Town & Country
555 East Memory Lane, Santa Ana, CA 92706 · Orange County · 96 certified beds · avg 83 residents/day · certified since Nov 13, 1981
Part of chain: THE CHRISTIAN AND MISSIONARY ALLIANCE (2 facilities, chain avg rating 4.5★)
3/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
5.36
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (53)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 10, 2026 | B · Minimal risk, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Nov 20, 2025 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Nov 20, 2025 | E · Potential for harm, repeated | The facility did not regularly inspect bed frames, mattresses, and bed rails for safety, or the rails and mattresses were not attached safely to the frames. |
| Nov 20, 2025 | D · Potential for harm, one-off | The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. |
| Nov 20, 2025 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. |
| Nov 20, 2025 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. |
| Nov 20, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Nov 20, 2025 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Nov 20, 2025 | D · Potential for harm, one-off | The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. |
| Nov 20, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Nov 20, 2025 | D · Potential for harm, one-off | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. |
| Nov 20, 2025 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Nov 20, 2025 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Nov 20, 2025 | D · Potential for harm, one-off | The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. |
| Nov 20, 2025 | D · Potential for harm, one-off | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. |
| Nov 20, 2025 | D · Potential for harm, one-off | The facility did not have a policy covering how food brought in by family and visitors is used and stored safely. |
| Nov 20, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Nov 20, 2025 | D · Potential for harm, one-off | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
| Nov 20, 2025 | D · Potential for harm, one-off | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. |
| Nov 20, 2025 | B · Minimal risk, repeated | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. |
| Nov 20, 2025 | B · Minimal risk, repeated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Nov 20, 2025 | B · Minimal risk, repeated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Nov 20, 2025 | B · Minimal risk, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Jul 24, 2025 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · from a complaint |
| Jul 24, 2025 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| Jul 24, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Nov 7, 2024 | B · Minimal risk, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Sep 13, 2024 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Sep 13, 2024 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Sep 13, 2024 | E · Potential for harm, repeated | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
| Sep 13, 2024 | E · Potential for harm, repeated | The facility did not regularly inspect bed frames, mattresses, and bed rails for safety, or the rails and mattresses were not attached safely to the frames. |
| Sep 13, 2024 | D · Potential for harm, one-off | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. |
| Sep 13, 2024 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Sep 13, 2024 | D · Potential for harm, one-off | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Sep 13, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Sep 13, 2024 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Sep 13, 2024 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| Sep 13, 2024 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Sep 13, 2024 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Sep 13, 2024 | D · Potential for harm, one-off | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Sep 13, 2024 | D · Potential for harm, one-off | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Sep 13, 2024 | D · Potential for harm, one-off | The facility did not have a policy covering how food brought in by family and visitors is used and stored safely. |
| Sep 13, 2024 | B · Minimal risk, repeated | The facility did not keep residents' personal and medical information private and confidential. |
| Apr 9, 2024 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Nov 18, 2021 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Nov 18, 2021 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Nov 18, 2021 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Nov 18, 2021 | D · Potential for harm, one-off | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. |
| Nov 18, 2021 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Nov 18, 2021 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Nov 18, 2021 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Nov 18, 2021 | B · Minimal risk, repeated | The facility did not give residents important notices in a format and language they can understand — for example, translated documents or accessible formats for those with vision or hearing loss. |
| Nov 18, 2021 | B · Minimal risk, repeated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (16 → 22).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 9 | 0 | D |
| 2024 | 18 | 0 | E |
| 2025 | 25 | 0 | E |
| 2026 | 1 | 0 | B |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | California avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 5.36 | 4.31 | 3.95 | top 9% in California; top 9% in the U.S. |
| Registered Nurse hours | 0.75 | 0.61 | 0.69 | top 21% in California; top 32% in the U.S. |
| Weekend total nurse staffing | 4.50 | 3.90 | 3.50 | top 14% in California; top 12% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.60 | 0.51 | 0.48 | top 22% in California; top 23% in the U.S. |
| Total nursing staff turnover (%) | 31.5 | 36.7 | 45.8 | top 35% in California; top 17% in the U.S. |
| RN turnover (%) | 23.1 | 38.1 | 42.9 | top 24% in California; top 18% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 5.47, RN 0.76, weekend 4.60. Staffing rating: 5/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 3/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| The Christian and Missionary Alliance | Organization | 5% or Greater Indirect Ownership Interest | 100% | 09/17/1976 |
| Town and Country Manor Christian & Missionary Alliance | Organization | 5% or Greater Direct Ownership Interest | 100% | 09/17/1976 |
| Adams, John | Individual | Corporate Director | NOT APPLICABLE | 09/22/2024 |
| Baldes, Ken | Individual | Corporate Director | NOT APPLICABLE | 04/01/2021 |
| Bollins, Rod | Individual | Corporate Director | NOT APPLICABLE | 09/01/2007 |
| Crownover, Keith | Individual | Corporate Director | NOT APPLICABLE | 04/01/2022 |
| Ellis, Robert | Individual | Corporate Director | NOT APPLICABLE | 09/01/2015 |
| Gerlach, Matthew | Individual | Corporate Director | NOT APPLICABLE | 01/01/2022 |
| Glasgow, Gordon | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/1983 |
| Glasgow, Gordon | Individual | ADP of the SNF | NOT APPLICABLE | 09/01/1998 |
| Goerzen, Robert | Individual | Corporate Officer | NOT APPLICABLE | 08/23/2021 |
| Goerzen, Robert | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/23/2021 |
| Goerzen, Robert | Individual | ADP of the SNF | NOT APPLICABLE | 08/23/2021 |
| Holt, Pat | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/11/2023 |
| Holt, Pat | Individual | ADP of the SNF | NOT APPLICABLE | 02/11/2023 |
| Kirk, Wilford | Individual | Corporate Director | NOT APPLICABLE | 04/01/2022 |
| Kolb, Gina | Individual | Corporate Officer | NOT APPLICABLE | 01/20/2013 |
| Kolb, Gina | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2013 |
| Kolb, Gina | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2013 |
| Lamendola, Joseph | Individual | Corporate Director | NOT APPLICABLE | 01/01/2015 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you keep residents' medical records accurate, complete, and secure?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How often are beds and bed rails inspected, and who does those checks?"
- "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Orange Healthcare & Wellness Centre, LLC | 0.5 mi | Orange, CA | ★★★☆☆ | 3/5 | |
| Mainplace Post Acute | 0.8 mi | Orange, CA | ★★☆☆☆ | 2/5 | |
| French Park Care Center | 1.2 mi | Santa Ana, CA | ★☆☆☆☆ | 1/5 | |
| Healthbridge Children's Hospital - Orange D/P SNF | 1.3 mi | Orange, CA | ★★★☆☆ | 3/5 | |
| The Hills Post Acute | 1.3 mi | Santa Ana, CA | ★☆☆☆☆ | 1/5 | |
| Chapman Global Medical Center D/P SNF | 2.0 mi | Orange, CA | ★★★☆☆ | 3/5 | |
| Advanced Rehab Center of Tustin | 2.2 mi | Santa Ana, CA | ★☆☆☆☆ | 1/5 | |
| Citrus Post-Acute | 2.4 mi | Santa Ana, CA | ★★☆☆☆ | 2/5 | |
| Alta Gardens Care Center | 2.9 mi | Garden Grove, CA | ★★★☆☆ | 2/5 | |
| Garden Park Care Center | 2.9 mi | Garden Grove, CA | ★★★★☆ | 3/5 | |
| Foothill Regional Medical Center D/P SNF | 3.4 mi | Tustin, CA | ★★★★☆ | 4/5 | |
| The Grove Post Acute | 3.5 mi | Garden Grove, CA | ★★★★★ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 555141.