Public Record
Town & Country
Operated by The Christian And Missionary Alliance
From CMS
Facility profile
- CMS overall rating
- 5 / 5
- Certified beds
- 96
- Avg. residents per day
- 78.2
*CMS Five-Star
*CMS
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California cost report
Food cost per resident day
Raw food costs divided by total patient days from the same HCAI filing. Each year is compared with the median across California HCAI filers that carry a Medicare provider number for that report year; the roughly 18 percent of filers without one are not in the comparison.
2023 raw food costs per resident day
$35.34
Filing period: to
California median $8.51 across 892 filers. This facility: 95.9th percentile of those filers.
RN, LVN, and CNA staffing mix
Census context: 28,770 total patient days in this filing.
| Role | Productive hours | Productive salaries | Hourly rate |
|---|---|---|---|
| RN | 13,376 | $696,164 | $52.05/hour |
| LVN | 50,906 | $1,863,994 | $36.62/hour |
| CNA | 91,528 | $2,166,964 | $23.68/hour |
2022 raw food costs per resident day
$17.54
Filing period: to
California median $8.23 across 896 filers. This facility: 92.7th percentile of those filers.
RN, LVN, and CNA staffing mix
Census context: 26,967 total patient days in this filing.
| Role | Productive hours | Productive salaries | Hourly rate |
|---|---|---|---|
| RN | 11,951 | $648,835 | $54.29/hour |
| LVN | 46,028 | $1,666,384 | $36.20/hour |
| CNA | 79,581 | $1,710,247 | $21.49/hour |
2021 raw food costs per resident day
$17.69
Filing period: to
California median $8.32 across 111 filers. This facility: 80.2th percentile of those filers.
RN, LVN, and CNA staffing mix
Census context: 24,466 total patient days in this filing.
| Role | Productive hours | Productive salaries | Hourly rate |
|---|---|---|---|
| RN | 13,040 | $632,356 | $48.49/hour |
| LVN | 41,120 | $1,319,943 | $32.10/hour |
| CNA | 78,546 | $1,403,370 | $17.87/hour |
*HCAI Long-Term Care Integrated Disclosure
Inspection record
On record from CMS
- Health citations
- 53
- Fire safety findings
- 15
- Inspections on file
- 10
- Last inspection
- 2026-03-10
*CMS
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*CMS
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Citations
53 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0842Generalno actual harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0690Generalpotential for harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- 0694Generalpotential for harm
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- 0695Generalpotential for harm
Provide safe and appropriate respiratory care for a resident when needed.
- 0700Generalpotential for harm
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- 0755Generalpotential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 0761Generalpotential for harm
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- 0804Generalno actual harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- 0805Generalpotential for harm
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- 0806Generalpotential for harm
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- 0561Generalno actual harm
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0813Generalpotential for harm
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0908Generalpotential for harm
Keep all essential equipment working safely.
- 0909Generalpotential for harm
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
- 0919Generalpotential for harm
Make sure that a working call system is available in each resident's bathroom and bathing area.
- 0657Generalno actual harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- 0605Generalpotential for harm
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- 0609Generalpotential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- 0610Generalpotential for harm
Respond appropriately to all alleged violations.
- 0656Generalno actual harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0655Generalpotential for harm
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0880Generalno actual harm
Provide and implement an infection prevention and control program.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0552Generalpotential for harm
Ensure that residents are fully informed and understand their health status, care and treatments.
- 0578Generalpotential for harm
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- 0583Generalno actual harm
Keep residents' personal and medical records private and confidential.
- 0679Generalpotential for harm
Provide activities to meet all resident's needs.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0755Generalpotential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 0757Generalpotential for harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- 0758Generalpotential for harm
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- 0761Generalpotential for harm
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- 0803Generalpotential for harm
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- 0804Generalpotential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- 0813Generalpotential for harm
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0908Generalpotential for harm
Keep all essential equipment working safely.
- 0909Generalpotential for harm
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
- 0610Generalpotential for harm
Respond appropriately to all alleged violations.
- 0574Generalno actual harm
The resident has the right to receive notices in a format and a language he or she understands.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0693Generalpotential for harm
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- 0695Generalpotential for harm
Provide safe and appropriate respiratory care for a resident when needed.
- 0726Generalpotential for harm
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- 0761Generalpotential for harm
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0883Generalpotential for harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- 0656Generalno actual harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspection history
Every health inspection on record
Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.
- View inspection reportInspection1 deficiency
- View inspection reportInspectionFire Safety4 deficiencies
- Inspection22 deficiencies
555141 11/20/2025 Town & Country 555 East Memory Lane Santa Ana, CA 92706 F 0561 Level of Harm - Potential for minimal harm Residents Affected - Some Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice…
Read full statement of deficiencies - Inspection3 deficiencies
555141 07/24/2025 Town & Country 555 East Memory Lane Santa Ana, CA 92706 F 0655 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted **NOTE- TERMS…
Read full statement of deficiencies - Inspection1 deficiency
555141 11/07/2024 Town & Country 555 East Memory Lane Santa Ana, CA 92706 F 0880 Provide and implement an infection prevention and control program. Level of Harm - Potential for minimal harm Based on observation, interview, and facility P&P review, the facility failed to ensure the…
Read full statement of deficiencies - View inspection reportInspectionFire Safety4 deficiencies
- Inspection16 deficiencies
555141 09/13/2024 Town & Country 555 East Memory Lane Santa Ana, CA 92706 F 0552 Ensure that residents are fully informed and understand their health status, care and treatments. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT…
Read full statement of deficiencies - Inspection1 deficiency
555141 04/09/2024 Town & Country 555 East Memory Lane Santa Ana, CA 92706 F 0610 Respond appropriately to all alleged violations. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview, medical…
Read full statement of deficiencies - View inspection reportInspectionFire Safety7 deficiencies
- Inspection9 deficiencies
555141 11/18/2021 Town & Country 555 East Memory Lane Santa Ana, CA 92706 F 0574 The resident has the right to receive notices in a format and a language he or she understands. Level of Harm - Potential for minimal harm Based on observation, interview, and facility P&P review, the facility…
Read full statement of deficiencies
Ownership
The Christian And Missionary Alliance
2nursing homes nationwide, in CMS records
1 in California, 1 in other states.
Counted from the chain CMS itself discloses for this home, which matches CMS Care Compare. ReadyRule's own common-control analysis is a separate and broader lens, and the two can differ.
FAQ
Questions and answers
- What is Town & Country?
- Town & Country is a Medicare- and Medicaid-certified nursing home in Santa Ana, CA, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 555141.
- What is the CMS rating for Town & Country?
- Town & Country has a CMS overall rating of 5 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Town & Country have?
- Town & Country is certified for 96 beds. It serves an average of 78.2 residents per day.
- How many citations does Town & Country have?
- Town & Country has 53 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Town & Country last inspected?
- Town & Country was last inspected on March 10, 2026. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
/nursing-home/555141-town-country