Nursing HomeInspections

The Villas at Sunny Acres

Nursing home in Thornton, CO

Medicare & Medicaid certified2★ overall (CMS)CMS abuse icon

Call (303) 255-4100Send a messageMap ↗

Public-record details

Address
2501 E 104th Ave, Thornton, CO 80233
Phone
(303) 255-4100
Listed under
For-profit, Part of a retirement community
Medicare CCN
065108
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
2 of 5
Staffing rating
3 of 5
Quality measures rating
4 of 5
Certified beds
160
Average residents per day
143
Ownership
For-profit, corporation
Legal business name
Sunny Acres Healthcare LLC
Chain
The Ensign Group (342 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Dec 30, 1969
Changed ownership in last 12 months
No
Continuing care retirement community
Yes
Located inside a hospital
No
Resident or family council
Resident and family councils
Sprinklers in all required areas
Yes

CMS certification number 065108. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Apr 3, 2025. CMS lists 28 health citations for this facility across its last three standard inspection cycles and complaint inspections (Dec 5, 2022 to Apr 8, 2026): 3 from complaint inspections, 4 at the “actual harm” level or higher. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years.

InspectionCitationSeverity
Apr 8, 2026Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection
D
Potential for more than minimal harm, isolated
Apr 3, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Apr 3, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Apr 3, 2025Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Apr 3, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Apr 3, 2025Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Apr 3, 2025Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Apr 3, 2025Ensure 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…
Pharmacy Service
D
Potential for more than minimal harm, isolated
Apr 3, 2025Provide and implement an infection prevention and control program.
Infection Control
D
Potential for more than minimal harm, isolated
Apr 3, 2025Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary
E
Potential for more than minimal harm, pattern
Mar 11, 2024Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Resident Rights
D
Potential for more than minimal harm, isolated
Mar 11, 2024Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 28. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $19,988 in the last three years.

Mar 11, 2024Fine: $19,988

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.06 hours
Registered nurse (RN) time per resident per day
0.58 hours
Nurse aide time per resident per day
2.01 hours
Total nurse staffing on weekends
2.68 hours
Nursing staff turnover (yearly)
31%
RN turnover (yearly)
32%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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