Villas at Sunny Acres, the
2501 E 104th Ave · Thornton, CO · 80233 · 3032554100
160 certified beds For profit - Corporation Chain: The Ensign Group Part of a CCRC
Why this verdict
- Carries CMS’s abuse warning icon.
- 4 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
Cited under the freedom-from-abuse rule
Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.24 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.58 | 0.55–0.75 |
| Weekend hours / resident-day | 2.82 | ≈ weekday level |
| Nursing turnover / year | 30% | median 45% |
| Fines (3-yr window) | 1 · $19,988 |
Inspection citations (28 in the current record)
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Potential for harm · D April 8, 2026 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected May 6, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 3, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 2, 2025 · Quality of Life and Care
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Potential for harm · D April 3, 2025
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected May 2, 2025 · Quality of Life and Care
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Potential for harm · D April 3, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 2, 2025 · Quality of Life and Care
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Potential for harm · D April 3, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected May 2, 2025 · Quality of Life and Care
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Potential for harm · D April 3, 2025
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected May 2, 2025 · Quality of Life and Care
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Potential for harm · D April 3, 2025
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.
Corrected May 2, 2025 · Pharmacy Service
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Potential for harm · E April 3, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected May 2, 2025 · Nutrition and Dietary
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Potential for harm · D April 3, 2025
Provide and implement an infection prevention and control program.
Corrected May 2, 2025 · Infection Control
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Potential for harm · D April 3, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected May 2, 2025 · Resident Rights
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Actual harm · G March 11, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 4, 2024 · Quality of Life and Care
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Actual harm · G March 11, 2024
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Corrected April 4, 2024 · Quality of Life and Care
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Actual harm · G March 11, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected April 4, 2024 · Quality of Life and Care
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Potential for harm · D March 11, 2024
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected April 4, 2024 · Resident Rights
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Potential for harm · E March 11, 2024
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.
Corrected April 4, 2024 · Resident Rights
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Potential for harm · D March 11, 2024
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 4, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 11, 2024
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Corrected April 4, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 11, 2024
Assist a resident in gaining access to vision and hearing services.
Corrected April 4, 2024 · Quality of Life and Care
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Potential for harm · D March 11, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 4, 2024 · Quality of Life and Care
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Potential for harm · D March 11, 2024
Provide and implement an infection prevention and control program.
Corrected April 4, 2024 · Infection Control
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Potential for harm · D March 11, 2024 · found via complaint
Prepare residents for a safe transfer or discharge from the nursing home.
Corrected April 4, 2024 · Resident Rights
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Actual harm · G December 5, 2022
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 26, 2022 · Quality of Life and Care
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Potential for harm · D December 5, 2022
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.
Corrected December 26, 2022 · Resident Rights
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Potential for harm · E December 5, 2022
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.
Corrected December 26, 2022 · Resident Rights
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Potential for harm · E December 5, 2022
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.
Corrected December 26, 2022 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 11, 2024 | Fine | $19,988 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 065108 · certified since December 30, 1969. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.