Hillsborough County, New Hampshire · Nursing home
The Elms Center
2 of 5 overall from CMS
71 Elm Street, Milford, NH 03055
At a glance
- Overall rating 2 of 5 Below the state average of 3.1
- Nurse time per resident, per day 3.02 hours Below the state average of 3.90
- Nursing staff who left in a year 64.0% Above the state average of 44.1%
- Health citations in 3 years 19 1 at the harm level or above
- Fines in 3 years $9,770 1 fine
- Certified beds in use 85.0% of 52 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
The Elms Center is a 52-bed nursing home in Milford, New Hampshire (Hillsborough County). CMS rates it 2 of 5 stars overall as of Aug 2026. It reports 3.02 nurse staffing hours per resident per day, below the New Hampshire average of 3.90. CMS lists 1 fine totaling $9,770 in the past three years.
- Certified beds
- 52
- Residents per day (average)
- 44.2
- Certified since
- 1996 (30 yrs)
For profit - Limited Liability company Participates in Medicare and MedicaidPart of 603 Healthcare (7 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Questions to ask The Elms Center
Chosen from this home's public data.
- CMS lists 1 fine totaling $9,770 in the past three years. What changed after the most recent one?Penalties in CMS data
- Nursing staff turnover is 64.0%, above the New Hampshire average of 44.1%. How often would the same aides care for my relative?Turnover in CMS data
- Reported nurse staffing is 2.67 hours per resident on weekends against 3.02 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 2 of 5 New Hampshire average 3.1
- Health inspections 3 of 5 New Hampshire average 2.9
- Staffing 1 of 5 New Hampshire average 3.3
- Quality measures 3 of 5 New Hampshire average 3.2
The vertical line marks the New Hampshire average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.02 h New Hampshire average 3.90
- Nurse aides 1.66 h New Hampshire average 2.34
- Licensed practical nurses 0.62 h New Hampshire average 0.78
- Registered nurses 0.74 h New Hampshire average 0.78
- All staff, weekends 2.67 h New Hampshire average 3.47
How much nurse staffing is enough? All bars share one scale, 0 to 6 hours. The vertical line marks the New Hampshire average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover64.0%
- New Hampshire average44.1%
- Registered nurse turnover77.8%
- New Hampshire average40.9%
- Administrators who left1
Inspection history
Inspectors cited 19 health deficiencies in the past three years. Of these, 1 involved actual harm; the rest were graded as no actual harm. 2 followed a complaint investigation. The most recent citation at the harm level or above was on Jan 25, 2024: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
| Inspection date | Health | Fire safety |
|---|---|---|
| Feb 24, 2026 | 2 | 3 |
| Jan 10, 2025 | 10 | 3 |
| Jan 25, 2024 | 7 | 3 |
New Hampshire homes averaged 3.9 health deficiencies in the latest cycle; the national average is 9.3.
Health citations, past three years (19)
-
DPotential for more than minimal harm, isolated
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Complaint inspection · Resident Assessment and Care Planning · Past Non-Compliance
-
DPotential for more than minimal harm, isolated
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · Deficient, Provider has date of correction (Mar 19, 2026)
-
FPotential for more than minimal harm, widespread
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Feb 7, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights · Deficient, Provider has date of correction (Feb 7, 2025)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Feb 7, 2025)
Show 14 more
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Feb 21, 2025)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Feb 25, 2025)
-
DPotential for more than minimal harm, isolated
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Jan 27, 2025)
-
DPotential for more than minimal harm, isolated
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration · Deficient, Provider has date of correction (Feb 6, 2025)
-
CPotential for minimal harm, widespread
Post nurse staffing information every day.
Nursing and Physician Services · Deficient, Provider has date of correction (Feb 7, 2025)
-
CPotential for minimal harm, widespread
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 · Deficient, Provider has date of correction (Jan 30, 2025)
-
BPotential for minimal harm, pattern
Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Feb 2, 2025)
-
GActual harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint inspection · Quality of Life and Care · Deficient, Provider has date of correction (Feb 22, 2024)
-
FPotential for more than minimal harm, widespread
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 · Deficient, Provider has date of correction (Mar 1, 2024)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Feb 26, 2024)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Feb 23, 2024)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Feb 23, 2024)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Feb 22, 2024)
-
CPotential for minimal harm, widespread
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Resident Rights · Deficient, Provider has date of correction (Mar 1, 2024)
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Jan 25, 2024 | Fine | $9,770 |
New Hampshire homes averaged 0.6 fines and $8,016 in fine amounts; the national averages are 0.9 and $31,093.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within New Hampshire
- Size61 of 73 by certified beds
- New Hampshire average residents per day81.3
- Chain603 Healthcare
- Chain average overall rating3.6 of 5
- Resident or family councilResident
- Homes in Hillsborough County21
Common questions
What is the CMS star rating for The Elms Center?
The Elms Center has an overall rating of 2 of 5 stars from CMS as of Aug 2026. Its health inspection rating is 3, staffing is 1 and quality measures is 3.
How many beds does The Elms Center have?
The Elms Center has 52 certified beds. It averages 44.2 residents per day, about 85.0% of its certified beds.
How much nursing care do residents get at The Elms Center?
The home reports 3.02 hours of nurse staffing per resident per day, including 0.74 hours from registered nurses. The New Hampshire average is 3.90 hours and 0.78 hours from registered nurses.
Has The Elms Center been fined?
Yes. CMS lists 1 fine totaling $9,770 in the past three years.
Does The Elms Center accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Nearest nursing homes
- 4 of 5 Crestwood Center 82beds 77.9%in use 3.37nurse hours a day
- 5 of 5 Courville at Nashua 94beds 79.4%in use 3.76nurse hours a day
- 1 of 5 Nashua Post Acute Care 290beds 78.7%in use 3.02nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Hillsborough County
Who to call in New Hampshire
These offices serve residents of every nursing home in New Hampshire.
- Long-term care ombudsman Office of the Long-Term Care Ombudsman 1-800-442-5640 A free advocate for residents and their families.
- File a complaint about a nursing home Health Facilities Administration, Health Facility Certification Unit 603-271-9049 The state agency that inspects nursing homes.
New Hampshire staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Aug 1, 2026. CMS Certification Number 305068. Check the official record on Medicare.gov
See something shown incorrectly? Tell us. To change the underlying record, the home must contact CMS or its state survey agency.