The Elms Center

Name: The Elms Center
Address: 71 ELM STREET, Milford, NH, 03055, US
Telephone: 6036732907

71 Elm Street, Milford, NH 03055 · Hillsborough County · 52 certified beds · avg 44 residents/day · certified since Aug 1, 1996

Part of chain: 603 HEALTHCARE (7 facilities, chain avg rating 3.6★)

3/5

Health inspection rating (on-site)

Serious findings on record

$9,770

Fines, last 3 years

2.95

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Jan 25, 2024 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Feb 22, 2024 (Deficient, Provider has date of correction)

All citations in the current public record (19)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
May 27, 2026	D · Potential for harm, one-off	The facility did not have doctor's orders in place for a resident's immediate care at the time the resident was admitted. · from a complaint
Feb 24, 2026	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Jan 10, 2025	F · Potential for harm, facility-wide	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jan 10, 2025	D · Potential for harm, one-off	The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand.
Jan 10, 2025	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Jan 10, 2025	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Jan 10, 2025	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Jan 10, 2025	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jan 10, 2025	D · Potential for harm, one-off	The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months.
Jan 10, 2025	C · Minimal risk, facility-wide	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
Jan 10, 2025	C · Minimal risk, facility-wide	The facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies.
Jan 10, 2025	B · Minimal risk, repeated	The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way.
Jan 25, 2024	▲ G · Actual harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Jan 25, 2024	F · Potential for harm, facility-wide	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care.
Jan 25, 2024	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Jan 25, 2024	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Jan 25, 2024	D · Potential for harm, one-off	The facility did not properly run its feeding assistant program — assessing which residents are appropriate for it, following each resident's care plan, and making sure feeding assistants are trained and supervised. Feeding assistants are trained helpers who assist residents at mealtimes.
Jan 25, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jan 25, 2024	C · Minimal risk, facility-wide	The facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (10 → 1).

Year	Citations	Serious (G–L)	Worst severity that year
2024	7	1	G ▲
2025	10	0	F
2026	2	0	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

1 fine totaling $9,770.

Date	Type	Amount / length
Jan 25, 2024	Fine	$9,770

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	New Hampshire avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	2.95	4.11	3.95	bottom 7% in New Hampshire; bottom 12% in the U.S.
Registered Nurse hours	0.72	0.82	0.69	bottom 44% in New Hampshire; top 34% in the U.S.
Weekend total nurse staffing	2.61	3.67	3.50	bottom 7% in New Hampshire; bottom 13% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.41	0.55	0.48	bottom 26% in New Hampshire; top 47% in the U.S.
Total nursing staff turnover (%)	64.0	44.1	45.8	bottom 7% in New Hampshire; bottom 11% in the U.S.
RN turnover (%)	77.8	40.9	42.9	bottom 4% in New Hampshire; bottom 7% in the U.S.

Hours are per resident per day, 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. Staffing rating: 1/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 3/5 · long-stay residents: 1/5 · short-stay residents: 4/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
PR NH Holdings LLC	Organization	5% or Greater Direct Ownership Interest	48%	02/19/2024
Rausman, Philip	Individual	Indirect Ownership Interest	NOT APPLICABLE	09/01/2024
Rausman, Robert	Individual	Indirect Ownership Interest	NOT APPLICABLE	09/01/2024
RR NH Holdings LLC	Organization	5% or Greater Direct Ownership Interest	48%	02/19/2024
Stevenson, Sean	Individual	Direct Ownership Interest	NOT APPLICABLE	02/19/2024
603 Healthcare LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	09/01/2024
603 Healthcare LLC	Organization	ADP of the SNF	NOT APPLICABLE	01/29/2025
Manchin, Crystal	Individual	Operational/Managerial Control	NOT APPLICABLE	09/01/2024
Manchin, Crystal	Individual	ADP of the SNF	NOT APPLICABLE	09/01/2024
Ojutalayo, Ayobami	Individual	Operational/Managerial Control	NOT APPLICABLE	09/01/2024
Ojutalayo, Ayobami	Individual	ADP of the SNF	NOT APPLICABLE	09/01/2025
Stevenson, Sean	Individual	Operational/Managerial Control	NOT APPLICABLE	09/01/2024

Questions to ask on your visit

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?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Crestwood Center	0.3 mi	Milford, NH	★★★★☆	3/5
Courville at Nashua	11.3 mi	Nashua, NH	★★★★★	4/5
Nashua Post Acute Care	11.7 mi	Nashua, NH	★☆☆☆☆	1/5
Bedford Nursing & Rehabilitation Center	12.2 mi	Bedford, NH	★☆☆☆☆	1/5	SFF
Ridgewood Center, Genesis Healthcare	12.4 mi	Bedford, NH	★★☆☆☆	2/5
Bedford Hills Center	12.5 mi	Bedford, NH	★★★★☆	4/5
Hillsborough County Nursing Home	13.4 mi	Goffstown, NH	★★★★★	3/5
Fairview Nursing Home	13.8 mi	Hudson, NH	★☆☆☆☆	1/5
Goffstown Nursing and Rehab Center	14.0 mi	Goffstown, NH	★☆☆☆☆	1/5
Pheasant Wood Center	14.9 mi	Peterborough, NH	★★☆☆☆	2/5
Maple Leaf Health Care Center	15.1 mi	Manchester, NH	★★★★★	5/5
Courville at Manchester	15.3 mi	Manchester, NH	★★☆☆☆	1/5	SFF

Compare this facility with the 3 closest →

All facilities in Milford →

Facility data as of CMS processing date 2026-08-01. CCN 305068.

The Care File

Visit checklist — The Elms Center

71 Elm Street, Milford, NH 03055 · 6036732907

Health inspection rating 3/5 · CMS overall 2/5· Fines (3y): $9,770

Most serious findings on record:

▲ Jan 25, 2024 (F-0689, Actual harm, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "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?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 305068 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)