Nursing homes › Colorado › Villas at Sunny Acres, the
2501 E 104Th Ave, Thornton, CO 80233 · 3032554100 · 160 certified beds
Per CMS filings, this facility is affiliated with The Ensign Group, a group operating 346 facilities in 17 states. Group record: average rating 3.2/5, 33 abuse citation icons, 9 facilities on the Special Focus list, $7,179,329 in federal fines. This facility rates below its group average (3.2/5).
Total nurse staffing: 3.06 (Colorado median: 3.49). RN hours: 0.58. Weekend total: 2.68. Nursing staff turnover: 31%.
All-time on record: 28 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-04-08 | Protect each resident from the wrongful use of the resident's belongings or money. | D | complaint | corrected 2026-05-06 |
| 2025-04-03 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Health | 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. | D | complaint | corrected 2025-05-02 |
| 2025-04-03 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | 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. | D | Health | 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. | D | Health | corrected 2025-05-02 |
| 2025-04-03 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Health | corrected 2025-05-02 |
| 2025-04-03 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Health | 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. | D | Health | corrected 2025-05-02 |
| 2025-04-03 | Provide and implement an infection prevention and control program. | D | Health | 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. | G | Health | corrected 2024-04-04 |
| 2024-03-11 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | G | Health | corrected 2024-04-04 |
| 2024-03-11 | Provide enough food/fluids to maintain a resident's health. | G | Health | 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. | E | Health | 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. | D | Health | 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. | D | Health | corrected 2024-04-04 |
| 2024-03-11 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | D | Health | corrected 2024-04-04 |
| 2024-03-11 | Prepare residents for a safe transfer or discharge from the nursing home. | D | complaint | corrected 2024-04-04 |
| 2024-03-11 | Assist a resident in gaining access to vision and hearing services. | D | Health | corrected 2024-04-04 |
| 2024-03-11 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2024-04-04 |
| 2024-03-11 | Provide and implement an infection prevention and control program. | D | Health | corrected 2024-04-04 |
| Date | Type | Amount |
|---|---|---|
| 2024-03-11 | Fine | $19,988 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| ENDURA HEALTHCARE LLC | Direct Ownership Interest | Organization | NOT APPLICABLE | since 12/21/2016 |
| THE ENSIGN GROUP INC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 07/01/2017 |
| HORTON, CHRISTOPHER | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 10/06/2020 |
| RAMIREZ SANCHEZ, HUGO | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 06/12/2020 |
| BURNAM, SOON | Corporate Officer | Individual | NOT APPLICABLE | since 12/21/2016 |
| JORGENSEN, DAVID | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2019 |
| KEETCH, CHAD | Corporate Officer | Individual | NOT APPLICABLE | since 03/01/2011 |
| HORTON, CHRISTOPHER | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/06/2020 |
| RAMIREZ SANCHEZ, HUGO | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/12/2020 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 065108. Corrections: data@carerecords.org.