Starfile

Starfile / California

TOWN & COUNTRY

555 EAST MEMORY LANE, SANTA ANA, CA 92706 · CCN 555141

Ratings

Overall
★★★★★ 5
Health inspection
★★★☆☆ 3
Quality measures
★★★★★ 5
Staffing
★★★★★ 5

Facility

Ownership type
Non profit - Corporation
Certified beds
96
Avg residents/day
80.2
Phone
7145477157

Inspection history vs California & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityCalifornia avgNational avgvs state
12025-11-202515.69.5+9.4 worse
22024-09-131817.49.8+0.6 worse
32021-11-18917.19.3-8.1 better

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation3
Quality of life and care6
Resident assessment and care planning4
Resident rights1
Nutrition and dietary5
Pharmacy service2
Environmental3
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)5.6330.3%
RN staffing (reported)0.6836.4%
Total nurse staffing (adjusted)5.37

Fines & penalties

Total fines
$0
Number of fines
0
Number of penalties
0
Payment denials
0

Chain

Chain
THE CHRISTIAN AND MISSIONARY ALLIANCE
Facilities in chain
2
Chain avg overall
4.00 / 5

Inspection citations (52)

  1. BF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2025-11-20 · Health · corrected 2025-12-04

    Potential for minimal harm

  2. DF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2025-11-20 · Health · corrected 2025-12-05

    Potential for more than minimal harm

  3. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-11-20 · Health · corrected 2025-12-04

    Potential for more than minimal harm

  4. DF0610Respond appropriately to all alleged violations.2025-11-20 · Health · corrected 2025-12-04

    Potential for more than minimal harm

  5. BF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-11-20 · Health · corrected 2025-12-04

    Potential for minimal harm

  6. BF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-11-20 · Health · corrected 2025-12-04

    Potential for minimal harm

  7. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-11-20 · Health · corrected 2025-12-04

    Potential for more than minimal harm

  8. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-11-20 · Health · corrected 2025-12-04

    Potential for more than minimal harm

  9. DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2025-11-20 · Health · corrected 2025-12-04

    Potential for more than minimal harm

  10. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-11-20 · Health · corrected 2025-12-04

    Potential for more than minimal harm

  11. DF0700Try 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.2025-11-20 · Health · corrected 2025-12-04

    Potential for more than minimal harm

  12. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-11-20 · Health · corrected 2025-12-04

    Potential for more than minimal harm

  13. DF0761Ensure 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.2025-11-20 · Health · corrected 2025-12-04

    Potential for more than minimal harm

  14. BF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-11-20 · Health · corrected 2025-12-04

    Potential for minimal harm

  15. DF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2025-11-20 · Health · corrected 2025-12-04

    Potential for more than minimal harm

  16. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2025-11-20 · Health · corrected 2025-12-04

    Potential for more than minimal harm

  17. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-11-20 · Health · corrected 2025-12-03

    Potential for more than minimal harm

  18. DF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2025-11-20 · Health · corrected 2025-12-05

    Potential for more than minimal harm

  19. DF0880Provide and implement an infection prevention and control program.2025-11-20 · Health · corrected 2025-12-04

    Potential for more than minimal harm

  20. DF0908Keep all essential equipment working safely.2025-11-20 · Health · corrected 2025-12-04

    Potential for more than minimal harm

  21. EF0909Regularly 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.2025-11-20 · Health · corrected 2025-12-03

    Potential for more than minimal harm

  22. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2025-11-20 · Health · corrected 2025-12-04

    Potential for more than minimal harm

  23. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-07-24 · Health · corrected 2025-08-11

    Potential for more than minimal harm

  24. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-07-24 · Health · corrected 2025-08-11

    Potential for more than minimal harm

  25. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-07-24 · Health · corrected 2025-08-11

    Potential for more than minimal harm

  26. BF0880Provide and implement an infection prevention and control program.2024-11-07 · Health · corrected 2024-11-19

    Potential for minimal harm

  27. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-09-13 · Health · corrected 2024-10-02

    Potential for more than minimal harm

  28. DF0578Honor 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.2024-09-13 · Health · corrected 2024-10-02

    Potential for more than minimal harm

  29. BF0583Keep residents' personal and medical records private and confidential.2024-09-13 · Health · corrected 2024-10-02

    Potential for minimal harm

  30. DF0679Provide activities to meet all resident's needs.2024-09-13 · Health · corrected 2024-10-02

    Potential for more than minimal harm

  31. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-09-13 · Health · corrected 2024-10-02

    Potential for more than minimal harm

  32. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-09-13 · Health · corrected 2024-10-02

    Potential for more than minimal harm

  33. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-09-13 · Health · corrected 2024-10-02

    Potential for more than minimal harm

  34. DF0758Implement 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.2024-09-13 · Health · corrected 2024-10-02

    Potential for more than minimal harm

  35. DF0761Ensure 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.2024-09-13 · Health · corrected 2024-10-02

    Potential for more than minimal harm

  36. DF0803Ensure 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.2024-09-13 · Health · corrected 2024-09-27

    Potential for more than minimal harm

  37. DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-09-13 · Health · corrected 2024-10-01

    Potential for more than minimal harm

  38. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-09-13 · Health · corrected 2024-10-02

    Potential for more than minimal harm

  39. DF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2024-09-13 · Health · corrected 2024-10-02

    Potential for more than minimal harm

  40. EF0880Provide and implement an infection prevention and control program.2024-09-13 · Health · corrected 2024-10-02

    Potential for more than minimal harm

  41. EF0908Keep all essential equipment working safely.2024-09-13 · Health · corrected 2024-10-02

    Potential for more than minimal harm

  42. EF0909Regularly 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.2024-09-13 · Health · corrected 2024-10-02

    Potential for more than minimal harm

  43. DF0610Respond appropriately to all alleged violations.2024-04-09 · Health · corrected 2024-04-20

    Potential for more than minimal harm

  44. BF0574The resident has the right to receive notices in a format and a language he or she understands.2021-11-18 · Health · corrected 2021-12-15

    Potential for minimal harm

  45. BF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2021-11-18 · Health · corrected 2021-12-15

    Potential for minimal harm

  46. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2021-11-18 · Health · corrected 2021-12-15

    Potential for more than minimal harm

  47. DF0693Ensure 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.2021-11-18 · Health · corrected 2021-12-15

    Potential for more than minimal harm

  48. DF0695Provide safe and appropriate respiratory care for a resident when needed.2021-11-18 · Health · corrected 2021-12-15

    Potential for more than minimal harm

  49. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2021-11-18 · Health · corrected 2021-12-15

    Potential for more than minimal harm

  50. DF0761Ensure 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.2021-11-18 · Health · corrected 2021-12-15

    Potential for more than minimal harm

  51. DF0880Provide and implement an infection prevention and control program.2021-11-18 · Health · corrected 2021-12-15

    Potential for more than minimal harm

  52. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2021-11-18 · Health · corrected 2021-12-15

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
TOWN AND COUNTRY MANOR CHRISTIAN & MISSIONARY ALLIANCEOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%1976-09-17
THE CHRISTIAN AND MISSIONARY ALLIANCEOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST100%1976-09-17
GLASGOW, GORDONIndividualOPERATIONAL/MANAGERIAL CONTROL1983-05-01
GOERZEN, ROBERTIndividualOPERATIONAL/MANAGERIAL CONTROL2021-08-23
HOLT, PATIndividualOPERATIONAL/MANAGERIAL CONTROL2023-02-11
KOLB, GINAIndividualOPERATIONAL/MANAGERIAL CONTROL2013-01-01
MELENDEZ, MIRANIndividualOPERATIONAL/MANAGERIAL CONTROL2000-10-02
PRECIADO, MARISSAIndividualOPERATIONAL/MANAGERIAL CONTROL2016-08-16
ADAMS, JOHNIndividualCORPORATE DIRECTOR2024-09-22
BALDES, KENIndividualCORPORATE DIRECTOR2021-04-01
BOLLINS, RODIndividualCORPORATE DIRECTOR2007-09-01
CROWNOVER, KEITHIndividualCORPORATE DIRECTOR2022-04-01
ELLIS, ROBERTIndividualCORPORATE DIRECTOR2015-09-01
GERLACH, MATTHEWIndividualCORPORATE DIRECTOR2022-01-01
KIRK, WILFORDIndividualCORPORATE DIRECTOR2022-04-01
LAMENDOLA, JOSEPHIndividualCORPORATE DIRECTOR2015-01-01
MORELAND, DAVIDIndividualCORPORATE DIRECTOR2015-01-01
WALKER, KARIIndividualCORPORATE DIRECTOR2017-04-01
WOLFF, AARONIndividualCORPORATE DIRECTOR2018-04-01
YI, ROBERTIndividualCORPORATE DIRECTOR2013-01-01
GOERZEN, ROBERTIndividualCORPORATE OFFICER2021-08-23
KOLB, GINAIndividualCORPORATE OFFICER2013-01-20

Other facilities in SANTA ANA

NameOverallBeds
Citrus Post-Acute★★☆☆☆144
SOUTH COAST GLOBAL MEDICAL CENTER D/P SNF★★☆☆☆46
THE HILLS POST ACUTE★★☆☆☆174
SOUTH COAST POST ACUTE★★☆☆☆255
FRENCH PARK CARE CENTER★★☆☆☆202

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.