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C
Below Standard

VILLAS AT SUNNY ACRES, THE

2501 E 104TH AVE · THORNTON, CO 80233

3032554100 · For profit - Corporation

160 beds144.8 residents180 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
B
Good
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

VILLAS AT SUNNY ACRES, THE receives an overall staffing grade of C (Below Standard). With 3.0079 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.5737 HPRD, below the recommended 0.75. It is 0.89 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 20.7% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.0079 HPRD — needs 0.47 more hours per resident per day.
⚠️RN staffing (0.5737 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.0079hrs/resident/day▼ 0.89
CMS benchmark: 3.48
RN HPRD
0.5737hrs/resident/day▼ 0.11
Recommended: 0.75
Weekend Drop-off
20.7%
3.1948 weekday → 2.5334 weekend
⚠ Significant weekend reduction
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.8021hrs/resident/day
Direct care aides
LPN HPRD
0.5245hrs/resident/day
Licensed practical nurses
Consistency
0.3304std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Adams County Average-0.50 HPRD
3.51
03.01 HPRD
vs. Colorado State Average-0.74 HPRD
3.75
03.01 HPRD
vs. National Average-0.89 HPRD
3.90
03.01 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
VILLAS AT SUNNY ACRES, THE ★
THORNTON · This facility
—
C
3.00790.5737★★★★☆
THORNTON CARE CENTER
THORNTON
1.5 mi
C
3.10650.6964★★☆☆☆
MALLEY TRANSITIONAL CARE CENTER
NORTHGLENN
1.6 mi
C
3.28490.6635★★★☆☆
SKYLAKE POST ACUTE
THORNTON
2.4 mi
D
2.98850.5341★★☆☆☆
CENTER AT NORTHRIDGE, LLC, THE
WESTMINSTER
3.1 mi
A
4.51370.9492★★★★★
IRONDALE POST ACUTE
COMMERCE CITY
4.8 mi
C
3.15730.5008★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
32
Total Deficiencies
$19,988
Fines Assessed
Apr 3, 2025Health
9 deficiencies cited
▼
Mar 11, 2024Health
11 deficiencies cited· Includes actual harm
▼
Apr 6, 2023Health
3 deficiencies cited
▼
Feb 16, 2023Health
2 deficiencies cited
▼
Dec 5, 2022Health
7 deficiencies cited· Includes actual harm
▼

Penalty History

Mar 11, 2024Fine
$19,988
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.