All states › New Hampshire › Milford › The Elms Center
71 Elm Street Milford, NH 03055 · Hillsborough County
All 2 nursing homes in Milford, NH (2 take Medicaid)
CMS certification number 305068 · See this home on Medicare Care Compare
Is The Elms Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for The Elms Center as of October 2026.
CMS rates it 3 out of 5 stars overall, about the same as the New Hampshire average of 3.0.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.11 hours per resident per day at The Elms Center, below the New Hampshire median of 3.66 (US median: 3.72). About 0.82 of those hours are from registered nurses. On weekends it falls to 2.64 hours, 15% below its all-week average. 63.3% of nursing staff left within a year (New Hampshire median 43%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at The Elms Center: Medicare and Medicaid
The Elms Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet New Hampshire's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on February 24, 2026 and found 1 deficiency, plus 1 from complaint inspections in the same period. In total, inspectors issued 19 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: 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.
What the inspections found
Over the last three years, inspectors issued 19 citations at The Elms Center across 4 inspection dates, 2 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on January 25, 2024. The most common areas cited were resident assessment and care planning (4) and pharmacy service (3). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level G, January 25, 2024).
May 27, 2026 · 1 citation · includes complaint inspection
DProvide doctor's orders for the resident's immediate care at the time the resident was admitted.
February 24, 2026 · 1 citation
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
January 10, 2025 · 10 citations
FProvide and implement an infection prevention and control program.
DEnsure that residents are fully informed and understand their health status, care and treatments.
DHonor 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.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DEnsure 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.
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DHave the Quality Assessment and Assurance group have the required members and meet at least quarterly
CPost nurse staffing information every day.
CConduct 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.
BAssess the resident when there is a significant change in condition
January 25, 2024 · 7 citations, includes actual harm · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
FProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
DEnsure services provided by the nursing facility meet professional standards of quality.
DEnsure 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.
DEnsure 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.
DProvide and implement an infection prevention and control program.
CAllow resident to participate in the development and implementation of his or her person-centered plan of care.
Questions to ask on a tour of The Elms Center
- Inspectors cited the home at the actual-harm level on January 25, 2024 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Nursing staff turnover was 63.3% a year. How many of the staff come from agencies?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years, including $9,770 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Jan 25, 2024 | Fine | $9,770 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 3/5 | 2/5 | 3/5 |
| August 2026 | 2/5 | 3/5 | 1/5 | 3/5 |
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Location
Hospitals near The Elms Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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10.8 mi
St Joseph Hospital NashuaEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 22m for patients treated and sent home
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11.4 mi
Southern Nh Medical Center NashuaEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 3h 38m for patients treated and sent home
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14.2 mi
Catholic Medical Center ManchesterEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 41m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near The Elms Center › All nursing homes in Milford ›
Compare The Elms Center with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Crestwood Center · Milford · 4 stars · 0.3 mi
Other 603 Healthcare nursing homes in New Hampshire
- Langdon Place of Dover · Dover · 5 stars
- Langdon Place of Keene · Keene · 5 stars
- Bedford Hills Center · Bedford · 4 stars
- Wolfeboro Bay Center · Wolfeboro · 4 stars
- Mineral Springs · North Conway · 1 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 7 603 Healthcare nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.