The Elms Center
71 Elm Street, Milford, NH, 03055
Get the complete federal record on this facility — full background report, $249.
Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: 603 Healthcare
- Certified beds
- 52 · avg 46 residents/day
- Total nursing staff turnover
- 61.7% — higher than most New Hampshire nursing homesNew Hampshire avg: 46.1% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 85.7% — higher than most New Hampshire nursing homesNew Hampshire avg: 42.5% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 1 departed — near the New Hampshire averageNew Hampshire avg: 0.5 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $9,770 total
Medicare certification
- CMS Certification Number
- 305068
- Certified beds
- 52 beds · avg 46 residents/day
- Ownership type
- For profit - Limited Liability company
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Milford Snf Opco Llc
- Chain affiliation
- 603 Healthcare
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the 603 Healthcare chain — 7 facilities across 2 states. Chain-wide average overall rating 3.0 / 5.
Disclosed owners (8 on record)
- Ayobami o Ojutalayo
Adp of The Snf · since 2025
- 603 Healthcare Llc
Adp of The Snf · since 2025
- Crystal Manchin
Operational/managerial Control · since 2024
- Philip Rausman
Indirect Ownership Interest · 48% · since 2024
- Robert Rausman
Indirect Ownership Interest · 48% · since 2024
- Sean Stevenson
Operational/managerial Control · since 2024
+ 2 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 18)
- D0755·Feb 24, 2026
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0868·Jan 10, 2025
Administration Deficiencies
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
- C0838·Jan 10, 2025
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.
- D0812·Jan 10, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0761·Jan 10, 2025
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.
- C0732·Jan 10, 2025
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
- D0657·Jan 10, 2025
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.
- B0637·Jan 10, 2025
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
Federal penalties
By year
- 20241 fine · $9,770
Most recent events
- Jan 25, 2024Fine · $9,770
Fire-safety citations
9 Life-Safety-Code citations on file. Most recent: Feb 24, 2026. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about The Elms Centerinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.