Villas at Sunny Acres, the

Nursing Home · Thornton, CO

CMS overall rating 2/5 Abuse citation For profit - Corporation

CMS certification number065108
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).

Contact & location

2501 E 104Th Ave
Thornton, CO 80233
Adams County
Phone
(303) 255-4100
ZIP code
80233 – all care providers

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Facility details

Certified beds
160
Residents per day
143.2 (90% occupied)
Ownership
For profit - Corporation
Legal name
Sunny Acres Healthcare LLC
Chain
The Ensign Group (342 facilities, avg 3.2★)
Medicare certified since
December 30, 1969
Participates in
Medicare and Medicaid
Continuing care
Part of a continuing care retirement community
Council
Both council

CMS star ratings

Overall★★★★★ 2/5
State avg 3.1
Health inspections★★★★★ 2/5
State avg 2.7
Staffing★★★★★ 3/5
State avg 3.1
Quality measures★★★★★ 4/5
State avg 4.1
Long-stay quality★★★★★ 4/5
Short-stay quality★★★★★ 3/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.06 (state 3.72 · U.S. 3.86)
Registered nurses (RN)
0.58 (state 0.82 · U.S. 0.69)
Licensed practical nurses
0.48 (state 0.68 · U.S. 0.86)
Nurse aides
2.01 (state 2.22 · U.S. 2.32)
Weekend total
2.68 (state 3.30 · U.S. 3.42)
Nursing staff turnover
30.6 (state 47.1 · U.S. 45.8)%
RN turnover
31.6 (state 44.6 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
April 3, 2025
Health deficiencies (last cycle)
10.0 (state 8.6 · U.S. 9.3)
From complaints
2
Citations on record (3 years)
28 health · 11 fire safety · includes actual harm
DateCitationSeverityStatus
2026-04-08 Protect each resident from the wrongful use of the resident's belongings or money.
F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-05-06
2025-04-03 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-05-02
2025-04-03 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-02
2025-04-03 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-02
2025-04-03 Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
F0678 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-02
2025-04-03 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-02
2025-04-03 Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-02
2025-04-03 Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
F0744 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-02
2025-04-03 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.
F0761 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-02
2025-04-03 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-02
2024-03-11 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies
G
Actual harm
Corrected 2024-04-04
2024-03-11 Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
F0691 · Quality of Life and Care Deficiencies
G
Actual harm
Corrected 2024-04-04
2024-03-11 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies
G
Actual harm
Corrected 2024-04-04
2024-03-11 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.
F0575 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-04-04
2024-03-11 Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
F0557 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-04-04
2024-03-11 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-04-04
2024-03-11 Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
F0603 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-04-04
2024-03-11 Prepare residents for a safe transfer or discharge from the nursing home.
F0624 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-04-04
2024-03-11 Assist a resident in gaining access to vision and hearing services.
F0685 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-04-04
2024-03-11 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-04-04
2024-03-11 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-04-04
2022-12-05 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies
G
Actual harm
Corrected 2022-12-26
2022-12-05 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.
F0584 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-12-26
2022-12-05 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.
F0585 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-12-26
2022-12-05 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-12-26
2022-12-05 Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
F0744 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-12-26
2022-12-05 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.
F0578 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-12-26
2022-12-05 Provide activities to meet all resident's needs.
F0679 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-12-26

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

1 penalty in the last three years, including $19,988 in fines.

DateTypeAmount
2024-03-11Fine$19,988

Ownership & management

NameRoleSince
Ensign Services INC (organization)Administrator · NOT APPLICABLE
Horton, Christopher (individual)Administrator · NOT APPLICABLE
Ramirez Sanchez, Hugo (individual)Administrator · NOT APPLICABLE
Burnam, Soon (individual)Corporate Officer · NOT APPLICABLE
Jorgensen, David (individual)Corporate Officer · NOT APPLICABLE
Keetch, Chad (individual)Corporate Officer · NOT APPLICABLE
Endura Healthcare LLC (organization)Direct Ownership Interest · NOT APPLICABLE
The Ensign Group INC (organization)Indirect Ownership Interest · NOT APPLICABLE
Port, Barry (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Horton, Christopher (individual)Managing Control - Governing Body · NOT APPLICABLE
Ramirez Sanchez, Hugo (individual)Managing Control - Governing Body · NOT APPLICABLE
Horton, Christopher (individual)Operational/managerial Control · NOT APPLICABLE
Ramirez Sanchez, Hugo (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Villas at Sunny Acres, the?

Villas at Sunny Acres, the has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Colorado.

How many beds does Villas at Sunny Acres, the have?

It has 160 certified beds and cares for about 143 residents per day.

Has Villas at Sunny Acres, the been fined?

Yes. CMS lists 1 penalty totaling $19,988 in the last three years.

Who owns Villas at Sunny Acres, the?

It is part of The Ensign Group and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Villas at Sunny Acres, the?

(303) 255-4100. The facility is located at 2501 E 104Th Ave, Thornton, CO 80233.

Other nursing homes in Thornton

Compare all nursing homes in Thornton, CO →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.