PlainNursing
2026 data Public-data reference. official source

VILLAS AT SUNNY ACRES, THE

Open-data reference.

VILLAS AT SUNNY ACRES, THE is a for profit - corporation facility in THORNTON, CO with 160 certified beds and a 4-star overall CMS rating. The facility has 32 deficiency records on file. Total penalties: $20K.

2501 E 104TH AVE, THORNTON, CO 80233

Phone: 3032554100

Overall Rating

4/5

Health Inspection

3/5

Staffing

3/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
065108
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
160
Residents
145
In Hospital
No
County
Adams
Last Inspection
Apr 3, 2025

Staffing Data

RN Hours
0.57 (nat'l avg: 0.68)
LPN Hours
0.52
CNA Hours
1.91
Total Nursing Hours
3.01 (nat'l avg: 3.89)
PT Hours
0.10
Nursing Turnover
30.3%
RN Turnover
18.8%

What the CMS Record Reveals About VILLAS AT SUNNY ACRES, THE

VILLAS AT SUNNY ACRES, THE operates 160 certified beds in THORNTON, CO with approximately 145 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (3★), staffing levels (3★), and quality measures (5★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 32 deficiency records from recent surveys, of which 4 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $20K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.01 total nursing hours per resident day (national average 3.89), with RN coverage at 0.57 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, VILLAS AT SUNNY ACRES, THE falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 30.3%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (32 most recent)

D — Isolated - Minimal harm Apr 3, 2025 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: May 2, 2025

D — Isolated - Minimal harm Apr 3, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: May 2, 2025

E — Pattern - Minimal harm Apr 3, 2025 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: May 2, 2025

D — Isolated - Minimal harm Apr 3, 2025 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: May 2, 2025

D — Isolated - Minimal harm Apr 3, 2025 Tag: 0744

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Category: Quality of Life and Care Deficiencies

Corrected: May 2, 2025

D — Isolated - Minimal harm Apr 3, 2025 Tag: 0698

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: May 2, 2025

D — Isolated - Minimal harm Apr 3, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: May 2, 2025

D — Isolated - Minimal harm Apr 3, 2025 Tag: 0678

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Category: Quality of Life and Care Deficiencies

Corrected: May 2, 2025

D — Isolated - Minimal harm Apr 3, 2025 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: May 2, 2025

D — Isolated - Minimal harm Mar 11, 2024 Tag: 0624

Prepare residents for a safe transfer or discharge from the nursing home.

Category: Resident Rights Deficiencies

Corrected: Apr 4, 2024

D — Isolated - Minimal harm Mar 11, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Apr 4, 2024

D — Isolated - Minimal harm Mar 11, 2024 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 4, 2024

G — Isolated - Actual harm Mar 11, 2024 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 4, 2024

G — Isolated - Actual harm Mar 11, 2024 Tag: 0691

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 4, 2024

G — Isolated - Actual harm Mar 11, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 4, 2024

D — Isolated - Minimal harm Mar 11, 2024 Tag: 0685

Assist a resident in gaining access to vision and hearing services.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 4, 2024

D — Isolated - Minimal harm Mar 11, 2024 Tag: 0603

Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Apr 4, 2024

D — Isolated - Minimal harm Mar 11, 2024 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Apr 4, 2024

E — Pattern - Minimal harm Mar 11, 2024 Tag: 0575

Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.

Category: Resident Rights Deficiencies

Corrected: Apr 4, 2024

D — Isolated - Minimal harm Mar 11, 2024 Tag: 0557

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Category: Resident Rights Deficiencies

Corrected: Apr 4, 2024

D — Isolated - Minimal harm Apr 6, 2023 Tag: 0825

Provide or get specialized rehabilitative services as required for a resident.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 25, 2023

D — Isolated - Minimal harm Apr 6, 2023 Tag: 0572

Give residents a notice of rights, rules, services and charges.

Category: Resident Rights Deficiencies

Corrected: Apr 25, 2023

E — Pattern - Minimal harm Apr 6, 2023 Tag: 0561

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Category: Resident Rights Deficiencies

Corrected: Apr 25, 2023

D — Isolated - Minimal harm Feb 16, 2023 Tag: 0887

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Category: Infection Control Deficiencies

Corrected: Mar 17, 2023

F — Widespread - Minimal harm Feb 16, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 17, 2023

E — Pattern - Minimal harm Dec 5, 2022 Tag: 0744

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 26, 2022

G — Isolated - Actual harm Dec 5, 2022 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 26, 2022

D — Isolated - Minimal harm Dec 5, 2022 Tag: 0679

Provide activities to meet all resident's needs.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 26, 2022

E — Pattern - Minimal harm Dec 5, 2022 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Dec 26, 2022

E — Pattern - Minimal harm Dec 5, 2022 Tag: 0585

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Category: Resident Rights Deficiencies

Corrected: Dec 26, 2022

E — Pattern - Minimal harm Dec 5, 2022 Tag: 0584

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Category: Resident Rights Deficiencies

Corrected: Dec 26, 2022

D — Isolated - Minimal harm Dec 5, 2022 Tag: 0578

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.

Category: Resident Rights Deficiencies

Corrected: Dec 26, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 14.6% Yes
Percentage of long-stay residents who lose too much weight Long Stay 6.7% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.6% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.6% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 12.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 2.2% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 93.7% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 98.9% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.5% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 18.3% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 12.7% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 88.2% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 23.6% No
Percentage of long-stay residents with pressure ulcers Long Stay 2.3% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 31.4% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 28.6% Yes

Penalty History 1 penalties totaling $20K

Date Type Amount
Mar 11, 2024 Fine $20K

Frequently Asked Questions

What is the overall CMS rating for VILLAS AT SUNNY ACRES, THE?
VILLAS AT SUNNY ACRES, THE has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (3★), staffing levels (3★), and quality measures (5★).
What are the staffing levels at VILLAS AT SUNNY ACRES, THE?
VILLAS AT SUNNY ACRES, THE reports 3.01 total nursing hours per resident day (national average: 3.89). RN hours are 0.57 per resident day (national average: 0.68). Nursing staff turnover is 30.3%.
How many beds does VILLAS AT SUNNY ACRES, THE have?
VILLAS AT SUNNY ACRES, THE has 160 certified beds with approximately 145 residents. The facility is located at 2501 E 104TH AVE, THORNTON, CO 80233.
Does VILLAS AT SUNNY ACRES, THE have any deficiencies on record?
Yes, VILLAS AT SUNNY ACRES, THE has 32 deficiencies on record from recent inspections. Of these, 4 are classified as causing actual harm or jeopardy.
Has VILLAS AT SUNNY ACRES, THE received any fines or penalties?
Yes, VILLAS AT SUNNY ACRES, THE has received 1 penalties totaling $20K.
Who owns VILLAS AT SUNNY ACRES, THE?
VILLAS AT SUNNY ACRES, THE is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was VILLAS AT SUNNY ACRES, THE last inspected?
The most recent health inspection for VILLAS AT SUNNY ACRES, THE was on Apr 3, 2025. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for VILLAS AT SUNNY ACRES, THE?
VILLAS AT SUNNY ACRES, THE is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial