Nursing HomeInspections

The Elms Center

Nursing home in Milford, NH

Medicare & Medicaid certified3★ overall (CMS)

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Public-record details

Address
71 Elm Street, Milford, NH 03055
Phone
(603) 673-2907
Listed under
For-profit
Medicare CCN
305068
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
3 of 5
Staffing rating
2 of 5
Quality measures rating
3 of 5
Certified beds
52
Average residents per day
46
Ownership
For-profit, limited Liability company
Legal business name
Milford SNF Opco LLC
Chain
603 Healthcare (7 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Aug 1, 1996
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 305068. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Feb 24, 2026. CMS lists 19 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jan 25, 2024 to May 27, 2026): 2 from complaint inspections, 1 at the “actual harm” level or higher.

InspectionCitationSeverity
May 27, 2026Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 24, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Jan 10, 2025Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning		B
Potential for minimal harm, pattern
Jan 10, 2025Post nurse staffing information every day.
Nursing and Physician Services		C
Potential for minimal harm, widespread
Jan 10, 2025Conduct 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…
Administration		C
Potential for minimal harm, widespread
Jan 10, 2025Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights		D
Potential for more than minimal harm, isolated
Jan 10, 2025Honor 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…
Resident Rights		D
Potential for more than minimal harm, isolated
Jan 10, 2025Develop 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		D
Potential for more than minimal harm, isolated
Jan 10, 2025Ensure 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…
Pharmacy Service		D
Potential for more than minimal harm, isolated
Jan 10, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Jan 10, 2025Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration		D
Potential for more than minimal harm, isolated
Jan 10, 2025Provide and implement an infection prevention and control program.
Infection Control		F
Potential for more than minimal harm, widespread

Showing the 12 most recent of 19. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $9,770 in the last three years.

Jan 25, 2024Fine: $9,770

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.11 hours
Registered nurse (RN) time per resident per day
0.82 hours
Nurse aide time per resident per day
1.76 hours
Total nurse staffing on weekends
2.64 hours
Nursing staff turnover (yearly)
63%
RN turnover (yearly)
67%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Milford

Crestwood Center40 Crosby Street · Milford, NH 03055 · (603) 673-7061 · For-profit13 health citations in 3 inspection cycles · last standard inspection Dec 18, 2025 · $15,646 in CMS fines (3 yrs)Medicare & Medicaid certified4★ overall (CMS)

All 2 in Milford →

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error