The Elms Center: Staffing, Turnover, and Inspection Record
The Elms Center is a 52-bed for-profit nursing home in Milford, New Hampshire, part of 603 Healthcare. In the CMS August 2026 release it reported 1.66 nurse aide hours per resident per day, 29% below the New Hampshire average of 2.34, and 64.0% nursing staff turnover (New Hampshire average 44.1%).
The Elms Center
71 Elm StreetMilford, NH 03055
Hillsborough County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At The Elms Center, nurse aides logged 1.66 hours per resident per day, 29% below the New Hampshire average. With about 44 residents a day, that works out to roughly 73 aide hours a day, or about 9 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 12% below the all-days figure.
| Hours per resident per day | This home | New Hampshire avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.66 | 2.34 | 2.32 |
| Licensed practical nurses | 0.62 | 0.78 | 0.86 |
| Registered nurses | 0.74 | 0.78 | 0.69 |
| All nursing staff | 3.02 | 3.90 | 3.86 |
| All nursing staff, weekends | 2.67 | 3.47 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
64.0% of nursing staff at The Elms Center left over the year CMS measured, against a New Hampshire average of 44.1% and a US average of 45.8%. Registered nurse turnover was 77.8%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Feb 24, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 2 health deficiencies (New Hampshire average 3.9). CMS lists 1 fine totaling $9,770 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Jan 25, 2024 | Fine | $9,770 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. The Elms Center holds 2 of 5 overall; the New Hampshire average is 3.1.
About The Elms Center
- Ownership: For profit - Limited Liability company
- Chain: 603 Healthcare, 7 homes
- Legal name: Milford SNF Opco LLC
- Medicare and Medicaid certified since: Aug 1, 1996
- Councils: resident council
- Area: urban
Nursing homes near The Elms Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Crestwood Center Milford | 0.3 | 82 | 1.88 | 3.37 | 43.1% | 4 | $15,646 |
| Courville at Nashua Nashua | 11.3 | 94 | 2.23 | 3.76 | 52.6% | 5 | None |
| Nashua Post Acute Care Nashua | 11.7 | 290 | 1.54 | 3.02 | 48.3% | 1 | None |
| Bedford Nursing & Rehabilitation Center Bedford · SFF candidate | 12.2 | 102 | 1.58 | 2.93 | 39.5% | 1 | $16,153 |
| Ridgewood Center, Genesis HealthCare Bedford | 12.4 | 150 | 1.73 | 3.27 | 38.0% | 2 | $15,646 |
| Bedford Hills Center Bedford | 12.5 | 147 | 1.74 | 3.40 | 27.4% | 4 | $16,452 |
| Hillsborough County Nursing Home Goffstown | 13.5 | 300 | 2.27 | 3.74 | 30.1% | 5 | None |
| Fairview Nursing Home Hudson | 13.8 | 101 | 2.27 | 3.92 | 97.1% | 1 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.