VILLAS AT SUNNY ACRES, THE
2501 E 104TH AVE, THORNTON, CO 80233 · CCN 065108
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 160
- Avg residents/day
- 144.8
- Phone
- 3032554100
Inspection history vs Colorado & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Colorado avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-04-03 | 9 | 8.7 | 9.5 | +0.3 worse |
| 2 | 2024-03-11 | 11 | 8.7 | 9.8 | +2.3 worse |
| 3 | 2022-12-05 | 10 | 7.5 | 9.3 | +2.5 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 5 |
| Resident rights | 1 |
| Nutrition and dietary | 1 |
| Pharmacy service | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.01 | 30.3% |
| RN staffing (reported) | 0.57 | 18.8% |
| Total nurse staffing (adjusted) | 3.33 | — |
Fines & penalties
- Total fines
- $19,988
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Chain
- Chain
- THE ENSIGN GROUP
- Facilities in chain
- 329
- Chain avg overall
- 3.20 / 5
Inspection citations (30)4 actual harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-04-03 · Health · corrected 2025-05-02
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-04-03 · Health · corrected 2025-05-02
Potential for more than minimal harm
- DF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2025-04-03 · Health · corrected 2025-05-02
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-03 · Health · corrected 2025-05-02
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-04-03 · Health · corrected 2025-05-02
Potential for more than minimal harm
- DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2025-04-03 · Health · corrected 2025-05-02
Potential for more than minimal harm
- DF0761Ensure 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.2025-04-03 · Health · corrected 2025-05-02
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-04-03 · Health · corrected 2025-05-02
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-04-03 · Health · corrected 2025-05-02
Potential for more than minimal harm
- DF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2024-03-11 · Health · corrected 2024-04-04
Potential for more than minimal harm
- EF0575Post 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.2024-03-11 · Health · corrected 2024-04-04
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-03-11 · Health · corrected 2024-04-04
Potential for more than minimal harm
- DF0603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).2024-03-11 · Health · corrected 2024-04-04
Potential for more than minimal harm
- DF0624Prepare residents for a safe transfer or discharge from the nursing home.2024-03-11 · Health · corrected 2024-04-04
Potential for more than minimal harm
- DF0685Assist a resident in gaining access to vision and hearing services.2024-03-11 · Health · corrected 2024-04-04
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-03-11 · Health · corrected 2024-04-04
Actual harm
- GF0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.2024-03-11 · Health · corrected 2024-04-04
Actual harm
- GF0692Provide enough food/fluids to maintain a resident's health.2024-03-11 · Health · corrected 2024-04-04
Actual harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-03-11 · Health · corrected 2024-04-04
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-03-11 · Health · corrected 2024-04-04
Potential for more than minimal harm
- EF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2023-04-06 · Health · corrected 2023-04-25
Potential for more than minimal harm
- DF0572Give residents a notice of rights, rules, services and charges.2023-04-06 · Health · corrected 2023-04-25
Potential for more than minimal harm
- DF0825Provide or get specialized rehabilitative services as required for a resident.2023-04-06 · Health · corrected 2023-04-25
Potential for more than minimal harm
- DF0578Honor 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.2022-12-05 · Health · corrected 2022-12-26
Potential for more than minimal harm
- EF0584Honor 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.2022-12-05 · Health · corrected 2022-12-26
Potential for more than minimal harm
- EF0585Honor 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.2022-12-05 · Health · corrected 2022-12-26
Potential for more than minimal harm
- EF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2022-12-05 · Health · corrected 2022-12-26
Potential for more than minimal harm
- DF0679Provide activities to meet all resident's needs.2022-12-05 · Health · corrected 2022-12-26
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-12-05 · Health · corrected 2022-12-26
Actual harm
- EF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2022-12-05 · Health · corrected 2022-12-26
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| HORTON, CHRISTOPHER | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-10-06 |
| RAMIREZ SANCHEZ, HUGO | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-06-12 |
| BURNAM, SOON | Individual | CORPORATE OFFICER | — | 2016-12-21 |
| JORGENSEN, DAVID | Individual | CORPORATE OFFICER | — | 2019-01-01 |
| KEETCH, CHAD | Individual | CORPORATE OFFICER | — | 2011-03-01 |
Other facilities in THORNTON
| Name | Overall | Beds |
|---|---|---|
| THORNTON CARE CENTER | ★★☆☆☆ | 101 |
| SKYLAKE POST ACUTE | ★★☆☆☆ | 242 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.