New Hampshire › Hillsborough County › Milford
The Elms Center
71 Elm Street, Milford, NH 03055
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 52 beds, The Elms Center serves Milford in Hillsborough County, New Hampshire and has taken Medicare and Medicaid residents since 1996.
CMS gives it 2 of 5 stars overall, below the New Hampshire median of 3; the health inspection rating is 3, staffing 1 and quality measures 3.
Inspectors recorded 19 health deficiencies across the three most recent survey cycles (2, 10, 7 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 36.5 per 100 beds, more than the state median of 13.1.
CMS lists 1 penalty in the period covered: fines totalling $10K.
Reported nurse staffing is 3.0 hours per resident per day (0.7 RN), close to the New Hampshire median of 3.6; nursing staff turnover is 64.0%.
Compared with county, state and nation
| Measure | This facility | Hillsborough Co. median | New Hampshire median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 19 | 14 | 12 | 28.7 |
| Citations per 100 beds | 36.5 | 14.7 | 13.1 | 26.8 |
| Total nurse hours per resident day | 3.0 | 3.5 | 3.6 | 3.9 |
| RN hours per resident day | 0.7 | 0.7 | 0.7 | 0.7 |
| Nursing staff turnover | 64.0% | 43.1% | 43.6% | 45.8% |
| Fines listed | $9,770 | $0 | $0 | — |
County and state figures are medians across facilities (21 in the county, 73 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: New Hampshire average per facility for the same cycle, as published by CMS. Standard health survey dates: 24 Feb 2026, 10 Jan 2025.
Severity mix: G ×1 D ×12 F ×2 B ×1 C ×3
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 27 May 2026 | F0635 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | D | Complaint investigation | Past Non-Compliance |
| 24 Feb 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 19 Mar 2026 |
| 10 Jan 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 7 Feb 2025 |
| 10 Jan 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 7 Feb 2025 |
| 10 Jan 2025 | F0578 | 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. | D | Standard survey | 7 Feb 2025 |
| 10 Jan 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 21 Feb 2025 |
| 10 Jan 2025 | F0761 | 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. | D | Standard survey | 25 Feb 2025 |
| 10 Jan 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 27 Jan 2025 |
| 10 Jan 2025 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D | Standard survey | 6 Feb 2025 |
| 10 Jan 2025 | F0732 | Post nurse staffing information every day. | C | Standard survey | 7 Feb 2025 |
| 10 Jan 2025 | F0838 | 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. | C | Standard survey | 30 Jan 2025 |
| 10 Jan 2025 | F0637 | Assess the resident when there is a significant change in condition | B | Standard survey | 2 Feb 2025 |
| 25 Jan 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 22 Feb 2024 |
| 25 Jan 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Standard survey | 1 Mar 2024 |
| 25 Jan 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 26 Feb 2024 |
| 25 Jan 2024 | F0761 | 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. | D | Standard survey | 23 Feb 2024 |
| 25 Jan 2024 | F0811 | 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. | D | Standard survey | 23 Feb 2024 |
| 25 Jan 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 22 Feb 2024 |
| 25 Jan 2024 | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | C | Standard survey | 1 Mar 2024 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 25 Jan 2024 | Fine | $9,770 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the New Hampshire average. Turnover: nursing staff 64.0%, RNs 77.8%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | New Hampshire median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 30.6% | 22.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.0% | 0.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.0% | 1.4% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.9% | 4.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.2% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 29.9% | 17.7% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.3% | 3.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 18.0% | 16.8% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Milford Snf Opco Llc. Chain: 603 Healthcare (7 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Pr Nh Holdings LLC | 5% or greater direct ownership interest | 48% | 02/19/2024 |
| Rr Nh Holdings LLC | 5% or greater direct ownership interest | 48% | 02/19/2024 |
| 603 Healthcare LLC | Operational/managerial control | NOT APPLICABLE | 09/01/2024 |
| 603 Healthcare LLC | Adp of the snf | NOT APPLICABLE | 01/29/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Hillsborough County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Courville At Nashua | Nashua | 94 | 5 | 4 | 2 | 10 | 10.6 | — | 2 Jul 2026 |
| Hillsborough County Nursing Home | Goffstown | 300 | 5 | 3 | 5 | 9 | 3.0 | — | 7 May 2026 |
| Holy Cross Health Center | Manchester | 40 | 5 | 4 | 5 | 2 | 5.0 | — | 25 Feb 2026 |
| Maple Leaf Health Care Center | Manchester | 114 | 5 | 5 | 2 | 7 | 6.1 | — | 4 Mar 2026 |
| Bedford Hills Center | Bedford | 147 | 4 | 4 | 4 | 8 | 5.4 | $16K | 3 Oct 2024 |
| Crestwood Center | Milford | 82 | 4 | 3 | 3 | 13 | 15.9 | $16K | 18 Dec 2025 |
| Mount Carmel Rehabilitation and Nursing Center | Manchester | 122 | 4 | 4 | 4 | 10 | 8.2 | — | 24 Jul 2025 |
| St Joseph Residence | Manchester | 22 | 4 | 3 | 5 | 11 | 50.0 | — | 23 Dec 2025 |
All 21 facilities in Hillsborough County
Questions and answers
How many deficiencies has The Elms Center been cited for?
19 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The New Hampshire median is 12 per facility.
Has The Elms Center been fined?
Yes. CMS lists fines totalling $10K in the period covered.
How does staffing at The Elms Center compare?
Reported total nurse staffing is 3.0 hours per resident per day against a New Hampshire median of 3.6 and a national average of 3.9.
Who operates The Elms Center?
It is part of the 603 Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Pr Nh Holdings LLC, Rr Nh Holdings LLC and 603 Healthcare LLC. Individual owners and managers are not listed on this site.
When was The Elms Center last inspected?
The most recent survey or investigation in the CMS record is dated 27 May 2026; the most recent standard health survey was 24 Feb 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.