Town & Country

Town & Country is a Nursing Home in California

Town & Country is a Nursing Home in California

Town & Country

555 E Memory Ln, Santa Ana, CA 92706 View Map

Town & Country is a Nursing Home in California

Town & Country is a Nursing Home in California

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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

What families are saying

Overall quality of life and resident wellbeing

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.

Quality of life Care & staff

Quality of care and staff professionalism

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.

Care & staff

Personalized attention and individual support

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.

Personal attention

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Nurse hours per resident 5.25/day
Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
5/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
3/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
5/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
5/5

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 81.9%
Residents per day (avg) 82
Occupancy rate
81.9%
Residents per day (avg)
82

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 home
Church
Home revenue
$44.3M
Surplus of revenue
$521.4K
Voluntary non-profit home 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 Rate
34%
Occupied Beds
111 of 328
Percentage of available beds currently in use by residents.

California average: 72%

License Status
LICENSED
Facility Type
RCFE-CONTINUING CARE RETIREMENT COMMUNITY
License Date
December 5, 1975

Additional licensing details

CMS Certification Number: 555141
County: ORANGE

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: 14 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

12 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: 9 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

Inspection Report Summary for Town & Country

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.

Comparison Chart

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

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IL

Independent Living For self-sufficient seniors seeking community and minimal assistance.

MC

Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

SNF

Nursing Homes 24/7 care needed

Santa Ana
213
No
A+
67
BOLLINS, ROD
33.8%
$37,010,750.00
$12,059,418.00
32.6%
82.40
5/5
5.2457
3/5
5/5
5/5
-
The Hills Post Acute
SNF

Nursing Homes 24/7 care needed

Santa Ana
172
No
A+
70
-
93.7%
$27,341,973.00
$10,365,448.00
37.9%
162.20
2/5
4.1414
2/5
3/5
4/5
2
St. Edna Sub-Acute and Rehabilitation Center
SNF

Nursing Homes 24/7 care needed

Santa Ana
144
No
A+
71
-
92.5%
$16,797,355.00
$9,124,615.00
54.3%
134.90
2/5
3.8175
2/5
3/5
4/5
2
French Park Care Center
SNF

Nursing Homes 24/7 care needed

Santa Ana
202
No
A+
87
MUIR, SMITA
90.3%
$43,146,310.00
$15,963,891.00
37%
184.70
2/5
3.5282
2/5
3/5
3/5
-
Hollybrook Senior Living of Orange
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

MC

Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

Santa Ana
130
No
-
78
ALL HEALTH HOLDINGS CORP
58.5%
-
-
-
-
-
-
-
-
-
-

Places of interest near Town & Country

Address 2.2 miles from city center

Address 555 E Memory Ln, Santa Ana, CA 92706

Calculate Travel Distance to Town & Country

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Address

Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

161
Total Staff
155
Employees
6
Contractors
49,876
Total Hours (Quarter)
76
Avg Staff/Day
7.2
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse117.5 No
Licensed Practical Nurse347.5 No
Certified Nursing Assistant747.1 No
Staff by Category
Administration
2 staff
7.7hs shift avg
Nursing Staff
120 staff
7.2hs shift avg
Physicians & Practitioners
2 staff
8hs shift avg
Therapy Services
25 staff
6.8hs shift avg
Activities & Recreation
0 staff
0hs shift avg
Social Services
5 staff
3.4hs shift avg
Dietary Services
4 staff
7.8hs shift avg
Other Services
3 staff
7.9hs shift avg
Contractor Analysis
1.3%
of total hours from contractors
632 contractor hours this quarter
Occupational Therapy Aide: 3 Medical Director: 1 Occupational Therapy Assistant: 2
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
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

Health Inspection History

Source: CMS Health Citations (Jul 2019 – Jul 2025)

6
Inspections
31
Total Citations
0
Critical (J-L)
0
Serious (G-I)
5.17
Citations/Inspection
Jul 2025
Last Inspection
Citation Severity Distribution
Minor (A-C)
5
Moderate (D-F)
26
Serious (G-I)
0
Critical (J-L)
0
What do these levels mean?
Top Deficiency Categories
Quality of Life & Care
6
19% of total
Resident Rights
5
16% of total
Pharmacy Services
5
16% of total
Infection Control
4
13% of total
Environmental
2
6% of total
Abuse, Neglect & Exploitation
1
3% of total
Citation Sources
Standard Inspections 26
Complaint Investigations 5
State Comparison (CA)
Citations
31
California average: 50.2
Critical Citations
0
California average: 0.4
Recent Citations (Last 3 Years)
DateSeverity ?CategoryTagStatus
Jul 24, 2025 D Quality of CareF0684 Corrected
Jul 24, 2025 D Care PlanningF0655 Corrected
Jul 24, 2025 D Care PlanningF0656 Corrected
Nov 07, 2024 B Infection ControlF0880 Corrected
Sep 13, 2024 E EnvironmentalF0908 Corrected
Sep 13, 2024 E EnvironmentalF0909 Corrected
Sep 13, 2024 E Infection ControlF0880 Corrected
Sep 13, 2024 D NutritionF0803 Corrected
Sep 13, 2024 D NutritionF0804 Corrected
Sep 13, 2024 E NutritionF0812 Corrected
Sep 13, 2024 D NutritionF0813 Corrected
Sep 13, 2024 D PharmacyF0755 Corrected
Sep 13, 2024 D PharmacyF0757 Corrected
Sep 13, 2024 D PharmacyF0758 Corrected
Sep 13, 2024 D PharmacyF0761 Corrected
Sep 13, 2024 D Quality of CareF0679 Corrected
Sep 13, 2024 D Quality of CareF0684 Corrected
Sep 13, 2024 D Resident RightsF0552 Corrected
Sep 13, 2024 D Resident RightsF0578 Corrected
Sep 13, 2024 B Resident RightsF0583 Corrected
Apr 09, 2024 D Abuse/NeglectF0610 Corrected
Nov 18, 2021 D Infection ControlF0880 Corrected
Nov 18, 2021 D Infection ControlF0883 Corrected
Nov 18, 2021 D Nursing ServicesF0726 Corrected
Nov 18, 2021 D PharmacyF0761 Corrected
Nov 18, 2021 D Quality of CareF0689 Corrected
Nov 18, 2021 D Quality of CareF0693 Corrected
Nov 18, 2021 D Quality of CareF0695 Corrected
Nov 18, 2021 B Care PlanningF0656 Corrected
Nov 18, 2021 B Resident RightsF0574 Corrected
Jul 19, 2019 B Resident RightsF0550 Corrected

Facility Characteristics

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

Ownership: Non-Profit Corporation
Resident Census by Payment Source
77 Total Residents
Medicare 33 (42.9%)
Medicaid 43 (55.8%)
Private Pay/Other 1 (1.3%)
Programs & Services
Residents' Group
Nurse Aide Training
CCRC
Family Engagement

Active councils help families stay involved in care decisions and facility operations.

Quality Measures

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)

High-Risk Clinical Events
4.5 Score
32% better than avg California avg: 6.6

Composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and ADL decline

Functional Decline
8.7 Score
24% better than avg California avg: 11.3

Composite score based on ADL decline, walking ability decline, and incontinence

Long-Stay Resident Measures

Measures for residents who stay 101 days or more. For most measures, lower percentages indicate better care.

Need for Help with Daily Activities Increased
5.6%
Lost Too Much Weight
1.9%
Urinary Tract Infection
1.6%
Depressive Symptoms
0.0%
Falls with Major Injury
0.0%
Pneumococcal Vaccine
99.5%
Antipsychotic Use
1.6%
Walking Ability Worsened
13.9%
Influenza Vaccine
100.0%
High Risk Residents with Pressure Ulcers
1.2%
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
6.4%
Short-Stay Resident Measures

Measures for residents who stay 100 days or less (typically rehabilitation patients).

Pneumococcal Vaccine
100.0% 6% better than avg California: 94.0%
Short-Stay Residents Who Received a New Antipsychotic Medication
0.3% 80% better than avg California: 1.5%
Influenza Vaccine
99.6% 7% better than avg California: 93.2%

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Claim What’s Yours: Financial Aid for California Seniors

Program
State Program Name
Eligibility
Benefits
Multipurpose Senior Services Program
MSSP (Medi-Cal Waiver)
  • General: Age 65+, California resident, Medi-Cal eligible, nursing home risk.
  • Income Limits (2025): ~$2,829/month (300% FBR, individual).
  • Asset Limits: $2,000 (individual), $3,000 (couple).
  • CA Specifics: County-managed; waitlists possible.
  • Services: In-home support (4-6 hours/day), respite care (14 days/year), meals (~$6/meal), transportation (8 trips/month), care management.
In-Home Supportive Services (IHSS)
  • General: Age 65+, California resident, Medicaid-eligible or low-income.
  • Income Limits: ~$1,732/month (individual, Medi-Cal threshold).
  • Asset Limits: $2,000 (individual).
  • CA Specifics: Can hire family as caregivers.
  • Services: Personal care (up to 283 hours/month), homemaker services, respite (varies).
Multipurpose Senior Services Program (MSSP)
  • General: Age 65+, California resident, Medi-Cal-eligible, nursing home-eligible but community-capable.
  • Income Limits: ~$2,829/month (300% FBR, individual).
  • Asset Limits: $2,000 (individual).
  • CA Specifics: Available in 38 counties; waitlists common.
  • Services: Case management, respite care (up to 10 days/year), minor home mods (avg. $500), adult day care (~$50/day).
Property Tax Postponement Program (PTP)
  • General: Age 62+, California resident, own and live in home, 40% equity.
  • Income Limits (2025): ~$51,500/year (household, adjusted annually).
  • Asset Limits: Equity-based; no strict asset cap.
  • CA Specifics: Deferred taxes accrue interest (5% as of 2024); repaid upon sale/death.
  • Services: Property tax deferral (avg. $1,000-$3,000/year, varies by county).
Assisted Living Waiver (ALW)
CA ALW
  • General: Age 65+ or disabled, California resident, Medi-Cal-eligible, nursing home-eligible.
  • Income Limits: ~$2,829/month (300% FBR, individual).
  • Asset Limits: $2,000 (individual).
  • CA Specifics: Available in 15 counties (e.g., LA, Sacramento); waitlists common.
  • Services: Personal care in ALFs (5-7 hours/day), medication management, social services.
California CARES Program
CA CARES
  • General: Caregivers of California residents 60+ needing help with 3+ daily activities; no caregiver age limit.
  • Income Limits: No strict limit; cost-sharing above ~$2,500/month threshold.
  • Asset Limits: Not applicable; need-based.
  • CA Specifics: High demand in urban areas; complements IHSS respite.
  • Services: Respite care (up to 10 days/year), counseling (4-6 sessions/year), training (2-3 workshops/year), supplies (~$200/year).
Low-Income Home Energy Assistance Program (LIHEAP)
  • General: Age 60+ priority, California resident, low-income, utility/heating need.
  • Income Limits (2025): ~$2,510/month (200% of poverty level, individual).
  • Asset Limits: Not applicable; income-focused.
  • CA Specifics: High demand in inland/coastal extremes; weatherization capped at $5,000/home.
  • Services: Utility payments (avg. $500-$1,000/year), weatherization (e.g., insulation, avg. $1,000-$3,000 savings).

Claim What’s Yours Financial Aid for California Seniors

MSSP (Medi-Cal Waiver)

Multipurpose Senior Services Program

Requirements:
  • General:
    Age 65+, California resident, Medi-Cal eligible, nursing home risk.
  • Income Limits (2025):
    ~$2,829/month (300% FBR, individual).
  • Asset Limits:
    $2,000 (individual), $3,000 (couple).
  • CA Specifics:
    County-managed; waitlists possible.
Benefits without Contact:
  • Services: In-home support (4-6 hours/day), respite care (14 days/year), meals (~$6/meal), transportation (8 trips/month), care management.
California IHSS

In-Home Supportive Services (IHSS)

Requirements:
  • General:
    Age 65+, California resident, Medicaid-eligible or low-income.
  • Income Limits:
    ~$1,732/month (individual, Medi-Cal threshold).
  • Asset Limits:
    $2,000 (individual).
  • CA Specifics:
    Can hire family as caregivers.
Benefits without Contact:
  • Services: Personal care (up to 283 hours/month), homemaker services, respite (varies).
CA MSSP

Multipurpose Senior Services Program (MSSP)

Requirements:
  • General:
    Age 65+, California resident, Medi-Cal-eligible, nursing home-eligible but community-capable.
  • Income Limits:
    ~$2,829/month (300% FBR, individual).
  • Asset Limits:
    $2,000 (individual).
  • CA Specifics:
    Available in 38 counties; waitlists common.
Benefits without Contact:
  • Services: Case management, respite care (up to 10 days/year), minor home mods (avg. $500), adult day care (~$50/day).
CA PTP

Property Tax Postponement Program (PTP)

Requirements:
  • General:
    Age 62+, California resident, own and live in home, 40% equity.
  • Income Limits (2025):
    ~$51,500/year (household, adjusted annually).
  • Asset Limits:
    Equity-based; no strict asset cap.
  • CA Specifics:
    Deferred taxes accrue interest (5% as of 2024); repaid upon sale/death.
Benefits without Contact:
  • Services: Property tax deferral (avg. $1,000-$3,000/year, varies by county).
CA ALW

Assisted Living Waiver (ALW)

Requirements:
  • General:
    Age 65+ or disabled, California resident, Medi-Cal-eligible, nursing home-eligible.
  • Income Limits:
    ~$2,829/month (300% FBR, individual).
  • Asset Limits:
    $2,000 (individual).
  • CA Specifics:
    Available in 15 counties (e.g., LA, Sacramento); waitlists common.
Benefits without Contact:
  • Services: Personal care in ALFs (5-7 hours/day), medication management, social services.
CA CARES

California CARES Program

Requirements:
  • General:
    Caregivers of California residents 60+ needing help with 3+ daily activities; no caregiver age limit.
  • Income Limits:
    No strict limit; cost-sharing above ~$2,500/month threshold.
  • Asset Limits:
    Not applicable; need-based.
  • CA Specifics:
    High demand in urban areas; complements IHSS respite.
Benefits without Contact:
  • Services: Respite care (up to 10 days/year), counseling (4-6 sessions/year), training (2-3 workshops/year), supplies (~$200/year).
CA LIHEAP

Low-Income Home Energy Assistance Program (LIHEAP)

Requirements:
  • General:
    Age 60+ priority, California resident, low-income, utility/heating need.
  • Income Limits (2025):
    ~$2,510/month (200% of poverty level, individual).
  • Asset Limits:
    Not applicable; income-focused.
  • CA Specifics:
    High demand in inland/coastal extremes; weatherization capped at $5,000/home.
Benefits without Contact:
  • Services: Utility payments (avg. $500-$1,000/year), weatherization (e.g., insulation, avg. $1,000-$3,000 savings).
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