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.
A little clarity for your next step
Start with the things that matter to your loved one. Use the details below to build your questions, then ask the community what life and care would look like for them.
Reviews reflect individual experiences. Inspection findings describe specific events; missing reports do not mean there were no concerns.
Prepare questions for a visit →
1 / 5Photo 1 · facility website. Photos may not reflect current rooms or services.
Picture your loved one here
Ask to see a room like the one available, its bathroom, dining spaces, and outdoor areas. On a visit, notice how easy it feels to move around and how staff interact with residents.
Reported average: 44.2 residents per day across 52 certified beds (85% occupancy).
This does not show current vacancies, waitlists, room types or whether the community can meet your care needs. Contact the community to confirm current openings.
Source: CMS Care Compare, reported average daily residents and certified beds. This is not a live availability feed.
A summary of reported federal nursing-home measures. Review the dates and original records below.
The Elms Center is a for-profit skilled nursing facility in Milford, NH, with 52 certified beds and an average of about 44 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 3.02 total nurse hours per resident each day (0.74 of them from registered nurses), below the national benchmark of roughly 3.9 hours. Annual nursing-staff turnover is about 64%, higher than the ~52% national average. On the safety record, CMS notes 2 health deficiencies at its most recent standard survey, and 1 federal fine totaling $9,770 in the recent record.
You do not have to know every answer before you visit. Start with these questions and ask for details specific to your loved one.
Topics noted in the summary
Can we review the inspection findings together, including what changed and how any corrections were checked?
Review the federal care record →Could we speak with current residents or families about daily life and how concerns are handled?
Read the review sources →What would the full monthly cost be for my loved one, and which care services or one-time charges are extra?
Review pricing details →How would you assess my loved one’s needs, and what happens if those needs change?
From the U.S. Centers for Medicare & Medicaid Services (CMS), on a 1–5 star scale.
Planning estimates are not a community quote. Ask the community for current rates and an itemized list of required charges.
| Level of care | Monthly cost | Source |
|---|---|---|
| Skilled Nursing | $12,020–$14,660/mo (modeled range) 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. | Local market estimate |
Published starting prices and market estimates may exclude additional fees. Request a current, itemized quote for your care needs. How we estimate costs
More nursing time per resident — and lower turnover — generally means more attentive care.
Reported federal nursing-home measures. Missing values are not a clean-record finding; check the original source for current information.
The most recent findings from federal health inspections (19 citations on record — showing the latest 8). The count is not a count of unique incidents.
Search the entries displayed here. The original record may contain additional findings.
Showing 8 of 8 citation entries on this page.
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Provide and implement an infection prevention and control program.
Ensure that residents are fully informed and understand their health status, care and treatments.
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.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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…
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
Federal fines and Medicare/Medicaid payment denials on record.
| Date | Type | Amount |
|---|---|---|
| 2024-01-25 | Fine | $9,770 |
These topics come from source records and community websites. They do not confirm that a service is currently offered, available, or included in the price.
Make it specific to your loved one
Ask which services are provided at this location, who provides them, and whether they cost extra. For care or therapy, ask about the assessment required and what happens if needs change.
Keep questions in your visit plan →71 Elm Street, Milford, NH
Reviews, when available, are shown with their source. Review ratings are separate from licensing and inspection records.
No family reviews are available on Haven for The Elms Center.
Ask the community about speaking with current residents or families. Use your tour planner to record what you learn and questions to follow up on.
Prepare questions for your tourThe Elms Center has no current published quote for skilled nursing in Haven records. The local market planning estimate is $12,020–$14,660 per month (modeled range). 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. This is not a community quote. Ask for a current, itemized price.
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.
Staff provide about 3.02 total nurse hours per resident per day (national benchmark ≈ 3.9), and annual nursing-staff turnover is about 64% (national average ≈ 52%). These figures are reported to the federal government and updated regularly.
The Elms Center has 19 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.
Reported average: 44.2 residents per day across 52 certified beds (85% occupancy). These historical figures do not establish current availability. Contact the community to confirm openings, room types and admission requirements.
The Elms Center in Milford, NH offers skilled nursing and is licensed for 52 beds.
Compare care fit, costs and admission requirements before a move. Timelines and openings vary by community.
Haven record updated 2026-08-24. We show imported source information. This date does not establish when a license was last checked.
Records in Manchester, NH with a shared care category and available coordinates, ordered by approximate distance. This is not a complete list of nearby communities. Confirm that each community can meet your specific care needs.
facility websiteMilford, NH · 82 beds
4.3/5 Google · 67 reviews · retrieved 2026-08-03
4.7/5 Their website · 11 reviews · retrieved 2026-08-17
13 federal inspection citations on file · view findings & dates →A highly rated skilled nursing and rehab community in Milford.
facility websiteNashua, NH · 94 beds
4.3/5 Google · 46 reviews · retrieved 2026-08-03
10 federal inspection citations on file · view findings & dates →One of Nashua's top-rated skilled nursing communities.
facility websiteNashua, NH · 290 beds
4.1/5 Google · 63 reviews · retrieved 2026-08-03
29 federal inspection citations on file · view findings & dates →A low federal rating — review the details closely.
Other communities in Milford