The Elms Center — nursing home in Milford, NH

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 52 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 45.9 CMS, MDS-derived
CMS Certification Number: 305068
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Aug 1, 1996
Ownership type: For profit - Limited Liability company
Operator (legal business name): Milford SNF Opco LLC
CMS chain: 603 Healthcare 7 facilities
Phone: (603) 673-2907
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

7

latest May 27, 2026

Citations

28

19 health · 9 fire

Harm or worse

1

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D15	E2	F3
Minimal	A·	B2	C5

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

1

$9,770

Payment denials

0

Latest

Jan 25, 2024

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 305068
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 52
First approved: Aug 1, 1996
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for New Hampshire.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
May 27, 2026	Health	Health Complaint	1	Potential harm	—	Open →
Feb 24, 2026	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Feb 24, 2026	Health	Health Standard	1	Potential harm	—	Open →
Jan 10, 2025	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Jan 10, 2025	Health	Health Standard	10	Potential harm	—	Open →
Jan 25, 2024	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Jan 25, 2024	Health	Health Complaint, Health Standard	7	Actual harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Jan 25, 2024	Civil money penalty (fine)	$9,770	—	305068\|Fine\|550

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D15	E2	F3
Minimal	A·	B2	C5

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
May 27, 2026	F-0635	Provide doctor's orders for the resident's immediate care at the time the resident was admitted. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Past non-compliance	Complaint
Feb 24, 2026	K-0355	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 23, 2026
Feb 24, 2026	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 23, 2026
Feb 24, 2026	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Mar 19, 2026
Feb 24, 2026	K-0291	Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety	B · Minimal Pattern	Corrected Mar 23, 2026
Jan 10, 2025	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Mar 7, 2025
Jan 10, 2025	K-0291	Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Mar 7, 2025
Jan 10, 2025	F-0552	Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Feb 7, 2025
Jan 10, 2025	F-0578	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Feb 7, 2025
Jan 10, 2025	F-0657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 21, 2025
Jan 10, 2025	F-0761	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Feb 25, 2025
Jan 10, 2025	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Jan 27, 2025
Jan 10, 2025	F-0868	Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · Administration & records	D · Potential harm Isolated	Corrected Feb 6, 2025
Jan 10, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	F · Potential harm Widespread	Corrected Feb 7, 2025
Jan 10, 2025	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected Mar 7, 2025
Jan 10, 2025	F-0637	Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Clinical care	B · Minimal Pattern	Corrected Feb 2, 2025
Jan 10, 2025	F-0732	Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision	C · Minimal Widespread	Corrected Feb 7, 2025
Jan 10, 2025	F-0838	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. Administration Deficiencies · Administration & records	C · Minimal Widespread	Corrected Jan 30, 2025
Jan 25, 2024	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Feb 22, 2024	Complaint
Jan 25, 2024	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Feb 16, 2024
Jan 25, 2024	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 16, 2024
Jan 25, 2024	F-0658	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 26, 2024
Jan 25, 2024	F-0725	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision	F · Potential harm Widespread	Corrected Mar 1, 2024
Jan 25, 2024	F-0761	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Feb 23, 2024
Jan 25, 2024	F-0811	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. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Feb 23, 2024
Jan 25, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Feb 22, 2024
Jan 25, 2024	K-0291	Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected Feb 16, 2024
Jan 25, 2024	F-0553	Allow resident to participate in the development and implementation of his or her person-centered plan of care. Resident Rights Deficiencies · Resident rights & abuse/neglect	C · Minimal Widespread	Corrected Mar 1, 2024

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3

Health inspectionsstate 2.8

Staffingstate 3.4

Quality measuresstate 3.2

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.11

State avg 3.87US avg 3.90

Registered nurse (RN)0.82

State avg 0.78US avg 0.69

Licensed practical nurse0.53

State avg 0.76US avg 0.86

Nurse aide1.76

State avg 2.32US avg 2.35

Weekend total nurse2.64

State avg 3.43US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.00 (case-mix index 1.45).

Staff turnover

Total nursing staff turnover63.3%

State avg 43.4%US avg 45.3%

Registered nurse turnover66.7%

State avg 40.5%US avg 42.5%

Administrators who left1

State avg 0US avg 1

Health survey score

Cycle 1 standard survey: Feb 24, 2026
Cycle 1 health score: 8
Total weighted score: 21

Operating entity

Milford SNF Opco LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

603 Healthcare

7 facilities in 2 states. CMS chain ID 826.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3.6

Ownership disclosures

Disclosures

12

Organizations

3

Individuals

8

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Pr Nh Holdings LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	48%	Feb 19, 2024
Rr Nh Holdings LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	48%	Feb 19, 2024
Sean Stevenson	Individual	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Feb 19, 2024
Philip Rausman	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Sep 1, 2024
Robert Rausman	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Sep 1, 2024

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Pr Nh Holdings LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	48%	Feb 19, 2024
Rr Nh Holdings LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	48%	Feb 19, 2024
Sean Stevenson	Individual	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Feb 19, 2024
Philip Rausman	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Sep 1, 2024
Robert Rausman	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Sep 1, 2024
603 Healthcare LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 1, 2024
Crystal Manchin	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 1, 2024
Ayobami Ojutalayo	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 1, 2024
Sean Stevenson	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 1, 2024
603 Healthcare LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 29, 2025
Crystal Manchin	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Sep 1, 2024
Ayobami Ojutalayo	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Sep 1, 2025

Same chain in New Hampshire

All 6 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Bedford Hills Center 30 Colby Court, Bedford, NH 03110 CCN 305060	147	Aug 21, 2025	141 IJ	$16k
Wolfeboro Bay Center 39 Clipper Drive, Wolfeboro, NH 03894 CCN 305083	104	Apr 16, 2026	25	—
Mineral Springs 1251 White Mountain Highway, North Conway, NH 03860 CCN 305084	87	Jul 30, 2026	241 IJ	$17k
Langdon Place of Keene 136 a Arch Street, Keene, NH 03431 CCN 305085	25	Feb 11, 2026	9	—
Langdon Place of Dover 60 Middle Road, Dover, NH 03820 CCN 305089	30	May 14, 2026	17	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 71 Elm Street, Milford, NH 03055
ZIP: 03055
County: Hillsborough County FIPS 33011
State: New Hampshire
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Crestwood Center 40 Crosby Street, Milford, NH 03055 CCN 305061	0.5 km	82		Dec 18, 2025	211 IJ	$16k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	305068	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	305068	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 305068

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction