Home›Browse›Colorado›Thornton›St. Clare Commons

Nursing homeFAID #1264

St. Clare Commons

2501 E 104TH AVE, THORNTON, CO, 80233

(303) 255-4100

ensignservices.net

160 licensed beds

★★★★★2/5CMS Five-Star overall2/5 health inspections3/5 staffing4/5 quality measuresSource: CMS Care Compare

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Photo via Google · Marni Graham

Address

2501 E 104th Ave

Thornton, CO 80233

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Public record summary

What we can show you for free.

Bed capacity

160

State license

020458

CMS facility ID

065108

Care type

Nursing home

Facility name

St. Clare Commons

Legal entity

Villas At Sunny Acres, the

Street address

2501 E 104TH AVE

City / state / ZIP

Thornton, CO 80233

Phone

(303) 255-4100

Website

ensignservices.net

State license #

020458

About this facility — St. Clare Commons

St. Clare Commons is a Medicare/Medicaid-certified skilled nursing facility in Thornton, Colorado. It is licensed for 160 beds — well above the median for skilled nursing facilities in Colorado (90 beds).

It is one of 19 senior care facilities in Thornton and 210 skilled nursing facilities across Colorado. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited St. Clare Commons 39 times across 9 inspections in the last three years, including 1 food-safety citation, and CMS has imposed $19,988 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Operator / owner

Wendy Dolyk

Parent company

The Ensign Group

Ownership type

For profit - Corporation

Registered owners & officers

Burnam, Soon

Officer — since 2016

Endura Healthcare Llc

Direct owner — since 2016

Ensign Services Inc

Additional disclosable party — since 2017

Horton, Christopher

Governing body · Operational control · Additional disclosable party — since 2020

Jorgensen, David

Officer — since 2019

Keetch, Chad

Officer — since 2011

Port, Barry

Owner of a disclosable party — since 2025

Ramirez Sanchez, Hugo

Governing body · Operational control · Additional disclosable party — since 2020

The Ensign Group Inc

Indirect owner — since 2017

Regulatory standing

Federal court records

11 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

License status

Active

Licensed / certified since

1969-12-30

CMS overall rating

2 of 5 stars

Health deficiencies

10 at the last standard inspection

Federal fines

$19,988 total

Last standard inspection

2025-04-03

Nurse staffing

3.1 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$411 per day (≈ $12,490/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

65% Medicaid · 5% Medicare · 30% private/other

Occupancy

93% (fiscal year 2023)

Vs. state median

1% above the CO median of $407/day — full state cost breakdown

Services & coverage

Licensed beds

160

Licensed as

Nursing Facilities

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Daily Open 24 hours

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 1 food-safety citation on its three-year record — flagged below among the inspections.

2026-04-08Health inspectionComplaint-triggered1 citation

F-0602

D · No harm foundFrom a complaint

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2026-05-06

2025-04-03Health inspectionComplaint-triggered9 citations

F-0580

D · No harm foundFrom a complaint

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

Corrected 2025-05-02

F-0677

D · No harm found

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

Corrected 2025-05-02

F-0678

D · No harm found

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 2025-05-02

F-0689

D · No harm found

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

Corrected 2025-05-02

F-0698

D · No harm found

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

Corrected 2025-05-02

F-0744

D · No harm found

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

Corrected 2025-05-02

F-0761

D · No harm found

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 2025-05-02

F-0804

E · No harm foundFood safety

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

Corrected 2025-05-02

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-05-02

4 earlier / fire-safety inspections (29 citations)

2024-03-11Health inspectionComplaint-triggered11 citations

F-0557

D · No harm found

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

Corrected 2024-04-04

F-0575

E · No harm found

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 2024-04-04

F-0600

D · No harm found

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

Corrected 2024-04-04

F-0603

D · No harm found

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

Corrected 2024-04-04

F-0624

D · No harm foundFrom a complaint

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

Corrected 2024-04-04

F-0685

D · No harm found

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

Corrected 2024-04-04

F-0689

G · Actual harm

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

Corrected 2024-04-04

F-0691

G · Actual harm

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

Corrected 2024-04-04

F-0692

G · Actual harm

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

Corrected 2024-04-04

F-0695

D · No harm found

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

Corrected 2024-04-04

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-04-04

2022-12-05Health inspection7 citations

F-0578

D · No harm found

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 2022-12-26

F-0584

E · No harm found

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 2022-12-26

F-0585

E · No harm found

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 2022-12-26

F-0600

E · No harm found

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

Corrected 2022-12-26

F-0679

D · No harm found

Provide activities to meet all resident's needs.

Corrected 2022-12-26

F-0689

G · Actual harm

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

Corrected 2022-12-26

F-0744

E · No harm found

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

Corrected 2022-12-26

2025-04-03Fire-safety inspection6 citations

K-0222

E · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2025-05-31

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-06-13

K-0363

D · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2025-05-31

K-0500

D · No harm found

Meet other general requirements that are deficient.

Corrected 2025-05-05

K-0531

D · No harm found

Have elevators that firefighters can control in the event of a fire.

Corrected 2025-05-21

K-0927

D · No harm found

Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

Corrected 2025-06-13

2024-03-11Fire-safety inspection5 citations

K-0223

F · No harm found

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2024-05-31

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-09-12

K-0362

F · No harm found

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Corrected 2024-05-31

K-0541

E · No harm found

Install properly constructed and protected linen or trash chutes.

Corrected 2024-05-31

K-0912

F · No harm found

Have power receptacles that are properly grounded.

Corrected 2024-05-31

Federal penalties

2024-03-11Fine$19,988

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 065108.

Visitor reviews

What people say on Google.

3.4162 ratings on Google

★Heather · 2026-07-02 · via Google
“My father was admitted to The Villas at Sunny Acres after a fall and spent approximately three months there for wound care and physical therapy. Unfortunately, our experience was very disappointing, and I would not recommend this facility as a place to entrust the care of a loved one. During his stay, there were multiple incidents where he pressed the call light for assistance and was left waitin…”

★★★★★CHRISTOPHER KEMM · 2026-04-10 · via Google
“I can’t say enough about the care my dad received at Villas at Sunny Acres during his long-term rehab stay. Yadira D. was absolutely exceptional. Her compassion, consistency, and genuine care made a huge impact on my dad’s experience. She made him feel comfortable, respected, and truly supported every single day. You could see how much she cared, and that meant everything to our family. Jeremy w…”

★★★★Janet Miller · 2026-05-15 · via Google
“I'm a resident here at the The Villas at Sunny Acres and welcome John Stewart. We have already felt a change in the atmosphere. He has "moved in with us", literally made his office more accessible near the front hall. We see him everywhere, and he sees and hears us. Thank you, John! My husband and I have lived here almost two years. We are so thankful for the caring community and our Sunday mornin…”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 39 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-08-31

Source

Federal NPI Registry (NPPES)

NPI 1699138743

Monthly federal file

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered