Nursing Care Index

Sunny Acres Skilled Nursing And Rehabilitation Ctr

Chelmsford, Middlesex County, Massachusetts · CCN 225494 · For-profit (LLC) · not part of a chain

CMS rates Sunny Acres Skilled Nursing And Rehabilitation Ctr 4 of 5 overall as of August 2026. 93 certified beds, 78 residents a day on average. 23 citations on record from the current inspection cycles; no fines on record.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★★★☆ 4 of 5
Health inspections★★★★☆ 4 of 5
Staffing★★☆☆☆ 2 of 5
Quality measures★★★★☆ 4 of 5
Quality: long-stay / short-stay3 / 4 of 5

Staffing

Total nurse staffing3.33408 hours per resident per day
Registered nurses0.50594 hours per resident per day
Weekend total2.92947 hours per resident per day
Nursing staff turnover41.7% (registered nurses 50%)
Administrators who left0

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2025-05-06 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · tag F0690
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-06-13
2025-05-06 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.
Pharmacy Service Deficiencies · tag F0761
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-06-13
2025-05-06 Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · tag F0883
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-06-13
2024-06-26 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.
Resident Rights Deficiencies · tag F0578
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-08-02
2024-06-26 Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · tag F0658
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-08-02
2024-06-26 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-08-02
2024-06-26 Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services Deficiencies · tag F0727
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-08-02
2024-06-26 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-08-02
2023-02-27 Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection Control Deficiencies · tag F0882
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2023-04-12
2023-02-27 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-04-12
2023-02-27 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-04-12
2023-02-27 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · tag F0580
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-04-12
2023-02-27 Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies · tag F0636
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-04-12
2023-02-27 Assure that each resident’s assessment is updated at least once every 3 months.
Resident Assessment and Care Planning Deficiencies · tag F0638
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-04-12
2023-02-27 Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies · tag F0640
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-04-12
2023-02-27 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · tag F0641
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-04-12
2023-02-27 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-04-12
2023-02-27 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · tag F0657
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-04-12
2023-02-27 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-04-12
2023-02-27 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · tag F0690
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-04-12
2023-02-27 Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · tag F0692
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-04-12
2023-02-27 Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · tag F0760
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-04-12
2023-02-27 Perform COVID19 testing on residents and staff.
Infection Control Deficiencies · tag F0886
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-04-12

Fines and payment denials

No fines or payment denials on record since 2023.

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Greystone Cre Notes 2024-Hc3, LLC
Organization
5% or greater mortgage interest2023-12-01
Baker Tilly Advisory Group Lp
Organization
adp of the snf2025-01-07
Baker Tilly US LLP
Organization
adp of the snf2025-02-17
Ef And Associates LLC
Organization
adp of the snf2023-12-01
Ef Investment Company LLC
Organization
adp of the snf2023-12-01
Ef LLC
Organization
adp of the snf2023-12-01
Ef Senior Living Management LLC
Organization
adp of the snf2023-12-01
Efsaic LLC
Organization
adp of the snf2023-12-01
Mathew Muratore Revocable Trust
Organization
adp of the snf2023-12-01
Michael J. Nickolaus And Tracy Nickolaus Revocable Trust
Organization
adp of the snf2023-12-01
Patrick J. Flaherty Living Trust Dated June 17, 2021
Organization
adp of the snf2023-12-01
Sunny Acres Propco LLC
Organization
adp of the snf2023-12-01
The Eisenstein Family Trust
Organization
adp of the snf2023-12-01
Twomagnets LLC
Organization
adp of the snf2023-03-26
Ef Senior Living Management LLC
Organization
operational/managerial control2023-12-01
Eisenstein, Robert
Individual
5% or greater direct ownership interest100%2023-12-01
Eaton, Shirley
Individual
5% or greater security interest2023-12-01
Bain, Karen
Individual
adp of the snf2023-12-01
Bertos, Michael
Individual
adp of the snf2014-01-01
Eisenstein, Robert
Individual
adp of the snf2023-12-01
Flaherty, Patrick
Individual
adp of the snf2023-12-01
Kaufman, Danielle
Individual
adp of the snf2023-12-01
Mcguire, Francis
Individual
adp of the snf2021-08-02
Muratore, Mathew
Individual
adp of the snf2023-12-01
Nickolaus, Michael
Individual
adp of the snf2023-12-01
Veno, Joseph
Individual
adp of the snf2023-12-01
Flaherty, Patrick
Individual
corporate officer2023-12-01
Flaherty, Patrick
Individual
individual is an owner, partner or trustee of any adp of the snf2025-12-02
Bain, Karen
Individual
operational/managerial control2023-12-01
Bertos, Michael
Individual
operational/managerial control2014-01-01
Eisenstein, Robert
Individual
operational/managerial control2023-12-01
Kaufman, Danielle
Individual
operational/managerial control2023-12-01
Mcguire, Francis
Individual
operational/managerial control2021-08-02
Veno, Joseph
Individual
operational/managerial control2023-12-01

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Middlesex County.