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The Villas at Sunny Acres
Nursing Home, Assisted Living, Independent Living & Memory Care · Thornton, CO
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Front exterior view of The Villas at Sunny Acres Interior view of a fitness area with exercise equipment Simple resident room with a bed and furniture The Villas at Sunny Acres, Nursing Home in Thornton, CO — Assisted living room with hospital bed and furniture The Villas at Sunny Acres, Nursing Home in Thornton, CO — Fitness equipment in a well-lit activity room

The Villas at Sunny Acres

Nursing Home, Assisted Living, Independent Living & Memory Care · Thornton, CO
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
2515 E 104Th Ave, Thornton, Co 80233- View map Calculator: See prices in your area
The Villas at Sunny Acres accepts Medicare, Medicaid, and private pay.
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The Villas at Sunny Acres accepts Medicare, Medicaid, and private pay.

Overview of The Villas at Sunny Acres

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Operated by Sunny Acres Healthcare LLC, The Villas at Sunny Acres is a skilled nursing and assisted living community in Thornton, Colorado. The community offers three tiers of care: skilled nursing, assisted living, and independent living, making it a flexible option for families whose needs might shift over time. It’s led by Administrator Katie Madigan and Executive Director Lisa Beagle, and takes Medicare, Medicaid, and private pay.

The community is a 36-bed residence with a 92.6 percent occupancy rate, indicating robust local demand. It sits in a moderately walkable neighborhood where some errands can be finished on foot, making it reasonably convenient for visiting family. The average stay length is 88 days, reflecting a mix of short-term rehabilitation stays and longer-term residents. The facility, clinically speaking, offers in-house rehabilitation services and therapy, making it a grounded choice for residents healing from surgery or illness. Daily nursing support totals roughly 3 hours 2 minutes per resident, with care provided by registered nurses, licensed practical nurses, and certified nurse aides. The Villas at Sunny Acres provides religious services, which may be a valuable addition to daily life for residents who cherish that support. The facility serves the Thornton area with a moderate footprint, focused on hands-on care.

An on-site tour, for families exploring choices in northern Colorado, can help determine whether its combination of care levels and therapies aligns with their particular needs.

Facility Direct Line (720) 977-1707
Facility Direct Line (720) 977-1707 contact-VillasSunnyAcres@ensignservices.net
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Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.

Staffing hours breakdown

Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day — compared to state averages

Total nursing care / resident Info Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 2m per day
Rank #177 / 215Nurse hours — State benchmarkedThis home is ranked 177th out of 215 homes in Colorado. Shows adjusted nurse hours per resident per day benchmarked to the Colorado average, with a ranking across 215 Colorado facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Rankings are based only on facilities in Colorado that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. 35m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. 31m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 2h 8m per day
Weekend Total Nursing Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours. 2h 49m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation. 6m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent. 31m per day

Capacity and availability

Avg. Length of Stay
88 days
Bed community size
36-bed community Rank #398 / 533Bed count — State benchmarkedThis home is ranked 398th out of 533 homes in Colorado. Shows this facility's certified or reported bed count compared to other Colorado facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Rankings are based only on facilities in Colorado that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score
Walk Score: 50 / 100 Rank #474 / 872Walk Score — State benchmarkedThis home is ranked 474th out of 872 homes in Colorado. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Colorado facilities. Higher scores benefit residents, families, and staff.Rankings are based only on facilities in Colorado that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
BBB Rating
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work

About this community

Occupancy

Occupancy rate
93%
Rank #22 / 221Occupancy rate — State benchmarkedThis home is ranked 22nd out of 221 homes in Colorado. Shows this facility's occupancy rate versus the Colorado average, with its Statewide rank out of 221. Higher occupancy signals strong local demand and financial stability.Rankings are based only on facilities in Colorado that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Higher than the Colorado average: 76.5%
Occupied beds
33 / 36
Average occupied beds in Colorado homes 72 beds

License Details

Facility TypeAssisted Living Residence/alternative Care Facility (medicaid)
StatusActive

Ownership & Operating Entity

The Villas at Sunny Acres is administered by Katie Madigan.

Owner NameSunny Acres Healthcare LLC

Staffing

Key information about the people who lead and staff this community.

Leadership

ContactMs. Lisa Beagle, Executive Director

Payment & Insurance

1 service
Accept Medicare

Therapy & Rehabilitation

1 service
Rehabilitation Services

Amenities & Lifestyle

Specific ProgramsIn-house Therapy
Religious Services

Contact The Villas at Sunny Acres

Inspection History

In Colorado, the Department of Public Health and Environment, Health Facilities Division is the regulatory body that performs unannounced surveys and publishes facility inspection findings.

Show Inspection Reports

Health Inspection History

Inspections since 2022
Total health inspections 5

State average N/A

Last Health inspection on Apr 2025

Total health citations
32 Rank #159 / 221Health citations — State benchmarkedThis home is ranked 159th out of 221 homes in Colorado. Shows this facility's total health deficiency citations benchmarked to the Colorado State average, with a ranking across all 221 CO facilities. Lower citation counts earn a better rank.Rankings are based only on facilities in Colorado that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
6.4 Rank #162 / 221Citations per inspection — State benchmarkedThis home is ranked 162nd out of 221 homes in Colorado. Shows average deficiency citations per CMS inspection for this facility versus the Colorado mean across 221 facilities with citation data. Lower is better.Rankings are based only on facilities in Colorado that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

24 of 32 citations resulted from standard inspections; 5 of 32 resulted from complaint investigations; and 3 of 32 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 4 years)
Critical health citations
0
In line with State average

State average: N/A

Serious health citations
4
In line with State average

State average: N/A

0 critical citations State average: N/A
4 serious citations State average: N/A
28 moderate citations State average: N/A
0 minor citations State average: N/A
Citations history (last 4 years)
Infection Control moderate citation Apr 03, 2025
Corrected
Nutrition moderate citation Apr 03, 2025
Corrected
Pharmacy moderate citation Apr 03, 2025
Corrected
Quality of Care moderate citation Apr 03, 2025
Corrected

Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 182
Employees 182
Contractors 0
Staff to resident ratio 1.21 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 81
Average shift 7.7 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 57,341

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 18 RN Staff are full-time employees. No contractors work on this role. 18
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.4 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 18 LPN Staff are full-time employees. No contractors work on this role. 18
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 80 CNA Staff are full-time employees. No contractors work on this role. 80
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.2 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors 0% — all staff are direct employees this quarter

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant8008025,20192100%7.2
Registered Nurse180186,59292100%9.4
Licensed Practical Nurse180185,29292100%9
Other Dietary Services Staff110113,02492100%6.8
Dental Services Staff6062,8497278%7.9
Medication Aide/Technician9092,2819098%7.9
RN Director of Nursing3031,7156672%9
Respiratory Therapy Technician4041,4628087%7.4
Nurse Aide in Training6061,4405661%7.1
Speech Language Pathologist5051,1349098%6.7
Physical Therapy Assistant5051,0938087%7.5
Qualified Social Worker3031,0656571%7
Physical Therapy Aide4048917885%6.8
Clinical Nurse Specialist4047107582%8.2
Nurse Practitioner1015586267%9
Administrator1015286672%8
Dietitian1015136672%7.8
Physical Therapist1014946368%7.8
Occupational Therapy Aide1014886166%8
Occupational Therapy Assistant1011233%4.1
80 Certified Nursing Assistant
% of Days 100%
18 Registered Nurse
% of Days 100%
18 Licensed Practical Nurse
% of Days 100%
11 Other Dietary Services Staff
% of Days 100%
6 Dental Services Staff
% of Days 78%
9 Medication Aide/Technician
% of Days 98%
3 RN Director of Nursing
% of Days 72%
4 Respiratory Therapy Technician
% of Days 87%
6 Nurse Aide in Training
% of Days 61%
5 Speech Language Pathologist
% of Days 98%
5 Physical Therapy Assistant
% of Days 87%
3 Qualified Social Worker
% of Days 71%
4 Physical Therapy Aide
% of Days 85%
4 Clinical Nurse Specialist
% of Days 82%
1 Nurse Practitioner
% of Days 67%
1 Administrator
% of Days 72%
1 Dietitian
% of Days 72%
1 Physical Therapist
% of Days 68%
1 Occupational Therapy Aide
% of Days 66%
1 Occupational Therapy Assistant
% of Days 3%
View All Staffing Data

Penalties and fines

Includes penalties issued in 2024

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $26K Rank #132 / 221Federal fines — State benchmarkedThis home is ranked 132nd out of 221 homes in Colorado. Shows this facility's cumulative CMS federal fine dollars versus the Colorado average among facilities with fines, and where it ranks among 221 facilities in the pool. Lower total dollars mean a better rank.Rankings are based only on facilities in Colorado that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
33% lower than State average

State average: $40K

Number of fines 2
10% fewer fines than State average

State average: 2.2

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than State average

State average: 0.3

Fines amount comparison
Fines amount comparison
This facility $26K
State average $40K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

1 penalty in the past 3 years

Mar 11, 2024 · $20K

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Mar 11, 2024
$20K

Last updated: Jan 2026

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 7.7
15% better than State average

State average: 9.0

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 18.4
In line with State average

State average: 18.8

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 10.9%
32% better than State average

State average: 16.0%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 15.4%
9% better than State average

State average: 17.0%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 28.8%
24% worse than State average

State average: 23.2%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 3.0%
11% better than State average

State average: 3.3%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 2.5%
35% better than State average

State average: 3.9%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.8%
44% better than State average

State average: 1.4%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 6.5%
25% worse than State average

State average: 5.2%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 8.6%
19% worse than State average

State average: 7.2%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 22.6%
20% worse than State average

State average: 18.8%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.4%
In line with State average

State average: 93.3%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 88.2%
7% worse than State average

State average: 94.7%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.4%
30% better than State average

State average: 76.6%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.7%
22% worse than State average

State average: 1.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 23.6%
69% worse than State average

State average: 75.6%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

Breakdown by payment type

Medicare

19% of new residents, usually for short-term rehab.

Typical stay 25 days

Private pay

69% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

12% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 150
Medicare
6
4% of residents
Medicaid
111
74% of residents
Private pay or other
33
22% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Family Member Group

Family members meet regularly to discuss policies, care quality, and activities

CCRC

Part of a Continuing Care Retirement Community offering multiple care levels

Active Family Council

Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$19.7M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$2.0M
For-profit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$19.7M Rank #21 / 221Revenue — State benchmarkedThis home is ranked 21st out of 221 homes in Colorado. Shows this facility's annual revenue compared to the Colorado average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in Colorado that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$2.0M
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$39.4K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #11 / 221Payroll — State benchmarkedThis home is ranked 11th out of 221 homes in Colorado. Shows total annual staff payroll benchmarked to the Colorado average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Colorado that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$11.9M 60.5% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #109 / 221Payroll % — State benchmarkedThis home is ranked 109th out of 221 homes in Colorado. Shows payroll as a percentage of revenue versus the Colorado average. Well-run Colorado facilities typically land around 59–66% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Colorado that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$5.7M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$17.6M
How we calculate these figures

This home is administered by Katie Madigan.

This home is owned by Hugo Ramirez Sanchez

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 65108

Show certification details

Who this home usually serves

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

Most new residents arrive under private pay (69% of admissions), and a typical private pay stay runs around 1 - 2 months.

Admissions
617 total

Coverage residents most often arrive under.

Medicare 19%
Private pay 69%
Medicaid 12%
Discharges
612 total

Coverage residents most often leave under.

Medicare 14%
Private pay 74%
Medicaid 12%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near The Villas at Sunny Acres

Address 2.6 miles from city center Info Estimated distance in miles from Thornton's city center to The Villas at Sunny Acres's address, calculated via Google Maps.

Calculate Travel Distance to The Villas at Sunny Acres

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Frequently Asked Questions about The Villas at Sunny Acres

Who is the owner of The Villas at Sunny Acres?

The legal owner and operator of The Villas at Sunny Acres is Sunny Acres Healthcare Llc.

Is The Villas at Sunny Acres in a walkable area?

The Villas at Sunny Acres has a walk score of 50. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the occupancy rate at The Villas at Sunny Acres?

The Villas at Sunny Acres's occupancy is 93%.

Does The Villas at Sunny Acres operate as a for-profit or non-profit?

The Villas at Sunny Acres is registered as a for-profit in CO.

Who is the administrator of The Villas at Sunny Acres?

Katie Madigan is the administrator of The Villas at Sunny Acres.

How many beds does The Villas at Sunny Acres have?

The Villas at Sunny Acres has 36 beds.

Are there photos of The Villas at Sunny Acres?

Yes — there are 5 photos of The Villas at Sunny Acres in the photo gallery on this page.

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