CareSentinel

Federal Nursing-Home Survey Record

VILLAS AT SUNNY ACRES, THE

CCN 065108 · 2501 E 104TH AVE, THORNTON, CO, 80233 · Operated within the THE ENSIGN GROUP chain

Record as of May 2026 · Updated monthly from CMS · Data incorrect? Contact records@caregiverhelpnow.com

Does VILLAS AT SUNNY ACRES, THE have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), VILLAS AT SUNNY ACRES, THE (CCN 065108), in THORNTON, CO, has federal inspection findings on its record. In its current inspection cycle, CMS cited the facility for 9 deficiencies; the most serious carries scope/severity E. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. CMS has $19,988 in civil money penalties on file against the facility. This page restates the federal record and draws no conclusion of its own. Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly. Federal nursing-home surveys are conducted on a recurring cycle by state survey agencies acting on CMS's behalf, and the figures on this page are compiled from CMS's published provider data, as on file with federal regulators; the federal record may understate what actually occurred, and inspection findings are point-in-time survey results, not a determination that any specific resident was harmed.

The Federal Record

CMS has $19,988 in civil money penalties on file against this facility.

Below is this facility's federal survey record as on file with federal regulators (CMS). Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Scope & Severity — current cycle

ANo Harm
BNo Harm
CNo Harm
DPotential
EPotential
FPotential
GActual Harm
HActual Harm
IActual Harm
JImm. Jeopardy
KImm. Jeopardy
LImm. Jeopardy

CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations, as on file with federal regulators (CMS).

Civil money penalties on file

$19,988

CMS has $19,988 in civil money penalties on file against this facility.

Overall CMS star rating: this facility vs the CMS-published state average

This facility: 4  ·  CMS state average: 3.2

Side-by-side with the CMS-published Overall CMS star rating for this state. This is the government's own published state average — not a CareSentinel-computed figure or delta.

Deficiency timeline — full federal history

2025-04-03
CURRENT CYCLE
F804S/S E

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

2025-04-03
CURRENT CYCLE
F689S/S D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2025-04-03
CURRENT CYCLE
F698S/S D

Provide safe, appropriate dialysis care/services for a resident who requires such services.

2025-04-03
CURRENT CYCLE
F880S/S D

Provide and implement an infection prevention and control program.

2025-04-03
CURRENT CYCLE
F580S/S D

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

2025-04-03
CURRENT CYCLE
F677S/S D

Provide care and assistance to perform activities of daily living for any resident who is unable.

2025-04-03
CURRENT CYCLE
F678S/S D

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

2025-04-03
CURRENT CYCLE
F761S/S D

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.

2025-04-03
CURRENT CYCLE
F744S/S D

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

2024-03-11
HISTORICAL
F689S/S G

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2024-03-11
HISTORICAL
F691S/S G

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

2024-03-11
HISTORICAL
F692S/S G

Provide enough food/fluids to maintain a resident's health.

2024-03-11
HISTORICAL
F575S/S E

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.

2024-03-11
HISTORICAL
F880S/S D

Provide and implement an infection prevention and control program.

2024-03-11
HISTORICAL
F600S/S D

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2024-03-11
HISTORICAL
F603S/S D

Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

2024-03-11
HISTORICAL
F624S/S D

Prepare residents for a safe transfer or discharge from the nursing home.

2024-03-11
HISTORICAL
F685S/S D

Assist a resident in gaining access to vision and hearing services.

2024-03-11
HISTORICAL
F695S/S D

Provide safe and appropriate respiratory care for a resident when needed.

2024-03-11
HISTORICAL
F557S/S D

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

2022-12-05
HISTORICAL
F689S/S G

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2022-12-05
HISTORICAL
F744S/S E

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

2022-12-05
HISTORICAL
F600S/S E

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2022-12-05
HISTORICAL
F584S/S E

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.

2022-12-05
HISTORICAL
F585S/S E

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.

2022-12-05
HISTORICAL
F679S/S D

Provide activities to meet all resident's needs.

2022-12-05
HISTORICAL
F578S/S D

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.

Each citation below is a federal survey finding, dated and labeled with its CMS deficiency tag, as on file with federal regulators (CMS). Older inspection cycles are de-emphasized; only the most recent cycle is current.

Document what happened

Were you or a loved one harmed at VILLAS AT SUNNY ACRES, THE?

Share a few details to put your inquiry on file. CareSentinel is an independent service that compiles the public CMS record and does not provide legal advice. As qualified attorneys join our network in your area, one may reach out — we can’t guarantee contact yet, so we encourage you to consult a qualified attorney promptly on your own as well. There is no cost, and your information is handled with care.

Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Step 1 of 3 · What happened

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