Nursing home
The Elms Center
71 Elm Street, Milford, NH 03055 · Map
For profit - Limited Liability company · Part of 603 Healthcare (7 facilities) · 52 certified beds
The Elms Center is a Medicare-certified nursing home in Milford, New Hampshire. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.00 hours per resident per day, below the New Hampshire average of 3.88. Its most recent inspection on Jan 10, 2025 cited 10 deficiencies.
- 1 fine totaling $9,770In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How The Elms Center compares
This facility vs. the New Hampshire and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | New Hampshire avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.00 | 3.88 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.64 | 0.74 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.68 | 2.39 | 2.34 | below avg |
| Nursing staff turnover | 58.1% | 48.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 10.0 | 4.0 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 1 fine totaling $9,770, 1 total penalty.
What inspectors found at The Elms Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Feb 24, 2026 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jan 10, 2025 · Full report (PDF) - Potential for harm
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration Deficiencies · Jan 10, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jan 10, 2025 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Jan 10, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Jan 10, 2025 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Jan 10, 2025 · Full report (PDF) - Potential for harm
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · Jan 10, 2025 · Full report (PDF) - Minimal
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.
Administration Deficiencies · Jan 10, 2025 · Full report (PDF) - Minimal
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Jan 10, 2025 · Full report (PDF) - Minimal
Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies · Jan 10, 2025 · Full report (PDF) - Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jan 25, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 71 Elm Street
Milford, NH 03055 - CMS certification #
- 305068
- Ownership
- For profit - Limited Liability company
- Certified beds
- 52
- Avg residents/day
- 46.7
- Provider type
- Medicare and Medicaid
- First certified
- 1996-08-01
- Chain
- 603 Healthcare (7 facilities)
- Setting
- Urban
Part of 603 Healthcare
603 Healthcare operates 7 nursing facilities across the United States. View all 603 Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around The Elms Center using Google Maps.
Other public records
- Workplace safety 1 OSHA workplace safety inspection since 2020, no violations cited
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Dec 28, 2020: fatality or catastrophe inspection, partial (health). Case closed Mar 19, 2021. No violations cited. OSHA record. OSHA recorded the employer as Harborside New Hampshire Limited Partnership. Matched by street address; the name OSHA recorded differs from the community's.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- St Joseph Hospital, Nashua. 10.8 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Crestwood Center, Milford. 0.3 miles away, straight line.
- Nearest home health agency office
- Silver Touch Home Health Care, Nashua. 7.8 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Rite Aid. 1.9 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 03055 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fresenius Medical Care Southern Nh Dialysis Center, Milford, 1.6 miles away, straight line (CMS rating 5 of 5 stars)
Fresenius Kidney Care Of Nashua, Nashua, 8.4 miles away, straight line (CMS rating 3 of 5 stars)
Davita Nashua Dialysis, Nashua, 11.4 miles away, straight line (has a shift starting after 5 pm; CMS rating 4 of 5 stars) - Hospice
- 9 Medicare hospices tell CMS they serve ZIP code 03055.
Home Health & Hospice Care, office in Merrimack, 8.2 miles away, straight line (CMS family survey rating 5 of 5 stars)
Amedisys Hospice Care, office in Bedford, 11.7 miles away, straight line (CMS family survey rating 4 of 5 stars)
Lilycare Of New Hampshire LLC, office in Bedford, 12.0 miles away, straight line - Nearest geriatric medicine practice
- Mary Hitchcock Memorial Hospital, Nashua. 8.8 miles away, straight line. 2 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane relatively low, inland flooding relatively low, wildfire very low, tornado relatively low, heat wave very low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is The Elms Center a good nursing home?
CMS gives The Elms Center an overall rating of 1 out of 5 stars, including 1/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is The Elms Center staffed?
The Elms Center reports 3.00 total nurse hours per resident per day, compared with the New Hampshire average of 3.88.
Has The Elms Center had inspection problems?
Its most recent CMS inspection cited 10 deficiencies.
How many beds does The Elms Center have?
The Elms Center is certified for 52 beds.