Nursing homeActive
Town & Country
555 East Memory Lane, Santa Ana, CA 92706714547715796 certified beds · 83 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
7
since 2021
Deficiencies
53
● 9● 44● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-03-10
Complaint
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 3
Staffing 5
Quality 5
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · California Department of Public Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-03-10 | Complaint | 100 | CMS-2567 (Care Compare) | — |
| 2025-11-20 | Standard | 4180 | CMS-2567 (Care Compare) | — |
| 2025-07-24 | Complaint | 030 | CMS-2567 (Care Compare) | — |
| 2024-11-07 | Complaint | 100 | CMS-2567 (Care Compare) | — |
| 2024-09-13 | Standard | 1150 | CMS-2567 (Care Compare) | — |
| 2024-04-09 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2021-11-18 | Standard | 270 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · California Department of Public Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity BPaperwork
Care planningRecords
Pattern; potential for minimal harm.Corrected 2026-03-20Record 555141-20260310-F842
F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-05Record 555141-20251120-F605
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-04Record 555141-20251120-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-04Record 555141-20251120-F610
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-04Record 555141-20251120-F684
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-04Record 555141-20251120-F690
F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-04Record 555141-20251120-F694
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-04Record 555141-20251120-F695
F700Try 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/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-04Record 555141-20251120-F700
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-04Record 555141-20251120-F755
F761Ensure 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/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-04Record 555141-20251120-F761
F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-04Record 555141-20251120-F805
F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-04Record 555141-20251120-F806
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-12-03Record 555141-20251120-F812
F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-05Record 555141-20251120-F813
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-04Record 555141-20251120-F880
F908Keep all essential equipment working safely.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-04Record 555141-20251120-F908
F909Regularly 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/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-12-03Record 555141-20251120-F909
F919Make sure that a working call system is available in each resident's bathroom and bathing area.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-04Record 555141-20251120-F919
F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Scope/severity BPaperwork
Dignity & rights
Pattern; potential for minimal harm.Corrected 2025-12-04Record 555141-20251120-F561
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity BPaperwork
Care planningRecords
Pattern; potential for minimal harm.Corrected 2025-12-04Record 555141-20251120-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity BPaperwork
Care planningRecords
Pattern; potential for minimal harm.Corrected 2025-12-04Record 555141-20251120-F657
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity BPaperwork
Food & nutrition
Pattern; potential for minimal harm.Corrected 2025-12-04Record 555141-20251120-F804
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-11Record 555141-20250724-F655
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-11Record 555141-20250724-F656
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-11Record 555141-20250724-F684
F880Provide and implement an infection prevention and control program.Scope/severity BPaperwork
Infection control
Pattern; potential for minimal harm.Corrected 2024-11-19Record 555141-20241107-F880
F552Ensure that residents are fully informed and understand their health status, care and treatments.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-02Record 555141-20240913-F552
F578Honor 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/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-02Record 555141-20240913-F578
F679Provide activities to meet all resident's needs.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-02Record 555141-20240913-F679
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-02Record 555141-20240913-F684
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-02Record 555141-20240913-F755
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-02Record 555141-20240913-F757
F758Implement 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/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-02Record 555141-20240913-F758
F761Ensure 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/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-02Record 555141-20240913-F761
F803Ensure 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/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-27Record 555141-20240913-F803
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-01Record 555141-20240913-F804
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-02Record 555141-20240913-F812
F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-02Record 555141-20240913-F813
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-02Record 555141-20240913-F880
F908Keep all essential equipment working safely.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-02Record 555141-20240913-F908
F909Regularly 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/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-02Record 555141-20240913-F909
F583Keep residents' personal and medical records private and confidential.Scope/severity BPaperwork
Dignity & rights
Pattern; potential for minimal harm.Corrected 2024-10-02Record 555141-20240913-F583
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-20Record 555141-20240409-F610
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-12-15Record 555141-20211118-F689
F693Ensure 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/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-12-15Record 555141-20211118-F693
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-12-15Record 555141-20211118-F695
F726Ensure 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/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-12-15Record 555141-20211118-F726
F761Ensure 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/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-12-15Record 555141-20211118-F761
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-12-15Record 555141-20211118-F880
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-12-15Record 555141-20211118-F883
F574The resident has the right to receive notices in a format and a language he or she understands.Scope/severity BPaperwork
Dignity & rights
Pattern; potential for minimal harm.Corrected 2021-12-15Record 555141-20211118-F574
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity BPaperwork
Care planningRecords
Pattern; potential for minimal harm.Corrected 2021-12-15Record 555141-20211118-F656
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.76
Facility
California
National
California 0.67 · National 0.69
Total nurse hours per resident day5.47
Facility
California
National
California 4.52 · National 3.86
Weekend total nurse hours4.60
Facility
California
National
California 4.09 · National 3.42
Total nursing staff turnover32%
Facility
California
National
California 37% · National 46%
Registered nurse turnover23%
Facility
California
National
California 38% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | California | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 3.8% | 4.3% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 0.0% | 1.6% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 0.6% | 12.0% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 1.7% | 1.2% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.4% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 7.6% | 10.2% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 3.7% | 4.0% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 10.7% | 13.7% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Town And Country Manor Christian & Missionary Alliance Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| The Christian And Missionary Alliance Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | — | — |
| Glasgow, Gordon Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Goerzen, Robert Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Holt, Pat Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Kolb, Gina Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Melendez, Miran Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Preciado, Marissa Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Adams, John Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Baldes, Ken Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Bollins, Rod Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Crownover, Keith Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Ellis, Robert Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Gerlach, Matthew Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Glasgow, Gordon Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Goerzen, Robert Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Goerzen, Robert Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Holt, Pat Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kirk, Wilford Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Kolb, Gina Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Kolb, Gina Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Lamendola, Joseph Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Melendez, Miran Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Moreland, David Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Preciado, Marissa Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Town And Country Manor Christian & Missionary Alliance Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Walker, Kari Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Wolff, Aaron Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Yi, Robert Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
Part of a chain
The Christian And Missionary Alliance — 2 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or California.
No county cost figures on file for Orange.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Orange Healthcare & Wellness Centre, LLC Orange | 0.5 mi | 2026-04-08 | 16460 |
| Mainplace Post Acute Orange | 0.7 mi | 2026-04-27 | 10462 |
| French Park Care Center Santa Ana | 1.2 mi | 2026-06-17 | 20951 |
| Healthbridge Children's Hospital - Orange D/P SNF Orange | 1.3 mi | 2026-04-30 | 7400 |
| The Hills Post Acute Santa Ana | 1.3 mi | 2026-06-30 | 111070 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |