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

Town & Country offers nursing home, assisted living, independent living, memory care, and skilled nursing in Santa Ana, CA. Nursing home and skilled nursing provide licensed nursing care on site around the clock, while assisted living helps with daily tasks such as dressing, bathing, and medication. Independent living provides private living with community services and no daily care, and memory care offers a secured setting with supervision for someone at risk of wandering.

Because Town & Country offers several care levels, it may be a good fit for a resident whose needs may grow over time without requiring a move to a different community. The community has 328 beds, and total nurse staffing is 5h 22m per resident/day, representing the daily hands-on nursing time allocated per resident.

Payment options are Medicare, Medicaid, and private pay. Medicare applies to short-term skilled care after a hospital stay, Medicaid can help when savings may not cover a long stay, and private pay means paying directly. Sara Modugno is the administrator, and Christian And Missionary Alliance operates the community.

A Walk Score of 67 means the area is somewhat walkable, with some errands possible on foot, so a resident who no longer drives may still be able to reach certain nearby destinations independently. Pets are allowed, so a resident may keep a pet at the community.

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 #21 / 289Nurse hours — State benchmarkedThis home is ranked 21st out of 289 homes we track 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.Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.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 21st out of 289 homes we track 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 22m

27% 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.
45m
+15% 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 28m
+20% 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 9m
+19% 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 30m
+10% 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.
7m
+30% 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.
36m
+20% State avg: 30m per day · National avg: 29m per day

All 6 underlying metrics are above the state average

By The Numbers

Community insights.

Bed count Info A large-scale community that may provide a wide range of amenities, services, and structured programs. 328 Rank #29 / 328Bed count — State benchmarkedThis home is ranked 29th out of 328 homes we track 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.Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

High-capacity home · May provide extensive amenities, services and programs.

Years of operating Info A longer operating history, which may indicate experience navigating regulations and delivering ongoing care. This is the number of years in operation under current management. Rank #16 / 182Years in operation — State benchmarkedThis home is ranked 16th out of 182 homes we track 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.Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
50 years
Walk Score Info Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities. Rank #153 / 354Walk Score — State benchmarkedThis home is ranked 153rd out of 354 homes we track in California for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across California facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
67 / 100
Occupancy rate Info Occupancy lower than 85% suggests more openings may be available. Rank #285 / 289Occupancy rate — State benchmarkedThis home is ranked 285th out of 289 homes we track in California for occupancy. Shows this facility's occupancy rate versus the California average, with its Statewide rank out of 289. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
32.9% This home usually has availability
Lower than the California average: 82.5%
Occupied beds
108 / 328
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
BBB Rating Info An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
A+ Not Accredited
How BBB ratings work

About this community

License Details

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

This profile shows two inspection records, and their totals often differ. Inspection History and the Inspection Scorecard below are state data — the figures the state publishes and the state inspection reports we hold on file — covering the entire facility. CMS Health Inspection History covers only this home's Medicare and Medicaid-certified nursing beds, from federal certification surveys.

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 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.

Overall vs. CA average 3 Worse Metrics worse than California average:
• Total citations (17% above)
• Serious citations (Type A) (100% above)
• Moderate citations (Type B) (100% above)
1 Better Metrics better than California average:
• Citations per inspection (42% 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. 1412 This facility has 17% more total citations than a typical California nursing home (14 vs. CA avg 12).↑ 17% 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 #1156 / 1433 Serious citations (Type A) — State benchmarked This home is ranked 1156th out of 1,433 homes we track in California for # of serious citations. Shows this facility's # of serious citations compared to the California average among 1433 comparable communities in the ranking pool. Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
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. 0.40.69 This facility has 42% fewer citations per inspection than a typical California nursing home (0.4 vs. CA avg 0.69).↓ 42% 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 #1236 / 1387 Complaint visits — State benchmarked This home is ranked 1236th out of 1,387 homes we track in California for # of complaint visits. Shows this facility's # of complaint visits compared to the California average among 1387 comparable communities in the ranking pool. Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
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

CMS Health Inspection History

Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.

Inspections Since 2021 · 5 years of data

Includes all CMS health inspection records for this property, which could include management/ownership changes.

Total health inspections 7

California average 12.1


Last Health inspection on Mar 2026

Total health citations
53 Rank #100 / 291Health citations — State benchmarkedThis home is ranked 100th out of 291 homes we track 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.Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

California average 49.8

Citations per inspection
7.57 Rank #213 / 291Citations per inspection — State benchmarkedThis home is ranked 213th out of 291 homes we track 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.Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

California average 4.75


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

47 of 53 citations resulted from standard inspections; and 6 of 53 resulted from complaint investigations.

Breakdown of citation severity (last 5 years)
Critical health citations
0
100% better than California average

California average: 0.3


Serious health citations
0
100% better than California average

California average: 0.9

0 critical citations California average: 0.3

0 serious citations California average: 0.9

44 moderate citations California average: 47

9 minor citations California average: 1.5
Citations history (last 5 years)
Care Planning minor citation Mar 10, 2026
Corrected

Abuse/Neglect moderate citation Nov 20, 2025
Corrected

Abuse/Neglect moderate citation Nov 20, 2025
Corrected

Abuse/Neglect moderate citation Nov 20, 2025
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%

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
Operated by a 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 Operated by a 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 we track 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 %.Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
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 we track 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.Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$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 we track 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.Communities with the same value for a metric share the same rank. Rankings cover every community we track in California that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
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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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-ranked to lowest-ranked based on our methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The California average is: 61.1% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Town & Country
NH
AL
IL
MC
SNF
Santa Ana
328
Facility 328
CA AVG 148
Rank #29 / 328
32.9%
Facility 32.9%
CA AVG 82.5%
Rank #285 / 289
-60%
5.36
Facility 5.36
CA AVG 4.22
Rank #21 / 289
+19%+27%
$0
Facility $0
CA AVG $56.5k
Rank #1 / 294
53
Facility 53
CA AVG 50.2
Rank #100 / 291
7.6
Facility 7.6
CA AVG 4.6
Rank #213 / 291
-108A+
67
Facility 67
CA AVG 60
Rank #153 / 354
Christian And Missionary Alliance
$23.2MFiscal year ending 06/2024
Facility $23.2MFiscal year ending 06/2024
CA AVG $15.7M
Rank #43 / 260
$13.6MFiscal year ending 06/2024
Facility $13.6MFiscal year ending 06/2024
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
The Hills Post Acute
NH
MC
SNF
Santa Ana (Meredith Parkwood)
174
Facility 174
CA AVG 148
Rank #76 / 328
96.6%
Facility 96.6%
CA AVG 82.5%
Rank #28 / 289
+17%
4.21
Facility 4.21
CA AVG 4.22
Rank #123 / 289
-3%0%
$4.9k
Facility $4.9k
CA AVG $56.5k
Rank #178 / 294
119
Facility 119
CA AVG 50.2
Rank #286 / 291
8.5
Facility 8.5
CA AVG 4.6
Rank #210 / 291
-168A+
70
Facility 70
CA AVG 60
Rank #134 / 354
-
$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
St. Edna Sub-Acute and Rehabilitation Center
NH
SNF
Santa Ana (Edna Park)
144
Facility 144
CA AVG 148
Rank #101 / 328
94.7%
Facility 94.7%
CA AVG 82.5%
Rank #64 / 289
+15%
4.01
Facility 4.01
CA AVG 4.22
Rank #151 / 289
-21%-5%
$0
Facility $0
CA AVG $56.5k
Rank #1 / 294
90
Facility 90
CA AVG 50.2
Rank #267 / 291
6.4
Facility 6.4
CA AVG 4.6
Rank #252 / 291
-136A+
71
Facility 71
CA AVG 60
Rank #125 / 354
-
$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 148
Rank #54 / 328
--
3.53
Facility 3.53
CA AVG 4.22
Rank #257 / 289
+3%-16%
$26.1k
Facility $26.1k
CA AVG $56.5k
Rank #1 / 294
120
Facility 120
CA AVG 50.2
Rank #285 / 291
5.2
Facility 5.2
CA AVG 4.6
Rank #187 / 291
135A+
87
Facility 87
CA AVG 60
Rank #47 / 354
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

Rank badges are statewide: each nursing home is ranked against every CA nursing home we track that reports that metric, not just the 4 on this page. See how we rank facilities

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

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. Somewhat 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 32.9%.

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.

Who is the administrator of Town & Country?

Sara Modugno is the administrator of Town & Country.

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