The Elms Center

Nursing Home · Milford, NH

CMS overall rating 2/5 For profit - Limited Liability company

CMS certification number305068

Contact & location

71 Elm Street
Milford, NH 03055
Hillsborough County
Phone
(603) 673-2907
ZIP code
03055 – all care providers

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Facility details

Certified beds
52
Residents per day
44.2 (85% occupied)
Ownership
For profit - Limited Liability company
Legal name
Milford SNF Opco LLC
Chain
603 Healthcare (7 facilities, avg 3.6★)
Medicare certified since
August 1, 1996
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 2/5
State avg 3.1
Health inspections★★★★★ 3/5
State avg 2.9
Staffing★★★★★ 1/5
State avg 3.3
Quality measures★★★★★ 3/5
State avg 3.2
Long-stay quality★★★★★ 1/5
Short-stay quality★★★★★ 4/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.02 (state 3.90 · U.S. 3.86)
Registered nurses (RN)
0.74 (state 0.78 · U.S. 0.69)
Licensed practical nurses
0.62 (state 0.78 · U.S. 0.86)
Nurse aides
1.66 (state 2.34 · U.S. 2.32)
Weekend total
2.67 (state 3.47 · U.S. 3.42)
Nursing staff turnover
64.0 (state 44.1 · U.S. 45.8)%
RN turnover
77.8 (state 40.9 · U.S. 42.9)%
Administrators who left
1 in the last year

Inspections

Last standard inspection
February 24, 2026
Health deficiencies (last cycle)
2.0 (state 3.9 · U.S. 9.3)
From complaints
1
Citations on record (3 years)
19 health · 9 fire safety · includes actual harm
DateCitationSeverityStatus
2026-05-27 Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
F0635 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Past Non-Compliance
2026-02-24 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-03-19
2025-01-10 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2025-02-07
2025-01-10 Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-02-07
2025-01-10 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.
F0578 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-02-07
2025-01-10 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-02-21
2025-01-10 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.
F0761 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-02-25
2025-01-10 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-01-27
2025-01-10 Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
F0868 · Administration Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-02-06
2025-01-10 Post nurse staffing information every day.
F0732 · Nursing and Physician Services Deficiencies
C
No actual harm, potential for minimal harm
Corrected 2025-02-07
2025-01-10 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.
F0838 · Administration Deficiencies
C
No actual harm, potential for minimal harm
Corrected 2025-01-30
2025-01-10 Assess the resident when there is a significant change in condition
F0637 · Resident Assessment and Care Planning Deficiencies
B
No actual harm, potential for minimal harm
Corrected 2025-02-02
2024-01-25 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
G
Actual harm
Corrected 2024-02-22
2024-01-25 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2024-03-01
2024-01-25 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-02-26
2024-01-25 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.
F0761 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-02-23
2024-01-25 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.
F0811 · Nutrition and Dietary Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-02-23
2024-01-25 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-02-22
2024-01-25 Allow resident to participate in the development and implementation of his or her person-centered plan of care.
F0553 · Resident Rights Deficiencies
C
No actual harm, potential for minimal harm
Corrected 2024-03-01

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

1 penalty in the last three years, including $9,770 in fines.

DateTypeAmount
2024-01-25Fine$9,770

Ownership & management

NameRoleSince
PR NH Holdings LLC (organization)5%+ Direct Ownership Interest · 48%
RR NH Holdings LLC (organization)5%+ Direct Ownership Interest · 48%
603 Healthcare LLC (organization)Administrator · NOT APPLICABLE
Manchin, Crystal (individual)Administrator · NOT APPLICABLE
Ojutalayo, Ayobami (individual)Administrator · NOT APPLICABLE
Stevenson, Sean (individual)Direct Ownership Interest · NOT APPLICABLE
Rausman, Philip (individual)Indirect Ownership Interest · NOT APPLICABLE
Rausman, Robert (individual)Indirect Ownership Interest · NOT APPLICABLE
603 Healthcare LLC (organization)Operational/managerial Control · NOT APPLICABLE
Manchin, Crystal (individual)Operational/managerial Control · NOT APPLICABLE
Ojutalayo, Ayobami (individual)Operational/managerial Control · NOT APPLICABLE
Stevenson, Sean (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of The Elms Center?

The Elms Center has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in New Hampshire.

How many beds does The Elms Center have?

It has 52 certified beds and cares for about 44 residents per day.

Has The Elms Center been fined?

Yes. CMS lists 1 penalty totaling $9,770 in the last three years.

Who owns The Elms Center?

It is part of 603 Healthcare and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of The Elms Center?

(603) 673-2907. The facility is located at 71 Elm Street, Milford, NH 03055.

Other nursing homes in Milford

Compare all nursing homes in Milford, NH →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.