The Elms Center
71 Elm Street · Milford, NH · 03055 · 6036732907
52 certified beds For profit - Limited Liability company Chain: 603 Healthcare
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Total nurse staffing below 3.0 hours per resident-day
2.88 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
62% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 2.88 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.62 | 0.55–0.75 |
| Weekend hours / resident-day | 2.59 | ≈ weekday level |
| Nursing turnover / year | 62% | median 45% |
| Fines (3-yr window) | 1 · $9,770 |
Inspection citations (18 in the current record)
-
Potential for harm · D February 24, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 19, 2026 · Pharmacy Service
-
Potential for harm · D January 10, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected February 7, 2025 · Resident Rights
-
Potential for harm · D January 10, 2025
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.
Corrected February 7, 2025 · Resident Rights
-
Potential for harm · D January 10, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected February 21, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D January 10, 2025
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.
Corrected February 25, 2025 · Pharmacy Service
-
Potential for harm · D January 10, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 27, 2025 · Nutrition and Dietary
-
Potential for harm · D January 10, 2025
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected February 6, 2025 · Administration
-
Potential for harm · F January 10, 2025
Provide and implement an infection prevention and control program.
Corrected February 7, 2025 · Infection Control
-
No harm found · B January 10, 2025
Assess the resident when there is a significant change in condition
Corrected February 2, 2025 · Resident Assessment and Care Planning
-
No harm found · C January 10, 2025
Post nurse staffing information every day.
Corrected February 7, 2025 · Nursing and Physician Services
-
No harm found · C January 10, 2025
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.
Corrected January 30, 2025 · Administration
-
Actual harm · G January 25, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 22, 2024 · Quality of Life and Care
-
Potential for harm · D January 25, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected February 26, 2024 · Resident Assessment and Care Planning
-
Potential for harm · F January 25, 2024
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected March 1, 2024 · Nursing and Physician Services
-
Potential for harm · D January 25, 2024
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.
Corrected February 23, 2024 · Pharmacy Service
-
Potential for harm · D January 25, 2024
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.
Corrected February 23, 2024 · Nutrition and Dietary
-
Potential for harm · D January 25, 2024
Provide and implement an infection prevention and control program.
Corrected February 22, 2024 · Infection Control
-
No harm found · C January 25, 2024
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected March 1, 2024 · Resident Rights
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 25, 2024 | Fine | $9,770 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 305068 · certified since August 1, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.