The Elms Center
Milford, Hillsborough County, New Hampshire · CCN 305068 · For-profit (LLC) · part of 603 Healthcare (7 facilities, chain average 3.6 stars)
CMS rates The Elms Center 2 of 5 overall as of August 2026. 52 certified beds, 44 residents a day on average. 19 citations on record from the current inspection cycles, 1 involving actual harm; 1 fine totalling $9,770.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★☆☆☆ 2 of 5 |
|---|---|
| Health inspections | ★★★☆☆ 3 of 5 |
| Staffing | ★☆☆☆☆ 1 of 5 |
| Quality measures | ★★★☆☆ 3 of 5 |
| Quality: long-stay / short-stay | 1 / 4 of 5 |
Staffing
| Total nurse staffing | 3.0247 hours per resident per day |
|---|---|
| Registered nurses | 0.7416 hours per resident per day |
| Weekend total | 2.67418 hours per resident per day |
| Nursing staff turnover | 64% (registered nurses 77.8%) |
| Administrators who left | 1 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-05-27 complaint survey |
Provide doctor's orders for the resident's immediate care at the time the resident was admitted. Resident Assessment and Care Planning Deficiencies · tag F0635 |
D No actual harm, with potential for more than minimal harm; isolated | Past Non-Compliance |
| 2026-02-24 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-19 |
| 2025-01-10 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2025-02-07 |
| 2025-01-10 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · tag F0552 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-02-07 |
| 2025-01-10 | 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. Resident Rights Deficiencies · tag F0578 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-02-07 |
| 2025-01-10 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-02-21 |
| 2025-01-10 | 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. Pharmacy Service Deficiencies · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-02-25 |
| 2025-01-10 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-01-27 |
| 2025-01-10 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · tag F0868 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-02-06 |
| 2025-01-10 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · tag F0732 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2025-02-07 |
| 2025-01-10 | 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. Administration Deficiencies · tag F0838 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2025-01-30 |
| 2025-01-10 | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · tag F0637 |
B No actual harm, with potential for minimal harm; pattern | Deficient, Provider has date of correction 2025-02-02 |
| 2024-01-25 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2024-02-22 |
| 2024-01-25 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · tag F0725 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-03-01 |
| 2024-01-25 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-26 |
| 2024-01-25 | 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. Pharmacy Service Deficiencies · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-23 |
| 2024-01-25 | 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. Nutrition and Dietary Deficiencies · tag F0811 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-23 |
| 2024-01-25 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-22 |
| 2024-01-25 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. Resident Rights Deficiencies · tag F0553 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2024-03-01 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2024-01-25 | Fine | $9,770 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Pr Nh Holdings LLC Organization | 5% or greater direct ownership interest | 48% | 2024-02-19 |
| Rr Nh Holdings LLC Organization | 5% or greater direct ownership interest | 48% | 2024-02-19 |
| 603 Healthcare LLC Organization | adp of the snf | — | 2025-01-29 |
| 603 Healthcare LLC Organization | operational/managerial control | — | 2024-09-01 |
| Manchin, Crystal Individual | adp of the snf | — | 2024-09-01 |
| Ojutalayo, Ayobami Individual | adp of the snf | — | 2025-09-01 |
| Stevenson, Sean Individual | direct ownership interest | — | 2024-02-19 |
| Rausman, Philip Individual | indirect ownership interest | — | 2024-09-01 |
| Rausman, Robert Individual | indirect ownership interest | — | 2024-09-01 |
| Manchin, Crystal Individual | operational/managerial control | — | 2024-09-01 |
| Ojutalayo, Ayobami Individual | operational/managerial control | — | 2024-09-01 |
| Stevenson, Sean Individual | operational/managerial control | — | 2024-09-01 |
What changed
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Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for The Elms Center.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Hillsborough County.