Occupancy rate
96%
In line with New Hampshire averageMostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
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Nursing Home
The Elms Center
The Elms Center is a skilled nursing facility located in Milford, NH. It specializes in post-hospital short-term rehabilitation, long-term care, and respite services. The center is recognized for its quality care and is a partner in the We Honor Veterans program.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
52
This home is often near full
That suggests steady demand, but availability may be limited.
Occupancy rate
96.1%
Residents per day (avg)
44
Occupancy rate
96.1%
Residents per day (avg)
44
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term daily care
Ongoing support needs
Breakdown by payment type
Medicare
35% of new residents, usually for short-term rehab.
Typical stay
28 days
Private pay
37% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
28% of new residents, often for long-term daily care.
Typical stay
1 - 2 years
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$7.9M
Operating loss
-$257.2K
Privately-owned community
Operated by a business corporation.
Home revenue
$7,927,276.00
Operating loss
$-257,175.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.0M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$5.2M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$8.2M
52-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
About this community
Occupancy
In line with New Hampshire averageOccupied beds
50 / 52
Average residents
80 per day
License details
Facility type
Nursing Home
Status
Active
Issuance
September 1, 2025
County:
Hillsborough
Additional licensing details
License number:
04769
CMS Certification Number:
305068
Accreditations:
AHCA Bronze Quality Award Winner
Ownership & operating entity
The Elms Center is administrated by AUSTIN J COLE.
Safety & Compliance
Care Services
Accepts Medicaid
Accepts Medicare
Doctor on Staff
Nursing Services
Rehabilitation Services
Respite Care
Memory Care
Independent Living
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Short-Term Rehab
Amenities & Lifestyle
Programs & Activities
Specific Programs
Short Stay Care, Long Term Care, Rehabilitation Therapy, Memory Support
Dining & Nutrition
Food Description
Full-Service Dining with multiple meal and snack options tailored to preferences.
Meals Included
Yes
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Medicaid Accepted
This facility is certified for eligible Medicaid services.
Medicare Accepted
This facility is certified for eligible Medicare services.
Health Inspection History
Inspections
Total health inspections
3
New Hampshire average 3.5
Last Health inspection on Jan 2025
Total health citations
21
New Hampshire average 14.4
Citations per inspection
7
New Hampshire average 3.99
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
20 of 21 citations resulted from standard inspections; and 1 of 21 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than New Hampshire averageNew Hampshire average: 0.2
Serious Health citations
1
1
900% worse than New Hampshire averageNew Hampshire average: 0.1
0 critical citations
1 serious citation
15 moderate citations
5 minor citations
Citations history (last 3 years)
Administration minor citation
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Jan 10, 2025
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Jan 10, 2025
Corrected
Administration moderate citation
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Jan 10, 2025
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Jan 10, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jan 10, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jan 10, 2025
Corrected
Nursing Services minor citation
Issues related to the availability and quality of nursing staff and the care they provide.
Jan 10, 2025
Issues related to the availability and quality of nursing staff and the care they provide.
Jan 10, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around New Hampshire The information below is reported by the New Hampshire Department of Health and Human Services, Health Facilities Administration.
Bedford Nursing and Rehabilitation Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Bedford
102
76.1%
-6%
3.05
-29%
0
15
0
86
Woh Llc
$9,4M
$5,6M
59.8%
305086
Bedford Hills
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Bedford
147
94.2%
+16%
3.33
-22%
1
8
1
135
Forrence, Heidi
$25,6M
$8,5M
33.2%
305060
Alpine Healthcare Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
KEENE
85
84.4%
+4%
3.21
-25%
0
17
0
73
White Mountain Peak Healthcare Llc
$8,5M
$3,8M
44.8%
305062
The Elms Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Milford
52
96.1%
+18%
3.08
-28%
2
21
1
44
-
$7,9M
$3,0M
37.4%
305068
Brookdale Spruce Wood
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
DURHAM
80
-
-
-
-
0
0
0
-
-
-
-
-
-
Places of interest near The Elms Center
2.4 miles from city center
71 ELM STREET, Milford, NH 03055
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
61
Employees
55
Contractors
6
Staff to resident ratio
1.30:1
30% worse than New Hampshire averageNew Hampshire average ratio: 1.87:1
Avg staff/day
20
Average shift
8.3 hours
6% better than New Hampshire averageNew Hampshire average: 7.8 hours
Total staff hours (quarter)
15,029
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
9
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
14
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
21
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
9.6%
1,436 contractor hours this quarter
Licensed Practical Nurse: 4
Registered Nurse: 2
Staff by category
| Certified Nursing Assistant | 21 | 0 | 21 | 4,029 | 91 | 100% | 7.7 |
| Medication Aide/Technician | 6 | 0 | 6 | 3,369 | 91 | 100% | 10.3 |
| Licensed Practical Nurse | 10 | 4 | 14 | 2,864 | 91 | 100% | 8.1 |
| Registered Nurse | 7 | 2 | 9 | 1,208 | 86 | 95% | 8.3 |
| Nurse Practitioner | 3 | 0 | 3 | 648 | 65 | 71% | 8 |
| Administrator | 2 | 0 | 2 | 600 | 65 | 71% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 511 | 64 | 70% | 8 |
| RN Director of Nursing | 1 | 0 | 1 | 495 | 62 | 68% | 8 |
| Dietitian | 1 | 0 | 1 | 442 | 56 | 62% | 7.9 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 344 | 43 | 47% | 8 |
21 Certified Nursing Assistant
% of Days
100%
6 Medication Aide/Technician
% of Days
100%
14 Licensed Practical Nurse
% of Days
100%
9 Registered Nurse
% of Days
95%
3 Nurse Practitioner
% of Days
71%
2 Administrator
% of Days
71%
1 Mental Health Service Worker
% of Days
71%
1 Other Dietary Services Staff
% of Days
70%
1 RN Director of Nursing
% of Days
68%
1 Dietitian
% of Days
62%
2 Clinical Nurse Specialist
% of Days
47%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
47 residents
Residents by payment source
Medicare
4 residents (8.5%)
Medicaid
39 residents (83%)
Private pay or other
4 residents (8.5%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.4
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.4
18% worse than New Hampshire averageNew Hampshire average: 11.4
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
26.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
26.8
16% worse than New Hampshire averageNew Hampshire average: 23.2
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
25.2%
Percent of long-stay residents whose need for help with daily activities has increased
25.2%
15% worse than New Hampshire averageNew Hampshire average: 21.9%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
24.3%
Percent of long-stay residents whose ability to move independently worsened
24.3%
20% worse than New Hampshire averageNew Hampshire average: 20.3%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
30.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
30.9%
14% worse than New Hampshire averageNew Hampshire average: 27.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.1%
Percent of long-stay residents experiencing one or more falls with major injury
4.1%
11% better than New Hampshire averageNew Hampshire average: 4.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
7.8%
Percent of long-stay high risk residents with pressure ulcers
7.8%
73% worse than New Hampshire averageNew Hampshire average: 4.5%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
4.3%
Percent of long-stay residents with a urinary tract infection
4.3%
71% worse than New Hampshire averageNew Hampshire average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
5.8%
Percent of long-stay residents who lose too much weight
5.8%
In line with New Hampshire averageNew Hampshire average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
17.9%
Percent of long-stay residents who have depressive symptoms
17.9%
117% worse than New Hampshire averageNew Hampshire average: 8.3%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
15.8%
Percent of long-stay residents who received an antipsychotic medication
15.8%
9% better than New Hampshire averageNew Hampshire average: 17.4%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.4%
In line with New Hampshire averageNew Hampshire average: 96.0%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
93.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
93.0%
5% worse than New Hampshire averageNew Hampshire average: 98.0%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
70.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
70.2%
16% worse than New Hampshire averageNew Hampshire average: 83.8%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than New Hampshire averageNew Hampshire average: 1.6%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
57.1%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
57.1%
31% worse than New Hampshire averageNew Hampshire average: 83.0%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$13K
61% lower than New Hampshire averageNew Hampshire average: $33K
Number of fines
2
In line with New Hampshire averageNew Hampshire average: 1.9
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than New Hampshire averageNew Hampshire average: 0.1
Fines amount comparison
Fines amount comparison
This facility
$13K
New Hampshire average
$33K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 25, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 25, 2024
$10K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 20, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 20, 2023
$3K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for The Elms Center based on CMS SNF Cost Reports.
Occupancy Rate
96.1%
↑ 1.8pp vs 2022
Net Income
-$257,175
↑ ~$763K vs 2022
Total Payroll
$4,226,424
↑ ~$50K vs 2022
Profit Margin
-3.3%
↑ 10.5pp vs 2022
Loading trend charts...
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