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The Elms Center

All states › New Hampshire › Milford › The Elms Center

71 Elm Street Milford, NH 03055 · Hillsborough County

(603) 673-2907

All 2 nursing homes in Milford, NH (2 take Medicaid)

Accepts Medicare Accepts Medicaid 52 certified beds For profit

CMS certification number 305068 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

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. Inspectors issued 19 citations in the last three years. CMS imposed 1 penalty, including $9,770 in fines, in that time. For short-term rehab patients CMS rates quality 5 out of 5; for long-term residents, 1 out of 5. Those results differ a lot, so ask about the unit your family member would be on.

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.

Nursing care per resident per day 3.11 hours
Below the New Hampshire median of 3.66 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.82 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.64 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 63.3% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 66.7% a year Share of registered nurses who left over a year.
Administrators who left 1 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds52
Residents per day 46 About 88% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare and Medicaid
Certified sinceAugust 1996
Part of a chain603 Healthcare
Legal business nameMILFORD SNF OPCO LLC

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.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0635 · Complaint inspection · Past Non-Compliance

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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Deficient, Provider has date of correction (Mar 19, 2026)

January 10, 2025 · 10 citations

FProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Feb 7, 2025)

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

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0552 · Deficient, Provider has date of correction (Feb 7, 2025)

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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0578 · Deficient, Provider has date of correction (Feb 7, 2025)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Feb 21, 2025)

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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Feb 25, 2025)

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Jan 27, 2025)

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

Potential for more than minimal harm · Administration Deficiencies · Tag F0868 · Deficient, Provider has date of correction (Feb 6, 2025)

CPost nurse staffing information every day.

Potential for minimal harm · Nursing and Physician Services Deficiencies · Tag F0732 · Deficient, Provider has date of correction (Feb 7, 2025)

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.

Potential for minimal harm · Administration Deficiencies · Tag F0838 · Deficient, Provider has date of correction (Jan 30, 2025)

BAssess the resident when there is a significant change in condition

Potential for minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0637 · Deficient, Provider has date of correction (Feb 2, 2025)

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.

Actual harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Feb 22, 2024)

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

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0725 · Deficient, Provider has date of correction (Mar 1, 2024)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Deficient, Provider has date of correction (Feb 26, 2024)

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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Feb 23, 2024)

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.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0811 · Deficient, Provider has date of correction (Feb 23, 2024)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Feb 22, 2024)

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

Potential for minimal harm · Resident Rights Deficiencies · Tag F0553 · Deficient, Provider has date of correction (Mar 1, 2024)

Questions to ask on a tour of The Elms Center

  1. 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?
  2. CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  3. Nursing staff turnover was 63.3% a year. How many of the staff come from agencies?
  4. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  5. 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.

DateTypeAmount or length
Jan 25, 2024 Fine $9,770

Rating history

CMS monthOverallInspectionStaffingQuality
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.

  • 10.8 mi
    St Joseph Hospital Nashua
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 3h 22m for patients treated and sent home
  • 11.4 mi
    Southern Nh Medical Center Nashua
    Emergency room ★★☆☆☆ Medicare overall 2 of 5
    Median ER visit 3h 38m for patients treated and sent home
  • 14.2 mi
    Catholic Medical Center Manchester
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median 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

Crestwood Center Milford · 0.3 mi away ★★★★☆ Inspection 3/5 · Staffing 4/5 82 beds · Medicaid
Courville at Nashua Nashua · 11.3 mi away ★★★★★ Inspection 4/5 · Staffing 3/5 94 beds · Medicaid
Nashua Post Acute Care Nashua · 11.7 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 2/5 290 beds · Medicaid
Bedford Nursing & Rehabilitation Center Bedford · 12.2 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 2/5 102 beds · Medicaid
Ridgewood Center, Genesis HealthCare Bedford · 12.4 mi away ★★☆☆☆ Inspection 2/5 · Staffing 3/5 150 beds · Medicaid

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

Other 603 Healthcare nursing homes in New Hampshire

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.

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https://www.nursinghomesineachstate.com/new-hampshire/milford/the-elms-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.