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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.
Occupancy trails most facilities in the state, suggesting excess open capacity. 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.
Adjusted 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.
Town & Country is legally operated by CHRISTIAN AND MISSIONARY ALLIANCE, and is overseen by Regional Office 22.
Licensed
Centers for Medicare & Medicaid Services (CMS) Certification Number.
These numbers are official license identifiers used by government agencies to verify that the facility is legally authorized to operate.
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.
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2.2 miles from city center
555 E Memory Ln, Santa Ana, CA 92706
Email:
info@town&country.com
Phone:
530-243-5700
Email:
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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
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.
24/7 care needed
24/7 care needed
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