THE ELMS CENTER

CCN 305068 · MILFORD SNF OPCO LLC · For profit - Limited Liability company · 603 HEALTHCARE chain · 52 certified beds · Hillsborough · NH


THE ELMS CENTER is a 52-bed nursing home in MILFORD, New Hampshire. CMS has certified it for Medicare and Medicaid since 1996-08-01. It averages 44.2 residents a day.

What harm was found in the violations cited at THE ELMS CENTER?

CMS lists 19 health-inspection deficiencies for THE ELMS CENTER, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-05-27.

Survey dateTagDeficiencySeverity
2026-05-27F0635Provide doctor's orders for the resident's immediate care at the time the resident was admitted.D
2026-02-24F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2025-01-10F0880Provide and implement an infection prevention and control program.F
2025-01-10F0552, F0578, F0657, F0761, F0812, F0868Ensure 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, compartments for controlled drugs. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyD
2025-01-10F0732, F0838Post nurse staffing information every day. / 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.C
2025-01-10F0637Assess the resident when there is a significant change in conditionB
2024-01-25F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2024-01-25F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.F
2024-01-25F0658, F0761, F0811, F0880Ensure services provided by the nursing facility meet professional standards of quality. / 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. / 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. / Provide and implement an infection prevention and control program.D
2024-01-25F0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.C

Why was THE ELMS CENTER fined?

DateTypeAmount
2024-01-25Fine$9,770

How is THE ELMS CENTER staffed relative to the NH average?

MeasureThis facilityNH average
Total nurse staffing hours per resident per day3.024703.90332
Total nursing staff turnover (%)64.044.1
Average number of residents per day44.281.3

Who owns THE ELMS CENTER, and what chain is it in?

THE ELMS CENTER is registered with CMS as For profit - Limited Liability company, operates under the legal business name MILFORD SNF OPCO LLC and belongs to the 603 HEALTHCARE chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTPR NH HOLDINGS LLC, RR NH HOLDINGS LLCsince 02/19/2024
DIRECT OWNERSHIP INTERESTSTEVENSON, SEANsince 02/19/2024
INDIRECT OWNERSHIP INTERESTRAUSMAN, PHILIP, RAUSMAN, ROBERTsince 09/01/2024
OPERATIONAL/MANAGERIAL CONTROL603 HEALTHCARE LLC, MANCHIN, CRYSTAL, OJUTALAYO, AYOBAMI, STEVENSON, SEANsince 09/01/2024
ADP OF THE SNF603 HEALTHCARE LLC, MANCHIN, CRYSTAL, OJUTALAYO, AYOBAMIsince 01/29/2025

Were you or a family member harmed at THE ELMS CENTER?