| Town & Country | |
| 555 East Memory Lane, Santa Ana, California 92706 | |
| (714) 547-7157 | |
| Name | Town & Country |
|---|---|
| Location | 555 East Memory Lane, Santa Ana, California |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 96 |
| Occupancy Rate | 86.56% |
| Medicare ID (CCN) | 555141 |
| Legal Business Name | Town and Country Manor Christian & Missionary Alliance |
| Ownership Type | Non Profit - Corporation |
| Chain | The Christian and Missionary Alliance (2 nursing homes) |
| Chain Average Overall Rating | 4.5 out of 5 |
| NPI Number | 1376532051 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Town and Country Manor Christian & Missionary Alliance |
| Doing Business As | Town & Country |
| Address | 555 E Memory Lane, Santa Ana, CA 92706 |
| Phone Number | 714-547-7581 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 5.47 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.76 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.49 | 0.86 |
| Nurse aide hours per resident per day | 3.21 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 4.6 | 3.42 |
| RN hours per resident per day on the weekend | 0.6 | 0.48 |
| Physical therapist hours per resident per day | 0.11 | 0.07 |
| Total nursing staff turnover | 31.5% | 45.8% |
| Registered nurse turnover | 23.1% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Mar 10, 2026 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Complaint inspection | Minimal harm potential, pattern | Corrected by Mar 20, 2026 |
| Nov 20, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Dec 3, 2025 |
| Nov 20, 2025 | 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. F0909, Environmental, Standard inspection | Potential for harm, pattern | Corrected by Dec 3, 2025 |
| Nov 20, 2025 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. F0605, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Dec 5, 2025 |
| Nov 20, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Dec 4, 2025 |
| Nov 20, 2025 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Dec 4, 2025 |
| Nov 20, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Dec 4, 2025 |
| Nov 20, 2025 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Dec 4, 2025 |
| Nov 20, 2025 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. F0694, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Dec 4, 2025 |
| Nov 20, 2025 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Dec 4, 2025 |
| Nov 20, 2025 | 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. F0700, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Dec 4, 2025 |
| Nov 20, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Dec 4, 2025 |
| Nov 20, 2025 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Dec 4, 2025 |
| Nov 20, 2025 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. F0805, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Dec 4, 2025 |
| Nov 20, 2025 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. F0806, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Dec 4, 2025 |
| Nov 20, 2025 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. F0813, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Dec 5, 2025 |
| Nov 20, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Dec 4, 2025 |
| Nov 20, 2025 | Keep all essential equipment working safely. F0908, Environmental, Standard inspection | Potential for harm, isolated | Corrected by Dec 4, 2025 |
| Nov 20, 2025 | Make sure that a working call system is available in each resident's bathroom and bathing area. F0919, Environmental, Standard inspection | Potential for harm, isolated | Corrected by Dec 4, 2025 |
| Nov 20, 2025 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. F0561, Resident Rights, Standard inspection | Minimal harm potential, pattern | Corrected by Dec 4, 2025 |
| Nov 20, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Minimal harm potential, pattern | Corrected by Dec 4, 2025 |
| Nov 20, 2025 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Minimal harm potential, pattern | Corrected by Dec 4, 2025 |
| Nov 20, 2025 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804, Nutrition and Dietary, Standard inspection | Minimal harm potential, pattern | Corrected by Dec 4, 2025 |
| Jul 24, 2025 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Aug 11, 2025 |
| Jul 24, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Aug 11, 2025 |
| Jul 24, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Aug 11, 2025 |
| Nov 7, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Complaint inspection | Minimal harm potential, pattern | Corrected by Nov 19, 2024 |
| Sep 13, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Oct 2, 2024 |
| Sep 13, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Oct 2, 2024 |
| Sep 13, 2024 | Keep all essential equipment working safely. F0908, Environmental, Standard inspection | Potential for harm, pattern | Corrected by Oct 2, 2024 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 7.59 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 3.66 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 1.69 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 0 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.44 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 7.08 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.65 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 99.61 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 3.85 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 6.91 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 0.62 | 15.38 |
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