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THE ELMS CENTER

71 ELM STREET
MILFORD, NH 03055 · 6036732907 · Hillsborough County

CMS Star Ratings

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Facility Facts

Certified beds52
OwnershipFor profit - Limited Liability company
State rank#60

By the numbers

19
Health citations (3 cycles)
0
Immediate-jeopardy (J/K/L)
1
Actual-harm (G/H/I)
$9,770
Federal fines (CMPs)
The trend: Citations are trending down — 2 in the most recent cycle versus 7 two cycles ago.

Recent Health Citations

May 27, 2026 · Health survey · F-tag 0635
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Feb 24, 2026 · Health survey · F-tag 0755
D — No actual harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Jan 10, 2025 · Health survey · F-tag 0637
B — Cited
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
Jan 10, 2025 · Health survey · F-tag 0838
C — Cited
Administration Deficiencies
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.
Jan 10, 2025 · Health survey · F-tag 0732
C — Cited
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Jan 10, 2025 · Health survey · F-tag 0868
D — No actual harm
Administration Deficiencies
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Jan 10, 2025 · Health survey · F-tag 0812
D — No actual harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Jan 10, 2025 · Health survey · F-tag 0761
D — No actual harm
Pharmacy Service Deficiencies
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.
Jan 10, 2025 · Health survey · F-tag 0657
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Jan 10, 2025 · Health survey · F-tag 0578
D — No actual harm
Resident Rights Deficiencies
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.
Jan 10, 2025 · Health survey · F-tag 0552
D — No actual harm
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Jan 10, 2025 · Health survey · F-tag 0880
F — No actual harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jan 25, 2024 · Health survey · F-tag 0553
C — Cited
Resident Rights Deficiencies
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Jan 25, 2024 · Health survey · F-tag 0880
D — No actual harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jan 25, 2024 · Health survey · F-tag 0811
D — No actual harm
Nutrition and Dietary Deficiencies
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.
Jan 25, 2024 · Health survey · F-tag 0761
D — No actual harm
Pharmacy Service Deficiencies
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.
Jan 25, 2024 · Health survey · F-tag 0658
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Jan 25, 2024 · Health survey · F-tag 0725
F — No actual harm
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Jan 25, 2024 · Health survey · F-tag 0689
G — Actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Details
Correction status: Corrected Feb 22, 2024 — Deficient, Provider has date of correction
Inspection cycle: 3
Survey origin: Complaint investigation

Showing the 19 most recent citations. View the full inspection record on CMS Care Compare →

More facilities in New Hampshire →

How to read this page. Star ratings and citation counts come from the Centers for Medicare & Medicaid Services (CMS) Care Compare August 2026 dataset, covering the three most recent inspection cycles. Scope/severity letters: D–F no actual harm, G–I actual harm, J–L immediate jeopardy to resident health or safety.

Source: CMS Care Compare, August 2026 dataset. Updated quarterly. Figures come from public CMS records; contact info@theskilledreport.com for corrections.