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Nursing homes › Colorado › Villas at Sunny Acres, the

Villas at Sunny Acres, the

2501 E 104th Ave, Thornton, CO 80233 · (303) 255-4100 · 160 certified beds

Overall★★☆☆☆ 2/5
Health inspections★★☆☆☆ 2/5
Staffing★★★☆☆ 3/5
Quality measures★★★★☆ 4/5
Abuse icon: CMS flags this facility for an abuse citation in recent inspections.

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Same-type reference in CO

CMS overall star rating: this provider 2/5; median among 209 providers with a published value in the same state and provider category: 3/5.

CareRecords calculates this unweighted median from the loaded source snapshot. Providers with missing values are excluded. It is a descriptive reference, not a new quality rating or recommendation. Individual reporting periods may differ; do not compare different rating systems.

Questions to take to Villas at Sunny Acres, the

  • The snapshot includes a CMS abuse citation icon. Ask which inspection it relates to, what corrective action followed, and whether CMS has updated the designation.
  • The published staff-turnover figure is 30.6%. Ask which reporting period it covers and how the current staffing team compares.
  • Ask who is responsible for care decisions locally and at THE ENSIGN GROUP. A shared affiliation does not establish identical care at every location.
  • Check the source date and the latest official record before deciding. Bring the issues above to a visit or call rather than treating the profile as a recommendation.

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Ownership group

Per CMS filings, this facility is affiliated with The Ensign Group, a group operating 342 facilities in 17 states. Group record: average rating 3.2/5, 33 abuse citation icons, 6 facilities on the Special Focus list, $7,057,363 in federal fines. This facility rates below its group average (3.2/5).

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Staffing (hours per resident per day)

Total nurse staffing: 3.06 (Colorado median: 3.49). RN hours: 0.58. Weekend total: 2.68. Nursing staff turnover: 31%.

Inspection deficiencies

In the downloaded CMS dataset: 28 deficiency citations. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).

Survey dateDeficiencySev.TypeStatus
2026-04-08Protect each resident from the wrongful use of the resident's belongings or money. Dcomplaintcorrected 2026-05-06
2025-04-03Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. EHealthcorrected 2025-05-02
2025-04-03Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Dcomplaintcorrected 2025-05-02
2025-04-03Provide care and assistance to perform activities of daily living for any resident who is unable. DHealthcorrected 2025-05-02
2025-04-03Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. DHealthcorrected 2025-05-02
2025-04-03Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. DHealthcorrected 2025-05-02
2025-04-03Provide safe, appropriate dialysis care/services for a resident who requires such services. DHealthcorrected 2025-05-02
2025-04-03Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. DHealthcorrected 2025-05-02
2025-04-03Ensure 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. DHealthcorrected 2025-05-02
2025-04-03Provide and implement an infection prevention and control program. DHealthcorrected 2025-05-02
2024-03-11Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. GHealthcorrected 2024-04-04
2024-03-11Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. GHealthcorrected 2024-04-04
2024-03-11Provide enough food/fluids to maintain a resident's health. GHealthcorrected 2024-04-04
2024-03-11Post 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. EHealthcorrected 2024-04-04
2024-03-11Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. DHealthcorrected 2024-04-04
2024-03-11Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. DHealthcorrected 2024-04-04
2024-03-11Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). DHealthcorrected 2024-04-04
2024-03-11Prepare residents for a safe transfer or discharge from the nursing home. Dcomplaintcorrected 2024-04-04
2024-03-11Assist a resident in gaining access to vision and hearing services. DHealthcorrected 2024-04-04
2024-03-11Provide safe and appropriate respiratory care for a resident when needed. DHealthcorrected 2024-04-04
2024-03-11Provide and implement an infection prevention and control program. DHealthcorrected 2024-04-04

Federal penalties

DateTypeAmount
2024-03-11Fine$19,988

Ownership & control records (CMS filings)

NameRoleType%Since
ENDURA HEALTHCARE LLCDirect Ownership InterestOrganizationNOT APPLICABLEsince 12/21/2016
THE ENSIGN GROUP INCIndirect Ownership InterestOrganizationNOT APPLICABLEsince 07/01/2017
HORTON, CHRISTOPHERManaging Control - Governing BodyIndividualNOT APPLICABLEsince 10/06/2020
RAMIREZ SANCHEZ, HUGOManaging Control - Governing BodyIndividualNOT APPLICABLEsince 06/12/2020
BURNAM, SOONCorporate OfficerIndividualNOT APPLICABLEsince 12/21/2016
JORGENSEN, DAVIDCorporate OfficerIndividualNOT APPLICABLEsince 01/01/2019
KEETCH, CHADCorporate OfficerIndividualNOT APPLICABLEsince 03/01/2011
HORTON, CHRISTOPHEROperational/Managerial ControlIndividualNOT APPLICABLEsince 10/06/2020
RAMIREZ SANCHEZ, HUGOOperational/Managerial ControlIndividualNOT APPLICABLEsince 06/12/2020

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How to cite this page: CareRecords, “Villas at Sunny Acres, the — compliance, penalty and ownership record” (CCN 065108), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/villas-at-sunny-acres-the-thornton-co/

Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 065108. Corrections: data@carerecords.org.