The Elms Center

71 Elm Street, Milford, NH 03055 · (603) 673-2907 · For profit - Limited Liability company · 52 certified beds

1 fine ($9,770)Medicare & MedicaidCertified since 1996Avg 45.9 residents/day

Data as of: CMS nursing home files updated Oct 1, 2026 (CMS processing date Oct 1, 2026), retrieved Nov 11, 2026. Hospitals: CMS file updated Jul 22, 2026. All sources.

CMS star ratings

★★★
CMS overall star rating. NH homes average 3.0 (72 rated homes).
Health inspections
3/5
Staffing
2/5
Quality measures
3/5
Long-stay quality
1/5
Short-stay quality
5/5

Source: CMS Provider Information. Footnote codes: CMS data dictionary.

Location & turnover

Map © OpenStreetMap contributors. Approximate coordinates from CMS.

63.3%nursing staff turnover
66.7%RN turnover
1administrators who left

NH averages: nursing staff turnover 43.4%, RN turnover 40.5%. Source: CMS Provider Information.

Staffing: hours of care per resident per day

This home reports 3.11 total nurse staff hours per resident per day. The NH average is 3.87.

Reported by the facility to CMS (Payroll-Based Journal) This home NH average of 72 homes
Show staffing by role (RN, LPN, aide, weekend)
Total nurse staff
3.11 hrs (this home)3.87 hrs (NH average)
Registered nurse (RN)
0.82 hrs (this home)0.78 hrs (NH average)
LPN
0.53 hrs (this home)0.76 hrs (NH average)
Nurse aide
1.76 hrs (this home)2.32 hrs (NH average)
Weekend total
2.64 hrs (this home)3.43 hrs (NH average)

CMS also publishes case-mix adjusted total nurse hours: 3.00. Source: CMS Provider Information.

Inspections & penalties

2health deficiencies, most recent rating cycle (standard inspection Feb 24, 2026)
19health citations listed by CMS since Jan 25, 2024
0at immediate-jeopardy level (J–L); 1 at actual-harm level (G–I)
Show all 19 citations, newest first

Inspection May 27, 2026 · 1 citation

Severity DPast Non-Compliance
Resident Assessment and Care Planning Deficiencies: Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Tag F0635 · complaint inspection

Inspection Feb 24, 2026 · 1 citation

Severity DCorrected Mar 19, 2026
Pharmacy Service Deficiencies: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Tag F0755 · standard inspection

Inspection Jan 10, 2025 · 10 citations

Severity FCorrected Feb 7, 2025
Infection Control Deficiencies: Provide and implement an infection prevention and control program.
Tag F0880 · standard inspection
Severity DCorrected Feb 7, 2025
Resident Rights Deficiencies: Ensure that residents are fully informed and understand their health status, care and treatments.
Tag F0552 · standard inspection
Severity DCorrected Feb 7, 2025
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.
Tag F0578 · standard inspection
Severity DCorrected Feb 21, 2025
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.
Tag F0657 · standard inspection
Severity DCorrected Feb 25, 2025
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.
Tag F0761 · standard inspection
Severity DCorrected Jan 27, 2025
Nutrition and Dietary Deficiencies: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Tag F0812 · standard inspection
Severity DCorrected Feb 6, 2025
Administration Deficiencies: Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Tag F0868 · standard inspection
Severity CCorrected Feb 7, 2025
Nursing and Physician Services Deficiencies: Post nurse staffing information every day.
Tag F0732 · standard inspection
Severity CCorrected Jan 30, 2025
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.
Tag F0838 · standard inspection
Severity BCorrected Feb 2, 2025
Resident Assessment and Care Planning Deficiencies: Assess the resident when there is a significant change in condition
Tag F0637 · standard inspection

Inspection Jan 25, 2024 · 7 citations

Severity GCorrected Feb 22, 2024
Quality of Life and Care Deficiencies: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Tag F0689 · standard, complaint inspection
Severity FCorrected Mar 1, 2024
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.
Tag F0725 · standard inspection
Severity DCorrected Feb 26, 2024
Resident Assessment and Care Planning Deficiencies: Ensure services provided by the nursing facility meet professional standards of quality.
Tag F0658 · standard inspection
Severity DCorrected Feb 23, 2024
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.
Tag F0761 · standard inspection
Severity DCorrected Feb 23, 2024
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.
Tag F0811 · standard inspection
Severity DCorrected Feb 22, 2024
Infection Control Deficiencies: Provide and implement an infection prevention and control program.
Tag F0880 · standard inspection
Severity CCorrected Mar 1, 2024
Resident Rights Deficiencies: Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Tag F0553 · standard inspection
Penalties listed by CMS
DateTypeAmount / length
Jan 25, 2024Fine$9,770

Severity letters are CMS scope/severity codes A–L. Later letters are more serious or widespread; J–L means immediate jeopardy to resident health or safety. Sources: CMS Health Deficiencies, CMS Penalties. Full reports: Medicare Care Compare (CCN 305068).

Ownership & details

Legal business name: MILFORD SNF OPCO LLC. Ownership type: For profit - Limited Liability company. Resident/family council: Resident. Sprinklers in all required areas: Yes.

Part of 603 Healthcare (7 facilities). Chain average overall rating: 3.6.

Source: CMS Provider Information. CMS Certification Number (CCN): 305068.

Other nursing homes in Milford

Crestwood Center40 Crosby Street · 82 certified beds · 3.40 nurse staff hrs/resident/day · fines: 1 ($15,646)
★★★★ overall

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