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Located in the heart of Santa Ana, California, Town & Country is a distinguished non-profit Life Plan Community tailored to the needs of individuals aged 62 and above. This exceptional community offers various options, including active independent living, comprehensive assisted living, and the renowned five-star-rated skilled nursing and short-term rehabilitation care. In 2021, Town & Country proudly introduced a cutting-edge memory care community known as Grace Gardens Memory Care, reflecting its ongoing commitment to providing innovative and compassionate care. One of the community’s standout achievements is being the sole free-standing skilled nursing facility in Orange County to hold a remarkable five-star rating across every category.
Town & Country’s unique identity is deeply rooted in Christian values, evident in its intentions and actions. The community embraces individuals of all faiths, fostering an inclusive environment where respect and support are extended to everyone. Positioned in a highly walkable neighborhood within central Orange County, Town & Country provides a dynamic and vibrant lifestyle within the serene confines of a picturesque garden setting. For nearly half a century, the community has been dedicated to delivering a superior living environment while maintaining exceptional value for its residents. Their dedication to excellence is further acknowledged by prestigious Medicare and the American Health Care Association (AHCA) awards, attesting to Town & Country’s unwavering commitment to providing the highest level of care and services.
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered nurse hours per resident per day.
Licensed Practical Nurse / Licensed Vocational Nurse hours per resident per day.
Nurse aide hours per resident per day.
Total number of nurse staff hours per resident per day on weekends.
Physical therapist staff hours per resident per day.
Registered nurse hours per resident per day on weekends.
May provide extensive amenities, services and programs.
Lower occupancy suggests more openings may be available.
Most residents typically stay for a few weeks or months before returning home or moving on.
59% of new residents, usually for short-term rehab.
41% of new residents, often for short stays.
1% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
LICENSED
Town & Country is legally operated by CHRISTIAN AND MISSIONARY ALLIANCE.
In California, the Department of Social Services (for assisted living facilities) and the Department of Public Health (for nursing homes) conduct inspections to ensure resident safety and regulatory compliance.
26 total complaint visits
8 other visits
Other visits include regulatory visits that are not routine inspections or complaint investigations, such as administrative check-ins, follow-up reviews, or licensing-related visits.
Investigations can have many visits.
Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.
A violation that poses an immediate risk to resident health or safety, or represents a substantial failure to comply with licensing requirements.
A violation that does not pose an immediate risk to resident health or safety but requires correction to remain in compliance.
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Most inspections found no deficiencies, and several complaint investigations were unsubstantiated, indicating that many concerns raised were not supported by evidence. The most recent report from October 28, 2025, identified one minor deficiency related to a delay in walkie-talkie alert response, posing a potential health and safety risk. Earlier reports included some substantiated issues such as unsecured cleaning chemicals and missed medications in August 2025, and a resident elopement due to lack of supervision in November 2023, which led to a deficiency citation. There were no fines, license suspensions, or immediate jeopardy findings listed in the available reports. The facility appears to have addressed previous deficiencies, with the latest inspection showing only a minor issue and no clear pattern of worsening conditions.
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Independent Living For self-sufficient seniors seeking community and minimal assistance.
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
Nursing Homes 24/7 care needed
-20% 
+24% -60% Nursing Home 24/7 care needed
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
+5% -15% Nursing Homes 24/7 care needed
-29% -10% +9% Nursing Homes 24/7 care needed
+4% -16% +7% Nursing Home 24/7 care needed
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
-31% 
Town & Country
-20%
+24%
-60%
+5%
-15%
St. Edna Sub-Acute and Rehabilitation Center
-29%
-10%
+9%
French Park Care Center
+4%
-16%
+7%
Hollybrook Senior Living of Orange
-31%
2.2 miles from city center — 7.1 miles to nearest hospital (Orange County Heart Institute and Research Center)
555 E Memory Ln, Santa Ana, CA 92706
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Source: CMS Payroll-Based Journal (Q2 2025)
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 11 | 7.5 | No |
| Licensed Practical Nurse | 34 | 7.5 | No |
| Certified Nursing Assistant | 74 | 7.1 | No |
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 74 | 0 | 74 | 23,645 | 91 | 100% | 7.1 |
| Licensed Practical Nurse | 34 | 0 | 34 | 11,771 | 91 | 100% | 7.5 |
| Registered Nurse | 11 | 0 | 11 | 3,760 | 91 | 100% | 7.5 |
| Physical Therapy Aide | 5 | 0 | 5 | 1,852 | 71 | 78% | 7.4 |
| Speech Language Pathologist | 6 | 0 | 6 | 1,785 | 72 | 79% | 7.4 |
| Dental Services Staff | 3 | 0 | 3 | 1,420 | 65 | 71% | 7.9 |
| Other Dietary Services Staff | 3 | 0 | 3 | 1,058 | 90 | 99% | 7.7 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 735 | 74 | 81% | 6.3 |
| Physical Therapy Assistant | 5 | 0 | 5 | 678 | 74 | 81% | 6.7 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Administrator | 1 | 0 | 1 | 504 | 63 | 69% | 8 |
| Occupational Therapy Aide | 0 | 3 | 3 | 501 | 63 | 69% | 7.9 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 488 | 61 | 67% | 8 |
| Dietitian | 1 | 0 | 1 | 484 | 61 | 67% | 7.9 |
| RN Director of Nursing | 1 | 0 | 1 | 344 | 43 | 47% | 8 |
| Qualified Social Worker | 5 | 0 | 5 | 210 | 52 | 57% | 3.4 |
| Medical Director | 0 | 1 | 1 | 72 | 12 | 13% | 6 |
| Occupational Therapy Assistant | 0 | 2 | 2 | 59 | 52 | 57% | 1.1 |
California average 12.5
Last Health inspection on Jul 2025
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
26 of 31 citations resulted from standard inspections; and 5 of 31 resulted from complaint investigations.
0
100% better than California average
California average: 0.4
0
100% better than California average
California average: 1
Corrected
Corrected
Corrected
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Active councils help families stay involved in care decisions and facility operations.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
4.5
32% better than California average
California average: 6.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
8.7
24% better than California average
California average: 11.3
Percent of long-stay residents whose need for help with daily activities has increased
5.6%
49% better than California average
California average: 11.1%
Percent of long-stay residents whose ability to move independently worsened
13.9%
16% worse than California average
California average: 12.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
6.4%
43% better than California average
California average: 11.3%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than California average
California average: 1.7%
Percent of long-stay high risk residents with pressure ulcers
1.2%
76% better than California average
California average: 5.0%
Percent of long-stay residents with a urinary tract infection
1.6%
32% worse than California average
California average: 1.2%
Percent of long-stay residents who lose too much weight
1.9%
54% better than California average
California average: 4.2%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than California average
California average: 6.7%
Percent of long-stay residents who received an antipsychotic medication
1.6%
84% better than California average
California average: 10.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.5%
In line with California average
California average: 98.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with California average
California average: 98.2%
Number of hospitalizations per 1,000 long-stay resident days.
0.73
68% better than California average
California average: 2.25
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.42
74% better than California average
California average: 1.59
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
6% better than California average
California average: 94.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.3%
80% better than California average
California average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
99.6%
7% better than California average
California average: 93.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
20.2%
13% better than California average
California average: 23.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
11.8%
5% worse than California average
California average: 11.2%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than California average
California average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
21.8%
59% worse than California average
California average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
50.5%
In line with California average
California average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Historical financial and operational data for Town & Country based on CMS SNF Cost Reports.
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