Villas at Sunny Acres, the
2501 E 104th Ave, Thornton, CO 80233
Villas at Sunny Acres, the, a 160-bed for profit - corporation nursing facility in Thornton, CO, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #145 of 209 rated homes in CO on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 4 inspection findings reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 3032554100
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- 2 / 5
- Below average · CMS overall · nat'l 3.0
- #145 of 209
- In-state rank among rated CO homes
- 3.06
- Well below average · nurse hrs/day · nat'l 3.86
- 28
- Inspection findings · 4 serious
If a nursing-home resident is in immediate danger, call 911.
For elder abuse or neglect concerns, contact your state's Adult Protective Services (search "APS" + your state) or call the Eldercare Locator at 1-800-677-1116. For facility advocacy, reach your Long-Term Care Ombudsman. CMS ratings and inspection data below are a research screen, not an emergency channel.
The verdict
Villas at Sunny Acres, the, a 160-bed for profit - corporation nursing facility in Thornton, CO, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #145 of 209 rated homes in CO on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 4 inspection findings reached the actual-harm or immediate-jeopardy level.
- 2 / 5
- CMS overall · national 3.0
- #145 of 209
- In-state rank among rated CO homes
- 3.06
- Nurse hrs/resident-day · national 3.86
- 28
- Inspection findings · 4 serious
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 210 CO nursing homes split by ownership sector
This facility is recorded as For profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 065108
- Ownership
- For profit - Corporation
- Provider Type
- Medicare and Medicaid
- Beds
- 160
- Residents
- 143
- In Hospital
- No
- County
- Adams
- Last Inspection
- Apr 3, 2025
Staffing Data
How the 3.06 total nursing hours per resident-day are staffed:
- RN Hours
- 0.58 (nat'l avg: 0.69)
- LPN Hours
- 0.48
- CNA Hours
- 2.01
- Total Nursing Hours
- 3.06 (nat'l avg: 3.86)
- PT Hours
- 0.06
- Nursing Turnover
- 30.6%
- RN Turnover
- 31.6%
What the CMS Record Reveals About Villas at Sunny Acres, the
According to CMS Nursing Home Compare, Villas at Sunny Acres, the ranks #145 of 209 rated nursing homes in CO on overall stars (tie-broken by health+staffing+quality, then fewer fines). Villas at Sunny Acres, the operates 160 certified beds in Thornton, CO with approximately 143 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars (health inspection 2★ · staffing 3★ · quality 4★).
The inspection file contains 28 deficiency records from recent surveys, of which 4 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. CMS enforcement records show 1 penalty totaling $20K levied against this facility. Per resident day, this facility reports 3.06 total nursing hours (national average 3.86) and 0.58 RN hours.
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. Reported nursing staff turnover at this facility is 30.6% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. 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.
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. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
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 the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (28 most recent)
Protect each resident from the wrongful use of the resident's belongings or money.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: May 6, 2026
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: May 2, 2025
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
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
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Category: Quality of Life and Care Deficiencies
Corrected: May 2, 2025
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
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
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
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
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Category: Nutrition and Dietary Deficiencies
Corrected: May 2, 2025
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Apr 4, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 4, 2024
Assist a resident in gaining access to vision and hearing services.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 4, 2024
Prepare residents for a safe transfer or discharge from the nursing home.
Category: Resident Rights Deficiencies
Corrected: Apr 4, 2024
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
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
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
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
Provide enough food/fluids to maintain a resident's health.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 4, 2024
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
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
Provide activities to meet all resident's needs.
Category: Quality of Life and Care Deficiencies
Corrected: Dec 26, 2022
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
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
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
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
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
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
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 28.4% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.8% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.2% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.4% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 27.8% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.5% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 26.3% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.5% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 7.0% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 14.2% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 86.9% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 11.2% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 88.2% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 31.7% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 94.3% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 23.6% | No |
Penalty History 1 penalties totaling $20K
| Date | Type | Amount |
|---|---|---|
| Mar 11, 2024 | Fine | $20K |
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Villas at Sunny Acres, the, both outside CO so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside CO (160 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside CO (3.36 here).
Nearby Nursing Homes in CO
209 other nursing homes are on record in CO; 6 are shown here.
Accel at Longmont Health and Rehab, LLC
Longmont, CO
Adara Living
Broomfield, CO
Advanced Health Care of Aurora
Aurora, CO
Advanced Health Care of Colorado Springs
Colorado Springs, CO
Ahc of Lakewood, LLC
Lakewood, CO
Allison Care Center
Lakewood, CO
Understanding Nursing Home Data
What the CMS records show for Villas at Sunny Acres, the
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The CO registry aggregates state averages and the highest-rated homes in this cohort. View CO registry
- Peer homes near 160 beds show how CMS stars vary at a similar scale in CO. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for Villas at Sunny Acres, the?
Where does Villas at Sunny Acres, the rank among nursing homes in CO?
What are the staffing levels at Villas at Sunny Acres, the?
How many beds does Villas at Sunny Acres, the have?
Does Villas at Sunny Acres, the have any deficiencies on record?
Has Villas at Sunny Acres, the received any fines or penalties?
Who owns Villas at Sunny Acres, the?
When was Villas at Sunny Acres, the last inspected?
What quality measures are tracked for Villas at Sunny Acres, the?
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. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
