VILLAS AT SUNNY ACRES, THE

2501 E 104TH AVE, THORNTON, CO 80233 · CCN 065108 · 160 certified beds · Data as of 2026-07-01

CMS overall2 of 5CMS inspections2 of 5CMS staffing3 of 5CMS quality4 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 3 citation(s) in the last three years where CMS determined a resident was actually harmed.

CMS has flagged this facility with its abuse icon, which marks facilities cited for abuse in recent inspections.

Serious inspection findings

2024-03-11 ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-03-11 ACTUAL HARM (tag F0691, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
2024-03-11 ACTUAL HARM (tag F0692, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide enough food/fluids to maintain a resident's health.
2022-12-05 ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Staffing, from payroll records

Nursing hours / resident / day

2.79

state median 3.24

Weekend staffing gap

−10%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.51

registered nurses only

Contract (agency) staff

0%

share of all nursing hours

Nursing staff turnover

31%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

1 enforcement action(s), totaling $19,988 in fines.

DateTypeAmount
2024-03-11Fine$19,988

Ownership

Ownership type: For profit - Corporation. Part of the THE ENSIGN GROUP chain.

Other facilities under the same ownership, with their CMS overall ratings:

Full citation history

By severity: Actual harm: 4 · Potential for more than minimal harm: 24

Survey dateTagCategorySeverityCorrected
2026-04-08F0602Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-04-03F0580Resident Rights DeficienciesDnot recorded
2025-04-03F0677Quality of Life and Care DeficienciesDnot recorded
2025-04-03F0678Quality of Life and Care DeficienciesDnot recorded
2025-04-03F0689Quality of Life and Care DeficienciesDnot recorded
2025-04-03F0698Quality of Life and Care DeficienciesDnot recorded
2025-04-03F0744Quality of Life and Care DeficienciesDnot recorded
2025-04-03F0761Pharmacy Service DeficienciesDnot recorded
2025-04-03F0804Nutrition and Dietary DeficienciesEnot recorded
2025-04-03F0880Infection Control DeficienciesDnot recorded
2024-03-11F0557Resident Rights DeficienciesDnot recorded
2024-03-11F0575Resident Rights DeficienciesEnot recorded
2024-03-11F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2024-03-11F0603Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2024-03-11F0624Resident Rights DeficienciesDnot recorded
2024-03-11F0685Quality of Life and Care DeficienciesDnot recorded
2024-03-11F0689Quality of Life and Care DeficienciesGnot recorded
2024-03-11F0691Quality of Life and Care DeficienciesGnot recorded
2024-03-11F0692Quality of Life and Care DeficienciesGnot recorded
2024-03-11F0695Quality of Life and Care DeficienciesDnot recorded
2024-03-11F0880Infection Control DeficienciesDnot recorded
2022-12-05F0578Resident Rights DeficienciesDnot recorded
2022-12-05F0584Resident Rights DeficienciesEnot recorded
2022-12-05F0585Resident Rights DeficienciesEnot recorded
2022-12-05F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesEnot recorded
2022-12-05F0679Quality of Life and Care DeficienciesDnot recorded
2022-12-05F0689Quality of Life and Care DeficienciesGnot recorded
2022-12-05F0744Quality of Life and Care DeficienciesEnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “VILLAS AT SUNNY ACRES, THE, THORNTON” at medicare.gov/care-compare.