Colorado › Adams County › Thornton
Villas At Sunny Acres, The
2501 E 104th Ave, Thornton, CO 80233
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 160 beds, Villas At Sunny Acres, The serves Thornton in Adams County, Colorado and has taken Medicare and Medicaid residents since 1969.
CMS gives it 2 of 5 stars overall, below the Colorado median of 3; the health inspection rating is 2, staffing 3 and quality measures 4.
Inspectors recorded 28 health deficiencies across the three most recent survey cycles (10, 11, 7 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 17.5 per 100 beds, fewer than the state median of 25.0.
CMS lists 1 penalty in the period covered: fines totalling $20K.
Reported nurse staffing is 3.1 hours per resident per day (0.6 RN), close to the Colorado median of 3.5; nursing staff turnover is 30.6%.
CMS flags that the facility carries the CMS abuse icon.
Compared with county, state and nation
| Measure | This facility | Adams Co. median | Colorado median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 28 | 28 | 22 | 28.7 |
| Citations per 100 beds | 17.5 | 22.0 | 25.0 | 26.8 |
| Total nurse hours per resident day | 3.1 | 3.4 | 3.5 | 3.9 |
| RN hours per resident day | 0.6 | 0.7 | 0.7 | 0.7 |
| Nursing staff turnover | 30.6% | 50.7% | 46.7% | 45.8% |
| Fines listed | $19,988 | $16,146 | $10,033 | — |
County and state figures are medians across facilities (14 in the county, 210 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Colorado average per facility for the same cycle, as published by CMS. Standard health survey dates: 3 Apr 2025, 11 Mar 2024.
Severity mix: G ×4 D ×18 E ×6
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 8 Apr 2026 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 6 May 2026 |
| 3 Apr 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 2 May 2025 |
| 3 Apr 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 2 May 2025 |
| 3 Apr 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 2 May 2025 |
| 3 Apr 2025 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | D | Standard survey | 2 May 2025 |
| 3 Apr 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 2 May 2025 |
| 3 Apr 2025 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 2 May 2025 |
| 3 Apr 2025 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Standard survey | 2 May 2025 |
| 3 Apr 2025 | F0761 | 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. | D | Standard survey | 2 May 2025 |
| 3 Apr 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 2 May 2025 |
| 11 Mar 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 4 Apr 2024 |
| 11 Mar 2024 | F0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | G | Standard survey | 4 Apr 2024 |
| 11 Mar 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Standard survey | 4 Apr 2024 |
| 11 Mar 2024 | F0575 | 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. | E | Standard survey | 4 Apr 2024 |
| 11 Mar 2024 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Standard survey | 4 Apr 2024 |
| 11 Mar 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 4 Apr 2024 |
| 11 Mar 2024 | F0603 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | D | Standard survey | 4 Apr 2024 |
| 11 Mar 2024 | F0624 | Prepare residents for a safe transfer or discharge from the nursing home. | D | Complaint investigation | 4 Apr 2024 |
| 11 Mar 2024 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 4 Apr 2024 |
| 11 Mar 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 4 Apr 2024 |
| 11 Mar 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 4 Apr 2024 |
| 5 Dec 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 26 Dec 2022 |
| 5 Dec 2022 | F0584 | 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. | E | Standard survey | 26 Dec 2022 |
| 5 Dec 2022 | F0585 | 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. | E | Standard survey | 26 Dec 2022 |
| 5 Dec 2022 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Standard survey | 26 Dec 2022 |
| 5 Dec 2022 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | E | Standard survey | 26 Dec 2022 |
| 5 Dec 2022 | F0578 | 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. | D | Standard survey | 26 Dec 2022 |
| 5 Dec 2022 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 26 Dec 2022 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 11 Mar 2024 | Fine | $19,988 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Colorado average. Turnover: nursing staff 30.6%, RNs 31.6%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Colorado median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 28.4% | 11.1% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.8% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.2% | 0.9% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.4% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.5% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 27.8% | 11.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.5% | 3.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 26.3% | 18.8% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Sunny Acres Healthcare Llc. Chain: The Ensign Group (342 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Endura Healthcare LLC | Direct ownership interest | NOT APPLICABLE | 12/21/2016 |
| The Ensign Group Inc | Indirect ownership interest | NOT APPLICABLE | 07/01/2017 |
| Ensign Services Inc | Adp of the snf | NOT APPLICABLE | 07/01/2017 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Adams County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Center At Northridge, LLC, The | Westminster | 96 | 5 | 5 | 4 | 15 | 15.6 | — | 2 Apr 2024 |
| Aviva At Fitzsimons | Aurora | 100 | 4 | 3 | 2 | 22 | 22.0 | $7K | 26 Aug 2025 |
| Brighton Care Center | Brighton | 108 | 4 | 4 | 1 | 13 | 12.0 | $39K | 7 Nov 2024 |
| Ridgeview Post Acute | Commerce City | 112 | 4 | 3 | 2 | 14 | 12.5 | — | 8 Apr 2026 |
| Clear Creek Care Center | Westminster | 80 | 3 | 2 | 4 | 28 | 35.0 | — | 20 Oct 2025 |
| Life Care Center of Westminster | Westminster | 120 | 3 | 2 | 3 | 29 | 24.2 | $47K | 19 Mar 2026 |
| Veterans Community Living Center At Fitzsimons | Aurora | 180 | 3 | 3 | 4 | 18 | 10.0 | — | 21 Nov 2024 |
| Irondale Post AcuteSFF Candidate | Commerce City | 95 | 2 | 1 | 4 | 27 | 28.4 | $131K | 12 Feb 2026 |
All 14 facilities in Adams County
Questions and answers
How many deficiencies has Villas At Sunny Acres, The been cited for?
28 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The Colorado median is 22 per facility.
Has Villas At Sunny Acres, The been fined?
Yes. CMS lists fines totalling $20K in the period covered.
How does staffing at Villas At Sunny Acres, The compare?
Reported total nurse staffing is 3.1 hours per resident per day against a Colorado median of 3.5 and a national average of 3.9.
Who operates Villas At Sunny Acres, The?
It is part of the The Ensign Group chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Endura Healthcare LLC and The Ensign Group Inc. Individual owners and managers are not listed on this site.
When was Villas At Sunny Acres, The last inspected?
The most recent survey or investigation in the CMS record is dated 8 Apr 2026; the most recent standard health survey was 3 Apr 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.