CMS data snapshot: July 2026
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.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
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.
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Ensure that residents are fully informed and understand their health status, care and treatments.
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.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
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.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Ensure services provided by the nursing facility meet professional standards of quality.
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.
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.
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| PR NH HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 48% | Feb 19, 2024 |
| RR NH HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 48% | Feb 19, 2024 |
| STEVENSON, SEAN | DIRECT OWNERSHIP INTEREST | Individual | N/A | Feb 19, 2024 |
| RAUSMAN, PHILIP | INDIRECT OWNERSHIP INTEREST | Individual | N/A | Sep 1, 2024 |
| RAUSMAN, ROBERT | INDIRECT OWNERSHIP INTEREST | Individual | N/A | Sep 1, 2024 |
| 603 HEALTHCARE LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Sep 1, 2024 |
| MANCHIN, CRYSTAL | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Sep 1, 2024 |
| OJUTALAYO, AYOBAMI | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Sep 1, 2024 |
| STEVENSON, SEAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Sep 1, 2024 |
| 603 HEALTHCARE LLC | ADP OF THE SNF | Organization | N/A | Jan 29, 2025 |
| MANCHIN, CRYSTAL | ADP OF THE SNF | Individual | N/A | Sep 1, 2024 |
| OJUTALAYO, AYOBAMI | ADP OF THE SNF | Individual | N/A | Sep 1, 2025 |
Compare CMS ratings and recorded fines for The Elms Center and nearby alternatives.
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.
This chain operates 7 facilities. View all →