California › Orange County › Santa Ana
Town & Country
555 East Memory Lane, Santa Ana, CA 92706
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 96 beds, Town & Country serves Santa Ana in Orange County, California and has taken Medicare and Medicaid residents since 1981.
CMS gives it 5 of 5 stars overall, above the California median of 3; the health inspection rating is 3, staffing 5 and quality measures 5.
Inspectors recorded 53 health deficiencies across the three most recent survey cycles (23, 20, 10 by cycle, most recent first), none at the actual-harm level. That is 55.2 per 100 beds, about the same as the state median of 51.1.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 5.5 hours per resident per day (0.8 RN), above the California median of 4.2; nursing staff turnover is 31.5%.
Compared with county, state and nation
| Measure | This facility | Orange Co. median | California median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 53 | 66 | 44 | 28.7 |
| Citations per 100 beds | 55.2 | 69.7 | 51.1 | 26.8 |
| Total nurse hours per resident day | 5.5 | 4.3 | 4.2 | 3.9 |
| RN hours per resident day | 0.8 | 0.5 | 0.5 | 0.7 |
| Nursing staff turnover | 31.5% | 30.8% | 36.4% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (72 in the county, 1165 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: California average per facility for the same cycle, as published by CMS. Standard health survey dates: 20 Nov 2025, 13 Sep 2024.
Severity mix: D ×38 E ×6 B ×9
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 10 Mar 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B | Complaint investigation | 20 Mar 2026 |
| 20 Nov 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 3 Dec 2025 |
| 20 Nov 2025 | F0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | E | Standard survey | 3 Dec 2025 |
| 20 Nov 2025 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard survey | 5 Dec 2025 |
| 20 Nov 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 4 Dec 2025 |
| 20 Nov 2025 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 4 Dec 2025 |
| 20 Nov 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 4 Dec 2025 |
| 20 Nov 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 4 Dec 2025 |
| 20 Nov 2025 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Standard survey | 4 Dec 2025 |
| 20 Nov 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 4 Dec 2025 |
| 20 Nov 2025 | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Standard survey | 4 Dec 2025 |
| 20 Nov 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 4 Dec 2025 |
| 20 Nov 2025 | F0761 | 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. | D | Standard survey | 4 Dec 2025 |
| 20 Nov 2025 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard survey | 4 Dec 2025 |
| 20 Nov 2025 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 4 Dec 2025 |
| 20 Nov 2025 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Standard survey | 5 Dec 2025 |
| 20 Nov 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 4 Dec 2025 |
| 20 Nov 2025 | F0908 | Keep all essential equipment working safely. | D | Standard survey | 4 Dec 2025 |
| 20 Nov 2025 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard survey | 4 Dec 2025 |
| 20 Nov 2025 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | B | Standard survey | 4 Dec 2025 |
| 20 Nov 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | B | Standard survey | 4 Dec 2025 |
| 20 Nov 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | B | Standard survey | 4 Dec 2025 |
| 20 Nov 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | B | Standard survey | 4 Dec 2025 |
| 24 Jul 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint investigation | 11 Aug 2025 |
| 24 Jul 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 11 Aug 2025 |
| 24 Jul 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 11 Aug 2025 |
| 7 Nov 2024 | F0880 | Provide and implement an infection prevention and control program. | B | Complaint investigation | 19 Nov 2024 |
| 13 Sep 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 2 Oct 2024 |
| 13 Sep 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 2 Oct 2024 |
| 13 Sep 2024 | F0908 | Keep all essential equipment working safely. | E | Standard survey | 2 Oct 2024 |
| 13 Sep 2024 | F0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | E | Standard survey | 2 Oct 2024 |
| 13 Sep 2024 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 2 Oct 2024 |
| 13 Sep 2024 | F0578 | 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. | D | Standard survey | 2 Oct 2024 |
| 13 Sep 2024 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 2 Oct 2024 |
| 13 Sep 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 2 Oct 2024 |
| 13 Sep 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 2 Oct 2024 |
| 13 Sep 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 2 Oct 2024 |
| 13 Sep 2024 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 2 Oct 2024 |
| 13 Sep 2024 | F0761 | 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. | D | Standard survey | 2 Oct 2024 |
| 13 Sep 2024 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | Standard survey | 27 Sep 2024 |
| 13 Sep 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard survey | 1 Oct 2024 |
| 13 Sep 2024 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Standard survey | 2 Oct 2024 |
| 13 Sep 2024 | F0583 | Keep residents' personal and medical records private and confidential. | B | Standard survey | 2 Oct 2024 |
| 9 Apr 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 20 Apr 2024 |
| 18 Nov 2021 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 15 Dec 2021 |
| 18 Nov 2021 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard survey | 15 Dec 2021 |
| 18 Nov 2021 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 15 Dec 2021 |
| 18 Nov 2021 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Standard survey | 15 Dec 2021 |
| 18 Nov 2021 | F0761 | 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. | D | Standard survey | 15 Dec 2021 |
| 18 Nov 2021 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 15 Dec 2021 |
| 18 Nov 2021 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 15 Dec 2021 |
| 18 Nov 2021 | F0574 | The resident has the right to receive notices in a format and a language he or she understands. | B | Standard survey | 15 Dec 2021 |
| 18 Nov 2021 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | B | Standard survey | 15 Dec 2021 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 31.5%, RNs 23.1%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | California median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 7.6% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.7% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.0% | 1.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.4% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 7.1% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.8% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 0.6% | 9.1% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, corporation. Legal business name: Town And Country Manor Christian & Missionary Alliance. Chain: The Christian And Missionary Alliance (2 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Town and Country Manor Christian & Missionary Alliance | 5% or greater direct ownership interest | 100% | 09/17/1976 |
| The Christian and Missionary Alliance | 5% or greater indirect ownership interest | 100% | 09/17/1976 |
| Town and Country Manor Christian & Missionary Alliance | Adp of the snf | NOT APPLICABLE | 12/06/2024 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Orange County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Freedom Village Healthcare Center | Lake Forest | 52 | 5 | 3 | 5 | 56 | 107.7 | — | 2 Jun 2026 |
| Greenfield Care Center of Fullerton, LLC | Fullerton | 99 | 5 | 4 | 5 | 30 | 30.3 | — | 2 Apr 2026 |
| La Palma Nursing Center | Anaheim | 72 | 5 | 3 | 5 | 62 | 86.1 | — | 6 Feb 2026 |
| Orchards Skilled Nursing | Rancho Mission Viejo | 49 | 5 | 4 | 5 | 39 | 79.6 | — | 17 Apr 2025 |
| Sun Mar Nursing Center | Anaheim | 69 | 5 | 5 | 3 | 20 | 29.0 | — | 3 Feb 2026 |
| The Grove Post Acute | Garden Grove | 97 | 5 | 4 | 4 | 39 | 40.2 | — | 10 Feb 2026 |
| Victoria Healthcare and Rehabilitation Center | Costa Mesa | 79 | 5 | 5 | 3 | 27 | 34.2 | — | 4 Sep 2025 |
| West Anaheim Medical Center D/P SNF | Anaheim | 28 | 5 | 4 | 5 | 46 | 164.3 | — | 27 Mar 2026 |
All 72 facilities in Orange County
Questions and answers
How many deficiencies has Town & Country been cited for?
53 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.
Has Town & Country been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Town & Country compare?
Reported total nurse staffing is 5.5 hours per resident per day against a California median of 4.2 and a national average of 3.9.
Who operates Town & Country?
It is part of the The Christian And Missionary Alliance chain. Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Town and Country Manor Christian & Missionary Alliance and The Christian and Missionary Alliance. Individual owners and managers are not listed on this site.
When was Town & Country last inspected?
The most recent survey or investigation in the CMS record is dated 10 Mar 2026; the most recent standard health survey was 20 Nov 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.