Adams County, Colorado · Nursing home
Villas at Sunny Acres, the
2 of 5 overall from CMS
2501 E 104th Ave, Thornton, CO 80233
At a glance
- Overall rating 2 of 5 Below the state average of 3.2
- Nurse time per resident, per day 3.06 hours Below the state average of 3.72
- Nursing staff who left in a year 30.6% Below the state average of 47.1%
- Health citations, last 3 inspection cycles 28 4 at the harm level or above
- Fines in 3 years $19,988 1 fine
- Certified beds in use 89.5% of 160 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Villas at Sunny Acres, the is a 160-bed nursing home in Thornton, Colorado (Adams County). CMS rates it 2 of 5 stars overall as of Sep 2026. It reports 3.06 nurse staffing hours per resident per day, below the Colorado average of 3.72. CMS lists 1 fine totaling $19,988 in the past three years.
- Certified beds
- 160
- Residents per day (average)
- 143.2
- Certified since
- 1969 (57 yrs)
For profit - Corporation Participates in Medicare and MedicaidPart of The Ensign Group (344 homes)Continuing care retirement communityCMS abuse citation icon: Yes
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
- Abuse citation icon. CMS assigns this icon when a home was cited for abuse where residents were found to be harmed, on its most recent standard inspection or on a complaint or infection-control inspection in the past 12 months, or was cited for abuse with potential harm in that period and again in the period before. Signs of abuse and how to report it
These labels are shown as CMS publishes them. They describe the inspection record, not what has changed since.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Villas at Sunny Acres, the
Chosen from this home's public data.
- CMS lists 1 fine totaling $19,988 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 10 health deficiencies in the latest inspection cycle (the standard inspection on Apr 3, 2025 plus complaint and infection-control inspections); the Colorado average is 8.7. Which have been corrected?Inspection results in CMS data
- Reported nurse staffing is 2.68 hours per resident on weekends against 3.06 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 2 of 5 Colorado average 3.2
- Health inspections 2 of 5 Colorado average 2.7
- Staffing 3 of 5 Colorado average 3.2
- Quality measures 4 of 5 Colorado average 4.1
The vertical line marks the Colorado average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.06 h Colorado average 3.72
- Nurse aides 2.01 h Colorado average 2.21
- Licensed practical nurses 0.48 h Colorado average 0.68
- Registered nurses 0.58 h Colorado average 0.82
- All staff, weekends 2.68 h Colorado average 3.29
How much nurse staffing is enough? All bars share one scale, 0 to 10 hours. The vertical line marks the Colorado average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover30.6%
- Colorado average47.1%
- Registered nurse turnover31.6%
- Colorado average44.6%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Colorado and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Colorado | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 28.4% | 13.4% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 7.0% | 4.7% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.8% | 0.6% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 1.2% | 1.4% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 14.2% | 8.8% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 2.4% | 3.4% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 86.9% | 93.5% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 27.8% | 13.3% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.2% | 11.5% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 88.2% | 94.7% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 2.5% | 3.4% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 31.7% | 21.2% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 26.3% | 20.0% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.00 | 1.38 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 0.46 | 1.74 | 1.78 |
Short-stay residents
| Measure | This home | Colorado | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 94.3% | 76.4% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 1.5% | 1.6% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 23.6% | 75.6% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.1% | 20.3% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 10.9% | 12.1% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 28 health deficiencies in the three most recent inspection cycles. Of these, 4 involved actual harm; the rest were graded as no actual harm. 3 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Mar 11, 2024: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Apr 3, 2025 | 10 | 6 |
| Mar 11, 2024 | 11 | 5 |
| Dec 5, 2022 | 7 | 0 |
Colorado homes averaged 8.7 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (28)
-
DPotential for more than minimal harm, isolated
Protect each resident from the wrongful use of the resident's belongings or money.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (May 6, 2026)
-
EPotential for more than minimal harm, pattern
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary · Deficient, Provider has date of correction (May 2, 2025)
-
DPotential for more than minimal harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (May 2, 2025)
-
DPotential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · Deficient, Provider has date of correction (May 2, 2025)
-
DPotential for more than minimal harm, isolated
Provide 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 · Deficient, Provider has date of correction (May 2, 2025)
Show 23 more
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (May 2, 2025)
-
DPotential for more than minimal harm, isolated
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care · Deficient, Provider has date of correction (May 2, 2025)
-
DPotential for more than minimal harm, isolated
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Quality of Life and Care · Deficient, Provider has date of correction (May 2, 2025)
-
DPotential for more than minimal harm, isolated
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.
Pharmacy Service · Deficient, Provider has date of correction (May 2, 2025)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (May 2, 2025)
-
GActual harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 4, 2024)
-
GActual harm, isolated
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 4, 2024)
-
GActual harm, isolated
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 4, 2024)
-
EPotential for more than minimal harm, pattern
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.
Resident Rights · Deficient, Provider has date of correction (Apr 4, 2024)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Resident Rights · Deficient, Provider has date of correction (Apr 4, 2024)
-
DPotential for more than minimal harm, isolated
Protect 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 · Deficient, Provider has date of correction (Apr 4, 2024)
-
DPotential for more than minimal harm, isolated
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Apr 4, 2024)
-
DPotential for more than minimal harm, isolated
Prepare residents for a safe transfer or discharge from the nursing home.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Apr 4, 2024)
-
DPotential for more than minimal harm, isolated
Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 4, 2024)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 4, 2024)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Apr 4, 2024)
-
GActual harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Dec 26, 2022)
-
EPotential for more than minimal harm, pattern
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights · Deficient, Provider has date of correction (Dec 26, 2022)
-
EPotential for more than minimal harm, pattern
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Resident Rights · Deficient, Provider has date of correction (Dec 26, 2022)
-
EPotential for more than minimal harm, pattern
Protect 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 · Deficient, Provider has date of correction (Dec 26, 2022)
-
EPotential for more than minimal harm, pattern
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Quality of Life and Care · Deficient, Provider has date of correction (Dec 26, 2022)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights · Deficient, Provider has date of correction (Dec 26, 2022)
-
DPotential for more than minimal harm, isolated
Provide activities to meet all resident's needs.
Quality of Life and Care · Deficient, Provider has date of correction (Dec 26, 2022)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Mar 11, 2024 | Fine | $19,988 |
Colorado homes averaged 1.1 fines and $22,802 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Colorado
- Size19 of 210 by certified beds
- Colorado average residents per day74.9
- ChainThe Ensign Group
- Chain average overall rating3.2 of 5
- Resident or family councilBoth
- Homes in Thornton3
- Homes in Adams County14
Common questions
What is the CMS star rating for Villas at Sunny Acres, the?
Villas at Sunny Acres, the has an overall rating of 2 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 2, staffing is 3 and quality measures is 4.
How many beds does Villas at Sunny Acres, the have?
Villas at Sunny Acres, the has 160 certified beds. It averages 143.2 residents per day, about 89.5% of its certified beds.
How much nursing care do residents get at Villas at Sunny Acres, the?
The home reports 3.06 hours of nurse staffing per resident per day, including 0.58 hours from registered nurses. The Colorado average is 3.72 hours and 0.82 hours from registered nurses.
Has Villas at Sunny Acres, the been fined?
Yes. CMS lists 1 fine totaling $19,988 in the past three years.
Does Villas at Sunny Acres, the accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 1 of 5 Thornton Care Center 101beds 80.5%in use 2.99nurse hours a day
- 2 of 5 Malley Transitional Care Center 162beds 84.3%in use 3.36nurse hours a day
- 1 of 5 Skylake Post Acute 242beds 78.9%in use 2.91nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Adams County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 065108. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.