The Elms Center
71 Elm Street, Milford NH 03055 · (603) 673-2907 · 93.26% estimated occupancy 1Updated: Aug 1, 2020 · By Sara Levinsohn
The Elms Center is a small nursing home located in Milford, New Hampshire. We gave this facility an overall grade of C. A score of this caliber requires some decent scores. Based on our ratings, there are definitely much worse places out there. The best part of this facility's profile was its remarkable inspection score. Inspection grades are discussed in the next section.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 52 Beds
CCRC :
For profit - Corporation
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
While this nursing home's overall grade was not bad, it really excelled in the area of inspections. In fact, we awarded it a grade of A+ for that category, which is one of our highest scores. Inspection grades take several factors into consideration, including deficiencies and federal fines. You can learn more about each of these items by obtaining copies of nursing homes' inspection reports. While this nursing home had some minor dings on its inspection report, it had zero severe deficiencies. Severe deficiencies are ones labeled as categories G through L. This tells you that CMS did not consider any of the deficiencies on this facility's report to pose an imminent threat to patient health or safety. Finally, this facility had no substantiated complaints this year from residents, which is always a good sign.
Long-term Care Quality
Another one of this nursing home's better category scores came in the category of long-term care. In that area, we gave this facility a B. It actually outpaced most facilities in this category. When nursing homes receive a score in this range in long-term care it generally means it has plenty of staff and is a quality place to reside on a permanent basis. In addition to looking at the amount of care provided by nurses aids and other staff, we analyzed the number of residents vaccinated against pneumonia. This facility vaccinated 98.35165 percent of its residents. Vaccines are vital to keeping residents out of the hospital. This nursing home was also able to keep its patients out of the hospital. It had just 1.15 hospitalizations per one thousand long-term resident days, which is a substantially lower hospitalization rate than most nursing homes.
Short-term Care Quality
This facility was given its next highest category grade in the category of short-term care. We awarded this nursing home a C in this category, which is a decent score. In the category of short-term care, we try to evaluate indicators of a facility's rehabilitation services. We look at the facility's skilled nursing services, including the ones performed by registered nurses and various therapists. In this facility's case, we were surprised to learn that it actually provides less physical therapist and registered nurse hours per resident than the typical facility. The last item we considered in this area is the number of patients who were able to leave the facility and return to the community. We found that it was respectable in this area with 45.8 percent of its patients returning home.
Nurse Quality
Turning to our fourth area, this nursing home really did not perform very well. With an abysmal grade of F in nursing, this is its worst grade. Our nursing grade assesses the nursing home's level of nurse staffing. We look at both the levels of training of the nurses as well as the quantity of hours spent with patients. This facility provided just 3.2 hours of nursing care per resident per day. This is a very low total compared to most nursing homes. On top of being below average in nursing hours per resident, this facility also had poor marks in the quality-based measures we looked at in computing our nursing scores. We looked at the percentage of residents experiencing pressure ulcers and major falls. This facility was at approximately 150 percent of the national average in both of these statistics. This is a bad sign when you consider that many falls and bed sores are preventable with better nursing care. These statistics pulled down this nursing home's nursing rating significantly.
Overall Rating Over Time
Compared to national and state averages across all facilities.
The Elms Center Quality Metrics
Minimizes Pressure Ulcers
This statistic tells you the percent of long-term care patients who are suffering from new or worsened pressure ulcers. We've found that pressure ulcers are a solid barometer of a facility's nursing care quality.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This tells you the percent of patients that suffered from a major fall. Falls leading to major injury are considered by many in the nursing home industry to be an indicator of nursing care at a nursing home. Major falls are often the result of poor nursing care.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This figure measures the percent of long-term patients who experienced urinary tract infections. UTI's may be an indication of lower quality nursing care. However, this statistic could be skewed for certain nursing homes due to varying reporting standards for infections.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This tells you the percent of residents prescribed antipsychotic medications. These drugs are sometimes used for a variety of conditions, such as Alzheimer's or other dementias.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This indicates the percent of residents given antianxiety drugs. Antianxiety medications are administered to patients experiencing depression and anxiety.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This metric measures the percentage of long-term stay residents exhibiting symptoms of depression. Some experts argue that this is a reliable measure of resident quality of care.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This metric is a measure of the percentage of long-term stay patients that were vaccinated against pneumonia and flu.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This is a measure of the percentage of long-term residents who required increased assistance with activities of daily living over time. Activities of daily living include activities such as taking medications and eating.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This metric measures the percentage of long-term stay patients who remained mobile levels.
Percentage of Residents
Higher is Better
Hospitalizations
Measures the number of hospitalizations per thousand days of patient care. Avoiding the hospital is important to maintaining the physical health of nursing home residents.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This is the number of times residents are rehospitalized per 1,000 days of short-term care. There is typically a correlation between staying out of the hospital and a nursing home's quality of short-term rehabilitation.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This metric tracks the number of emergency room visits per thousand days of short-term patient care.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This tells you the percent of short-term stay residents that experienced functional improvements, such as enhanced ability to perform activities of daily living.
Percentage of Resident
Higher is Better