With a score of 18/100, The Elms Center ranks in the bottom tier of New Hampshire nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.
Staffing levels are a potential concern at The Elms Center, with 3.00 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.
Recent inspections identified 21 deficiencies at The Elms Center. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.00 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.64 | 0.7 | Average |
| Licensed Practical Nurses (LPN) | 0.67 | 0.7 | Average |
| Certified Nursing Assistants (CNA) | 1.68 | 2.4 | Below Average |
| Weekend Total Nursing | 2.38 | 3.8 | Below Average |
| Weekend RN Hours | 0.27 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0880 Severity FProvide and implement an infection prevention and control program.Jan 9, 2025 · Infection Control Deficiencies
- Tag 0552 Severity DEnsure that residents are fully informed and understand their health status, care and treatments.Jan 9, 2025 · Resident Rights Deficiencies
- Tag 0578 Severity DHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, andJan 9, 2025 · Resident Rights Deficiencies
- Tag 0657 Severity DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Jan 9, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0761 Severity DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiJan 9, 2025 · Pharmacy Service Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 7.8% | 4.5% | Worse |
| Falls with major injury | 3.7% | 3.0% | Worse |
| On antipsychotic medication | 16.0% | 14.5% | Worse |
| Urinary tract infections | 3.2% | 2.5% | Worse |
| ADL decline (daily activities) | 25.6% | 14.0% | Worse |
| Excessive weight loss | 4.6% | 7.5% | Better |
| New/worsened incontinence | 28.5% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $9,770
How This Grade Was Calculated
This facility's grade of F is based on a score of 18 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -0 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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