Before you decide: this page is information, not medical advice or a recommendation. Confirm current availability, services, Medicare/Medicaid acceptance, pricing and licensing directly with the home and the state. Data shown is from CMS files dated Oct 1, 2026; things may have changed since.
At a glance
| Overall | ★★★★★ 3 of 5 |
|---|---|
| Health inspections | ★★★★★ 3 of 5 |
| Staffing | ★★★★★ 2 of 5 |
| Quality measures | ★★★★★ 3 of 5 |
| Long-stay quality | ★★★★★ 1 of 5 |
| Short-stay quality | ★★★★★ 5 of 5 |
Source: CMS Provider Information, Oct 1, 2026. NH homes average 3.0 overall (72 rated). How the ratings work.
Editorial note: a star rating is one signal. CMS itself says ratings can't capture everything, such as specialty care or how easy it is for family to visit.
Staffing
Hours of nursing care per resident per day, as reported by the home to CMS through payroll-based data. Higher is generally better when comparing homes; it is an average, not the number of staff present at any moment.
CMS case-mix adjusted total nurse hours: 3.00. Lower turnover is generally better. Source: CMS Provider Information (Oct 1, 2026). “n/r” = not reported.
Inspections and penalties
Show all 19 citations, newest first
Inspection May 27, 2026 · 1 citation
Resident Assessment and Care Planning Deficiencies: Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Inspection Feb 24, 2026 · 1 citation
Pharmacy Service Deficiencies: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspection Jan 10, 2025 · 10 citations
Infection Control Deficiencies: Provide and implement an infection prevention and control program.
Resident Rights Deficiencies: Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies: 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 Assessment and Care Planning Deficiencies: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Pharmacy Service Deficiencies: 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.
Nutrition and Dietary Deficiencies: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration Deficiencies: Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Nursing and Physician Services Deficiencies: Post nurse staffing information every day.
Administration Deficiencies: 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.
Resident Assessment and Care Planning Deficiencies: Assess the resident when there is a significant change in condition
Inspection Jan 25, 2024 · 7 citations
Quality of Life and Care Deficiencies: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nursing and Physician Services Deficiencies: Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Resident Assessment and Care Planning Deficiencies: Ensure services provided by the nursing facility meet professional standards of quality.
Pharmacy Service Deficiencies: 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.
Nutrition and Dietary Deficiencies: 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.
Infection Control Deficiencies: Provide and implement an infection prevention and control program.
Resident Rights Deficiencies: Allow resident to participate in the development and implementation of his or her person-centered plan of care.
| Date | Type | Amount / length |
|---|---|---|
| Jan 25, 2024 | Fine | $9,770 |
Letters A–L are CMS scope and severity codes; J–L is immediate jeopardy, G–I actual harm. How to read inspection results. Sources: CMS Health Deficiencies, CMS Penalties (Oct 1, 2026). Full reports: Medicare Care Compare.
Quality measures
Selected clinical measures CMS reports from resident assessments, averaged over four quarters (2025Q3-2026Q2). Each is a percentage of residents; the last column says which direction is better.
| Measure | This home | NH average | Better if |
|---|---|---|---|
| Long-stay residents with one or more falls with major injury | 6.9% | 4.5% | Lower |
| Long-stay residents with pressure ulcers | 5.2% | 4.3% | Lower |
| Long-stay residents who received an antipsychotic medication | 18.7% | 17.9% | Lower |
| Long-stay residents who lose too much weight | 6.4% | 5.2% | Lower |
| Long-stay residents with a urinary tract infection | 0.7% | 2.2% | Lower |
| Long-stay residents whose need for help with daily activities increased | 30.4% | 22.3% | Lower |
| Long-stay residents whose ability to walk independently worsened | 26.3% | 15.8% | Lower |
| Long-stay residents with depressive symptoms | 42.8% | 15.8% | Lower |
| Long-stay residents who were physically restrained | 0.6% | 0.1% | Lower |
| Long-stay residents assessed and appropriately given the seasonal flu vaccine | 97.7% | 97.8% | Higher |
| Short-stay residents who newly received an antipsychotic medication | 0.0% | 1.2% | Lower |
| Short-stay residents assessed and appropriately given the seasonal flu vaccine | 78.8% | 85.7% | Higher |
Source: CMS MDS Quality Measures (Oct 1, 2026). “Not reported” is not zero; footnote codes are explained in the CMS data dictionary. Only one snapshot is stored, so no trend is shown.
Ownership
Ownership type: For profit - Limited Liability company. Legal business name: MILFORD SNF OPCO LLC.
Part of 603 Healthcare (7 facilities nationally). Chain average CMS overall rating: 3.6.
Owners and operators reported to CMS (9)
5% or greater direct ownership interest
- Pr NH Holdings LLC
- Rr NH Holdings LLC
Direct ownership interest
- Stevenson, Sean
Indirect ownership interest
- Rausman, Philip
- Rausman, Robert
Operational/managerial control
- 603 Healthcare LLC
- Manchin, Crystal
- Ojutalayo, Ayobami
- Stevenson, Sean
Sources: CMS Provider Information, CMS Ownership (Oct 1, 2026). Shows direct/indirect ownership interests and operational control; directors, officers and managing employees are on Care Compare.
Contact and identifiers
The Elms Center
71 Elm Street
Milford, NH 03055 (Hillsborough County)
(603) 673-2907
- CMS Certification Number (CCN): 305068
- Certified for Medicare and Medicaid since 1996
- Inside a hospital: N
- Continuing care retirement community: N
- Resident and family council: Resident
- Sprinklers in all required areas: Yes
We do not book appointments or check bed availability. Call the home directly. Data refreshed Nov 11, 2026. Something wrong? Request a correction.
Map © OpenStreetMap contributors, using CMS coordinates.
Nearby alternatives
Crestwood Center, Milford · about 0.3 mi · CMS overall: ★★★★★ 4 of 5
Courville at Nashua, Nashua · about 11.3 mi · CMS overall: ★★★★★ 5 of 5
Nashua Post Acute Care, Nashua · about 11.7 mi · CMS overall: ★★★★★ 1 of 5
Bedford Nursing & Rehabilitation Center, Bedford · about 12.2 mi · CMS overall: ★★★★★ 1 of 5
Ridgewood Center, Genesis HealthCare, Bedford · about 12.4 mi · CMS overall: ★★★★★ 2 of 5
Straight-line distance between CMS coordinates. All homes in Milford · Hillsborough County
Questions to ask this home
- How many nurses and aides work days, nights and weekends, and how many residents does each aide care for?
- CMS reports 3.11 nurse staff hours per resident per day here; how has staffing changed recently?
- What changed after the most recent inspection (Feb 24, 2026)? Ask to see the report and plan of correction.
- Does the home accept Medicare and/or Medicaid for the type of stay you need, and is a bed available?