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Town & Country

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⌖ Santa Ana, CA · Orange County
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Medicare overall rating 5 of 5 stars
Certified beds96
Medicare / MedicaidMedicare & Medicaid
OwnershipNon-profit (corporation)

About Town & Country

Town & Country is a 96-bed nonprofit nursing home in Santa Ana, CA. Medicare rates it 5 out of 5 stars overall (much above average); the average in California is 3.2. At its last full inspection (Nov 2025), inspectors found 23 problems, more than the California average of 15.6. None of the problems in its recent inspections were found to have harmed residents. Nurses and aides spend about 5 hr 28 min a day with each resident, more than the California average of 4 hr 31 min. About 32% of its nursing staff left in the past year. It has had no federal fines in the last three years. Its quality ratings are stronger for long-term care than for short-term rehab.

Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology

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Key details

Facility nameTown & Country
LocationOrange County, California
Address555 East Memory Lane, Santa Ana, CA 92706 · Orange County
CMS provider number555141
Ownership typeNon-profit (corporation)
Operating companyThe Christian and Missionary Alliance · 2 homes
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceNovember 13, 1981 (44 years)
✓ Medicare✓ Medicaid

Certified for Medicaid; ask whether a Medicaid bed is available.

Quality & inspections

Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.

Overall rating5 of 5Much above average
Health inspections3 of 5Average
Quality measures5 of 5Much above average
Staffing5 of 5Much above average

Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.

What Medicare found

4 strengths and 1 thing to ask about in Medicare's inspection, fine and staffing records for this home.

Strengths

  • Serious health citationsNone on recordNo citations for actual harm or immediate jeopardy since Nov 2025.
    Strength
  • Fines and penaltiesNoneNo federal fines or payment denials in the last three years.
    Strength
  • Nurse staffing per resident5 hr 28 min a dayCalifornia average: 4 hr 31 min
    Strength
  • Registered nurse time per resident46 min a dayCalifornia average: 40 min
    Strength

About average

  • Nursing staff turnover32% a yearCalifornia average: 37%
    About average

Things to ask about

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  • Health citations at last inspection23 (Nov 2025)California average: 15.6. Most citations are minor and corrected within weeks.
    Worse than state average

Source: Medicare (CMS) inspection, penalty and staffing records, compared with the California average. Problems may have been corrected since; ask the home about anything listed here. How we choose these

Short-term rehab or long-term care?

Medicare rates these separately, and many homes are better at one than the other.

Short-term rehab

For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.

Medicare quality rating: 3 of 5 (average)

  • Sent back to the hospital24.3%State average: 23.0%
    About average
  • Needed an emergency room visit7.7%State average: 11.2%
    Better than average
  • Newly given antipsychotic drugs0.4%State average: 1.5%
    Better than average

Physical therapist time: about 7 minutes per resident a day. That is about the same as the state average of 6 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.

Long-term care

For residents who live at the home for months or years.

Medicare quality rating: 5 of 5 (much above average)

  • Falls with a major injury0.0%State average: 1.6%
    Better than average
  • Pressure sores (bedsores)3.8%State average: 4.3%
    About average
  • Given antipsychotic drugs0.6%State average: 12.0%
    Better than average
  • Hospital stays per 1,000 resident days1.3State average: 2.2
    Better than average

Source: Medicare (CMS) quality measures, compared with the California average. Lower is better for every rate shown.

Who pays, and how full it is

Many residents here pay privately or through insurance. In California, Medicaid pays for 7% of resident days at a typical home.

  • 20% Medicaid
  • 14% Medicare
  • 66% Private pay, insurance and other
Beds in use, on average85%California typical: 90%
Cost of care per resident day$487California typical: $464

Shares of resident days, from the home’s Medicare cost report for the year ending June 2025. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.

Ratings over time

Its overall Medicare rating is 5 stars now, the same as 5 stars in January 2019. It has stayed at 5 stars the whole time.

Overall rating5★
Health inspections3★
Staffing5★
Quality of care5★
Nurse hours per resident per day5.5
20192020202120222023202420252026
Show the values by year
MonthOverallInspectionsStaffingQualityNurse hours
Jan 201954455.4
Jan 202055455.6
Jan 202155455.7
Jan 202255445.8
Jan 202355455.2
Jan 202455455.1
Feb 202554455.4
Feb 202653555.6
Sep 202653555.5

Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology

See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home

From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.

Inspection summary

How this facility compares to state and national averages on CMS-reported problems.

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Three-survey history

Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.

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Explore the area

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Family reviews

No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.