
Recorded fines: None
Nashua Post Acute Care
Nashua, NH11.7 mi
CMS
1/5
Health
1/5
Staffing
2/5
Recorded fines: None
Bedford Nursing & Rehabilitation Center
Bedford, NH12.2 mi
CMS
1/5
Health
1/5
Staffing
2/5
Recorded fines: $16,153
Ridgewood Center, Genesis HealthCare
Bedford, NH12.4 mi
CMS
2/5
Health
2/5
Staffing
4/5
Recorded fines: $15,646
Bedford Hills Center
Bedford, NH12.5 mi
CMS
4/5
Health
4/5
Staffing
4/5
Recorded fines: $16,452
FacilityDistanceCMSHealthStaffingRecorded fines
The Elms Center
Milford, NH · Current facility
—2/53/51/5$9,770
Crestwood Center
Milford, NH
1,584 ft4/53/53/5$15,646
Courville at Nashua
Nashua, NH
11.3 mi4/53/52/5None recorded
Nashua Post Acute Care
Nashua, NH
11.7 mi1/51/52/5None recorded
Bedford Nursing & Rehabilitation Center
Bedford, NH
12.2 mi1/51/52/5$16,153
Ridgewood Center, Genesis HealthCare
Bedford, NH
12.4 mi2/52/54/5$15,646
Bedford Hills Center
Bedford, NH
12.5 mi4/54/54/5$16,452

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

Frequently Asked Questions

What is the CMS rating for The Elms Center?▾
The Elms Center has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 3/5, staffing rating of 1/5, and quality measures rating of 3/5. This facility is rated below average.
How much does The Elms Center cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in New Hampshire is $12,419/month for a semi-private room and $13,718/month for a private room (Genworth/CareScout 2024). The Elms Center participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has The Elms Center had any health inspection violations?▾
The Elms Center had 2 deficiency citations in its most recent health inspection (Feb 24, 2026). The current CMS dataset records 1 fine(s) totaling $9,770.
What are the staffing levels at The Elms Center?▾
The Elms Center provides 3.02 total nursing staff hours per resident per day, including 0.74 RN hours, 0.62 LPN hours, and 1.66 nurse aide hours. The total staff turnover rate is 64.0%.
How many beds does The Elms Center have?▾
The Elms Center has 52 certified beds with an average of 44.2 residents per day, resulting in approximately 85% occupancy. The facility is For profit - Limited Liability company owned and is part of the 603 Healthcare chain.
Are there other nursing homes near The Elms Center?▾
Yes. This page lists 6 nearby nursing homes in New Hampshire, including 1 in Milford. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about The Elms Center?▾
On Google Maps, The Elms Center has a rating of 4.4 out of 5 based on 38 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 2/5.

Part of 603 Healthcare

This chain operates 7 facilities. View all →