nursing home in Thornton, CO
Villas at Sunny Acres, the
2501 E 104th Ave, Thornton, CO 80233 · (303) 255-4100
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★3
- Quality measures★★★★★4
- Abuse citation
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Villas at Sunny Acres, the at a glance
Villas at Sunny Acres, the is a 160-bed for-profit nursing home in Thornton, Colorado (Adams County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Colorado average of 3.2.
Residents receive about 3.1 hours of nursing care per day (0.6 of them from registered nurses), worse than the state average of 3.7 hours.
Its most recent standard health inspection (April 3, 2025) found 10 health citations. The Colorado average is 8.7.
Federal regulators fined it 1 time in the past three years, totaling $19,988.
Nursing staff turnover is 30.6% per year (state average 47.1%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 160
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- The Ensign Group
- Medicare-certified since
- December 30, 1969
- Continuing care retirement community
- Yes
- Resident/family council
- Both
- County
- Adams County
- CMS Certification Number
- 065108
Ratings
| Measure | This facility | Colorado avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 3.2 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.7 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 3.2 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 4.1 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 4 / 5 | 4.1 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 4 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Colorado avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.06 hrs | 3.72 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.58 hrs | 0.82 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.01 hrs | 2.21 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.68 hrs | 3.29 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 30.6% | 47.1% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 31.6% | 44.6% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | Colorado avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 10 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 2 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 57 | 74 | 80.6 | Better |
Penalties
| Measure | This facility | Colorado avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $19,988 | $22,802 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | Colorado avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 160 | 94 | 107 | |
| Average residents per day | 143 | 75 | 86 | |
| Occupancy | 89.5% | 80.7% | 80.9% |
Long-stay residents
| Measure | This facility | Colorado avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.4% | 3.4% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 2.5% | 3.4% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 26.3% | 20% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 1.2% | 1.4% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.8% | 0.6% | 0.8% | Average |
| Long-stay residents needing more help with daily activities (lower is better) | 28.4% | 13.4% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 27.8% | 13.3% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 7% | 4.7% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 14.2% | 8.8% | 12.8% | Worse |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 11.2% | 11.5% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 31.7% | 21.2% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 88.2% | 94.7% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 86.9% | 93.5% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | Colorado avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1.5% | 1.6% | 1.6% | Average |
| Short-stay residents given a flu vaccine (higher is better) | 23.6% | 75.6% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 94.3% | 76.4% | 82% | Better |
Inspection citations
State inspectors cited this home for 28 health deficiencies and 11 fire safety deficiencies in the inspection records CMS currently publishes. 4 citations involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| April 8, 2026 Complaint | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 | D Potential harm, isolated | Corrected May 6, 2026 |
| April 3, 2025 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected June 13, 2025 |
| April 3, 2025 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | E Potential harm, pattern | Corrected May 31, 2025 |
| April 3, 2025 Fire safety | Meet other general requirements that are deficient. Services Deficiencies · Tag K0500 | D Potential harm, isolated | Corrected May 5, 2025 |
| April 3, 2025 Fire safety | Have elevators that firefighters can control in the event of a fire. Services Deficiencies · Tag K0531 | D Potential harm, isolated | Corrected May 21, 2025 |
| April 3, 2025 Fire safety | Have proper fire barriers, ventilation and signs for the transfilling of oxygen. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0927 | D Potential harm, isolated | Corrected June 13, 2025 |
| April 3, 2025 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected May 31, 2025 |
| April 3, 2025 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected May 2, 2025 |
| April 3, 2025 Standard | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | D Potential harm, isolated | Corrected May 2, 2025 |
| April 3, 2025 Standard | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · Tag F0678 | D Potential harm, isolated | Corrected May 2, 2025 |
| April 3, 2025 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected May 2, 2025 |
| April 3, 2025 Complaint | 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 Potential harm, isolated | Corrected May 2, 2025 |
| April 3, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected May 2, 2025 |
| April 3, 2025 Standard | 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 Potential harm, isolated | Corrected May 2, 2025 |
| April 3, 2025 Standard | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Tag F0744 | D Potential harm, isolated | Corrected May 2, 2025 |
| April 3, 2025 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected May 2, 2025 |
| March 11, 2024 Fire safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Tag K0223 | F Potential harm, widespread | Corrected May 31, 2024 |
| March 11, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected September 12, 2024 |
| March 11, 2024 Fire safety | Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Smoke Deficiencies · Tag K0362 | F Potential harm, widespread | Corrected May 31, 2024 |
| March 11, 2024 Fire safety | Have power receptacles that are properly grounded. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0912 | F Potential harm, widespread | Corrected May 31, 2024 |
| March 11, 2024 Fire safety | Install properly constructed and protected linen or trash chutes. Services Deficiencies · Tag K0541 | E Potential harm, pattern | Corrected May 31, 2024 |
| March 11, 2024 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected April 4, 2024 |
| March 11, 2024 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | G Actual harm, isolated | Corrected April 4, 2024 |
| March 11, 2024 Standard | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0691 | G Actual harm, isolated | Corrected April 4, 2024 |
| March 11, 2024 Standard | 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. Resident Rights Deficiencies · Tag F0575 | E Potential harm, pattern | Corrected April 4, 2024 |
| March 11, 2024 Standard | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Tag F0685 | D Potential harm, isolated | Corrected April 4, 2024 |
| March 11, 2024 Complaint | Prepare residents for a safe transfer or discharge from the nursing home. Resident Rights Deficiencies · Tag F0624 | D Potential harm, isolated | Corrected April 4, 2024 |
| March 11, 2024 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected April 4, 2024 |
| March 11, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected April 4, 2024 |
| March 11, 2024 Standard | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected April 4, 2024 |
| March 11, 2024 Standard | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights Deficiencies · Tag F0557 | D Potential harm, isolated | Corrected April 4, 2024 |
| March 11, 2024 Standard | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0603 | D Potential harm, isolated | Corrected April 4, 2024 |
| December 5, 2022 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected December 26, 2022 |
| December 5, 2022 Standard | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | E Potential harm, pattern | Corrected December 26, 2022 |
| December 5, 2022 Standard | 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. Resident Rights Deficiencies · Tag F0585 | E Potential harm, pattern | Corrected December 26, 2022 |
| December 5, 2022 Standard | 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected December 26, 2022 |
| December 5, 2022 Standard | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Tag F0744 | E Potential harm, pattern | Corrected December 26, 2022 |
| December 5, 2022 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | D Potential harm, isolated | Corrected December 26, 2022 |
| December 5, 2022 Standard | 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 Potential harm, isolated | Corrected December 26, 2022 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $19,988 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| March 11, 2024 | Fine | $19,988 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| ENSIGN SERVICES INC Organization | adp of the snf | NOT APPLICABLE | 07/01/2017 |
| HORTON, CHRISTOPHER Individual | adp of the snf | NOT APPLICABLE | 10/06/2020 |
| RAMIREZ SANCHEZ, HUGO Individual | adp of the snf | NOT APPLICABLE | 06/12/2020 |
| BURNAM, SOON Individual | corporate officer | NOT APPLICABLE | 12/21/2016 |
| JORGENSEN, DAVID Individual | corporate officer | NOT APPLICABLE | 01/01/2019 |
| KEETCH, CHAD Individual | corporate officer | NOT APPLICABLE | 03/01/2011 |
| ENDURA HEALTHCARE LLC Organization | direct ownership interest | NOT APPLICABLE | 12/21/2016 |
| THE ENSIGN GROUP INC Organization | indirect ownership interest | NOT APPLICABLE | 07/01/2017 |
| PORT, BARRY Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 07/30/2025 |
| HORTON, CHRISTOPHER Individual | managing control - governing body | NOT APPLICABLE | 10/06/2020 |
| RAMIREZ SANCHEZ, HUGO Individual | managing control - governing body | NOT APPLICABLE | 06/12/2020 |
| HORTON, CHRISTOPHER Individual | operational/managerial control | NOT APPLICABLE | 10/06/2020 |
| RAMIREZ SANCHEZ, HUGO Individual | operational/managerial control | NOT APPLICABLE | 06/12/2020 |
Other nursing homes near Villas at Sunny Acres, the
Thornton Care Center
501 Thornton Pkwy, Thornton, CO 80229 · 1.5 mi
For-profit · 101 beds · Part of Long Peak Operating Company
★★★★★1Much below averageMalley Transitional Care Center
401 Malley Dr, Northglenn, CO 80233 · 1.6 mi
For-profit · 162 beds · Part of The Ensign Group
★★★★★2Below averageSkylake Post Acute
12080 Bellaire Wy, Thornton, CO 80241 · 2.4 mi
For-profit · 242 beds · Part of Pacs Group
★★★★★1Much below averageCenter at Northridge, LLC, the
12285 Pecos St, Westminster, CO 80234 · 3.1 mi
For-profit · 96 beds · Part of Veritas Management Group
★★★★★5Much above averageIrondale Post Acute
7150 Poplar St, Commerce City, CO 80022 · 4.9 mi
For-profit · 95 beds · Part of The Ensign Group
- Special Focus candidate
★★★★★2Below averageRidgeview Post Acute
5230 E 66th Way, Commerce City, CO 80022 · 5 mi
For-profit · 112 beds · Part of The Ensign Group
★★★★★4Above average
Frequently asked questions
What is Villas at Sunny Acres, the's rating?
Villas at Sunny Acres, the has 2 out of 5 stars on the CMS overall star rating. The average for Colorado nursing homes is 3.2 stars.
How many inspection citations did Villas at Sunny Acres, the receive?
Its most recent standard health inspection found 10 citations, compared with a Colorado average of 8.7. Every citation is listed on this page with its severity.
Does Villas at Sunny Acres, the accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Villas at Sunny Acres, the?
It is for profit - corporation and part of The Ensign Group. The ownership section on this page lists the owners and managers reported to CMS.
Where is Villas at Sunny Acres, the and how do I contact it?
Villas at Sunny Acres, the is at 2501 E 104th Ave, Thornton, CO 80233. Phone: (303) 255-4100.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.