VILLAS AT SUNNY ACRES, THE

THORNTON, CO · 160 beds · For profit - Corporation

39 Trust Score
Grade: F HIGH Risk → Stable

Red Flags

  • 4 citation(s) where residents suffered actual harm

Green Flags

No positive signals identified yet.

Quick Facts

★★★★☆
CMS Overall
★★★☆☆
Health Inspection
9
1.0x state avg
Deficiencies
$19,988
Fines (3-yr)
★★★☆☆
Staffing

Violation Timeline

April 2, 2025

18 deficiencyies
F0677 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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

F0678 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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

F0689 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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

F0698 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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

F0744 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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

F0761 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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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.

F0804 Potential Harm Scope/Severity: E

Nutrition and Dietary Deficiencies

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

F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

F0580 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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

F0677 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

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

F0678 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

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

F0689 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

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

F0698 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

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

F0744 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

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

F0761 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

Show details

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.

F0804 Potential Harm Scope/Severity: E

Nutrition and Dietary Deficiencies

Show details

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

F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

Show details

Provide and implement an infection prevention and control program.

F0580 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

Show details

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

March 10, 2024

2 deficiencyies
F0557 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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

F0575 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

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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.

See full violation history →

Staffing

0.63
RN hrs/res/day
0.58
LPN hrs/res/day
2.11
CNA hrs/res/day
2.80
Weekend hrs/res/day
30%
Total nurse turnover
19%
RN turnover

A nurse checks on each resident roughly every 7.2 hours on average.

Fines & Penalties

  • Fine Mar 10, 2024
    $19,988
Total $19,988

Ownership

For profit - Corporation Chain: THE ENSIGN GROUP
  • HORTON, CHRISTOPHER

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 10/06/2020

    Individual
  • RAMIREZ SANCHEZ, HUGO

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 06/12/2020

    Individual
  • BURNAM, SOON

    CORPORATE OFFICER

    Since since 12/21/2016

    Individual
  • JORGENSEN, DAVID

    CORPORATE OFFICER

    Since since 01/01/2019

    Individual
  • KEETCH, CHAD

    CORPORATE OFFICER

    Since since 03/01/2011

    Individual

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