01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-11-20 | 23 | 2025-11-20 | 4 |
| Cycle 2 | 2024-09-13 | 20 | 2024-09-13 | 4 |
| Cycle 3 | 2021-11-18 | 10 | 2021-11-18 | 7 |
CMS CCN 5551412026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Town & Country
555 East Memory Lane · Santa Ana, CA 92706 · Orange County
Certified beds96CMS provider file
Recent citation rows68current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
68 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 12 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-03-10 · HEALTHF0842Severity B · pattern; potential for minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2026-03-20 · complaint2025-11-20 · HEALTHF0561Severity B · pattern; potential for minimal harm
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Correction field: Deficient, Provider has date of correction · 2025-12-042025-11-20 · HEALTHF0605Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Correction field: Deficient, Provider has date of correction · 2025-12-052025-11-20 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2025-12-042025-11-20 · HEALTHF0610Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2025-12-042025-11-20 · HEALTHF0656Severity B · pattern; potential for minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2025-12-042025-11-20 · HEALTHF0657Severity B · pattern; potential for minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2025-12-042025-11-20 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2025-12-042025-11-20 · HEALTHF0690Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2025-12-042025-11-20 · HEALTHF0694Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2025-12-042025-11-20 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2025-12-042025-11-20 · HEALTHF0700Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-12-042025-11-20 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2025-12-042025-11-20 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-12-042025-11-20 · HEALTHF0804Severity B · pattern; potential for minimal harm
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Correction field: Deficient, Provider has date of correction · 2025-12-042025-11-20 · HEALTHF0805Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Correction field: Deficient, Provider has date of correction · 2025-12-042025-11-20 · HEALTHF0806Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Correction field: Deficient, Provider has date of correction · 2025-12-042025-11-20 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2025-12-032025-11-20 · HEALTHF0813Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Correction field: Deficient, Provider has date of correction · 2025-12-052025-11-20 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-12-042025-11-20 · HEALTHF0908Severity D · isolated; potential for more than minimal harm
Environmental Deficiencies
Keep all essential equipment working safely.
Correction field: Deficient, Provider has date of correction · 2025-12-042025-11-20 · HEALTHF0909Severity E · pattern; potential for more than minimal harm
Environmental Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-12-032025-11-20 · HEALTHF0919Severity D · isolated; potential for more than minimal harm
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Correction field: Deficient, Provider has date of correction · 2025-12-042025-11-20 · FIREK0345Severity C · widespread; potential for minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2025-11-1803 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- TOWN AND COUNTRY MANOR CHRISTIAN & MISSIONARY ALLIANCEOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 09/17/1976
- THE CHRISTIAN AND MISSIONARY ALLIANCEOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST100% · since 09/17/1976
- ADAMS, JOHNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/22/2024
- BALDES, KENIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2021
- BOLLINS, RODIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/01/2007
- CROWNOVER, KEITHIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2022
- ELLIS, ROBERTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/01/2015
- GERLACH, MATTHEWIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2022
- KIRK, WILFORDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2022
- LAMENDOLA, JOSEPHIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2015
- MORELAND, DAVIDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2015
- WALKER, KARIIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2017
- WOLFF, AARONIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2018
- YI, ROBERTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2013
- GOERZEN, ROBERTIndividual · CORPORATE OFFICERNOT APPLICABLE · since 08/23/2021
- KOLB, GINAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/20/2013
- GLASGOW, GORDONIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 05/01/1983
- GOERZEN, ROBERTIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/23/2021
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours5.47per resident day
RN hours0.76per resident day
Weekend nurse hours4.60per resident day
Staff turnover31.5%CMS reported field
06 / LOCAL RECORDS
Open the Santa Ana ledger →Other published facilities nearby
Advanced Rehab Center Of Tustin99 beds · CMS overall 1/5142 citation rowsCitrus Post-Acute144 beds · CMS overall 2/5110 citation rowsFrench Park Care Center202 beds · CMS overall 1/5144 citation rowsPlaza Healthcare Center145 beds · CMS overall 1/5185 citation rowsSouth Coast Global Medical Center D/P Snf46 beds · CMS overall 3/568 citation rowsSouth Coast Post Acute255 beds · CMS overall 2/5116 citation rowsThe Hills Post Acute174 beds · CMS overall 1/5135 citation rows