The Elms Center

How to file a complaint about care →

1 fine totaling $9,770.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

What these staffing numbers mean →

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.02, RN 0.74, weekend 2.67.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.02 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Limited Liability company

All 12 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain 603 Healthcare — 7 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

• Wolfeboro Bay Center — Wolfeboro, NH · overall 4/5
• Waterview Nursing Care Center — Flushing, NY · overall 3/5
• Bedford Hills Center — Bedford, NH · overall 4/5
• Langdon Place of Dover — Dover, NH · overall 5/5
• Langdon Place of Keene — Keene, NH · overall 5/5
• Mineral Springs — North Conway, NH · overall 2/5

Listed by state, then facility name — not a ranking.

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

• "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
• "When a new resident arrives, how do you make sure the doctor's orders for their care and medications are in place from day one?"
• "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
• "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
• "How do you explain health changes and treatment options to residents and their families?"
• "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
• "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
• "Can you show me how medications are stored and secured on the units, including controlled drugs?"

Also worth asking anywhere

• "Your weekend nurse staffing is reported below the New Hampshire midpoint — how does the weekend schedule differ from a weekday?"
• "Can I see the plan of correction for the findings in your most recent state inspection?"
• "CMS reports 64% total nursing staff turnover here — who on the care team has been with you longest?"
• "Can I visit again unannounced, at a mealtime or on a weekend?"

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in Hillsborough, NH — 21 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

• Villa Crest Nursing and Retirement Center — Manchester, NH · overall 4/5

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Milford →