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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.
Staff and Care Quality - Reviews generally highlight the dedication and competence of the staff, with many instances of staff going above and beyond for residents. However, there are also mentions of inconsistencies, particularly on weekends, and concerns about staffing ratios, which suggest that while the overall care is commendable, there are occasional lapses that need addressing.
Facilities and Environment - The facility is praised for its bright, open, and thoughtfully designed spaces, particularly the Grace Gardens memory care wing. It offers a welcoming and uplifting environment for residents, which is a significant positive aspect noted across multiple reviews.
Communication and Management Responsiveness - Management at Town & Country Manor is recognized for being responsive and transparent, addressing concerns promptly and creatively. This proactive approach contributes to a sense of partnership with families, although some reviews indicate that communication could be strained due to language barriers and other challenges.
The facility operates with a larger bed count than most state competitors, supporting broader intake. Residents generally stay for shorter periods than state peers, pointing to quicker turnover.
Home revenue ranks in the upper tier statewide, reflecting strong billing volume. Payroll spending sits in the top tier, showing a strong investment in staffing resources. Total income trails most communities, suggesting tighter operating margins.
Medicare nights lag behind other facilities, revealing limited Medicare demand. Medicaid nights sit above most state facilities, underscoring deep Title XIX coverage. Private pay nights lead the state, showing strong demand from market-rate residents.
Occupancy
Finance
Percentage of home revenue spent on payroll costs.
House Specifics:
OperationsQuality Ratings
CMS 5-star rating based on health inspections, staffing, and quality measures.
Rating based on deficiencies found during state health inspections.
Rating based on nurse staffing hours per resident per day.
Quality Measures rating based on clinical outcomes for residents.
Total nurse staffing hours per resident per day.
Medicaid, Medicare & Private
Number of resident nights paid by Medicare for short-term or rehab care.
Resident nights covered by Medicaid for long-term care or support services.
Nights paid privately by residents or families, without Medicare/Medicaid coverage.
California average: 71%
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.
21 visits/inspections triggered by complaints
8 other visits
California average: 14 visits/inspections
California average: 12 complaint visits
California average: 3 inspections
Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.
California average: 9 citations
The facility’s inspection history from 2021 to 2023 shows a generally compliant operation with a few notable events. In February 2021, an unannounced health‑and‑safety visit documented the death of a resident following a self‑inflicted gunshot. The investigators concluded no evidence of neglect or inadequate care; no citations were issued. A subsequent visit in May 2021 reviewed the same incident, reaffirming that the resident’s death occurred after a recent transfer from a skilled‑nursing facility and that the facility’s records reflected no lapses in supervision. These early findings underscored a pattern of prompt response and thorough documentation during crises.
The facility continued to expand its services, launching a new memory‑care building in August 2021 and undergoing a required annual audit in November 2022. The audit noted a well‑maintained environment, up‑to‑date medical records, and robust infection‑control protocols. Visitors were screened, emergency supplies were adequate, and residents appeared engaged in a variety of activities. No deficiencies emerged in either the memory‑care rollout or the year‑long compliance review, suggesting the organization successfully integrated new services while maintaining regulatory standards.
A divergence occurred in October 2023 when a deficiency was cited for failure to report a July 2023 fire caused by an electrical circuit in the steam well. The licensing agency’s investigation revealed that the fire was not reported to the department by the required next working day, violating Title 22 reporting requirements. Consequently, a citation was issued, and a corrective plan was required. This isolated lapse highlights a specific gap in the facility’s incident‑reporting procedures, despite otherwise strong compliance. The organization’s ability to correct the deficiency will be monitored in forthcoming visits, reinforcing the importance of timely communication with regulatory authorities in addition to maintaining day‑to‑day operational standards.
For seniors needing help with daily tasks but not full-time nursing.
For self-sufficient seniors seeking community and minimal assistance.
Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
24/7 care needed
24/7 care needed
24/7 care needed
24/7 care needed
For seniors needing help with daily tasks but not full-time nursing.
Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
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2.2 miles from city 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 |
Source: CMS Health Citations (Jul 2019 – Jul 2025)
| Date | Severity ? | Category | Tag | Status |
|---|---|---|---|---|
| Jul 24, 2025 | D | Quality of Care | F0684 | Corrected |
| Jul 24, 2025 | D | Care Planning | F0655 | Corrected |
| Jul 24, 2025 | D | Care Planning | F0656 | Corrected |
| Nov 07, 2024 | B | Infection Control | F0880 | Corrected |
| Sep 13, 2024 | E | Environmental | F0908 | Corrected |
| Sep 13, 2024 | E | Environmental | F0909 | Corrected |
| Sep 13, 2024 | E | Infection Control | F0880 | Corrected |
| Sep 13, 2024 | D | Nutrition | F0803 | Corrected |
| Sep 13, 2024 | D | Nutrition | F0804 | Corrected |
| Sep 13, 2024 | E | Nutrition | F0812 | Corrected |
| Sep 13, 2024 | D | Nutrition | F0813 | Corrected |
| Sep 13, 2024 | D | Pharmacy | F0755 | Corrected |
| Sep 13, 2024 | D | Pharmacy | F0757 | Corrected |
| Sep 13, 2024 | D | Pharmacy | F0758 | Corrected |
| Sep 13, 2024 | D | Pharmacy | F0761 | Corrected |
| Sep 13, 2024 | D | Quality of Care | F0679 | Corrected |
| Sep 13, 2024 | D | Quality of Care | F0684 | Corrected |
| Sep 13, 2024 | D | Resident Rights | F0552 | Corrected |
| Sep 13, 2024 | D | Resident Rights | F0578 | Corrected |
| Sep 13, 2024 | B | Resident Rights | F0583 | Corrected |
| Apr 09, 2024 | D | Abuse/Neglect | F0610 | Corrected |
| Nov 18, 2021 | D | Infection Control | F0880 | Corrected |
| Nov 18, 2021 | D | Infection Control | F0883 | Corrected |
| Nov 18, 2021 | D | Nursing Services | F0726 | Corrected |
| Nov 18, 2021 | D | Pharmacy | F0761 | Corrected |
| Nov 18, 2021 | D | Quality of Care | F0689 | Corrected |
| Nov 18, 2021 | D | Quality of Care | F0693 | Corrected |
| Nov 18, 2021 | D | Quality of Care | F0695 | Corrected |
| Nov 18, 2021 | B | Care Planning | F0656 | Corrected |
| Nov 18, 2021 | B | Resident Rights | F0574 | Corrected |
| Jul 19, 2019 | B | Resident Rights | F0550 | Corrected |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Active councils help families stay involved in care decisions and facility operations.
CMS quality measures assess care quality for long-stay and short-stay residents. Lower percentages generally indicate better outcomes for most measures.
Source: CMS Nursing Home Compare (Data as of Jan 2026)
Composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and ADL decline
Composite score based on ADL decline, walking ability decline, and incontinence
Measures for residents who stay 101 days or more. For most measures, lower percentages indicate better care.
Measures for residents who stay 100 days or less (typically rehabilitation patients).
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