C

VILLAS AT SUNNY ACRES, THE

2501 E 104TH AVE, THORNTON, CO 80233
Score: 68 / 100

Villas At Sunny Acres, The is an average performer in CMS ratings, earning a C grade with a score of 68/100. Located in Thornton, Colorado, the facility meets baseline standards across most quality metrics.

Staffing levels are a potential concern at Villas At Sunny Acres, The, with 3.01 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 30 deficiencies at Villas At Sunny Acres, The. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 32 / 40 pts
4 ★ CMS rating
Health Inspections 15 / 25 pts
3 ★ inspection rating
Staffing 12 / 20 pts
3 ★ staffing rating
Quality Measures 15 / 15 pts
5 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.01 3.8 Below Average
Registered Nurses (RN) 0.57 0.7 Below Average
Licensed Practical Nurses (LPN) 0.52 0.7 Below Average
Certified Nursing Assistants (CNA) 1.91 2.4 Below Average
Weekend Total Nursing 2.53 3.8 Below Average
Weekend RN Hours 0.43 0.7 Below Average

🔍 Inspection & Deficiency History

30
Total Deficiencies
Apr 2, 2025
Most Recent Inspection
🟠 30 Moderate
View recent deficiencies (5 shown)
  • Tag 0804 Severity E
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    Apr 2, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0677 Severity D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    Apr 2, 2025 · Quality of Life and Care Deficiencies
  • Tag 0678 Severity D
    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advanc
    Apr 2, 2025 · Quality of Life and Care Deficiencies
  • Tag 0689 Severity D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Apr 2, 2025 · Quality of Life and Care Deficiencies
  • Tag 0698 Severity D
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    Apr 2, 2025 · Quality of Life and Care 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 2.3% 4.5% Better
Falls with major injury 2.2% 3.0% Better
On antipsychotic medication 28.6% 14.5% Worse
Urinary tract infections 0.6% 2.5% Better
ADL decline (daily activities) 14.6% 14.0% Average
Excessive weight loss 6.7% 7.5% Better
New/worsened incontinence 31.4% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $19,988

How This Grade Was Calculated

This facility's grade of C is based on a score of 68 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 4★ → 32 pts (max 40)
  • Health Inspection Rating: 3★ → 15 pts (max 25)
  • Staffing Rating: 3★ → 12 pts (max 20)
  • Quality Measures Rating: 5★ → 15 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -1 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Corporation
Certified Beds
160
Provider Type
Medicare and Medicaid
Resident Council
No
Family Council
No
Sprinkler System
Yes
Last Inspection
Apr 2, 2025
Deficiencies (Cycle 1)
9