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Nursing Home

Town & Country

Nursing Home

Town & Country

555 E Memory Ln, Santa Ana, CA 92706 View map
Overview of Town & Country

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.

(530) 243-5700

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
5/5
California average: 3.6/5
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
3/5
California average: 3.2/5
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
5/5
California average: 3.5/5
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
5/5
California average: 4.3/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
5h 15m per day

This home provides 20% more nursing time per resident than the California average.

California average: 4h 23m per day

Staffing hours breakdown

Info Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Staff type Facility State avg National avg
Registered Nurse (RN) Info Registered nurse hours per resident per day. 41m per day 39m per day 41m per day
Nurse Aide Info Nurse aide hours per resident per day. 3h 16m per day 2h 39m per day 2h 21m per day
Total Nursing (Weekend) Info Total number of nurse staff hours per resident per day on weekends. 4h 47m per day 4h 5m per day 3h 26m per day
Physical Therapist Info Physical therapist staff hours per resident per day. 5m per day 5m per day 4m per day
RN (Weekend) Info Registered nurse hours per resident per day on weekends. 32m per day 30m per day 29m per day

Capacity and availability

High-capacity home

May provide extensive amenities, services and programs.

Total beds 328

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the California average
Occupancy rate 32.9%
Residents per day 108
Occupancy rate
32.9%
Residents per day
108

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Might be optimal for
Short stays Recovery Medicare-covered care

Breakdown by payment type

Medicare

59% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

41% of new residents, often for short stays.

Typical stay 6 - 7 months

Medicaid

1% of new residents, often for long-term daily care.

Typical stay 6 years

Finances and operations

Voluntary non-profit community
Operated by a church.
Home revenue
$44.3M
Surplus of revenue
$521.4K
Voluntary non-profit community Operated by a church.
Home revenue
$44,340,666.00
Surplus of revenue
$521,431.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$12.1M
27.2% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$31.8M
Total costs $43.8M
Bed community size
328-bed community
A large-scale community that may provide a wide range of amenities, services, and structured programs.
Years in operation
50 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 67 / 100
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
BBB Rating
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work

About this community

Occupancy

Occupancy rate
33%
55% lower than California average

California average: 73%

Occupied beds
108 / 328
Average residents 87 per day

License details

Facility type
Rcfe-continuing Care Retirement Community
Status Licensed
Issuance December 5, 1975
County: ORANGE

Additional licensing details

CMS Certification Number: 555141

Ownership & operating entity

Town & Country is legally operated by CHRISTIAN AND MISSIONARY ALLIANCE.

Types of Care at Town & Country

Independent Living Assisted Living Memory Care Skilled Nursing
Contact Town & Country

Inspection History

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.

34 visits

California average: 16 visits

Breakdown by visit type

26 total complaint visits

8 other visits Info 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.

California average

13 total complaint visits

7 other visits

21 complaint investigations

Investigations can have many visits.

California average: 10 complaint investigations

3 official inspections

California average: 4 official inspections

12 total citations

Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.

California average: 10 citations

4 serious citations

A violation that poses an immediate risk to resident health or safety, or represents a substantial failure to comply with licensing requirements.

California average: 3 serious citations

8 moderate citations

A violation that does not pose an immediate risk to resident health or safety but requires correction to remain in compliance.

California average: 4 moderate citations

Latest inspection

Date:October 28, 2025
Type:Complaint Investigation

9 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Inspection Report Summary for Town & Country

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.

Health Inspection History

Inspections
Total health inspections 6

California average 12.5


Last Health inspection on Jul 2025

Total health citations 31

California average 50.2

Citations per inspection
5.17

California average 4.65


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.

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than California average

California average: 0.4


Serious Health citations More info 0
100% better than California average

California average: 1

0 critical citations More info California average: 0.4

0 serious citations More info California average: 1

26 moderate citations More info California average: 47.2

5 minor citations More info California average: 1.5
Citations history (last 3 years)
Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Jul 24, 2025
Corrected

Care Planning moderate citation Info Issues related to creating and updating personalized care plans for residents based on their needs and conditions. Jul 24, 2025
Corrected

Care Planning moderate citation Info Issues related to creating and updating personalized care plans for residents based on their needs and conditions. Jul 24, 2025
Corrected

Infection Control minor citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Nov 07, 2024
Corrected

Compare Nursing Homes around Santa Ana The information below is reported by the California Department of Social Services and Department of Public Health.

5 facilities compared · CMS & CA Dept. of Health data · Updated Mar 2026

Town & Country
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Santa Ana
213
33.8%
-60%
5.25
-20%
+24%
0
31
0
82
A+
67
Bollins, Rod
$37,0M
$12,1M
32.6%
555141
St. Francis Home
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

SANTA ANA
74
72.4%
-15%
4.41
-
+5%
0
0
0
81
-
-
Catholic Health Initiatives
$13,6M
$6,8M
49.9%
525595
St. Edna Sub-Acute and Rehabilitation Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Santa Ana (Edna Park)
144
92.5%
+9%
3.82
-29%
-10%
2
94
0
135
A+
71
-
$16,8M
$9,1M
54.3%
555093
French Park Care Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Santa Ana (French Park)
202
90.3%
+7%
3.53
+4%
-16%
0
117
0
185
A+
87
Muir, Smita
$43,1M
$16,0M
37%
555103
Hollybrook Senior Living of Orange
-
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Santa Ana (Santa Ana Triangle)
130
58.5%
-31%
-
-
-
-
-
-
0
0
0
-
-
78
All Health Holdings Corp
-
-
-
-

Places of interest near Town & Country

Address 2.2 miles from city center — 7.1 miles to nearest hospital (Orange County Heart Institute and Research Center)

Address 555 E Memory Ln, Santa Ana, CA 92706

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 161
Employees 155
Contractors 6
Staff to resident ratio 2.09:1
2090809% better than California average

California average ratio: 0.00:1

Avg staff/day 76
Average shift 7.2 hours
6% worse than California average

California average: 7.7 hours

Total staff hours (quarter) 49,876
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 11
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.5 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 34
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.5 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 74
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.1 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

1.3%

632 contractor hours this quarter

Occupational Therapy Aide: 3 Occupational Therapy Assistant: 2 Medical Director: 1
Staff by category
Certified Nursing Assistant7407423,64591100%7.1
Licensed Practical Nurse3403411,77191100%7.5
Registered Nurse110113,76091100%7.5
Physical Therapy Aide5051,8527178%7.4
Speech Language Pathologist6061,7857279%7.4
Dental Services Staff3031,4206571%7.9
Other Dietary Services Staff3031,0589099%7.7
Respiratory Therapy Technician4047357481%6.3
Physical Therapy Assistant5056787481%6.7
Nurse Practitioner1015126470%8
Administrator1015046369%8
Occupational Therapy Aide0335016369%7.9
Clinical Nurse Specialist1014886167%8
Dietitian1014846167%7.9
RN Director of Nursing1013444347%8
Qualified Social Worker5052105257%3.4
Medical Director011721213%6
Occupational Therapy Assistant022595257%1.1
74 Certified Nursing Assistant
% of Days 100%
34 Licensed Practical Nurse
% of Days 100%
11 Registered Nurse
% of Days 100%
5 Physical Therapy Aide
% of Days 78%
6 Speech Language Pathologist
% of Days 79%
3 Dental Services Staff
% of Days 71%
3 Other Dietary Services Staff
% of Days 99%
4 Respiratory Therapy Technician
% of Days 81%
5 Physical Therapy Assistant
% of Days 81%
1 Nurse Practitioner
% of Days 70%
1 Administrator
% of Days 69%
3 Occupational Therapy Aide
% of Days 69%
1 Clinical Nurse Specialist
% of Days 67%
1 Dietitian
% of Days 67%
1 RN Director of Nursing
% of Days 47%
5 Qualified Social Worker
% of Days 57%
1 Medical Director
% of Days 13%
2 Occupational Therapy Assistant
% of Days 57%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
77 residents
Residents by payment source
Medicare
33 residents (42.9%)
Medicaid
43 residents (55.8%)
Private pay or other
1 resident (1.3%)
Programs & Services
Residents' Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

CCRC

Part of a Continuing Care Retirement Community offering multiple care levels

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info 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

Functional decline score Info 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

Long-stay resident measures
Significantly above average California avg: 4.3 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info 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%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 13.9%
16% worse than California average

California average: 12.0%

Low Risk Residents with Bowel/Bladder Incontinence Info 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%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 0.0%
100% better than California average

California average: 1.7%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 1.2%
76% better than California average

California average: 5.0%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.6%
32% worse than California average

California average: 1.2%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 1.9%
54% better than California average

California average: 4.2%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than California average

California average: 6.7%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 1.6%
84% better than California average

California average: 10.1%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.5%
In line with California average

California average: 98.5%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
In line with California average

California average: 98.2%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 0.73
68% better than California average

California average: 2.25

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 0.42
74% better than California average

California average: 1.59

Short-stay resident measures
Average California avg: 3.5 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
6% better than California average

California average: 94.0%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.3%
80% better than California average

California average: 1.5%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 99.6%
7% better than California average

California average: 93.2%

Re-hospitalized after SNF stay Info 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%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 11.8%
5% worse than California average

California average: 11.2%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than California average

California average: 0.8%

Ability to care for self at discharge Info 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%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 50.5%
In line with California average

California average: 50.6%

Guides for Better Senior Living

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Financial Aid for California Seniors

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Multipurpose Senior Services Program

MSSP (Medi-Cal Waiver)

Age 65+, California resident, Medi-Cal eligible, nursing home risk.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

County-managed; waitlists possible.

In-Home Supportive Services (IHSS)

California IHSS

Age 65+, California resident, Medicaid-eligible or low-income.

~$1,732/month (individual, Medi-Cal threshold).

$2,000 (individual).

Can hire family as caregivers.

Multipurpose Senior Services Program (MSSP)

CA MSSP

Age 65+, California resident, Medi-Cal-eligible, nursing home-eligible but community-capable.

~$2,829/month (300% FBR, individual).

$2,000 (individual).

Available in 38 counties; waitlists common.

Property Tax Postponement Program (PTP)

CA PTP

Age 62+, California resident, own and live in home, 40% equity.

~$51,500/year (household, adjusted annually).

Equity-based; no strict asset cap.

Deferred taxes accrue interest (5% as of 2024); repaid upon sale/death.

Assisted Living Waiver (ALW)

CA ALW

Age 65+ or disabled, California resident, Medi-Cal-eligible, nursing home-eligible.

~$2,829/month (300% FBR, individual).

$2,000 (individual).

Available in 15 counties (e.g., LA, Sacramento); waitlists common.

California CARES Program

CA CARES

Caregivers of California residents 60+ needing help with 3+ daily activities; no caregiver age limit.

No strict limit; cost-sharing above ~$2,500/month threshold.

Not applicable; need-based.

High demand in urban areas; complements IHSS respite.

Low-Income Home Energy Assistance Program (LIHEAP)

CA LIHEAP

Age 60+ priority, California resident, low-income, utility/heating need.

~$2,510/month (200% of poverty level, individual).

Not applicable; income-focused.

High demand in inland/coastal extremes; weatherization capped at $5,000/home.

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