Skilled NursingCMS verified

The Elms Center

71 Elm Street, Milford, NH 03055 · Hillsborough County

The Elms Center is a 52-bed skilled nursing facility offering post-hospital short-term rehab, long-term care, and respite services. Our dedicated clinical team supports recovery and wellness; we accept Medicare, Medicaid, and most private insurances.

2.0CMS overall rating(603) 673-2907 Visit website ↗

Fair

Haven Scout Score

Our composite of CMS ratings, staffing, and safety. This community rates fair.

Photos via google places, facility website.

Availability outlook● Fills quickly

Typically 88% full (46 of 52 beds occupied on an average day).

If this community is on your shortlist, checking current openings sooner rather than later genuinely matters here.

Source: federal census data (average daily residents vs. certified beds, CMS Care Compare). Confirm current openings with an advisor — availability changes weekly.

Our evaluation

An honest, data-grounded look at this community — every claim is drawn from public inspection data.

A below-average federal rating — worth a careful look in Milford

The Elms Center is a for-profit skilled nursing facility in Milford, NH, with 52 certified beds and an average of about 46 residents per day. It operates as part of the 603 Healthcare network.

Medicare rates it 2 out of 5 stars overall — below the national average of about 3 stars. Component ratings: 3/5 on health inspections, 1/5 on staffing, 3/5 on quality measures.

Staff provide about 2.88 total nurse hours per resident each day (0.62 of them from registered nurses), below the national benchmark of roughly 3.9 hours. Annual nursing-staff turnover is about 61.7%, higher than the ~52% national average. On the safety record, CMS notes 1 health deficiency at its most recent standard survey, and 1 federal fine totaling $9,770 in the recent record.

Strengths

✓Full sprinkler system
✓Active resident & family council

Things to ask about

•Below-average 2-star overall CMS rating
•Below-average nurse staffing (2.88 hrs/resident/day)

Best for: Families considering this community should tour in person, request the latest survey, and weigh it against higher-rated Milford options — our advisors can help you compare.

At a glance

Certified beds: 52
Avg. residents/day: 46
Ownership: For profit - Limited Liability company
Part of a chain: 603 Healthcare
Continuing care: No
CMS provider #: 305068

Federal quality ratings

From the U.S. Centers for Medicare & Medicaid Services (CMS), on a 1–5 star scale.

Overall rating

Health inspections

Staffing

Quality measures

Pricing & cost

We publish transparent estimates and verify exact pricing on request. No surprises.

Level of care	Monthly cost	Source
Skilled Nursing	$12,020–$14,660/mo (median $12,990)	Local market estimate

2024–2026 published survey medians, state median adjusted to local Manchester prices (BEA regional price parities). Request a quote for exact pricing. Range spans semi-private to private rooms. How we estimate costs

Request exact pricing for The Elms Center →

Staffing & care

More nursing time per resident — and lower turnover — generally means more attentive care.

Total nurse hrs / resident / day: 2.88; National avg ≈ 3.9
RN hrs / resident / day: 0.62; National avg ≈ 0.75
Nursing staff turnover: 61.7%; National avg ≈ 52%

Safety & inspection record

Federal inspectors survey nursing homes roughly once a year. Here's the latest on file.

Health deficiencies (last survey): 1
Federal fines: 1 ($9,770)
Total penalties: 1
Last standard survey: 2026-02-24
Sprinkler system: Yes
Resident & family council: Resident

What inspectors found

The most recent findings from federal health inspections (18 citations on record — showing the latest 8). Every nursing home is inspected roughly once a year; most receive some citations.

2026-02-24Severity D — potential for harmPharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

2025-01-10Severity F — potential for harmInfection Control Deficiencies

Provide and implement an infection prevention and control program.

2025-01-10Severity D — potential for harmResident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

2025-01-10Severity D — potential for harmResident Rights Deficiencies

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.

2025-01-10Severity D — potential for harmResident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

2025-01-10Severity D — potential for harmPharmacy Service Deficiencies

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, compar…

2025-01-10Severity D — potential for harmNutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2025-01-10Severity D — potential for harmAdministration Deficiencies

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Severity uses the CMS scope/severity scale: D–F = potential for harm, G–I = actual harm, J–L = immediate jeopardy. Source: CMS Care Compare health citations; data as of the latest federal release. Discuss any finding directly with the community on a tour.

Penalty history

Federal fines and Medicare/Medicaid payment denials on record.

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

Services & amenities

✓ Full automatic sprinkler system
✓ Medicare & Medicaid certified
✓ 24-hour licensed nursing
✓ On-site rehabilitation therapy
✓ Rehabilitation services
✓ Respite / short-term stays
✓ Daily activities & events
✓ 24-hour staff

Location

71 Elm Street, Milford, NH

Monday: Open 24 hours
Tuesday: Open 24 hours
Wednesday: Open 24 hours
Thursday: Open 24 hours
Friday: Open 24 hours
Saturday: Open 24 hours
Sunday: Open 24 hours

Reviews & reputation

We aggregate ratings across Google, Yelp, and verified families — and link back to every source so you can read more.

Google

4.4

38 reviews →

Verified family reviews

No verified family reviews yet for The Elms Center.

Have a loved one here, or recently toured? Help other families by sharing your experience — we verify every review before it's published.

Talk to an advisor about this community

Common questions about The Elms Center

How much does The Elms Center cost?

The Elms Center does not publish exact rates. Comparable skilled nursing in the Milford, NH area typically runs $12,020–$14,660 per month (median $12,990, based on published survey medians adjusted for local prices). A Haven advisor can confirm current pricing for free.

What is The Elms Center's Medicare rating?

Medicare (CMS) rates The Elms Center 2 out of 5 stars overall, including 3/5 for health inspections, 1/5 for staffing, 3/5 for quality measures. The national average is about 3 stars.

How is the staffing at The Elms Center?

Staff provide about 2.88 total nurse hours per resident per day (national benchmark ≈ 3.9), and annual nursing-staff turnover is about 61.7% (national average ≈ 52%). These figures are reported to the federal government and updated regularly.

What did inspectors find at The Elms Center?

The Elms Center has 18 health citations on its recent federal inspection record (last standard survey: 2026-02-24). The full citation-by-citation detail, with severity levels, is published on this page.

Does The Elms Center have availability?

Typically 88% full (46 of 52 beds occupied on an average day). Availability changes weekly — a Haven advisor can confirm current openings at no cost.

What types of care does The Elms Center offer?

The Elms Center in Milford, NH offers skilled nursing and is licensed for 52 beds.

The best time to decide is before a crisis decides for you

Most families start this search after a fall, a hospital stay, or a caregiver reaching a breaking point — and end up choosing from whatever has a bed open that week. Families who plan even a few weeks ahead get to choose on quality, fit, and price instead of availability alone.

Move-ins take time: assessments, paperwork, and preparation typically run 2–6 weeks in Manchester.
The best communities fill first: top-rated communities often run a waitlist — touring early holds your place in line.
Touring costs nothing and commits you to nothing — but it turns a future emergency into a calm, informed choice.

Start with a free shortlist →Take the 2-minute assessment

Your next steps — this week

1
Confirm the fit
Check the inspection record and staffing data on this page against your loved one's needs.
2
Get exact pricing & availability
Request current rates for The Elms Center — takes one minute, answered same day.
3
Tour 2–3 communities
Compare this community against two alternatives. Ask about staff turnover, all-in monthly cost, and care-plan changes.
4
Hold a spot
Most communities hold a residence with a small refundable deposit while you decide.