The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited January 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
THE ELMS CENTER
MILFORD, NH · Medicare-certified · 52 beds
In good standing
For-profitChain member
Data as of July 1, 2026
2 of 5 overall
2 out of 5 stars overall. THE ELMS CENTER (Milford, NH) has a 1-star staffing rating with reported nurse staffing below the federal benchmark (3.02 vs. 4.1 hours per resident per day), no fines in the last 24 months, and recent citations involving accident hazards, infection control, and not having enough nursing staff each day.
Facility ratings
Health inspections
Staffing
3.0247 hrs/resident/day
Quality measures
Last inspection: May 27, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0247.
Staffing detail
- Registered nurses
- 0.74
- Licensed practical nurses
- 0.62
- Nurse aides
- 1.66
- Weekend nursing
- 2.67
Hours per resident per day.
Total staff turnover: 64%
Registered nurse turnover: 78%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
17.4%15.4%Improving
Residents with a fall causing major injury
2.5%10%Worsening
Residents with pressure ulcers (bedsores)
7.7%2.3%Improving
Residents with a urinary tract infection
5.3%2.8%Improving
Residents who lost too much weight
6.5%6.9%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
12.9%51.6%Worsening
Residents whose ability to walk got worse
—29.9%—
Long-stay residents on antianxiety or sleep medication
32.4%21.9%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
3.9%0%Improving
Residents with new or worsening incontinence
19.1%31.1%Worsening
Residents with depressive symptoms
41.2%52.8%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—93%—
Long-stay residents given the pneumonia vaccine
97.5%92.5%Worsening
Short-stay residents given the seasonal flu vaccine
—57.1%—
Short-stay residents given the pneumonia vaccine
68.4%75.8%Improving
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited January 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited January 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: F
The nursing home failed to provide the doctor’s immediate care orders when the resident was admitted. Cited May 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 635 — 42 CFR §483.20 — S/S: D
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited February 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $9,770 in total fines.
- $9,770
Federal fine
Jan 25, 2024
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of 603 HEALTHCARE · 7 homes · 3.1 stars avg
- Occupancy
- 44.2 residents on an average day (85% of 52 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 30 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.