Villas at Sunny Acres, the
2501 E 104th Ave, Thornton, CO 80233 · Adams County · 160 certified beds · avg 143 residents/day · certified since Dec 30, 1969
Abuse citation flag (CMS)
Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)
The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Mar 11, 2024 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Apr 4, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Mar 11, 2024 · F-0691
The facility did not provide proper care for residents with a colostomy, urostomy, or ileostomy — surgical openings in the abdomen that let waste leave the body into a pouch. These require regular, skilled attention to stay clean and healthy.
Why it matters: Poor ostomy care leads to skin breakdown, infection, pain, and embarrassment for the resident.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Apr 4, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Mar 11, 2024 · F-0692
The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Why it matters: Malnutrition and dehydration can quickly weaken a resident and lead to serious complications.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Apr 4, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Dec 5, 2022 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Dec 26, 2022 (Deficient, Provider has date of correction)
All citations in the current public record (28)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 8, 2026 | D · Potential for harm, one-off | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint |
| Apr 3, 2025 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Apr 3, 2025 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Apr 3, 2025 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Apr 3, 2025 | D · Potential for harm, one-off | The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. |
| Apr 3, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Apr 3, 2025 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Apr 3, 2025 | D · Potential for harm, one-off | The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience. |
| Apr 3, 2025 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Apr 3, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Mar 11, 2024 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Mar 11, 2024 | ▲ G · Actual harm, one-off | The facility did not provide proper care for residents with a colostomy, urostomy, or ileostomy — surgical openings in the abdomen that let waste leave the body into a pouch. These require regular, skilled attention to stay clean and healthy. |
| Mar 11, 2024 | ▲ G · Actual harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Mar 11, 2024 | E · Potential for harm, repeated | The facility did not post the names, addresses, and phone numbers of state agencies and advocacy groups, along with a notice that residents may file complaints with the state survey agency. |
| Mar 11, 2024 | D · Potential for harm, one-off | The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings. |
| Mar 11, 2024 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. |
| Mar 11, 2024 | D · Potential for harm, one-off | The facility did not protect residents from being involuntarily separated — kept apart from other residents, kept out of their own room, or confined to their room. Isolating a resident this way is a form of mistreatment. |
| Mar 11, 2024 | D · Potential for harm, one-off | The facility did not properly prepare residents for a safe transfer or discharge. Before a resident leaves, the facility must get them ready and make sure the move is safe and orderly. · from a complaint |
| Mar 11, 2024 | D · Potential for harm, one-off | The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids. |
| Mar 11, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Mar 11, 2024 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Dec 5, 2022 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Dec 5, 2022 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Dec 5, 2022 | E · Potential for harm, repeated | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. |
| Dec 5, 2022 | E · Potential for harm, repeated | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. |
| Dec 5, 2022 | E · Potential for harm, repeated | The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience. |
| Dec 5, 2022 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Dec 5, 2022 | D · Potential for harm, one-off | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (11 → 9).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 7 | 1 | G ▲ |
| 2024 | 11 | 3 | G ▲ |
| 2025 | 9 | 0 | E |
| 2026 | 1 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $19,988.
| Date | Type | Amount / length |
|---|---|---|
| Mar 11, 2024 | Fine | $19,988 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Colorado avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.36 | 3.89 | 3.95 | bottom 26% in Colorado; bottom 29% in the U.S. |
| Registered Nurse hours | 0.63 | 0.86 | 0.69 | bottom 30% in Colorado; top 44% in the U.S. |
| Weekend total nurse staffing | 2.94 | 3.44 | 3.50 | bottom 24% in Colorado; bottom 28% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.54 | 0.61 | 0.48 | top 49% in Colorado; top 28% in the U.S. |
| Total nursing staff turnover (%) | 30.6 | 47.1 | 45.8 | top 11% in Colorado; top 15% in the U.S. |
| RN turnover (%) | 31.6 | 44.6 | 42.9 | top 27% in Colorado; top 32% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.06, RN 0.58, weekend 2.68. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 3/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| 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 |
| Burnam, Soon | Individual | Corporate Officer | NOT APPLICABLE | 12/21/2016 |
| Ensign Services INC | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2017 |
| Horton, Christopher | Individual | Managing Control - Governing Body | NOT APPLICABLE | 10/06/2020 |
| Horton, Christopher | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/06/2020 |
| Horton, Christopher | Individual | ADP of the SNF | NOT APPLICABLE | 10/06/2020 |
| Jorgensen, David | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2019 |
| Keetch, Chad | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2011 |
| Port, Barry | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 07/30/2025 |
| Ramirez Sanchez, Hugo | Individual | Managing Control - Governing Body | NOT APPLICABLE | 06/12/2020 |
| Ramirez Sanchez, Hugo | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/12/2020 |
| Ramirez Sanchez, Hugo | Individual | ADP of the SNF | NOT APPLICABLE | 06/12/2020 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Which staff are trained in ostomy care, and how often is that care provided and checked?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Thornton Care Center | 1.5 mi | Thornton, CO | ★☆☆☆☆ | 1/5 | |
| Malley Transitional Care Center | 1.6 mi | Northglenn, CO | ★★☆☆☆ | 2/5 | |
| Skylake Post Acute | 2.4 mi | Thornton, CO | ★☆☆☆☆ | 1/5 | |
| Center at Northridge, LLC, the | 3.1 mi | Westminster, CO | ★★★★★ | 5/5 | |
| Irondale Post Acute | 4.8 mi | Commerce City, CO | ★★☆☆☆ | 1/5 | SFF |
| Ridgeview Post Acute | 5.0 mi | Commerce City, CO | ★★★★☆ | 3/5 | |
| Clear Creek Care Center | 5.2 mi | Westminster, CO | ★★★☆☆ | 2/5 | |
| Adara Living | 5.7 mi | Broomfield, CO | ★★☆☆☆ | 1/5 | abuse |
| Life Care Center of Westminster | 5.8 mi | Westminster, CO | ★★★☆☆ | 2/5 | |
| Park Forest Care Center LLC | 5.9 mi | Westminster, CO | ★☆☆☆☆ | 1/5 | abuse |
| Village Care and Rehabilitation Center, the | 6.5 mi | Westminster, CO | ★★★★☆ | 4/5 | |
| Arbor View Care Center, LLC | 7.6 mi | Arvada, CO | ★★★☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 065108.