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Nursing homeFAID #7816

The Elms Center

71 ELM STREET, MILFORD, NH, 03055

(603) 673-2907

52 licensed beds

★★★★★2/5CMS Five-Star overall3/5 health inspections1/5 staffing3/5 quality measuresSource: CMS Care Compare

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Address

71 Elm Street

Milford, NH 03055

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Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

305068

Care type

Nursing home

County

Hillsborough

Facility name

The Elms Center

Street address

71 ELM STREET

City / state / ZIP

Milford, NH 03055

Phone

(603) 673-2907

About this facility — The Elms Center

The Elms Center is a Medicare/Medicaid-certified skilled nursing facility in Milford, New Hampshire. It is licensed for 52 beds — below the median for skilled nursing facilities in New Hampshire (94 beds).

It is one of 5 senior care facilities in Milford and 73 skilled nursing facilities across New Hampshire. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited The Elms Center 28 times across 8 inspections in the last three years, including 2 food-safety citations, and CMS has imposed $9,770 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

603 Healthcare

Ownership type

For profit - Limited Liability company

Registered owners & officers

Pr Nh Holdings Llc

Direct owner — 48% stake — since 2024

Rr Nh Holdings Llc

Direct owner — 48% stake — since 2024

603 Healthcare Llc

Operational control · Additional disclosable party — since 2024

Manchin, Crystal

Operational control · Additional disclosable party — since 2024

Ojutalayo, Ayobami

Operational control · Additional disclosable party — since 2024

Rausman, Philip

Indirect owner — since 2024

Rausman, Robert

Indirect owner — since 2024

Stevenson, Sean

Direct owner · Operational control — since 2024

Regulatory standing

Licensed / certified since

1996-08-01

CMS overall rating

2 of 5 stars

Health deficiencies

2 at the last standard inspection

Federal fines

$9,770 total

Last standard inspection

2026-02-24

Nurse staffing

3.0 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$433 per day (≈ $13,160/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

83% Medicaid · 6% Medicare · 12% private/other

Occupancy

96% (fiscal year 2023)

Vs. state median

4% below the NH median of $451/day — full state cost breakdown

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.

2026-05-27Health inspectionComplaint-triggered1 citation

F-0635

D · No harm foundFrom a complaint

Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

2026-02-24Health inspection1 citation

F-0755

D · No harm found

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

Corrected 2026-03-19

5 earlier / fire-safety inspections (26 citations)

2025-01-10Health inspection10 citations

F-0552

D · No harm found

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

Corrected 2025-02-07

F-0578

D · No harm found

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 2025-02-07

F-0637

B · No harm found

Assess the resident when there is a significant change in condition

Corrected 2025-02-02

F-0657

D · No harm found

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

Corrected 2025-02-21

F-0732

C · No harm found

Post nurse staffing information every day.

Corrected 2025-02-07

F-0761

D · No harm found

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 2025-02-25

F-0812

D · No harm foundFood safety

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

Corrected 2025-01-27

F-0838

C · No harm found

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 2025-01-30

F-0868

D · No harm found

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

Corrected 2025-02-06

F-0880

F · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-02-07

2024-01-25Health inspectionComplaint-triggered7 citations

F-0553

C · No harm found

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Corrected 2024-03-01

F-0658

D · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-02-26

F-0689

G · Actual harmFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-02-22

F-0725

F · No harm found

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2024-03-01

F-0761

D · No harm found

Corrected 2024-02-23

F-0811

D · No harm foundFood safety

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 2024-02-23

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-02-22

2026-02-24Fire-safety inspection3 citations

K-0291

B · No harm found

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2026-03-23

K-0355

D · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2026-03-23

K-0918

D · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2026-03-23

2025-01-10Fire-safety inspection3 citations

K-0211

F · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-03-07

K-0291

E · No harm found

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2025-03-07

K-0324

C · No harm found

Provide properly protected cooking facilities.

Corrected 2025-03-07

2024-01-25Fire-safety inspection3 citations

K-0291

C · No harm found

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2024-02-16

K-0372

E · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-02-16

K-0918

D · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-02-16

Federal penalties

2024-01-25Fine$9,770

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 305068.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 28 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-08-31

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered