Public Record
The Villas at Sunny Acres
From CMS
Facility profile
- CMS overall rating
- 4 / 5
- Certified beds
- 160
- Avg. residents per day
- 147.1
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Citations on record
- 41
- Inspections on file
- 6
- Last inspection
- 2025-04-03
*CMS
*CMS
*CMS
Citations
41 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0500Generalpotential for harm
Meet other general requirements that are deficient.
- 0363Generalpotential for harm
Install corridor and hallway doors that block smoke.
- 0580Generalpotential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- 0677Generalpotential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 0678Generalpotential for harm
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
- 0761Generalpotential for harm
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.
- 0804Generalpotential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0744Generalpotential for harm
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
- 0698Generalpotential for harm
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- 0927Generalpotential for harm
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0531Generalpotential for harm
Have elevators that firefighters can control in the event of a fire.
- 0222Generalpotential for harm
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- 0345Generalpotential for harm
Have approved installation, maintenance and testing program for fire alarm systems.
- 0912Generalpotential for harm
Have power receptacles that are properly grounded.
- 0624Generalpotential for harm
Prepare residents for a safe transfer or discharge from the nursing home.
- 0603Generalpotential for harm
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
- 0685Generalpotential for harm
Assist a resident in gaining access to vision and hearing services.
- 0689Seriousactual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0557Generalpotential for harm
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
- 0575Generalpotential for harm
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.
- 0600Generalpotential for harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- 0691Seriousactual harm
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
- 0692Seriousactual harm
Provide enough food/fluids to maintain a resident's health.
- 0695Generalpotential for harm
Provide safe and appropriate respiratory care for a resident when needed.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0223Generalpotential for harm
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- 0353Generalpotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0362Generalpotential for harm
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- 0541Generalpotential for harm
Install properly constructed and protected linen or trash chutes.
- 0825Generalpotential for harm
Provide or get specialized rehabilitative services as required for a resident.
- 0572Generalpotential for harm
Give residents a notice of rights, rules, services and charges.
- 0561Generalpotential for harm
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- 0578Generalpotential for harm
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.
- 0584Generalpotential for harm
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.
- 0585Generalpotential for harm
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.
- 0600Generalpotential for harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- 0679Generalpotential for harm
Provide activities to meet all resident's needs.
- 0689Seriousactual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0744Generalpotential for harm
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Inspection history
Every health inspection on record
Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.
- View inspection reportInspection15 deficiencies
- View inspection reportInspection15 deficiencies
- View inspection reportInspection16 deficiencies
- View inspection reportInspection16 deficiencies
- View inspection reportInspection3 deficiencies
- View inspection reportInspection7 deficiencies
FAQ
Questions and answers
- What is The Villas at Sunny Acres?
- The Villas at Sunny Acres is a Medicare- and Medicaid-certified nursing home in Thornton, CO, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 065108.
- What is the CMS rating for The Villas at Sunny Acres?
- The Villas at Sunny Acres has a CMS overall rating of 4 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does The Villas at Sunny Acres have?
- The Villas at Sunny Acres is certified for 160 beds. It serves an average of 147.1 residents per day.
- How many citations does The Villas at Sunny Acres have?
- The Villas at Sunny Acres has 41 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was The Villas at Sunny Acres last inspected?
- The Villas at Sunny Acres was last inspected on April 3, 2025. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
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