Town & Country
Nursing Home, Assisted Living, Independent Living, Memory Care & Skilled Nursing · Santa Ana, CA
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Town & Country

Nursing Home, Assisted Living, Independent Living, Memory Care & Skilled Nursing · Santa Ana, CA
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Town & Country accepts Medicare, Medicaid, and private pay.

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.

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.
▲ 58.8% Above CA avg. ▲ 58.8% Above CA avg.CA average: 3.1Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▲ 7.3% Above CA avg. ▲ 7.3% Above CA avg.CA average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▲ 59.3% Above CA avg. ▲ 59.3% Above CA avg.CA average: 3.1Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▲ 22.4% Above CA avg. ▲ 22.4% Above CA avg.CA average: 4.1Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info 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.

Hours per resident per day vs California averages

Rank #23 / 289Nurse hours — State benchmarkedThis home is ranked 23rd out of 289 homes in California for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the California average, with a ranking across 289 California facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 23rd out of 289 homes in California for nurse hours. 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.

5h 15m

24% above state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info 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.
47m
+21% State avg: 39m per day · National avg: 41m per day
LPN / LVN Info 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 39m
+36% State avg: 1h 13m per day · National avg: 52m per day
Nurse Aide Info 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 13m
+21% State avg: 2h 39m per day · National avg: 2h 21m per day
Weekend Total Nursing Info 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 44m
+16% State avg: 4h 5m per day · National avg: 3h 26m per day
Physical Therapist Info 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.
6m
+19% State avg: 5m per day · National avg: 4m per day
Weekend RN Info 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.
39m
+30% State avg: 30m per day · National avg: 29m per day

All 6 underlying metrics are above the state average

Capacity and availability

Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
55 days
Bed community size
328-bed community Rank #45 / 1646Bed count — State benchmarkedThis home is ranked 45th out of 1646 homes in California for bed count. Shows this facility's certified or reported bed count compared to other California facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A large-scale community that may provide a wide range of amenities, services, and structured programs.
Years in operation
50 years in operation Rank #22 / 1504Years in operation — State benchmarkedThis home is ranked 22nd out of 1504 homes in California for years in operation. Shows how long this facility has been in operation compared to other California facilities. Longer operating histories may benefit residents, families, and staff.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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%
Rank #1438 / 1492Occupancy rate — State benchmarkedThis home is ranked 1438th out of 1492 homes in California for occupancy. Shows this facility's occupancy rate versus the California average, with its Statewide rank out of 1492. Higher occupancy signals strong local demand and financial stability.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Lower than the California average: 72.8%
Occupied beds
108 / 328
Average occupied beds in California homes 87 beds

License Details

Facility TypeRCFE-Continuing Care Retirement Community
IssuanceDecember 5, 1975
CountyOrange
CMS Certification Number555141

Ownership & Operating Entity

Town & Country is legally operated by Christian And Missionary Alliance, and administered by Sara Modugno.

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.

Inspection Score Info A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the California state average. The score below shows how many points this facility sits above or below the typical California nursing home score (the benchmark); higher is better.This is a proprietary Assisted Living Magazine score.

21 points below the California average for nursing homes (81/100)

Rank #1332 / 1475 in California Inspection Score — State benchmarked This home is ranked 1332nd out of 1475 homes in California for inspection score. Shows this facility's inspection score compared to the California average among 1475 comparable communities in the ranking pool. Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking. This is a proprietary Assisted Living Magazine score. Inspection score: 60 out of 100. Letter grade D-. 21 points below the California average for nursing homes (81/100)

Inspection Scorecard Info 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.

Since 2021 vs. California state average
Overall vs. CA average 3 Worse Metrics worse than California average:
• Total citations (40% above)
• Serious citations (Type A) (100% above)
• Moderate citations (Type B) (100% above)
1 Better Metrics better than California average:
• Citations per inspection (88% below)

Citations Info Citations are formal regulatory issues recorded during state inspections.

This FacilityCA Averagevs. CA Avg
Total citations Info Formal regulatory issues recorded by inspectors across all inspection types. 1410 This facility has 40% more total citations than a typical California nursing home (14 vs. CA avg 10).↑ 40% worse
Serious citations (Type A) Info Citations that pose an immediate risk to resident health or safety. Type A citations are the most serious and typically require prompt corrective action. 63 This facility has 100% more serious citations (type a) than a typical California nursing home (6 vs. CA avg 3).↑ 100% worse Rank #1157 / 1434 Serious citations (Type A) — State benchmarked This home is ranked 1157th out of 1434 homes in California for # of serious citations. Shows this facility's # of serious citations compared to the California average among 1434 comparable communities in the ranking pool. Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking.
Moderate citations (Type B) Info Citations that do not pose an immediate risk but still represent a departure from required care or operational standards. 84 This facility has 100% more moderate citations (type b) than a typical California nursing home (8 vs. CA avg 4).↑ 100% worse
Citations per inspection Info Average citations per inspection. 0.43.3 This facility has 88% fewer citations per inspection than a typical California nursing home (0.4 vs. CA avg 3.3).↓ 88% better

Inspections & Visits Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityCA Averagevs. CA Avg
Total inspections Info Combined count of official scheduled inspections, complaint visits and other regulatory visits. California counts each evaluation report, so one trip can count twice when it serves two purposes. 3916 This facility has had 144% more total inspections than the California average (39 vs. CA avg 16). More inspections can mean more regulatory scrutiny rather than worse care.↑ 144% more
Complaint visits Info On-site visits triggered by formal complaints filed by residents, families, or staff. 2813 This facility has had 115% more complaint visits than the California average (28 vs. CA avg 13). More inspections can mean more regulatory scrutiny rather than worse care.↑ 115% more Rank #1237 / 1388 Complaint visits — State benchmarked This home is ranked 1237th out of 1388 homes in California for # of complaint visits. Shows this facility's # of complaint visits compared to the California average among 1388 comparable communities in the ranking pool. Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking.
Other visits Info Regulatory visits that are neither routine inspections nor complaint investigations — administrative check-ins, follow-up reviews, licensing-related visits. 87 This facility has had 14% more other visits than the California average (8 vs. CA avg 7). More inspections can mean more regulatory scrutiny rather than worse care.↑ 14% more
Official inspections Info Routine, scheduled inspections conducted by state regulators to evaluate whether the facility meets federal and state standards. 34 This facility has had 25% fewer official inspections than the California average (3 vs. CA avg 4). More inspections can mean more regulatory scrutiny rather than worse care.↓ 25% fewer
Complaint investigations Info On-site investigations triggered by complaints filed with California regulators. 2110 This facility has had 110% more complaint investigations than the California average (21 vs. CA avg 10). More inspections can mean more regulatory scrutiny rather than worse care.↑ 110% more

Health Inspection History

Inspections since 2019
Total health inspections 6

California average 12.5


Last Health inspection on Jul 2025

Total health citations
31 Rank #100 / 291Health citations — State benchmarkedThis home is ranked 100th out of 291 homes in California for health citations. Shows this facility's total health deficiency citations benchmarked to the California State average, with a ranking across all 291 CA facilities. Lower citation counts earn a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

California average 50.2

Citations per inspection
5.17 Rank #213 / 291Citations per inspection — State benchmarkedThis home is ranked 213th out of 291 homes in California for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the California mean across 291 facilities with citation data. Lower is better.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

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 7 years)
Critical health citations
0
100% better than California average

California average: 0.4


Serious health citations
0
100% better than California average

California average: 1

0 critical citations California average: 0.4

0 serious citations California average: 1

26 moderate citations California average: 47.2

5 minor citations California average: 1.5
Citations history (last 7 years)
Quality of Care moderate citation Jul 24, 2025
Corrected

Care Planning moderate citation Jul 24, 2025
Corrected

Care Planning moderate citation Jul 24, 2025
Corrected

Infection Control minor citation Nov 07, 2024
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 160
Employees 157
Contractors 3
Staff to resident ratio 2.08 : 1
15% more staff per resident than California average
California average ratio: 1.81 : 1 California average ratio: 1.81 : 1See full California ranking
Avg staff/day 76
Average shift 7.1 hours
8% worse than California average
California average: 7.7 hours California average shift: 7.7 hoursSee full California ranking
Total staff hours (quarter) 49,697

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 17 RN Staff are full-time employees. No contractors work on this role. 17
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.1 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 29 LPN Staff are full-time employees. No contractors work on this role. 29
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.5 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 72 CNA Staff are full-time employees. No contractors work on this role. 72
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.1 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

1.2%

598 contractor hours this quarter

Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1 Medical Director: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant7207223,14992100%7.1
Licensed Practical Nurse2902911,36592100%7.5
Registered Nurse170174,75092100%7.1
Physical Therapy Aide6061,7517683%7.4
Speech Language Pathologist6061,6536975%7.1
Dental Services Staff3031,4746672%7.9
Other Dietary Services Staff3031,0418896%7.7
Respiratory Therapy Technician5057157885%5.6
Physical Therapy Assistant6066827784%6.3
RN Director of Nursing1015046368%8
Dietitian1014936267%8
Nurse Practitioner1014886166%8
Occupational Therapy Aide0114636166%7.6
Clinical Nurse Specialist1014405560%8
Administrator1014005054%8
Qualified Social Worker5051934650%3.9
Medical Director011781314%6
Occupational Therapy Assistant011575459%1.1
72 Certified Nursing Assistant
% of Days 100%
29 Licensed Practical Nurse
% of Days 100%
17 Registered Nurse
% of Days 100%
6 Physical Therapy Aide
% of Days 83%
6 Speech Language Pathologist
% of Days 75%
3 Dental Services Staff
% of Days 72%
3 Other Dietary Services Staff
% of Days 96%
5 Respiratory Therapy Technician
% of Days 85%
6 Physical Therapy Assistant
% of Days 84%
1 RN Director of Nursing
% of Days 68%
1 Dietitian
% of Days 67%
1 Nurse Practitioner
% of Days 66%
1 Occupational Therapy Aide
% of Days 66%
1 Clinical Nurse Specialist
% of Days 60%
1 Administrator
% of Days 54%
5 Qualified Social Worker
% of Days 50%
1 Medical Director
% of Days 14%
1 Occupational Therapy Assistant
% of Days 59%

Penalties and fines

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.

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: 4.2 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%

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

Facility Characteristics

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

Total residents 77
Medicare
33
42.9% of residents
Medicaid
43
55.8% of residents
Private pay or other
1
1.3% of residents
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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 06/2024.

Nonprofit
Nonprofit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$23.2M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$6.8M
Nonprofit Nonprofit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$23.2M Rank #43 / 260Net patient revenue — State benchmarkedThis home is ranked 43rd out of 260 homes in California. Shows this facility's net patient revenue compared to the California average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$6.8M
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$7.3M
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #33 / 260Payroll costs — State benchmarkedThis home is ranked 33rd out of 260 homes in California. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the California average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking.
$13.6M 58.4% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #85 / 260Payroll % of net patient revenue — State benchmarkedThis home is ranked 85th out of 260 homes in California. Shows payroll as a percentage of net patient revenue versus the California average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$16.5M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$30.0M

What does this home offer?

Pets allowed icon
Pets allowed icon

Pets Allowed

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.

Most new residents arrive under Medicare (59% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Admissions
528 total

Coverage residents most often arrive under.

Medicare 59%
Private pay 41%
Medicaid 1%
Discharges
522 total

Coverage residents most often leave under.

Medicare 53%
Private pay 42%
Medicaid 5%

Places of interest near Town & Country

Address 2.2 miles from city center Info Estimated distance in miles from Santa Ana's city center to Town & Country's address, calculated via Google Maps.

Calculate Travel Distance to Town & Country

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Address

Compare Nursing Homes around Santa Ana

Info below is compiled from CMS reports & the CA Dept. of Social Services (CDSS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

Town & Country
NH
AL
IL
MC
SNF
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32.9%
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$0
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Rank #1332 / 1475
31
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5.2
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-108A+ 67 Rod Bollins
$23.2MFiscal year ending 06/2024
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CA AVG $8.9M
Rank #33 / 260
58.4%Fiscal year ending 06/2024
Facility 58.4%Fiscal year ending 06/2024
CA AVG 61.1%
Rank #85 / 260
555141
St. Edna Sub-Acute and Rehabilitation Center
NH
SNF
Santa Ana (Edna Park)
144
Facility 144
CA AVG 104
Rank #400 / 1646
90.9%
Facility 90.9%
CA AVG 73.9
Rank #320 / 1492
+23%
3.82
Facility 3.82
CA AVG 4.22
Rank #185 / 289
-21%-10%
$0
Facility $0
CA AVG $56.5k
Rank #1 / 294
72
Facility 72
CA AVG 81
Rank #1068 / 1475
94
Facility 94
CA AVG 50.2
Rank #267 / 291
6.3
Facility 6.3
CA AVG 4.6
Rank #252 / 291
-131A+
71
Facility 71
CA AVG 59
Rank #701 / 2058
-
$17.4MFiscal year ending 12/2023
Facility $17.4MFiscal year ending 12/2023
CA AVG $15.7M
Rank #88 / 260
$10.3MFiscal year ending 12/2023
Facility $10.3MFiscal year ending 12/2023
CA AVG $8.9M
Rank #77 / 260
59.3%Fiscal year ending 12/2023
Facility 59.3%Fiscal year ending 12/2023
CA AVG 61.1%
Rank #78 / 260
555093
French Park Care Center
NH
SNF
Santa Ana (French Park)
202
Facility 202
CA AVG 104
Rank #149 / 1646
--
3.53
Facility 3.53
CA AVG 4.22
Rank #234 / 289
+3%-16%
$0
Facility $0
CA AVG $56.5k
Rank #1 / 294
70
Facility 70
CA AVG 81
Rank #1125 / 1475
117
Facility 117
CA AVG 50.2
Rank #285 / 291
4.7
Facility 4.7
CA AVG 4.6
Rank #187 / 291
-35A+
87
Facility 87
CA AVG 59
Rank #249 / 2058
Smita Muir
$28.7MFiscal year ending 12/2023
Facility $28.7MFiscal year ending 12/2023
CA AVG $15.7M
Rank #17 / 260
$18.1MFiscal year ending 12/2023
Facility $18.1MFiscal year ending 12/2023
CA AVG $8.9M
Rank #10 / 260
63%Fiscal year ending 12/2023
Facility 63%Fiscal year ending 12/2023
CA AVG 61.1%
Rank #53 / 260
555103
The Hills Post Acute
NH
MC
SNF
Santa Ana (Meredith Parkwood)
174
Facility 174
CA AVG 104
Rank #248 / 1646
96.6%
Facility 96.6%
CA AVG 73.9
Rank #176 / 1492
+31%
4.14
Facility 4.14
CA AVG 4.22
Rank #131 / 289
-3%-2%
$4.9k
Facility $4.9k
CA AVG $56.5k
Rank #178 / 294
70
Facility 70
CA AVG 81
Rank #1125 / 1475
118
Facility 118
CA AVG 50.2
Rank #286 / 291
5.1
Facility 5.1
CA AVG 4.6
Rank #210 / 291
-168A+ 70 -
$21.2MFiscal year ending 12/2023
Facility $21.2MFiscal year ending 12/2023
CA AVG $15.7M
Rank #57 / 260
$12.2MFiscal year ending 12/2023
Facility $12.2MFiscal year ending 12/2023
CA AVG $8.9M
Rank #44 / 260
57.7%Fiscal year ending 12/2023
Facility 57.7%Fiscal year ending 12/2023
CA AVG 61.1%
Rank #92 / 260
555765

Financial Assistance for
Nursing Home in California

Town & Country is located in Santa Ana, California.
Here are the financial assistance programs available to residents in California.

Get Financial aid guidance

Multipurpose Senior Services Program

MSSP (Medi-Cal Waiver)

Age 65+
General 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

County-managed; waitlists possible.

Benefits
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)

California IHSS

Age 65+
General California resident, Medicaid-eligible or low-income.
Income Limits ~$1,732/month individual, Medi-Cal threshold
Asset Limits $2,000 individual
CA

Can hire family as caregivers.

Benefits
Personal care (up to 283 hours/month) Homemaker services Respite (varies)

Multipurpose Senior Services Program (MSSP)

CA MSSP

Age 65+
General 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

Available in 38 counties; waitlists common.

Benefits
Case management Respite care (up to 10 days/year) Minor home mods (avg. $500) Adult day care (~$50/day)

Property Tax Postponement Program (PTP)

CA PTP

Age 62+
General 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

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

Benefits
Property tax deferral (avg. $1,000-$3,000/year, varies by county)

Assisted Living Waiver (ALW)

CA ALW

Age 65+ or disabled
General California resident, Medi-Cal-eligible, nursing home-eligible.
Income Limits ~$2,829/month 300% FBR, individual
Asset Limits $2,000 individual
CA

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

Benefits
Personal care in ALFs (5-7 hours/day) Medication management Social services

California CARES Program

CA CARES

Age
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

High demand in urban areas; complements IHSS respite.

Benefits
Respite care (up to 10 days/year) Counseling (4-6 sessions/year) Training (2-3 workshops/year) Supplies (~$200/year)

Frequently Asked Questions about Town & Country

What neighborhood is Town & Country in?

Town & Country is in the East Memory Lane neighborhood of Santa Ana.

Who is the owner of Town & Country?

Town & Country is legally operated by Christian And Missionary Alliance, and administered by Sara Modugno.

Is Town & Country in a walkable area?

Town & Country has a walk score of 67. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the occupancy rate at Town & Country?

Town & Country's occupancy is 33%.

How long has Town & Country been in business?

Town & Country has been operating for approximately 50 years, based on available licensing and registration records.

Are pets allowed at Town & Country?

Yes, Town & Country allows residents to bring their pets.

Does Town & Country operate as a for-profit or non-profit?

Town & Country is registered as a non-profit in CA.

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