Routine inspection·December 18, 2025

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced visit to Town & Country. The purpose of today’s visit was to conduct the Annual Required inspection. LPA was allowed entry into the facility and explained the reason for the visit. Facility is licensed for 158 non-ambulatory. Facility has an approved hospice waiver for 30 residents and the facility currently has 21 residents on hospice care. Sara Modugno has an administrator certificate expiring on 09/02/2026. LPA Lyman along with Memory Care Liaison Lori Wear toured the facility at 8:13 AM. Administrator Sara Modugno joined the tour in progress. LPA toured the physical plant, checked food service, facility records and the first aid kit. Facility appears to be clean, safe, and sanitary. Facility consists of two buildings housing independent, memory care and assisted living residents with multiple outside areas, three dining rooms, beauty salon and activity areas. At approximately 8:15 AM, LPA observed there is door in need of repair in the main entrance area of facility (photo). Resident apartments had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident restrooms were checked. Toilets and water faucets worked properly, grab bars were secure and shower was free of mold/mildew. LPA observed five residents with half bed rails. Water temperature measured between 108.5 and 119.1 degrees F in facility restrooms. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked at time of visit. Common areas were clean and clear of hazards, doorways were free of obstructions. First aid kit had all the required elements including tweezers, thermometer, and scissors as well as a first aid manual. LPA observed cleaning supplies are secured. Kitchen was inspected. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. Smoke detectors are tested annually by Siemons along with fire inspections with the last inspection date of 03/11/2025. Fire extinguishers are fully charged. LPA observed evacuation chair at stairwells. CONT IN 809C DATED 12/18/2025. LPA toured the outside grounds and there is ample shaded seating for residents. LPA observed ample emergency food and water. LPA reviewed the emergency disaster plan during the visit. Plan is thorough and complete. Facility conducts quarterly emergency drills with the last drill conducted on 11/12/2025. Facility provides activities in the form of games, exercise, and outings in the community. LPA observed residents participating in activities during the visit. LPA reviewed select resident and staff files. Resident files contained required documents including admission agreements, current physician reports and resident appraisals. Resident #2 does not have an updated medical assessment and Residents #2, 3, and #10 do not have written physician orders for bed rails. Staff files reviewed contained required documentation such as health screen/TB and criminal record clearance. Five out of five staff files reviewed do not contain required annual training. Four out of five staff do not have CPR training. LPA to return at a later date to review medications. Based on the observations made during today’s visit, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. This report was discussed with the facility representative and a copy was provided as well as appeal rights.