The Elms Center
71 ELM STREET, Milford, NH 03055
Milford, New Hampshire · CMS verdict
The Elms Center reflects below-average quality on the federal five-star scale, below the New Hampshire state average of 2.9.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
The Elms Center in Milford, New Hampshire holds a CMS overall rating of 1 of 5 stars and a PlainElderCare Quality & Compliance Index of 17 of 100 (grade F). Its CMS inspection record lists multiple deficiencies. Figures are from CMS Nursing Home Compare.
Quality & Compliance Index (thinner bed book)
Its certified bed capacity sits in the lower U.S. bed tercile (≤80). A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall star rating shown at the top of the page. How this is calculated.
How the 17 is built
Each segment is a dimension's weighted points toward the score, summing to 17.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
The Elms Center's thinner certified-bed book
Quality ratings
The rating comes from CMS's most recent Care Compare release (data as of April 2026). CMS rolls three sub-ratings into the overall star: health inspection, staffing, and quality measures. The chart below sets each of them against the New Hampshire average.
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Milford, New Hampshire. Bed capacity and average daily census, where CMS reports them, are in Facility details below. Its ownership type, listed in Facility details, can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 90% occupancy, this facility runs close to its typical range for a stabilized operation.
Same-ownership peers
Within New Hampshire, The Elms Center is one of 25 for profit - limited liability company nursing homes CMS rates. Its 1-star overall rating sits below the for profit - limited liability company-segment average of 2.5 stars, ahead of roughly 0% of same-ownership peers in the state. This ownership-segment comparison controls for business-model differences, so what's left mostly reflects how this facility runs relative to similar operators, not the type of operator it is.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility; the counts are in Facility details below. CMS has levied enforcement penalties - civil money penalties or denials of payment, during the same window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
Figures above come from CMS Nursing Home Compare (Care Compare, data as of April 2026) with state cost medians from the CareScout 2025 Cost of Care Survey. See our methodology for vintage.
How The Elms Center's lower-tercile stars compare to New Hampshire
CMS five-star sub-ratings (0–5) for this facility against the New Hampshire facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = New Hampshire state average. Higher is better on all four CMS measures.
Where The Elms Center ranks in New Hampshire
Among the 73 CMS-rated nursing homes in New Hampshire, The Elms Center’s 1-star overall rating is higher than 0% of them. The bars show how all New Hampshire homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
15 New Hampshire homes share this 1-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 52 |
| Residents | 47 |
| Ownership | For profit - Limited Liability company |
| County | Hillsborough |
| Penalties | 1 |
| Deficiencies | 21 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for The Elms Center? ▾
CMS rates The Elms Center at 1 out of 5 stars overall. How its three sub-ratings compare with the New Hampshire average is charted above.
How much does a nursing home cost per month in New Hampshire? ▾
In New Hampshire, a semi-private nursing home room runs a median $12,243/month ($146,913/year) per the CareScout 2025 survey; private rooms average $13,444/month.
What services does The Elms Center offer? ▾
CMS classifies The Elms Center as a skilled nursing facility. Care Compare does not itemize the services on offer; the facility itself is the source for that, and its capacity, census, and ownership are listed in Facility details above.
Does The Elms Center have any deficiencies or penalties? ▾
The Elms Center has multiple deficiencies and enforcement penalties recorded by CMS; the counts are in the Facility details table. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in New Hampshire? ▾
In New Hampshire, alternatives include assisted living ($8,025/mo), home health aides ($7,627/mo), and adult day care ($2,015/mo).
Keep reading
Also see the New Hampshire elder-care overview and highest-rated states. Provider ID: 305068.
Read our methodology - how this data is sourced, computed, and verified.