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The Elms Center

Milford, NH · Medicare and Medicaid-certified nursing home (CCN 305068) · 52 certified beds

CMS overall rating: 2★ (state average 3.08★ — below state average)
Health inspection: 3 · Quality measures: 3 · Staffing: 1
Federal fines: 1 totaling $9,770
Phone: (603) 673-2907 · Verify on Medicare Care Compare ↗

The Elms Center has an overall CMS rating of 2 stars, below the New Hampshire state average of 3.08 stars. Its health inspection rating is 3 stars, and its staffing rating is 1 star.

The Elms Center reports total nurse hours of 3.02 per resident per day, including 0.74 RN hours per resident per day, with a staffing star rating of 1. Nursing staff turnover is reported at 64.0%, which is high relative to typical benchmarks.

The Elms Center has 1 federal fine on record totaling $9,770.00, with no payment denials. CMS does not display an abuse icon for this facility, and it is not in the Special Focus Facility program.

Overall rating vs. benchmarks
The Elms Center The Elms Center: 2★ 2★ NH average NH average: 3.08★ 3.08★ 603 Healthcare chain avg 603 Healthcare chain avg: 3.6★ 3.6★

About this facility

The Elms Center is a Medicare and Medicaid certified nursing home in Milford, Hillsborough County, New Hampshire, with 52 certified beds and an average of 44.2 residents. The facility is operated under a for-profit limited liability company structure and is part of the 603 Healthcare chain, which includes 7 facilities with an average CMS rating of 3.6 stars.

According to CMS Care Compare, The Elms Center holds an overall rating of 2 stars, which falls below the New Hampshire state average of 3.08 stars. Its component ratings are: 3 stars for health inspections, 3 stars for quality measures, and 1 star for staffing. The facility has been Medicare/Medicaid certified since August 1996.

Nurse staffing data reported to CMS shows total nurse hours per resident per day of 3.02, with registered nurse (RN) hours per resident per day of 0.74. Nursing staff turnover is reported at 64.0%.

On penalties, CMS records show 1 federal fine totaling $9,770.00 for this facility. There have been no payment denials on record. CMS does not display an abuse icon for this facility, and it is not currently designated under CMS's Special Focus Facility program, which is reserved for homes CMS identifies as persistently underperforming and subject to increased inspection frequency.

Ownership has not changed in the past 12 months, so current ratings reflect the current operator. This profile is based on CMS Care Compare data; families should verify current details directly on Care Compare before making decisions.

Questions families ask

What is this nursing home's CMS overall star rating and how does it compare to the state average?

The Elms Center has an overall rating of 2 stars, below the New Hampshire state average of 3.08 stars.

Does this facility accept Medicare, Medicaid, or both?

The Elms Center is certified for both Medicare and Medicaid.

How well is this facility staffed — nurse hours per resident and turnover?

Total nurse hours are 3.02 per resident per day, with RN hours at 0.74; nursing turnover is 64.0%, and the CMS staffing rating is 1 star.

Does this facility have federal fines or penalties on record?

Yes, CMS records 1 fine totaling $9,770.00 and no payment denials.

Has CMS flagged this facility for abuse or placed it in the Special Focus program?

No, CMS does not display an abuse icon for this facility, and it is not designated as a Special Focus Facility.

How large is this facility and how many residents live there?

The Elms Center has 52 certified beds and an average of 44.2 residents.

Who owns this facility — and is it part of a chain?

It is a for-profit LLC and is part of the 603 Healthcare chain, which has 7 facilities with an average rating of 3.6 stars.

How long has this facility been Medicare/Medicaid certified?

It has been certified since August 1996.

What do the four different CMS star ratings mean?

CMS rates facilities on overall quality, health inspections, staffing, and quality measures; The Elms Center scores 2, 3, 1, and 3 stars respectively.

Does this facility offer short-term rehabilitation as well as long-term care?

This is not specified in the CMS data provided; contact the facility at 6036732907 and verify on Medicare Care Compare.

What should I look for when touring this facility?

The data does not cover tour details; contact the facility at 6036732907 to arrange a visit and verify current conditions.

How do I verify this facility's current record on Medicare Care Compare?

You can review current details at https://www.medicare.gov/care-compare/details/nursing-home/305068?state=NH.

Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.