The Elms Center is in Milford, New Hampshire. The city has a population of 15,086 people. We awarded this facility an overall grade of B. A grade in this range requires respectable scores in most areas. Based on our ratings, this place has quite a bit going for it. The best part of this nursing home's strong profile was its inspection grade. Inspection grades are discussed in the next section
The Elms Center
- Nursing Home
Updated Apr 1, 2023 by Nick Reese
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Quick Details
- Accepts Medicare 1
- Accepts Medicaid 1
- No CCRC
- Has Resident Council
- No Family Council
- For profit - Corporation
- Offers Hospice
- Offers Post-Acute Care
- Offers Respite Care
- Offers Inpatient Rehab
Specialized Services
- Personal Care
- Medication Management
- Transportation
- Medical Transportation
- Speech Therapy
- IV Antibiotic Therapy
- Palliative Care
- Dentistry
- Wound Care
- Occupational Therapy
- Mental Health
- Physical Therapy
- Nutritional Counseling
- X-Ray
- Recreational Therapy
- Pain Management
- Optometry
- Colostomy Care
- Orthopedic Rehabilitation
Registered Staff Hours
Facility Inspections
To go along with its strong overall grade, we awarded this nursing home a grade of A+ for our inspections rating. Perhaps the most important factor we consider in determining our inspection grades is deficiencies. Deficiencies are found on a facility's recent inspection reports. Places with better scores in this area typically dodged the more severe deficiencies involving things like patient abuse. While this nursing home had some deficiencies on its report, none were severe based on CMS' deficiency scale. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.
Long-term Care Quality
This facility really excelled in the category of long-term care, where we awarded it a grade of A-. Very few nursing homes performed better in this area. In a long-term care environment, the primary goal is to keep patients as healthy and safe as possible. This is different than skilled nursing or short-term care where the goal is to rehabilitate patients. On top of looking at the volume of care provided by nurses and other staff, we analyzed the percentage of residents vaccinated against pneumonia. This nursing home vaccinated 92.52873 percent of its patients. This is a few points below what we expected but still a respectable figure. Clearly, this nursing home is doing something right in this area as it was able to keep its patients out of the hospital. It had less than one hospitalization per 1,000 long-term resident days, which is a remarkably low figure.
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Nurse Quality
The next highest grade we gave this nursing home came in the category of nursing, where we gave it a grade of C. This wasn't quite as good as some of its other scores, but a grade in this range is not the end of the world. There are many factors within this area. Most of the datapoints relate to nurse staffing. This facility provides 0.3 hours of nursing care per resident each day. This is a much lower figure than we were hoping for. Lastly, although this place got dinged a bit for nursing hours, it excelled in a few of our quality-based measures. With less than five percent of its residents sustaining pressure ulcers, it fared remarkably well in this subcategory.
Short-term Care Quality
The last area we scored was short-term care. We gave this nursing home a D for our short-term care category, rendering this its weakest category. Short-term care scores are crucial for people looking for rehabilitation. Rehabilitation generally mandates more skilled nursing services. Skilled nursing means a vast range of nursing services, spanning from registered nurses to physical and respiratory therapists, as well as other forms of therapy. In this place's case, it looks like it offers less physical therapist and registered nurse hours per resident than the typical facility. Lastly, we considered the number of residents that ultimately were able to return home from this facility. This nursing home didn't fare well here either. In fact, we found that just 4.9 percent of this facility's residents were able to return home. This figure was well off the national average.
Rating Over Time
Compared to national and state averages across all facilities.
The Elms Center Quality Metrics
Minimizes Pressure Ulcers
In The Elms Center, 6.48% of Patients had Pressure Ulcers
This indicates the percentage of residents who suffered from a pressure ulcer. Pressure ulcers are damage to the skin resulting from remaining in the same position for too long.
Minimizes Serious Falls
In The Elms Center, 5.13% of Patients had Serious Falls
This statistic gauges the percentage of long-term patients who have had falls which caused major injury. Falls can happen for a variety of reasons, but excessive numbers of falls may be a sign of lower levels of patient supervision.
Minimizes Urinary Tract Infections
In The Elms Center, 2.56% of Patients had UTIs
This tells you the percent of residents who sustained a urinary tract infection. Urinary tract infections are often associated with facilities with lower levels of hygiene. More frequent bathing limits the percentage of residents in a nursing home who suffer from UTI's. We want to point out that this metric is affected by by the fact that facilities have varying reporting standards for UTI's.
Appropriately Uses Anti-Psychotic Medication
In The Elms Center, 16.15% of Patients use Anti-Psychotic Medication
This statistic indicates the percent of long-term stay patients who are prescribed antipsychotic drugs. Excessive reliance on these medications may indicate a facility is using these medications to subdue residents in scenarios where such medications aren't medically indicated. However, some facilities may need to rely more on these drugs due to having more patients with Alzheimer's or other dementias.
Appropriately Uses Anti-Anxiety Medication
In The Elms Center, 14.9% of Patients use Anti-Anxiety Medication
This metric indicates the percent of long-term care residents who were prescribed antianxiety medication. These drugs are typically used to treat patients experiencing depression and anxiety.
Managing Depression Among Residents
In The Elms Center, 6.23% of Patients
This is a measure of the percentage of long-term care patients exhibiting depressive symptoms.
Appropriate Vaccine Usage
In The Elms Center, 94.94% of Patients
This metric is a measure of the percent of long-term patients who were vaccinated against pneumonia and flu.
Residents Maintain Autonomy
In The Elms Center, 18.44% Percentage of Patients
This metric is a measure of the percent of long-term care patients that needed additional assistance with activities of daily living over time. ADL's include activities such as taking medications and taking a bath. Some experts argue this is a measure of a patient's well-being.
Ability to Keep Residents Mobile
In The Elms Center, 18.81% Percentage of Residents
This metric is a measure of the percent of long-term care patients who retained mobility levels.
Hospitalizations
In The Elms Center, 1.55 Hospitalizations per 1,000 resident days
This is the number of hospitalizations per thousand days of care.
Short-term Care: Rehospitalizations
In The Elms Center, 18.81 Percentage of Residents Rehospitalized
This is the number of rehospitalizations per 1,000 days of short-term care. There is typically a correlation between having fewer hospitalizations and a nursing home's quality of short-term rehabilitation.
Short-term Care: ER Visits
In The Elms Center, 13.79 Percentage of Patients
This indicates the number of times residents are sent to the emergency room per thousand days of short-term care. There is typically a correlation between fewer emergency room visits and the overall quality of nursing home care.
Short-term Care: Facilitates Functional Improvement
In The Elms Center, 81.87% Percentage of Resident
Measures the percent of short-term stay residents that saw functional improvements, such as with activities of daily living. Many believe that this is a reasonable measure of rehabilitation services.
Nearby Hospitals
- St Joseph HospitalAcute Care Hospitals 10.6 miles away172 Kinsley St Nashua New Hampshire 03060Voluntary non-profit - Other(603) 882-3000
- Southern Nh Medical CenterAcute Care Hospitals 11.18 miles away8 Prospect Street Nashua New Hampshire 03060Voluntary non-profit - Private(603) 577-2000
- Catholic Medical CenterAcute Care Hospitals 14.34 miles away100 Mcgregor Street Manchester New Hampshire 03102Voluntary non-profit - Private(603) 668-3545
- Monadnock Community HospitalCritical Access Hospitals 14.52 miles away452 Old Street Road Peterborough New Hampshire 03458Proprietary(603) 924-7191
- Elliot HospitalAcute Care Hospitals 15.23 miles away1 Elliot Way Manchester New Hampshire 03103Voluntary non-profit - Private(603) 669-5300
- Parkland Medical CenterAcute Care Hospitals 17.24 miles away1 Parkland Drive Derry New Hampshire 03038Proprietary(603) 421-2100
- Nashoba Valley Medical CenterAcute Care Hospitals 18.57 miles away200 Groton Road Ayer Massachusetts 01432Proprietary(978) 784-9000
Nearby Dialysis
- Fresenius Medical Care Southern Nh Dialysis Center1.91 miles away586 Nashua St Unit #20 Milford New Hampshire 03055Dialysis Stations: 13 (603) 672-6678
- Bio-Medical Applications of New Hampshire, Inc.8.15 miles away20 Cotton Road Suite 200 Nashua New Hampshire 03063Dialysis Stations: 21 (603) 577-4547
- Davita Nashua Dialysis11.19 miles away38 Tyler Street Nashua New Hampshire 03061CMS Rating: 4 stars Dialysis Stations: 22 (603) 598-1665
- Bedford Dialysis Davita11.43 miles away15 Constitution Dr, Suite 1c Bedford New Hampshire 03110Dialysis Stations: 13 (603) 471-1904
- Fresenius Medical Care Londonderry13.04 miles away1f Common Drive Londonderry New Hampshire 03053Dialysis Stations: 13 (603) 434-4517
- Davita Derry Dialysis13.04 miles away1 Action Blvd suite2 Londonderry New Hampshire 03053Dialysis Stations: 13 (603) 421-9724
- Davita Manchester Dialysis14.88 miles away903 Hanover Street Manchester New Hampshire 03104Dialysis Stations: 10 (603) 621-4903
- Manchester Kidney Center15.3 miles away1750 Elm Street Suite 100 Manchester New Hampshire 03103CMS Rating: 3 stars Dialysis Stations: 20 (603) 647-4042