Sunny Acres Skilled Nursing and Rehabilitation Ctr

Name: Sunny Acres Skilled Nursing and Rehabilitation Ctr
Address: 254 BILLERICA ROAD, Chelmsford, MA, 01824, US
Telephone: 9782560231

254 Billerica Road, Chelmsford, MA 01824 · Middlesex County · 93 certified beds · avg 78 residents/day · certified since Jul 1, 1990

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.15

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (23)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
May 6, 2025	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
May 6, 2025	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
May 6, 2025	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Jun 26, 2024	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Jun 26, 2024	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Jun 26, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Jun 26, 2024	D · Potential for harm, one-off	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing.
Jun 26, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Feb 27, 2023	F · Potential for harm, facility-wide	The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program.
Feb 27, 2023	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Feb 27, 2023	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Feb 27, 2023	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Feb 27, 2023	D · Potential for harm, one-off	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that.
Feb 27, 2023	D · Potential for harm, one-off	The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition.
Feb 27, 2023	D · Potential for harm, one-off	The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require.
Feb 27, 2023	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Feb 27, 2023	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Feb 27, 2023	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Feb 27, 2023	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Feb 27, 2023	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Feb 27, 2023	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Feb 27, 2023	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Feb 27, 2023	D · Potential for harm, one-off	The facility did not perform required COVID-19 testing on residents and staff.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (5 → 3).

Year	Citations	Worst severity that year
2023	15	F
2024	5	D
2025	3	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Massachusetts avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.15	3.89	3.95	bottom 13% in Massachusetts; bottom 19% in the U.S.
Registered Nurse hours	0.48	0.65	0.69	bottom 27% in Massachusetts; bottom 34% in the U.S.
Weekend total nurse staffing	2.77	3.51	3.50	bottom 10% in Massachusetts; bottom 19% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.20	0.46	0.48	bottom 10% in Massachusetts; bottom 13% in the U.S.
Total nursing staff turnover (%)	41.7	38.2	45.8	bottom 35% in Massachusetts; top 41% in the U.S.
RN turnover (%)	50.0	42.6	42.9	bottom 37% in Massachusetts; bottom 39% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.33, RN 0.51, weekend 2.93. Staffing rating: 2/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 3/5 · short-stay residents: 4/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Eisenstein, Robert	Individual	5% or Greater Direct Ownership Interest	100%	12/01/2023
Bain, Karen	Individual	Operational/Managerial Control	NOT APPLICABLE	12/01/2023
Bain, Karen	Individual	ADP of the SNF	NOT APPLICABLE	12/01/2023
Baker Tilly Advisory Group LP	Organization	ADP of the SNF	NOT APPLICABLE	01/07/2025
Baker Tilly Us LLP	Organization	ADP of the SNF	NOT APPLICABLE	02/17/2025
Bertos, Michael	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2014
Bertos, Michael	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2014
Eaton, Shirley	Individual	5% or Greater Security Interest	NOT APPLICABLE	12/01/2023
Ef and Associates LLC	Organization	ADP of the SNF	NOT APPLICABLE	12/01/2023
Ef Investment Company LLC	Organization	ADP of the SNF	NOT APPLICABLE	12/01/2023
Ef LLC	Organization	ADP of the SNF	NOT APPLICABLE	12/01/2023
Ef Senior Living Management LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	12/01/2023
Ef Senior Living Management LLC	Organization	ADP of the SNF	NOT APPLICABLE	12/01/2023
Efsaic LLC	Organization	ADP of the SNF	NOT APPLICABLE	12/01/2023
Eisenstein, Robert	Individual	Operational/Managerial Control	NOT APPLICABLE	12/01/2023
Eisenstein, Robert	Individual	ADP of the SNF	NOT APPLICABLE	12/01/2023
Flaherty, Patrick	Individual	Corporate Officer	NOT APPLICABLE	12/01/2023
Flaherty, Patrick	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	12/02/2025
Flaherty, Patrick	Individual	ADP of the SNF	NOT APPLICABLE	12/01/2023
Greystone Cre Notes 2024-HC3, LLC	Organization	5% or Greater Mortgage Interest	NOT APPLICABLE	12/01/2023

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How many hours a day is a registered nurse physically in the building, including weekends?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Life Care Center of Merrimack Valley	1.4 mi	Billerica, MA	★★☆☆☆	2/5
New England Pediatric Care	1.4 mi	North Billerica, MA	★★★★★	5/5
Palm Springs Post Acute	2.4 mi	Chelmsford, MA	★★☆☆☆	2/5
Regalcare at Lowell	2.7 mi	Lowell, MA	★☆☆☆☆	1/5
Vantage at Lowell LLC	3.2 mi	Lowell, MA	★★☆☆☆	2/5
Fairhaven Healthcare Center	3.5 mi	Lowell, MA	★★☆☆☆	2/5
D'youville Senior Care	3.8 mi	Lowell, MA	★☆☆☆☆	1/5
Northwood Rehabilitation & Healthcare Center	3.9 mi	Lowell, MA	★☆☆☆☆	1/5
Care One at Lowell	4.0 mi	Lowell, MA	★★★☆☆	3/5
D'youville Care for Advanced Therapy	4.0 mi	Lowell, MA	★★★★★	5/5
Blaire House of Tewksbury	4.4 mi	Tewksbury, MA	★☆☆☆☆	1/5	SFF
Westford Nursing and Rehabilitation Center	6.2 mi	Westford, MA	★★★★☆	4/5

Compare this facility with the 3 closest →

All facilities in Chelmsford →

Facility data as of CMS processing date 2026-08-01. CCN 225494.

The Care File

Visit checklist — Sunny Acres Skilled Nursing and Rehabilitation Ctr

254 Billerica Road, Chelmsford, MA 01824 · 9782560231

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How many hours a day is a registered nurse physically in the building, including weekends?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 225494 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)