Nursing homeActive
The Elms Center
71 Elm Street, Milford, NH 03055603673290752 certified beds · 44 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
4
since 2024
Deficiencies
19
● 4● 14● 1
Penalties · 3 yrs
$9,770
1 fine
Last survey
2026-05-27
Complaint
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 3
Staffing 1
Quality 3
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · New Hampshire Health Facilities Administration · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-05-27 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2026-02-24 | Standard | 010 | CMS-2567 (Care Compare) | — |
| 2025-01-10 | Standard | 370 | CMS-2567 (Care Compare) | — |
| 2024-01-25 | Standard | 151 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · New Hampshire Health Facilities Administration publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F635Provide doctor's orders for the resident's immediate care at the time the resident was admitted.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Correction not yet recordedRecord 305068-20260527-F635
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-19Record 305068-20260224-F755
F552Ensure that residents are fully informed and understand their health status, care and treatments.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-07Record 305068-20250110-F552
F578Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-07Record 305068-20250110-F578
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-21Record 305068-20250110-F657
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-25Record 305068-20250110-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-27Record 305068-20250110-F812
F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyScope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-06Record 305068-20250110-F868
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-02-07Record 305068-20250110-F880
F637Assess the resident when there is a significant change in conditionScope/severity BPaperwork
Care planningRecords
Pattern; potential for minimal harm.Corrected 2025-02-02Record 305068-20250110-F637
F732Post nurse staffing information every day.Scope/severity CPaperwork
Staffing
Widespread; potential for minimal harm.Corrected 2025-02-07Record 305068-20250110-F732
F838Conduct 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.Scope/severity CPaperwork
Records
Widespread; potential for minimal harm.Corrected 2025-01-30Record 305068-20250110-F838
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-02-22Record 305068-20240125-F689
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-26Record 305068-20240125-F658
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-03-01Record 305068-20240125-F725
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-23Record 305068-20240125-F761
F811Ensure 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.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-23Record 305068-20240125-F811
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-22Record 305068-20240125-F880
F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.Scope/severity CPaperwork
Dignity & rights
Widespread; potential for minimal harm.Corrected 2024-03-01Record 305068-20240125-F553
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2024-01-25 | Civil money penalty | $9,770 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.74
Facility
New Hampshire
National
New Hampshire 0.78 · National 0.69
Total nurse hours per resident day3.02
Facility
New Hampshire
National
New Hampshire 3.90 · National 3.86
Weekend total nurse hours2.67
Facility
New Hampshire
National
New Hampshire 3.47 · National 3.42
Total nursing staff turnover64%
Facility
New Hampshire
National
New Hampshire 44% · National 46%
Registered nurse turnover78%
Facility
New Hampshire
National
New Hampshire 41% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | New Hampshire | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 5.3% | 4.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 4.9% | 4.4% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 18.0% | 17.8% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 2.0% | 2.1% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.6% | 0.2% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 30.6% | 22.7% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 5.7% | 5.4% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 28.2% | 19.0% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Pr Nh Holdings LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 48% | — | — |
| Rr Nh Holdings LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 48% | — | — |
| 603 Healthcare LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Manchin, Crystal Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Ojutalayo, Ayobami Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Stevenson, Sean Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| 603 Healthcare LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Manchin, Crystal Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ojutalayo, Ayobami Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Rausman, Philip Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Rausman, Robert Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Stevenson, Sean Individual | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
Part of a chain
603 Healthcare — 7 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or New Hampshire.
No county cost figures on file for Hillsborough.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Crestwood Center Milford | 0.3 mi | 2025-12-18 | 481 |
| Bedford Nursing & Rehabilitation Center Bedford | 12.2 mi | 2025-12-17 | 1131 |
| Courville at Nashua Nashua | 11.3 mi | 2026-07-02 | 280 |
| Nashua Post Acute Care Nashua | 11.7 mi | 2025-11-21 | 3260 |
| Hillsborough County Nursing Home Goffstown | 13.4 mi | 2026-05-07 | 090 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |