
Town & Country Complaints, Violations and Inspection Records
Data current as of the August 2026 CMS Care Compare release and the CDPH state enforcement dataset of August 27, 2024. State citation records cover July 1, 1997 through June 30, 2024.
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What the public record shows
If you are looking into Town & Country in Santa Ana, whether a loved one lives there now or you are considering it, the public record is worth reading before you decide. Federal and state inspectors publish what they find.
Here is what the record shows for this facility, drawn from CMS Care Compare and the California Department of Public Health:
- CMS overall rating: 5 of 5 stars. The health inspection rating, the most independent of the three categories, is 3 of 5. A high overall score can rest on self-reported quality measures while the inspection score, which comes from in-person surveys, sits lower.
- California state citations: 3 on record, including 3 class B, with $3,500 in assessed penalties.
- Staffing: 5.47 nursing hours per resident per day; registered nurse turnover 23.1%.
- Most recent standard inspection: 22 deficiencies cited on November 20, 2025. The most recent inspection since then was on March 10, 2026: 1 deficiency cited in the complaint inspection.
- Federal enforcement: no federal fines on record in the reported period.
- Ownership: Town and Country Manor Christian & Missionary Alliance, non-profit, part of The Christian and Missionary Alliance (2 facilities nationally).
Town & Country ratings and staffing
Town & Country is located at 555 East Memory Lane in Santa Ana, Orange County. It is a non-profit facility operated by Town and Country Manor Christian & Missionary Alliance, part of The Christian and Missionary Alliance, with 96 certified beds and an average of 83.1 residents a day. It accepts Medicare and Medicaid.
CMS rates every certified nursing home in three separate categories, and the overall star is a blend of them:
- Health inspections, based on what state surveyors observe in person during unannounced visits. Weight this one most heavily, because it does not rely on data the facility reports about itself.
- Staffing, drawn from payroll-based records of how much nursing time each resident actually receives.
- Quality measures, built largely from data the facility submits. Read a high score here with more caution than the other two.
For Town & Country, those scores are: health inspections 3 of 5, staffing 5 of 5, quality measures 5 of 5.
Staffing. Town & Country reports 5.47 total nursing hours per resident per day, of which 0.76 are registered nurse hours. Over the reporting year, 31.5% of the nursing staff left. Registered nurses supervise aides, catch medication errors before they reach a resident, and notice when a person's condition is changing. Staffing is the single number that most reliably predicts whether a facility catches a problem early or lets it become a crisis.
How this home compares in the public record
CMS publishes each home's star rating and its payroll-based staffing hours, and it publishes the federal fines it has imposed. The county and California figures beside each number are the averages across those same published records.
These figures are taken from public CMS Care Compare records as of August 2026 (the August 2026 release) and public CDPH records as of June 2024 (the state enforcement dataset of August 27, 2024). They are reported as published and are not a recommendation, endorsement or assessment of any facility by this firm. How these figures were assembled.
Federal inspection findings and penalties
Scope and severity A to C means no actual harm, with potential for minimal harm. Scope and severity D to F means no actual harm, with potential for more than minimal harm. Scope and severity G to I means actual harm that is not immediate jeopardy. Scope and severity J to L means immediate jeopardy to resident health or safety.
March 10, 2026, complaint inspection
1 deficiency cited. Surveyors cited the facility for safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (scope and severity B)
November 20, 2025, standard inspection
22 deficiencies cited. Surveyors cited the facility for procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards, 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, and prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity E)
- F0909Regularly 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. (scope and severity E)
- F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. (scope and severity D)
- F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (scope and severity D)
- F0610Respond appropriately to all alleged violations. (scope and severity D)
- F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals. (scope and severity D)
- F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (scope and severity D)
- F0694Provide for the safe, appropriate administration of IV fluids for a resident when needed. (scope and severity D)
- F0695Provide safe and appropriate respiratory care for a resident when needed. (scope and severity D)
- F0700Try 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. (scope and severity D)
- F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (scope and severity D)
- F0761Ensure 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. (scope and severity D)
- F0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. (scope and severity D)
- F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. (scope and severity D)
- F0813Have a policy regarding use and storage of foods brought to residents by family and other visitors. (scope and severity D)
- F0880Provide and implement an infection prevention and control program. (scope and severity D)
- F0908Keep all essential equipment working safely. (scope and severity D)
- F0919Make sure that a working call system is available in each resident's bathroom and bathing area. (scope and severity D)
- F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (scope and severity B)
- F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity B)
- F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (scope and severity B)
- F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (scope and severity B)
July 24, 2025, complaint inspection
3 deficiencies cited. Surveyors cited the facility for create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted, develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured, and provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (scope and severity D)
- F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity D)
- F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals. (scope and severity D)
November 7, 2024, complaint inspection
1 deficiency cited. Surveyors cited the facility for provide and implement an infection prevention and control program.
- F0880Provide and implement an infection prevention and control program. (scope and severity B)
September 13, 2024, standard inspection
16 deficiencies cited. Surveyors cited the facility for procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards, provide and implement an infection prevention and control program, and keep all essential equipment working safely.
- F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity E)
- F0880Provide and implement an infection prevention and control program. (scope and severity E)
- F0908Keep all essential equipment working safely. (scope and severity E)
- F0909Regularly 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. (scope and severity E)
- F0552Ensure that residents are fully informed and understand their health status, care and treatments. (scope and severity D)
- F0578Honor 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. (scope and severity D)
- F0679Provide activities to meet all resident's needs. (scope and severity D)
- F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals. (scope and severity D)
- F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (scope and severity D)
- F0757Ensure each resident’s drug regimen must be free from unnecessary drugs. (scope and severity D)
- F0758Implement 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. (scope and severity D)
- F0761Ensure 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. (scope and severity D)
- F0803Ensure 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. (scope and severity D)
- F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (scope and severity D)
- F0813Have a policy regarding use and storage of foods brought to residents by family and other visitors. (scope and severity D)
- F0583Keep residents' personal and medical records private and confidential. (scope and severity B)
April 9, 2024, complaint inspection
1 deficiency cited. Surveyors cited the facility for respond appropriately to all alleged violations.
- F0610Respond appropriately to all alleged violations. (scope and severity D)
November 18, 2021, standard inspection
9 deficiencies cited. Surveyors cited the facility for ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents, 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, and provide safe and appropriate respiratory care for a resident when needed.
- F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity D)
- F0693Ensure 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. (scope and severity D)
- F0695Provide safe and appropriate respiratory care for a resident when needed. (scope and severity D)
- F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. (scope and severity D)
- F0761Ensure 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. (scope and severity D)
- F0880Provide and implement an infection prevention and control program. (scope and severity D)
- F0883Develop and implement policies and procedures for flu and pneumonia vaccinations. (scope and severity D)
- F0574The resident has the right to receive notices in a format and a language he or she understands. (scope and severity B)
- F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity B)
Penalties. CMS records show no federal fines for Town & Country in the reported period.
California state citations
California inspects and cites nursing homes separately from the federal government. The Department of Public Health issues three classes of citation. A class AA citation is a class A violation that the Department of Public Health determined was a direct proximate cause of a resident's death. A class A citation is a violation the Department determined presented an imminent danger of death or serious harm to residents, or a substantial probability that death or serious physical harm would result. A class B citation is a violation the Department determined had a direct or immediate relationship to residents' health, safety or security, other than a class AA or A violation.
State records show 3 citations against Town & Country between December 10, 2001 and October 27, 2015: 3 class B, with $3,500 in assessed penalties. 1 of these actions were connected to a resident's death.
- October 27, 2015, class B, Patient Record. $1,500 penalty.
- April 21, 2011, class B, Patient Care. $1,000 penalty.
- December 10, 2001, class B, Patient Care. $1,000 penalty. Death-related.
Across Orange County's 72 certified facilities, the average is about 5.7 state citations per facility. Town & Country's 3 is below that average.
A citation records a determination by state surveyors. A citation does not by itself establish that any particular resident was injured or that the facility is liable to anyone.
Other nursing homes in Santa Ana
Families comparing options in Santa Ana often look at these facilities as well. Each link opens that facility's full public record:
- South Coast Post Acute, 2 stars, 0 state citations
- French Park Care Center, 1 star, 9 state citations
- The Hills Post Acute, 1 star, 11 state citations
- Plaza Healthcare Center, 1 star, 10 state citations
- Citrus Post-Acute, 2 stars, 4 state citations
See every facility in the Orange County nursing home directory.
Other nursing homes in Orange County
These are other nursing homes in Orange County, listed by how close each home's ZIP code is to the ZIP code for Town & Country. The public record gives a street address but no coordinates, so distance is not measured; homes in the same ZIP code appear first. No rating or inspection figure is used to order this list.
- Citrus Post-Acute, Santa Ana
- Advanced Rehab Center of Tustin, Santa Ana
- Plaza Healthcare Center, Santa Ana
- South Coast Post Acute, Santa Ana
- The Hills Post Acute, Santa Ana
This list is drawn from public CMS Care Compare records as of August 2026 (the August 2026 release) and public CDPH records as of June 2024 (the state enforcement dataset of August 27, 2024). It is ordered by location only and is not a recommendation, endorsement or assessment of any facility by this firm. How these figures were assembled.
What to do if you are worried about care at this facility
You will usually notice something is wrong before anyone official does, and you do not need proof before you act. If you are concerned about care at Town & Country, you can take these steps:
Write down what you see. Note dates, times, and specific concerns, and photograph anything relevant. A clear, contemporaneous record matters if an investigation follows.
File a complaint with the California Department of Public Health. CDPH licenses and inspects skilled nursing facilities and investigates complaints, and a serious complaint can trigger an on-site inspection. You can file online through CDPH's Cal Health Find system, which routes your complaint to the Orange County licensing district office.
Contact the Long-Term Care Ombudsman. The ombudsman is a free advocate who will visit your loved one, look into your concerns, and press the facility on their behalf. Orange County's ombudsman program can be reached at (800) 300-6222. This is often the fastest first step when the issue is care quality rather than an emergency.
For the full walkthrough, see How to report nursing home abuse in California.
Injuries that most often signal neglect
The injuries below are the ones most often at issue in California nursing home cases. Any one of them at Town & Country is a reason to ask what the facility's own records show:
- Bedsores and pressure ulcers, especially a wound that reached stage 3 or 4
- Falls and fractures in a resident who was supposed to be supervised
- Wandering and elopement from a building that was not secured
- Dehydration and malnutrition
- Sepsis and untreated infections
- Medication errors
- Wrongful death, when neglect contributed to a resident's passing
Nursing home abuse claims in Orange County
If a loved one was harmed at Town & Country, these pages explain how Orange County families pursue the most common nursing home claims, each with local facility data and the county long-term care ombudsman:
- Orange County bedsore lawyer
- Orange County nursing home sepsis lawyer
- Orange County nursing home dehydration and malnutrition lawyer
- Orange County nursing home medication error lawyer
You can also compare every home in the Orange County nursing home directory.
Are There Lawsuits Against Town & Country?
This page reports federal and state inspection, complaint and enforcement records for Town & Country. Those records are separate from civil lawsuits: a government citation is not a lawsuit, and a facility can be sued without ever being cited. This site does not track civil court filings. Civil cases against California skilled nursing facilities are usually filed in the Superior Court of the county where the facility is located; records for Orange County are searchable through the Orange County Superior Court's online case records. If your family member was injured at Town & Country, the records that matter most are usually the resident's own: nursing notes, care plans, fall-risk assessments, wound records, medication administration records, physician orders and incident reports. Talk to us about what happened.
Frequently asked questions
- Is Town & Country a good nursing home?
- CMS gives Town & Country an overall rating of 5 of 5 stars, with a health inspection rating of 3 of 5 based on in-person state surveys. California has issued 3 state citations against the facility. A rating is a starting point, not a verdict. Read it alongside the inspection dates and what you see for yourself.
- What should I do if my loved one was injured at Town & Country?
- Document the injury with dated photos, request the care plan and treatment records, and report your concern to the California Department of Public Health and the Orange County Long-Term Care Ombudsman. If the injury is serious, such as a bedsore, a fall, or an untreated infection, you can also speak with a nursing home attorney about whether you have a claim.
- Has Town & Country been fined or cited for serious violations?
- Public records show 3 California state citations with $3,500 in state penalties.
- How many state citations does Town & Country have?
- The California Department of Public Health has issued 3 citations against Town & Country in Santa Ana between December 10, 2001 and October 27, 2015: 3 class B, with $3,500 in assessed penalties.
- How do I report a problem at Town & Country?
- File a complaint with CDPH through its Cal Health Find system, or contact the Orange County Long-Term Care Ombudsman at (800) 300-6222. In an emergency, call Adult Protective Services or 911.
If your loved one was harmed
We came to this work from the other side. We spent years defending nursing homes, which means we know how a facility builds a file to protect itself and where the gaps in that file tend to be. Under California's Elder Abuse Act (Welfare and Institutions Code sections 15600 to 15675), a family that proves, by clear and convincing evidence, that neglect was committed with recklessness, oppression, fraud or malice can recover remedies beyond an ordinary injury claim, including attorney's fees (section 15657).
If your loved one was harmed at Town & Country, talk to our Orange County nursing home abuse lawyers. We handle cases in Santa Ana and across California. The consultation is free and confidential, we are available around the clock, and you owe nothing unless we recover for you.
Call (888) 999-0169. Available 24/7. Free consultation. No fee unless we win.
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Sources
- Centers for Medicare & Medicaid Services, Care Compare: Town & Country provider record, CCN 555141. Ratings, staffing, and federal deficiency data processed August 1, 2026.
- CMS Provider Data Catalog: Provider Information, Penalties, and Health Deficiencies datasets.
- California Department of Public Health, Cal Health Find: Town & Country state license record, FACID 060000159, license 60000191.
- California Department of Public Health, Health Facilities State Enforcement Actions dataset (CHHS Open Data), citations July 1, 1997 through June 30, 2024.
Disclaimer
The inspection data, ratings, citations, staffing figures, and ownership information on this page come from public sources, including the Centers for Medicare & Medicaid Services (medicare.gov) and the California Department of Public Health. This information is reported as published by those sources and may not reflect the most current findings or conditions at the facility. Deficiencies and citations listed may have been corrected or appealed since the date shown. Inclusion of Town & Country in this directory is not a statement, allegation, or suggestion that the facility has committed abuse, neglect, or any wrongdoing. This page is attorney advertising and an information resource. It is not legal advice, and using this site does not create an attorney-client relationship. Young & Wallin is not affiliated with Town & Country, and neither the facility nor any government agency endorses this page.