Milford · 03055
Crestwood Center
40 Crosby Street
Milford, NH 03055
The Elms Center
⌖ Milford, NH · Hillsborough County
No photos yet
Medicare overall rating 2 of 5 stars
Certified beds52
Medicare / MedicaidMedicare & Medicaid
OwnershipFor-profit (limited liability company)
About The Elms Center
The Elms Center is a 52-bed for-profit nursing home in Milford, NH. Medicare rates it 2 out of 5 stars overall (below average); the average in New Hampshire is 3.0. At its last full inspection (Feb 2026), inspectors found 2 problems, fewer than the New Hampshire average of 4.0. None of the problems in its recent inspections were found to have harmed residents. Nurses and aides spend about 3 hr 01 min a day with each resident, less than the New Hampshire average of 3 hr 54 min. About 64% of its nursing staff left in the past year. Medicare fined it $9,770 in the last three years. Its quality ratings are stronger for short-term rehab than for long-term care.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
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Key details
Facility nameThe Elms Center
LocationHillsborough County, New Hampshire
Phone(603) 673-2907
Address71 Elm Street, Milford, NH 03055 · Hillsborough County
CMS provider number305068
Ownership typeFor-profit (limited liability company)
Operating company603 Healthcare · 7 homes
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceAugust 1, 1996 (30 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
2 strengths and 3 things to ask about in Medicare's inspection, fine and staffing records for this home. 3 care-quality measures are worse than the state average in the rehab and long-term care section below.
Strengths
- Serious health citationsNone on recordNo citations for actual harm or immediate jeopardy since Feb 2026.Strength
- Health citations at last inspection2 (Feb 2026)New Hampshire average: 4.0. Most citations are minor and corrected within weeks.Strength
About average
- Registered nurse time per resident44 min a dayNew Hampshire average: 47 minAbout average
Things to ask about
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- Fines and penalties1 fine totaling $9,770Federal penalties from the last three years, most recently in Jan 2024 (about 2 years ago). The national average is $30,972 per home.Worth asking about
- Nurse staffing per resident3 hr 01 min a dayNew Hampshire average: 3 hr 54 minWorse than state average
- Nursing staff turnover64% a yearNew Hampshire average: 44%Worse than state average
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the New Hampshire average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Short-term rehab
For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.
- Sent back to the hospital38.7%State average: 22.2%Worse than average
- Needed an emergency room visit7.8%State average: 13.4%Better than average
- Newly given antipsychotic drugs0.0%State average: 1.3%Better than average
Physical therapist time: about 2 minutes per resident a day. That is less than the state average of 4 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury4.9%State average: 4.4%About average
- Pressure sores (bedsores)5.3%State average: 4.2%Worse than average
- Given antipsychotic drugs18.0%State average: 17.8%About average
- Hospital stays per 1,000 resident days3.7State average: 1.6Worse than average
Source: Medicare (CMS) quality measures, compared with the New Hampshire average. Lower is better for every rate shown.
Who pays, and how full it is
Most residents here have their care paid by Medicaid. In New Hampshire, Medicaid pays for 66% of resident days at a typical home.
- 84% Medicaid
- 7% Medicare
- 9% Private pay, insurance and other
Beds in use, on average65%New Hampshire typical: 82%
Cost of care per resident day$325New Hampshire typical: $412
Shares of resident days, from the home’s Medicare cost report for the year ending December 2024. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.
Ratings over time
Its overall Medicare rating is 2 stars now, down from 4 stars in January 2019. It has ranged from 1 to 4 stars and changed 10 times.
Overall rating2★
Health inspections3★
Staffing1★
Quality of care3★
Nurse hours per resident per day3.0
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 4 | 4 | 3 | 4 | 3.2 |
| Jan 2020 | 4 | 4 | 2 | 4 | 3.1 |
| Jan 2021 | 3 | 3 | 3 | 4 | 3.3 |
| Jan 2022 | 4 | 3 | 3 | 5 | 3.2 |
| Jan 2023 | 1 | 2 | 2 | 1 | 2.8 |
| Jan 2024 | 3 | 3 | 3 | 3 | 3.0 |
| Feb 2025 | 2 | 2 | 2 | 3 | 2.8 |
| Feb 2026 | 1 | 1 | 1 | 2 | 3.0 |
| Sep 2026 | 2 | 3 | 1 | 3 | 3.0 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
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Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
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