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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
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.
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.
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.
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.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 33rd out of 346 homes in California. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 41m per day | ▲ 5% State avg: 39m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 41m per day | ▲ 38% State avg: 1h 13m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 3h 16m per day | ▲ 23% State avg: 2h 39m per day · National avg: 2h 21m per day |
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 4h 34m per day | ▲ 12% State avg: 4h 5m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 5m per day | ■ Avg State avg: 5m per day · National avg: 4m per day |
|
RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 32m per day | ▲ 7% State avg: 30m per day · National avg: 29m per day |
Lower than the California average: 72.8%Town & Country is legally operated by Christian And Missionary Alliance, and administrated by Sara Modugno.
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.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the California state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | CA Average | vs. CA Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 12 | 10 | This facility has 20% more total citations than a typical California nursing home (12 vs. CA avg 10).↑ 20% worse |
|
Serious citations (Type A)
Violations that pose an immediate risk to resident health or safety. Type A citations are the most serious and typically require prompt corrective action.
| 4 | 3 | This facility has 33% more serious citations (type a) than a typical California nursing home (4 vs. CA avg 3).↑ 33% worse |
|
Moderate citations (Type B)
Violations that do not pose an immediate risk but still represent a departure from required care or operational standards.
| 8 | 4 | This facility has 100% more moderate citations (type b) than a typical California nursing home (8 vs. CA avg 4).↑ 100% worse |
|
Citations per year
Average citations per year since 2021.
| 2.4 | 2 | This facility has 20% more citations per year than a typical California nursing home (2.4 vs. CA avg 2).↑ 20% worse |
|
Citations per inspection
Average citations per inspection.
| 0.3 | 3.3 | This facility has 91% fewer citations per inspection than a typical California nursing home (0.3 vs. CA avg 3.3).↓ 91% better |
Inspections & Visits
| This Facility | CA Average | vs. CA Avg |
|---|---|---|---|
|
Total visits
Combined count of complaint visits, other regulatory visits, and official scheduled inspections.
| 37 | 16 | This facility has 131% more total visits than a typical California nursing home (37 vs. CA avg 16).↑ 131% worse |
|
Complaint visits
On-site visits triggered by formal complaints filed by residents, families, or staff.
| 26 | 13 | This facility has 100% more complaint visits than a typical California nursing home (26 vs. CA avg 13).↑ 100% worse |
|
Other visits
Regulatory visits that are neither routine inspections nor complaint investigations — administrative check-ins, follow-up reviews, licensing-related visits.
| 8 | 7 | This facility has 14% more other visits than a typical California nursing home (8 vs. CA avg 7).↑ 14% worse |
|
Official inspections
Routine, scheduled inspections conducted by state regulators to evaluate whether the facility meets federal and state standards.
| 3 | 4 | This facility has 25% fewer official inspections than a typical California nursing home (3 vs. CA avg 4).↓ 25% better |
|
Complaint investigations
On-site investigations triggered by complaints filed with California regulators.
| 21 | 10 | This facility has 110% more complaint investigations than a typical California nursing home (21 vs. CA avg 10).↑ 110% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
This facility’s inspection record is problematic due to repeated immediate health and safety risks and multiple deficiencies in resident care, medication management, and abuse reporting. The most recent inspection on March 27, 2026, cited two deficiencies involving rough, aggressive staff behavior and a serious medication error exposing residents to immediate harm. Earlier inspections found 18 deficiencies in November 2025, including failure to report abuse, improper medication use, and inadequate infection control, showing persistent compliance issues despite some unsubstantiated complaints.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsCalifornia average 12.5
Last Health inspection on Jul 2025
California average 50.2
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.
100% better than California averageCalifornia average: 0.4
100% better than California averageCalifornia average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
2077822% better than California average
8% worse than California average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
598 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 72 | 0 | 72 | 23,149 | 92 | 100% | 7.1 |
| Licensed Practical Nurse | 29 | 0 | 29 | 11,365 | 92 | 100% | 7.5 |
| Registered Nurse | 17 | 0 | 17 | 4,750 | 92 | 100% | 7.1 |
| Physical Therapy Aide | 6 | 0 | 6 | 1,751 | 76 | 83% | 7.4 |
| Speech Language Pathologist | 6 | 0 | 6 | 1,653 | 69 | 75% | 7.1 |
| Dental Services Staff | 3 | 0 | 3 | 1,474 | 66 | 72% | 7.9 |
| Other Dietary Services Staff | 3 | 0 | 3 | 1,041 | 88 | 96% | 7.7 |
| Respiratory Therapy Technician | 5 | 0 | 5 | 715 | 78 | 85% | 5.6 |
| Physical Therapy Assistant | 6 | 0 | 6 | 682 | 77 | 84% | 6.3 |
| RN Director of Nursing | 1 | 0 | 1 | 504 | 63 | 68% | 8 |
| Dietitian | 1 | 0 | 1 | 493 | 62 | 67% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 463 | 61 | 66% | 7.6 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 440 | 55 | 60% | 8 |
| Administrator | 1 | 0 | 1 | 400 | 50 | 54% | 8 |
| Qualified Social Worker | 5 | 0 | 5 | 193 | 46 | 50% | 3.9 |
| Medical Director | 0 | 1 | 1 | 78 | 13 | 14% | 6 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 57 | 54 | 59% | 1.1 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
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 averageCalifornia average: 6.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
8.7
24% better than California averageCalifornia average: 11.3
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
5.6%
49% better than California averageCalifornia average: 11.1%
Percent of long-stay residents whose ability to move independently worsened
13.9%
16% worse than California averageCalifornia average: 12.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
6.4%
43% better than California averageCalifornia average: 11.3%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than California averageCalifornia average: 1.7%
Percent of long-stay high risk residents with pressure ulcers
1.2%
76% better than California averageCalifornia average: 5.0%
Percent of long-stay residents with a urinary tract infection
1.6%
32% worse than California averageCalifornia average: 1.2%
Percent of long-stay residents who lose too much weight
1.9%
54% better than California averageCalifornia average: 4.2%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than California averageCalifornia average: 6.7%
Percent of long-stay residents who received an antipsychotic medication
1.6%
84% better than California averageCalifornia average: 10.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.5%
In line with California averageCalifornia average: 98.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with California averageCalifornia average: 98.2%
Number of hospitalizations per 1,000 long-stay resident days.
0.73
68% better than California averageCalifornia average: 2.25
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.42
74% better than California averageCalifornia average: 1.59
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
6% better than California averageCalifornia average: 94.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.3%
80% better than California averageCalifornia average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
99.6%
7% better than California averageCalifornia average: 93.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
20.2%
13% better than California averageCalifornia average: 23.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
11.8%
5% worse than California averageCalifornia average: 11.2%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than California averageCalifornia average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
21.8%
59% worse than California averageCalifornia average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
50.5%
In line with California averageCalifornia average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
77Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Town & Country based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #45 / 347Payroll — State benchmarkedThis home is ranked 45th out of 347 homes in California. Shows total annual staff payroll benchmarked to the California average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
2.2 miles from city center
Estimated distance in miles from Santa Ana's city center to Town & Country's address, calculated via Google Maps.
— 7.1 miles to nearest hospital (Orange County Heart Institute and Research Center)
Add your location
Town & Country is located in Santa Ana, California.
Here are the financial assistance programs available to residents in California.
The information below is reported by the California Department of Social Services and Department of Public Health.
| Town & Country |
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.
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. | Santa Ana (East Memory Lane) | 328 | 33.8% | -60% | 5.25 | +24% | +24% | $0 | 31 | 5.2 | - | 82 | A+ | 67 | Rod Bollins | $44.3M | $13.6M | 30.6% | 555141 | ||||
| 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 | -18% | -10% | $20.6k | 94 | 6.3 | - | 135 | A+ | 71 | - | $16.8M | $12.0M | 71.3% | 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 | +8% | -16% | $0 | 117 | 4.7 | - | 185 | A+ | 87 | Smita Muir | $46.1M | $18.1M | 39.3% | 555103 |
Town & Country is in the East Memory Lane neighborhood of Santa Ana.
The legal owner and operator of Town & Country is Christian And Missionary Alliance.
Town & Country has a walk score of 67. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Town & Country's occupancy is 33%.
Sara Modugno is the administrator of Town & Country.
Town & Country has 328 beds.
Town & Country has had 12 recently reported deficiencies.
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