THE ELMS CENTER in MILFORD, NH was fined $9,770 by CMS following 21 deficiency citations identified during federal surveys.

THE ELMS CENTER (MILFORD, NH) — $9,770 in CMS Fines

Outcome: THE ELMS CENTER in MILFORD, NH was fined $9,770 by CMS following 21 deficiency citations identified during federal surveys.

Deficiency areas cited:

• Ensure that residents are fully informed and understand their health status, care and treatments.


• 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.


• Assess the resident when there is a significant change in condition


• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.


• Post nurse staffing information every day.


• 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.


• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.


• 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.