THE ELMS CENTER

71 ELM STREET, MILFORD, NH 03055 · CCN 305068 · 52 certified beds · Data as of 2026-07-01

CMS overall2 of 5CMS inspections3 of 5CMS staffing1 of 5CMS quality3 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 1 citation(s) in the last three years where CMS determined a resident was actually harmed.

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Serious inspection findings

2024-01-25 — ACTUAL HARM (tag F0689, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Staffing, from payroll records

Nursing hours / resident / day

2.43

state median 3.26

Weekend staffing gap

−2%

fewer nursing hours on weekends · state median −6%

RN hours / resident / day

0.48

registered nurses only

Contract (agency) staff

share of all nursing hours

Nursing staff turnover

64%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

1 enforcement action(s), totaling $9,770 in fines.

Date	Type	Amount
2024-01-25	Fine	$9,770

Ownership

Ownership type: For profit - Limited Liability company. Part of the 603 HEALTHCARE chain.

Other facilities under the same ownership, with their CMS overall ratings:

BEDFORD HILLS CENTER (BEDFORD, NH) — CMS overall4 of 5
WOLFEBORO BAY CENTER (WOLFEBORO, NH) — CMS overall3 of 5
MINERAL SPRINGS (NORTH CONWAY, NH) — CMS overall2 of 5
LANGDON PLACE OF KEENE (KEENE, NH) — CMS overall5 of 5
LANGDON PLACE OF DOVER (DOVER, NH) — CMS overall4 of 5
WATERVIEW NURSING CARE CENTER (FLUSHING, NY) — CMS overall2 of 5

Full citation history

By severity: No harm, potential for minimal harm: 4 · Actual harm: 1 · Potential for more than minimal harm: 14

Survey date	Tag	Category	Severity	Corrected
2026-05-27	F0635	Resident Assessment and Care Planning Deficiencies	D	not recorded
2026-02-24	F0755	Pharmacy Service Deficiencies	D	not recorded
2025-01-10	F0552	Resident Rights Deficiencies	D	not recorded
2025-01-10	F0578	Resident Rights Deficiencies	D	not recorded
2025-01-10	F0637	Resident Assessment and Care Planning Deficiencies	B	not recorded
2025-01-10	F0657	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-01-10	F0732	Nursing and Physician Services Deficiencies	C	not recorded
2025-01-10	F0761	Pharmacy Service Deficiencies	D	not recorded
2025-01-10	F0812	Nutrition and Dietary Deficiencies	D	not recorded
2025-01-10	F0838	Administration Deficiencies	C	not recorded
2025-01-10	F0868	Administration Deficiencies	D	not recorded
2025-01-10	F0880	Infection Control Deficiencies	F	not recorded
2024-01-25	F0553	Resident Rights Deficiencies	C	not recorded
2024-01-25	F0658	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-01-25	F0689	Quality of Life and Care Deficiencies	G	not recorded
2024-01-25	F0725	Nursing and Physician Services Deficiencies	F	not recorded
2024-01-25	F0761	Pharmacy Service Deficiencies	D	not recorded
2024-01-25	F0811	Nutrition and Dietary Deficiencies	D	not recorded
2024-01-25	F0880	Infection Control Deficiencies	D	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “THE ELMS CENTER, MILFORD” at medicare.gov/care-compare.