5/5
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.
5/5
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 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.
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.
Data period: Q4 2025 (October 1 – December 31, 2025).
This nursing home is ranked 20th out of 280 nursing 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 22mStandout metric: Physical therapist is +30% above California average
0 of 6 metrics below California average
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. All 17 are the facility's own employees; no agency contractors work in this role.
17 staff · 7.1-hour shifts
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. All 29 are the facility's own employees; no agency contractors work in this role.
29 staff · 7.5-hour shifts
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. All 72 are the facility's own employees; no agency contractors work in this role.
72 staff · 7.1-hour shifts
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.
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.
RN + LPN + aide · Sat–Sun
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.
Sat–Sun
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
160
157 employees · 3 contractors · 76 on an average day
160 total staff / 85 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q4 2025).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
1.88 : 1
↑ 5% · CA 1.79This facility: 1.88 staff per resident, 5% above the California average of 1.79 (among California facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
160 staff ÷ 85 residents
See full California ranking →
Average hours one staff member works on a day they are on shift, across every role.
7.1 h
↓ 8% · CA 7.7 hThis facility: 7.1 h, 8% below the California average of 7.7 h (among California facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
49,697 staff hours this quarter
See full California ranking →98.8% of staff hours were worked by the facility's own employees
California average: 95.3% · Contractors this quarter: Occupational Therapy Aide (1), Occupational Therapy Assistant (1), Medical Director (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
A large-scale community that may provide a wide range of amenities, services, and structured programs.
328
Rank #28 / 321Bed count — State benchmarked This nursing home is ranked 28th out of 321 nursing 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 compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.High-capacity home · May provide extensive amenities, services and programs.
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 #17 / 179Years in operation — State benchmarked This nursing home is ranked 17th out of 179 nursing 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 compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Rank #149 / 344Walk Score — State benchmarked This nursing home is ranked 149th out of 344 nursing 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 compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy lower than 85% suggests more openings may be available.
Rank #279 / 282Occupancy rate — State benchmarked This nursing home is ranked 279th out of 282 nursing homes we track in California for occupancy. Shows this facility's occupancy rate versus the California average, with its Statewide rank out of 282. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Based on 108 residents and 328 beds. Source: state inspection report (Mar 2026)
Lower than the California average: 83%
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.
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
The below pricing was updated on
Town & Country is legally operated by Christian And Missionary Alliance, and administered by Sara Modugno.
Sourced directly from the team at 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.
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 |
|---|---|---|---|
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Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 14 | 10.0 | This facility has 40% more total citations than a typical California nursing home (14 vs. CA avg 10).↑ 40% worse |
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Serious citations (Type A)
Citations that pose an immediate risk to resident health or safety. Type A citations are the most serious and typically require prompt corrective action.
| 6 | 3.0 | This facility has 100% more serious citations (type a) than a typical California nursing home (6 vs. CA avg 3).↑ 100% worse Rank #1 / 283 Serious citations (Type A) — State benchmarked This nursing home is ranked 1st out of 283 nursing homes we track in California for # of serious citations. Shows this facility's # of serious citations compared to the California average among the 283 nursing homes in the ranking pool. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. |
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Moderate citations (Type B)
Citations that do not pose an immediate risk but still represent a departure from required care or operational standards.
| 8 | 4.0 | This facility has 100% more moderate citations (type b) than a typical California nursing home (8 vs. CA avg 4).↑ 100% worse |
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Citations per inspection
Average citations per inspection.
| 0.4 | 0.7 | This facility has 43% fewer citations per inspection than a typical California nursing home (0.4 vs. CA avg 0.7).↓ 43% better |
Inspections & Visits
| This Facility | CA Average | vs. CA Avg |
|---|---|---|---|
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Total inspections
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.
| 39 | 19.0 | This facility has had 105% more total inspections than the California average (39 vs. CA avg 19). More inspections can mean more regulatory scrutiny rather than worse care.↑ 105% more |
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Complaint visits
On-site visits triggered by formal complaints filed by residents, families, or staff.
| 28 | 6.0 | This facility has had 367% more complaint visits than the California average (28 vs. CA avg 6). More inspections can mean more regulatory scrutiny rather than worse care.↑ 367% more |
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Other visits
Regulatory visits that are neither routine inspections nor complaint investigations — administrative check-ins, follow-up reviews, licensing-related visits.
| 8 | 4.0 | This facility has had 100% more other visits than the California average (8 vs. CA avg 4). More inspections can mean more regulatory scrutiny rather than worse care.↑ 100% more |
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Official inspections
Routine, scheduled inspections conducted by state regulators to evaluate whether the facility meets federal and state standards.
| 3 | 4.0 | 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 |
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Complaint investigations
On-site investigations triggered by complaints filed with California regulators.
| 21 | 8.0 | This facility has had 163% more complaint investigations than the California average (21 vs. CA avg 8). More inspections can mean more regulatory scrutiny rather than worse care.↑ 163% more |
Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.
100% corrected
53 of 53 citations corrected Latest inspection: Mar 10, 2026 · 1 citation (Care Planning, minor), corrected
Most cited category: Quality of Life & Care, 11 of 53 citations · 9 categories in total
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Showing the 50 most recent of 53 citations.
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.
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
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.
How residents at this home fare on health outcomes and preventive care, compared with the California average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
5
/ 5
Significantly above average
↑ 18% · CA 4.2This facility: 5.0, 18% above the CA average of 4.2 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
3
/ 5
Average
↓ 15% · CA 3.5This facility: 3.0, 15% below the CA average of 3.5 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
4.4
Score · lower is better
↓ 25% · CA 5.9This facility: 4.4, 25% below the CA average of 5.9 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
7.2
Score · lower is better
↓ 28% · CA 10.0This facility: 7.2, 28% below the CA average of 10.0 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.13 long-stay measures: 10 better, 1 worse, 2 near CA average
8 short-stay measures: 4 better, 1 worse, 3 compared with US only
People who live at the home · 13 measures
Percent of long-stay residents whose need for help with daily activities has increased
7.6%
↓ 26% · CA 10.2This facility: 7.6, 26% below the CA average of 10.2 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
7.1%
↓ 28% · CA 9.8This facility: 7.1, 28% below the CA average of 9.8 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
6.9%
↓ 32% · CA 10.2This facility: 6.9, 32% below the CA average of 10.2 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
1.7%
↑ 39% · CA 1.2This facility: 1.7, 39% above the CA average of 1.2 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
↓ 100% · CA 1.6This facility: 0.0, 100% below the CA average of 1.6 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
3.9%
↓ 10% · CA 4.3This facility: 3.9, 10% below the CA average of 4.3 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
3.7%
↓ 9% · CA 4.0This facility: 3.7, 9% below the CA average of 4.0 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
0.0%
↓ 100% · CA 7.3This facility: 0.0, 100% below the CA average of 7.3 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
0.6%
↓ 95% · CA 12.0This facility: 0.6, 95% below the CA average of 12.0 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 1% · CA 98.6This facility: 100.0, 1% above the CA average of 98.6 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 2% · CA 98.2This facility: 100.0, 2% above the CA average of 98.2 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of hospitalizations per 1,000 long-stay resident days.
0.73
↓ 68% · CA 2.25This facility: 0.73, 68% below the CA average of 2.25 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.42
↓ 74% · CA 1.59This facility: 0.42, 74% below the CA average of 1.59 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Rehab and recovery after a hospital stay · 8 measures
Percentage of residents at or above expected ability to care for themselves at discharge.
21.8%
↓ 59% · US 53.7This facility: 21.8, 59% below the US average of 53.7 (among US facilities reporting a recent figure).
Rate of successful return to home or community from a skilled nursing facility.
50.5%
≈ 0% · US 50.6This facility: 50.5, level with the US average of 50.6 (among US facilities reporting a recent figure).
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
↓ 100% · US 0.8This facility: 0.0, 100% below the US average of 0.8 (among US facilities reporting a recent figure).
Percent of short-stay residents who newly received an antipsychotic medication
0.4%
↓ 70% · CA 1.5This facility: 0.4, 70% below the CA average of 1.5 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 6% · CA 94.4This facility: 100.0, 6% above the CA average of 94.4 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
99.6%
↑ 7% · CA 93.2This facility: 99.6, 7% above the CA average of 93.2 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
20.2%
↓ 13% · CA 23.2This facility: 20.2, 13% below the CA average of 23.2 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who had an outpatient emergency department visit.
11.8%
↑ 5% · CA 11.2This facility: 11.8, 5% above the CA average of 11.2 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
57% of new residents, usually for short-term rehab.
43% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jun 2026)
Total residents
85Residents meet regularly to discuss policies, care quality, and activities
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 from 2012–2025, based on CMS SNF Cost Reports. Includes all financial data for this property, which could include management/ownership changes.
Key figures below are for fiscal year ending in 06/2025.
Based on CMS SNF Cost Report for fiscal year ending in 06/2025.
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."
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."
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."
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."
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.
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 / 252Payroll costs — State benchmarked This nursing home is ranked 33rd out of 252 nursing 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 compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
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 #83 / 252Payroll % of net patient revenue — State benchmarked This nursing home is ranked 83rd out of 252 nursing 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 compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
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).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (57% of admissions), and a typical Medicare stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
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.
Add your location
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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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: 60.9% 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.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Town & Country | NH AL IL MC SNF | Santa Ana | 328
Facility
328
CA AVG
148
Rank
#28 / 321 |
32.9%
Facility
32.9%
CA AVG
83%
Rank
#279 / 282 | -60% | 5.36
Facility
5.36
CA AVG
4.31
Rank
#20 / 280 | +19% | +24% | $0
Facility
$0
CA AVG
$60.5k
Rank
#1 / 285 | 53
Facility
53
CA AVG
49.9
Rank
#199 / 283 | 7.6
Facility
7.6
CA AVG
4.7
Rank
#270 / 283 | - | 108 | A+ |
67
Facility
67
CA AVG
60
Rank
#149 / 344 | Christian And Missionary Alliance | $25.6MFiscal year ending 06/2025
Facility
$25.6MFiscal year ending 06/2025
CA AVG
$15.9M
Rank
#43 / 252 | $14.8MFiscal year ending 06/2025
Facility
$14.8MFiscal year ending 06/2025
CA AVG
$9.0M
Rank
#33 / 252 | 57.7%Fiscal year ending 06/2025
Facility
57.7%Fiscal year ending 06/2025
CA AVG
60.9%
Rank
#83 / 252 | 555141 | ||||
| St. Edna Sub-Acute and Rehabilitation Center | NH SNF | Santa Ana (Edna Park) | 144
Facility
144
CA AVG
148
Rank
#99 / 321 |
94.7%
Facility
94.7%
CA AVG
83%
Rank
#63 / 282 | +14% | 4.01
Facility
4.01
CA AVG
4.31
Rank
#145 / 280 | -21% | -7% | $0
Facility
$0
CA AVG
$60.5k
Rank
#1 / 285 | 90
Facility
90
CA AVG
49.9
Rank
#259 / 283 | 6.4
Facility
6.4
CA AVG
4.7
Rank
#239 / 283 | - | 136 | A+ |
71
Facility
71
CA AVG
60
Rank
#121 / 344 | - | $19.0MFiscal year ending 12/2024
Facility
$19.0MFiscal year ending 12/2024
CA AVG
$15.9M
Rank
#88 / 252 | $11.5MFiscal year ending 12/2024
Facility
$11.5MFiscal year ending 12/2024
CA AVG
$9.0M
Rank
#77 / 252 | 60.6%Fiscal year ending 12/2024
Facility
60.6%Fiscal year ending 12/2024
CA AVG
60.9%
Rank
#76 / 252 | 555093 | ||||
| The Hills Post Acute | NH MC SNF | Santa Ana (Meredith Parkwood) | 174
Facility
174
CA AVG
148
Rank
#74 / 321 |
96.6%
Facility
96.6%
CA AVG
83%
Rank
#27 / 282 | +16% | 4.21
Facility
4.21
CA AVG
4.31
Rank
#118 / 280 | -3% | -2% | $4.9k
Facility
$4.9k
CA AVG
$60.5k
Rank
#181 / 285 | 122
Facility
122
CA AVG
49.9
Rank
#275 / 283 | 8.1
Facility
8.1
CA AVG
4.7
Rank
#273 / 283 | - | 168 | A+ |
70
Facility
70
CA AVG
60
Rank
#130 / 344 | - | $23.0MFiscal year ending 12/2024
Facility
$23.0MFiscal year ending 12/2024
CA AVG
$15.9M
Rank
#57 / 252 | $14.3MFiscal year ending 12/2024
Facility
$14.3MFiscal year ending 12/2024
CA AVG
$9.0M
Rank
#44 / 252 | 62.2%Fiscal year ending 12/2024
Facility
62.2%Fiscal year ending 12/2024
CA AVG
60.9%
Rank
#89 / 252 | 555765 | ||||
| French Park Care Center | NH SNF | Santa Ana (French Park) | 202
Facility
202
CA AVG
148
Rank
#52 / 321 |
94.4%
Facility
94.4%
CA AVG
83%
Rank
#67 / 282 | +14% | 3.53
Facility
3.53
CA AVG
4.31
Rank
#247 / 280 | +3% | -18% | $26.1k
Facility
$26.1k
CA AVG
$60.5k
Rank
#221 / 285 | 116
Facility
116
CA AVG
49.9
Rank
#273 / 283 | 5.0
Facility
5.0
CA AVG
4.7
Rank
#189 / 283 | 1 | 191 | A+ |
87
Facility
87
CA AVG
60
Rank
#46 / 344 | Smita Muir | $31.4MFiscal year ending 12/2024
Facility
$31.4MFiscal year ending 12/2024
CA AVG
$15.9M
Rank
#17 / 252 | $19.6MFiscal year ending 12/2024
Facility
$19.6MFiscal year ending 12/2024
CA AVG
$9.0M
Rank
#10 / 252 | 62.3%Fiscal year ending 12/2024
Facility
62.3%Fiscal year ending 12/2024
CA AVG
60.9%
Rank
#51 / 252 | 555103 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other CA nursing home we track that reports that metric, not just the 4 on this page. See how we rank facilities
Town & Country is located in Santa Ana, California.
Here are the financial assistance programs available to residents in California.
Town & Country is legally operated by Christian And Missionary Alliance, and administered by Sara Modugno.
Town & Country has a walk score of 67. Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Town & Country's occupancy is 32.9%.
Town & Country has been operating for approximately 50 years, based on available licensing and registration records.
Yes, Town & Country allows residents to bring their pets.
The team at Town & Country can be reached at info@tcmanor.com.
Town & Country is registered as a non-profit in CA.
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