The Elms Center

Nursing Home · New Hampshire, NH

CMS overall rating

The Elms Center

Q: What is the license number of The Elms Center?

According to NH state health department records, The Elms Center's license number is 04769.

Q: What is the occupancy rate at The Elms Center?

The Elms Center's occupancy is 100%.

Q: Who is the administrator of The Elms Center?

Austin J Cole is the administrator of The Elms Center.

Q: Are there photos of The Elms Center?

Yes — there are 5 photos of The Elms Center in the photo gallery on this page.

Q: What is the address of The Elms Center?

The Elms Center is located at 71 ELM STREET.

Q: What is the phone number of The Elms Center?

(603) 673-2907 will put you in contact with the team at The Elms Center.

Nursing Home · New Hampshire, NH

CMS overall rating

71 Elm Street, Milford, NH 03055 View map

Calculator: See prices in your area

The Elms Center accepts Medicaid, Medicare, and private pay.

Calculator: See prices in your area

The Elms Center accepts Medicaid, Medicare, and private pay.

Overview of 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.

(603) 673-2907

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to New Hampshire state averages

Total nursing care / resident

3h 5m per day

This facility New Hampshire avg (4h 13m per day)

vs New Hampshire avg

-27%

6 of 6 metrics below state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	39m per day	▼ 11% State avg: 44m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	40m per day	▼ 13% State avg: 46m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	1h 41m per day	▼ 29% State avg: 2h 23m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	2h 41m per day	▼ 22% State avg: 3h 26m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	1m per day	▼ 75% State avg: 4m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	16m per day	▼ 48% State avg: 31m per day · National avg: 28m per day

Capacity and availability

170 days

52-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

Walk Score: 0 / 100

Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate

100%

Higher than the New Hampshire average: 81.1%

Occupied beds

52 / 52

Average residents per home in New Hampshire 80 per day

Facility TypeNursing Home

StatusActive

IssuanceSeptember 1, 2025

CountyHillsborough

License Number04769

CMS Certification Number305068

AccreditationsAHCA Bronze Quality Award Winner

The Elms Center is administrated by Austin J Cole.

Accept Medicaid

Accept Medicare

Rehabilitation Services

Respite Care

Short-Term Rehab

Doctor on Staff

24-Hour Staffing

Comprehensive Discharge Plans

Safe Individualized Care

Covid-19 Safety & Prevention

Premier Rehabilitation & Medical Services

Innovative Technology

On-Site Services

Stay Connected

Recreational Services & Entertainment

Full-Service Dining

Salon & Spa

In-Room Comfort

Relaxation Spaces

Housekeeping & Laundry

Routine Wellness Calls

Specific ProgramsShort Stay Care

Food DescriptionFull-Service Dining with multiple meal and snack options tailored to preferences.

Get floorplan photos & videos Schedule a home tour Get detailed pricing Check availability Get brochure

Since 2023 · 3 years of data 23 deficiencies 3 inspections

Inspection Scorecard This scorecard compares key inspection, citation, and complaint metrics at this facility against the New Hampshire state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2023 vs. New Hampshire state average

Overall vs. NH average

Latest Inspection January 10, 2025 Routine

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	NH Average	vs. NH Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	23	17	This facility has 35% more total deficiencies than a typical New Hampshire nursing home (23 vs. NH avg 17).↑ 35% worse
Deficiencies per year Average deficiencies per year since 2023.	7.7	5.7	This facility has 35% more deficiencies per year than a typical New Hampshire nursing home (7.7 vs. NH avg 5.7).↑ 35% worse
Deficiencies per inspection Average deficiencies per inspection.	7.7	4.3	This facility has 79% more deficiencies per inspection than a typical New Hampshire nursing home (7.7 vs. NH avg 4.3).↑ 79% worse

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	NH Average	vs. NH Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	3	4	This facility has 25% fewer total inspections than a typical New Hampshire nursing home (3 vs. NH avg 4).↓ 25% better

Read the full inspection reports for this facility, including detailed findings and corrective actions.

Show Inspection Reports

Inspections since 2023

Total health inspections 3

New Hampshire average 3.5

Last Health inspection on Jan 2025

Total health citations

New Hampshire average 14.4

Citations per inspection

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

100% better than New Hampshire average

New Hampshire average: 0.2

Serious Health citations

900% worse than New Hampshire average

New Hampshire average: 0.1

0 critical citations New Hampshire average: 0.2

1 serious citation New Hampshire average: 0.1

15 moderate citations New Hampshire average: 12

5 minor citations New Hampshire average: 2

Citations history (last 3 years)

Administration minor citation Jan 10, 2025

Corrected

Administration moderate citation Jan 10, 2025

Corrected

Infection Control moderate citation Jan 10, 2025

Corrected

Nursing Services minor citation Jan 10, 2025

Corrected

Top deficiency categories

Infection Control 4 deficiencies (19%)

Resident Rights 3 deficiencies (14%)

Quality of Life & Care 2 deficiencies (10%)

Administration 2 deficiencies (10%)

Pharmacy Services 2 deficiencies (10%)

Total staff 66

Employees 49

Contractors 17

Staff to resident ratio 1.40:1

24% worse than New Hampshire average

Avg staff/day 21

Average shift 7.8 hours

0% compared with New Hampshire average

Total staff hours (quarter) 15,103

Nursing staff breakdown

RN Staff 11

7.8 hours

This role is partially covered by contractors.

LPN Staff 6

8.5 hours

No contractors work on this role.

CNA Staff 21

7.8 hours

No contractors work on this role.

Contractor staffing

1,131 contractor hours this quarter

Speech Language Pathologist: 3 Respiratory Therapy Technician: 3 Qualified Social Worker: 3 Registered Nurse: 2 Physical Therapy Assistant: 2 Physical Therapy Aide: 2 Nurse Practitioner: 1 Medical Director: 1

Staff by category


Certified Nursing Assistant	21	0	21	5,369	92	100%	7.8
Medication Aide/Technician	5	0	5	1,845	74	80%	10
Licensed Practical Nurse	6	0	6	1,809	92	100%	8.5
Registered Nurse	9	2	11	1,754	92	100%	7.8
RN Director of Nursing	1	0	1	528	58	63%	9.1
Administrator	1	0	1	528	66	72%	8
Mental Health Service Worker	1	0	1	528	66	72%	8
Dietitian	1	0	1	484	62	67%	7.8
Other Dietary Services Staff	1	0	1	481	60	65%	8
Clinical Nurse Specialist	1	0	1	426	55	60%	7.7
Nurse Practitioner	2	1	3	414	56	61%	7.4
Physical Therapy Assistant	0	2	2	322	52	57%	6.1
Speech Language Pathologist	0	3	3	249	51	55%	4.7
Physical Therapy Aide	0	2	2	246	40	43%	5.2
Respiratory Therapy Technician	0	3	3	54	26	28%	1.9
Qualified Social Worker	0	3	3	40	17	18%	2.3
Medical Director	0	1	1	26	13	14%	2

21 Certified Nursing Assistant

% of Days 100%

5 Medication Aide/Technician

% of Days 80%

6 Licensed Practical Nurse

% of Days 100%

11 Registered Nurse

% of Days 100%

1 RN Director of Nursing

% of Days 63%

1 Administrator

% of Days 72%

1 Mental Health Service Worker

% of Days 72%

1 Dietitian

% of Days 67%

1 Other Dietary Services Staff

% of Days 65%

1 Clinical Nurse Specialist

% of Days 60%

3 Nurse Practitioner

% of Days 61%

2 Physical Therapy Assistant

% of Days 57%

3 Speech Language Pathologist

% of Days 55%

2 Physical Therapy Aide

% of Days 43%

3 Respiratory Therapy Technician

% of Days 28%

3 Qualified Social Worker

% of Days 18%

1 Medical Director

% of Days 14%

View All Staffing Data

Total fines amount $13K

61% lower than New Hampshire average

New Hampshire average: $33K

Number of fines 2

In line with New Hampshire average

New Hampshire average: 1.9

Payment Denials 0

100% fewer payment denials than New Hampshire average

New Hampshire average: 0.1

Fines amount comparison

This facility $13K

New Hampshire average $33K

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

1 penalty in the past 3 years

Jan 25, 2024 · $10K

Civil Money Penalty Jan 25, 2024

$10K

Last updated: Jan 2026

High-risk clinical events score 13.4

18% worse than New Hampshire average

New Hampshire average: 11.4

Functional decline score 26.8

16% worse than New Hampshire average

New Hampshire average: 23.2

Long-stay resident measures

Significantly below average New Hampshire avg: 2.7

Need for Help with Daily Activities Increased 25.2%

15% worse than New Hampshire average

New Hampshire average: 21.9%

Walking Ability Worsened 24.3%

20% worse than New Hampshire average

New Hampshire average: 20.3%

Low Risk Residents with Bowel/Bladder Incontinence 30.9%

14% worse than New Hampshire average

New Hampshire average: 27.1%

Falls with Major Injury 4.1%

11% better than New Hampshire average

New Hampshire average: 4.6%

High Risk Residents with Pressure Ulcers 7.8%

73% worse than New Hampshire average

New Hampshire average: 4.5%

Urinary Tract Infection 4.3%

71% worse than New Hampshire average

New Hampshire average: 2.5%

Lost Too Much Weight 5.8%

In line with New Hampshire average

New Hampshire average: 5.6%

Depressive Symptoms 17.9%

117% worse than New Hampshire average

New Hampshire average: 8.3%

Antipsychotic Use 15.8%

9% better than New Hampshire average

New Hampshire average: 17.4%

Pneumococcal Vaccine 95.4%

In line with New Hampshire average

New Hampshire average: 96.0%

Influenza Vaccine 93.0%

5% worse than New Hampshire average

New Hampshire average: 98.0%

Hospitalizations per 1,000 days 1.96

19% worse than New Hampshire average

New Hampshire average: 1.65

ED visits per 1,000 days 1.36

28% better than New Hampshire average

New Hampshire average: 1.90

Short-stay resident measures

Average New Hampshire avg: 2.9

Pneumococcal Vaccine 70.2%

16% worse than New Hampshire average

New Hampshire average: 83.8%

Antipsychotic medication increase 0.0%

100% better than New Hampshire average

New Hampshire average: 1.6%

Influenza Vaccine 57.1%

31% worse than New Hampshire average

New Hampshire average: 83.0%

Re-hospitalized after SNF stay 31.8%

44% worse than New Hampshire average

New Hampshire average: 22.1%

Emergency department visits 8.5%

40% better than New Hampshire average

New Hampshire average: 14.1%

Falls with major injury 0.0%

100% better than New Hampshire average

New Hampshire average: 0.8%

Ability to care for self at discharge 41.7%

22% worse than New Hampshire average

New Hampshire average: 53.7%

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

Total residents 47

Medicare

8.5% of residents

Medicaid

83% of residents

Private pay or other

8.5% of residents

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.

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 -$257.2K ↑ ~$762.8K vs 2022

Total Payroll $4.2M ↑ ~$50.3K vs 2022

Profit Margin -3.3% ↑ 10.5pp vs 2022

Financial Performance

Gross Revenue Operating Expenses Net Income

Salaries Contract Labor Wage Costs

Medicare Medicaid Private Pay/Other

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	90.2%	94.0%	92.7%	94.7%	92.3%	92.3%	92.1%	95.5%	93.3%	89.1%	85.0%	94.3%	96.1%
Beds	52	52	52	52	52	52	52	52	52	52	52	52	52
Net Income	$103,169	-$169,838	-$80,122	$266,259	$198,910	$340,337	$43,076	-$972,923	-$2,704,380	-$1,340,318	-$1,972,745	-$1,019,989	-$257,175
Gross Revenue	$6,271,449	$6,414,219	$6,850,649	$6,776,250	$6,766,979	$6,606,204	$6,983,627	$7,412,801	$7,282,958	$6,936,417	$6,595,025	$7,444,456	$7,904,642
Operating Expenses	$4,249,448	$4,055,120	$4,369,171	$4,415,729	$4,322,030	$4,052,547	$4,456,709	$5,525,350	$7,408,170	$6,525,202	$6,635,977	$6,357,558	$6,287,852
Net Patient Revenue	$4,334,373	$3,878,564	$4,287,582	$4,676,430	$4,515,608	$4,387,992	$4,494,785	$4,547,468	$4,700,628	$5,184,042	$4,568,617	$5,266,370	$6,008,043
Total Payroll	$1,969,157	$2,052,382	$2,582,082	$2,689,530	$2,706,229	$2,500,461	$2,627,949	$2,826,792	$2,970,627	$3,073,697	$3,498,376	$4,176,082	$4,226,424
Profit Margin %	1.7%	-2.7%	-1.2%	3.9%	2.9%	5.2%	0.6%	-13.1%	-37.1%	-19.3%	-29.9%	-13.7%	-3.3%
Medicare %	15.0%	11.2%	13.6%	10.4%	12.3%	8.5%	8.1%	9.6%	7.3%	10.2%	9.3%	9.8%	5.8%
Medicaid %	74.0%	72.2%	81.8%	77.1%	79.3%	80.2%	80.9%	83.0%	83.6%	82.9%	76.3%	80.1%	82.5%
Private %	11.0%	16.6%	4.7%	12.5%	8.5%	11.3%	10.9%	7.4%	9.1%	7.0%	14.4%	10.2%	11.7%
Revenue/Day	$253	$217	$244	$260	$258	$250	$257	$251	$265	$306	$283	$294	$329
Cost/Day	$248	$227	$248	$246	$247	$231	$255	$305	$418	$385	$411	$355	$345
Avg Length of Stay	112.6 days	188.2 days	133.2 days	164.9 days	162.2 days	148.9 days	140.9 days	140.5 days	168.6 days	134.6 days	145.3 days	179.0 days	170.5 days

Finances and operations

Home revenue

$7.9M

Operating loss

-$257.2K

Privately-owned community Operated by a business corporation.

Home revenue

$7.9M

Operating loss

-$257.2K

Payroll costs

$4.2M

53.3% of revenue

Other operating costs

$4.0M

Total costs $8.2M

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

How we assess these insights Show admissions and discharges

2.4 miles from city center Estimated distance in miles from Milford's city center to The Elms Center's address, calculated via Google Maps.

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Financial Assistance for
Nursing Home in New Hampshire

The Elms Center is located in Milford, New Hampshire.
Here are the financial assistance programs available to residents in New Hampshire.

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Choices for Independence

NH Medicaid CFI Waiver

Age 65+ or disabled

General New Hampshire resident, Medicaid-eligible, nursing home-level care need.

Income Limits (2025) ~$2,829/month 300% FBR, individual

Asset Limits $2,000 (individual), $3,000 (couple).

Small state; rural access emphasis.

Benefits

Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$65/day) Home aides

NH ServiceLink Aging and Disability Resource Center

NH ServiceLink

Age 60+

General New Hampshire resident, or caregiver.

Income Limits No strict limit; prioritizes low-income.

Asset Limits Not applicable.

Primarily referral-based; limited direct funding.

Benefits

Care coordination Respite (up to 5 days/year) Transportation (~5 trips/month)

Old Age Assistance (OAA)

New Hampshire Old Age Assistance

Age 65+

General NH resident, US citizen/eligible alien, not in public institution.

Income Limits (2025) ~$1,063/month (individual, net after deductions); varies by living arrangement.

Asset Limits $1,500 (individual), $2,000 (couple).

Automatic Medicaid eligibility; estate recovery applies.

Benefits

Cash (~$50-$200/month) for living costs (e.g., rent, utilities, care support)

New Hampshire Family Caregiver Program (via NFCSP)

New Hampshire Family Caregiver Program

Age —

General Caregivers of 60+ needing care or 55+ caregivers of others; NH resident; functional needs (2+ ADLs).

Income Limits (2025) Prioritizes ~$24,980/year (individual); no strict cap.

Asset Limits Not assessed; need-based.

13 ServiceLink locations; rural/low-income priority.

Benefits

Respite (4-6 hours/week or 5 days/year) Adult day care ($60/day) Training Supplies (~$500/year)

Medicare Savings Program (MSP)

New Hampshire Medicare Savings Program

Age 65+ or disabled

General NH resident, Medicare Part A/B.

Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

Asset Limits $9,430 (individual), $14,130 (couple).

Three tiers; no waitlist; includes Extra Help for Part D.

Benefits

Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

New Hampshire Fuel Assistance Program (FAP)

New Hampshire Fuel Assistance Program

Age 60+ prioritized

General NH resident, low-income household.

Income Limits (2025) ~$33,614/year (1-person), ~$43,958/year (2-person) (150% FPL).

Asset Limits Not assessed; income-focused.

Administered by 5 CAP agencies; covers oil, gas, electric, wood.

Benefits

Heating aid ($300-$1,200/season) Weatherization Emergency fuel ($450 max)

VA Aid and Attendance (A&A) and Housebound Benefits

New Hampshire VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse

General NH resident, wartime service, need for ADL help (A&A) or homebound.

Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

Asset Limits ~$155,356 net worth limit

High veteran demand in rural/urban areas.

Benefits

Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

NH Low and Moderate Income Homeowners Property Tax Relief

New Hampshire Property Tax Relief

Age 65+ prioritized

General NH resident, homeowner, paid property taxes.

Income Limits (2025) ~$47,000/year (individual), ~$60,000/year (couple).

Asset Limits Not assessed; home value cap at $750,000.

Refundable relief (~$100-$500/year); annual application.

Benefits

Tax relief (~$100-$500/year) to offset housing costs Indirectly aiding care funding

Compare Nursing Home around New Hampshire

The information below is reported by the New Hampshire Department of Health and Human Services, Health Facilities Administration.

5 facilities compared · CMS & NH Dept. of Health data

Filter by care type


Villa Crest Nursing and Retirement 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. MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.	Manchester	126	89.6%	+10%	4.24	-34%	-1%	$0	9	3.0	-	121	39	Nathan Obara	$20.1M	$10.5M	52%	305079
The Courville at Nashua	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.	Nashua (Hunt Street)	94	75.8%	-7%	3.64	+15%	-15%	$0	8	2.7	-	68	57	Richard Courville	$13.5M	$7.9M	58.5%	305037
Langdon Place of Dover	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. MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.	Dover	30	90.6%	+12%	5.05	+77%	+18%	$0	6	2.0	-	20	3	Kathleen Oby	$10.7M	$7.1M	66%	305089
Exeter 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. IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.	Exeter (Hampton Road)	81	63.8%	-21%	3.34	-19%	-22%	$28.9k	12	3.0	1	61	28	Sunbridge Goodwin Nursing Home LLC	$11.2M	$5.2M	46.3%	305064
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	+31%	-28%	$13.0k	21	7.0	1	44	0	-	$7.9M	$4.2M	53.3%	305068

Nursing Home Explorer

What is the license number of The Elms Center?

According to NH state health department records, The Elms Center's license number is 04769.

What is the occupancy rate at The Elms Center?

The Elms Center's occupancy is 100%.

Who is the administrator of The Elms Center?

Austin J Cole is the administrator of The Elms Center.

How many beds does The Elms Center have?

The Elms Center has 52 beds.

Are there photos of The Elms Center?

Yes — there are 5 photos of The Elms Center in the photo gallery on this page.

What is the address of The Elms Center?

The Elms Center is located at 71 ELM STREET.

What is the phone number of The Elms Center?

(603) 673-2907 will put you in contact with the team at The Elms Center.

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The Elms Center

Overview of The Elms Center

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Payment & Insurance

Therapy & Rehabilitation

Staffing & Medical

Amenities & Lifestyle

Dining & Nutrition

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Inspection History

Inspection Scorecard This scorecard compares key inspection, citation, and complaint metrics at this facility against the New Hampshire state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Inspection Reports

Health Inspection History

Inspections since 2023

Breakdown of citation severity (last 3 years)

Citations history (last 3 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

21 Certified Nursing Assistant

5 Medication Aide/Technician

6 Licensed Practical Nurse

11 Registered Nurse

1 RN Director of Nursing

1 Administrator

1 Mental Health Service Worker

1 Dietitian

1 Other Dietary Services Staff

1 Clinical Nurse Specialist

3 Nurse Practitioner

2 Physical Therapy Assistant

3 Speech Language Pathologist

2 Physical Therapy Aide

3 Respiratory Therapy Technician

3 Qualified Social Worker

1 Medical Director

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly long-term care residents

Places of interest near The Elms Center

Calculate Travel Distance to The Elms Center

Financial Assistance for Nursing Home in New Hampshire

Choices for Independence

NH ServiceLink Aging and Disability Resource Center

Old Age Assistance (OAA)

New Hampshire Family Caregiver Program (via NFCSP)

Medicare Savings Program (MSP)

New Hampshire Fuel Assistance Program (FAP)

VA Aid and Attendance (A&A) and Housebound Benefits

Financial Assistance for
Nursing Home in New Hampshire