Data / Nursing homes / New Hampshire / The Elms Center
The Elms Center, Milford, NH: 3 star rating, fined $9,770 across 1 fine
The Elms Center in Milford, NH is owned by PR NH Holdings LLC and RR NH Holdings LLC, is rated 3 of 5 stars by Medicare, and was fined $9,770 across 1 fine in the three years to October 1, 2026. CMS lists 19 health citations from inspections in that time, the latest survey on May 27, 2026, and 1 of them found actual harm or immediate jeopardy.
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- Address
- 71 Elm Street, Milford, NH 03055
- Overall rating
- 3 of 5 stars
- Health inspection rating
- 3 of 5
- Staffing rating
- 2 of 5
- Quality measure rating
- 3 of 5
- Certified beds
- 52
- Residents per day
- 46 on average
- Ownership type
- For profit, limited liability company
- Legal business name
- Milford SNF OPCO LLC
- Chain
- 603 Healthcare, 7 facilities
- Fines
- $9,770 across 1 fine, three years to October 1, 2026
- Payment denials
- 0
- Health citations
- 19, of which 1 with actual harm or immediate jeopardy
- Latest survey
- May 27, 2026
- CMS Certification Number
- 305068
- On Care Compare
- Medicare Care Compare
Fines and payment denials
Every fine and payment denial CMS lists for this facility in the three years, newest first.
| Date | Type | Fine amount | Denial starts | Denial days | Source |
|---|---|---|---|---|---|
| January 25, 2024 | Fine | $9,770 | Not listed | data.cms.gov |
Recent health citations
Citations from health inspections, newest first.
| Survey date | Tag | What CMS cited | Scope and severity | Status | Corrected on | Source |
|---|---|---|---|---|---|---|
| May 27, 2026 | F635 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | D: isolated, no actual harm, potential for more than minimal harm | Past noncompliance | data.cms.gov | |
| February 24, 2026 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | March 19, 2026 | data.cms.gov |
| January 10, 2025 | F880 | Provide and implement an infection prevention and control program. | F: widespread, no actual harm, potential for more than minimal harm | Corrected | February 7, 2025 | data.cms.gov |
| January 10, 2025 | F868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 6, 2025 | data.cms.gov |
| January 10, 2025 | F838 | 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: widespread, minimal harm potential | Corrected | January 30, 2025 | data.cms.gov |
| January 10, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | January 27, 2025 | data.cms.gov |
| January 10, 2025 | F761 | 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. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 25, 2025 | data.cms.gov |
| January 10, 2025 | F732 | Post nurse staffing information every day. | C: widespread, minimal harm potential | Corrected | February 7, 2025 | data.cms.gov |
| January 10, 2025 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 21, 2025 | data.cms.gov |
| January 10, 2025 | F637 | Assess the resident when there is a significant change in condition | B: pattern, minimal harm potential | Corrected | February 2, 2025 | data.cms.gov |
| January 10, 2025 | F578 | 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. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 7, 2025 | data.cms.gov |
| January 10, 2025 | F552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 7, 2025 | data.cms.gov |
| January 25, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G: isolated, actual harm | Corrected | February 22, 2024 | data.cms.gov |
| January 25, 2024 | F880 | Provide and implement an infection prevention and control program. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 22, 2024 | data.cms.gov |
| January 25, 2024 | F811 | 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. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 23, 2024 | data.cms.gov |
| January 25, 2024 | F761 | 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. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 23, 2024 | data.cms.gov |
| January 25, 2024 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F: widespread, no actual harm, potential for more than minimal harm | Corrected | March 1, 2024 | data.cms.gov |
| January 25, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 26, 2024 | data.cms.gov |
| January 25, 2024 | F553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | C: widespread, minimal harm potential | Corrected | March 1, 2024 | data.cms.gov |
Owners and managers
Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 8 individual or personal trusts (3 owners, 3 managers, 2 other disclosable parties). Their names are not shown on this page.
| Organization | Role | Share | Since | Source |
|---|---|---|---|---|
| PR NH Holdings LLC | Direct owner | 48% | February 19, 2024 | data.cms.gov |
| RR NH Holdings LLC | Direct owner | 48% | February 19, 2024 | data.cms.gov |
| 603 Healthcare LLC | Operational or managerial control | Not listed | September 1, 2024 | data.cms.gov |
| 603 Healthcare LLC | Additional disclosable party | Not listed | January 29, 2025 | data.cms.gov |
Also on SpecStream
- All nursing homes in New Hampshire
- Every nursing home PR NH Holdings LLC owns or manages
- Every nursing home RR NH Holdings LLC owns or manages
- Every nursing home 603 Healthcare LLC owns or manages
- This facility on Medicare Care Compare
Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.