New Hampshire ›Milford

The Elms Center

Costs & paymentPlan a visit

71 Elm Street, Milford, NH 03055 (opens Google Maps) · Hillsborough County · (603) 673-2907· 52 certified beds · avg 44 residents/day · certified since Aug 1, 1996 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

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

3/5
Health inspection rating (on-site)
inspected Feb 24, 2026
1
Serious findings on record
most recent Jan 25, 2024
$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)

New to these records? How to read an inspection report →

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5 · how star ratings work →

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 quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, isolated · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

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

Inspection findings in the public record

Showing the latest 3 of 19 inspection findings. Open the full record below to read every finding.

  1. D · Potential for more than minimal harm, isolated

    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 F-0635

  2. D · Potential for more than minimal harm, isolated

    The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. F-0755

  3. F · Potential for more than minimal harm, widespread

    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. F-0880

View all 19 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
May 27, 2026D · Potential for more than minimal harm, isolatedThe 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 · F-0635
Feb 24, 2026D · Potential for more than minimal harm, isolatedThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755
Jan 10, 2025F · Potential for more than minimal harm, widespreadThe 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. · F-0880
Jan 10, 2025D · Potential for more than minimal harm, isolatedThe facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. · F-0552
Jan 10, 2025D · Potential for more than minimal harm, isolatedThe 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. · F-0578
Jan 10, 2025D · Potential for more than minimal harm, isolatedThe 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. · F-0657
Jan 10, 2025D · Potential for more than minimal harm, isolatedThe 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. · F-0761
Jan 10, 2025D · Potential for more than minimal harm, isolatedThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Jan 10, 2025D · Potential for more than minimal harm, isolatedThe 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. · F-0868
Jan 10, 2025C · Potential for minimal harm, widespreadThe 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. · F-0732
Jan 10, 2025C · Potential for minimal harm, widespreadThe 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. · F-0838
Jan 10, 2025B · Potential for minimal harm, patternThe 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. · F-0637
Jan 25, 2024▲ G · Actual harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Jan 25, 2024F · Potential for more than minimal harm, widespreadThe 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. · F-0725
Jan 25, 2024D · Potential for more than minimal harm, isolatedThe facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658
Jan 25, 2024D · Potential for more than minimal harm, isolatedThe 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. · F-0761
Jan 25, 2024D · Potential for more than minimal harm, isolatedThe 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. · F-0811
Jan 25, 2024D · Potential for more than minimal harm, isolatedThe 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. · F-0880
Jan 25, 2024C · Potential for minimal harm, widespreadThe 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. · F-0553

Inspection trend by year

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

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2024
All citations: 7
Serious citations (G–L): 1
2025
All citations: 10
Serious citations (G–L): 0
2026
All citations: 2
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202471G ▲
2025100F
202620D

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)

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.

DateTypeAmount / length
Jan 25, 2024Fine$9,770

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

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityNew Hampshire averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 2.95
New Hampshire average: 4.11
U.S. average: 3.95
Registered Nurse hours
This facility: 0.72
New Hampshire average: 0.82
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.61
New Hampshire average: 3.67
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityNew Hampshire avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)2.954.113.95bottom 7% in New Hampshire; bottom 12% in the U.S.
Registered Nurse hours0.720.820.69bottom 44% in New Hampshire; top 34% in the U.S.
Weekend total nurse staffing2.613.673.50bottom 7% in New Hampshire; bottom 13% in the U.S.
Weekend RN hours (not acuity-adjusted)0.410.550.48bottom 26% in New Hampshire; top 47% in the U.S.
Total nursing staff turnover (%)64.044.145.8bottom 7% in New Hampshire; bottom 11% in the U.S.
RN turnover (%)77.840.942.9bottom 4% in New Hampshire; bottom 7% in the U.S.

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.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

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

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for The Elms Center. CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.

Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.

Before you compare prices

  • Request the room type, effective date and itemized daily rate in writing.
  • Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
  • Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.

Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

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

Owner / managerTypeRoleStakeSince
PR NH Holdings LLCOrganization5% or Greater Direct Ownership Interest48%02/19/2024
Rausman, PhilipIndividualIndirect Ownership InterestNOT APPLICABLE09/01/2024
Rausman, RobertIndividualIndirect Ownership InterestNOT APPLICABLE09/01/2024
RR NH Holdings LLCOrganization5% or Greater Direct Ownership Interest48%02/19/2024
Stevenson, SeanIndividualDirect Ownership InterestNOT APPLICABLE02/19/2024
603 Healthcare LLCOrganizationOperational/Managerial ControlNOT APPLICABLE09/01/2024
603 Healthcare LLCOrganizationADP of the SNFNOT APPLICABLE01/29/2025
Manchin, CrystalIndividualOperational/Managerial ControlNOT APPLICABLE09/01/2024
Manchin, CrystalIndividualADP of the SNFNOT APPLICABLE09/01/2024
Ojutalayo, AyobamiIndividualOperational/Managerial ControlNOT APPLICABLE09/01/2024
Ojutalayo, AyobamiIndividualADP of the SNFNOT APPLICABLE09/01/2025
Stevenson, SeanIndividualOperational/Managerial ControlNOT APPLICABLE09/01/2024

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.

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

Questions to ask on your visit

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?"

Nearby facilities (12 closest of 30 within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Crestwood Center0.3 miMilford, NH★★★★☆3/5
Courville at Nashua11.3 miNashua, NH★★★★★4/5
Nashua Post Acute Care11.7 miNashua, NH★☆☆☆☆1/5
Bedford Nursing & Rehabilitation Center12.2 miBedford, NH★☆☆☆☆1/5SFF
Ridgewood Center, Genesis Healthcare12.4 miBedford, NH★★☆☆☆2/5
Bedford Hills Center12.5 miBedford, NH★★★★☆4/5
Hillsborough County Nursing Home13.4 miGoffstown, NH★★★★★3/5
Fairview Nursing Home13.8 miHudson, NH★☆☆☆☆1/5
Goffstown Nursing and Rehab Center14.0 miGoffstown, NH★☆☆☆☆1/5
Pheasant Wood Center14.9 miPeterborough, NH★★☆☆☆2/5
Maple Leaf Health Care Center15.1 miManchester, NH★★★★★5/5
Courville at Manchester15.3 miManchester, NH★★☆☆☆1/5SFF

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.

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

All facilities in Milford →

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

This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).

Your research

Viewed & saved homes

Kept in this browser tab for this session. Choose to remember them only on a device you trust. Opening a record or comparison sends its usual page request.

Selected for comparison

Recently viewed

Prices entered in a cost worksheet stay on that page and are not saved. Privacy details