Inspection citations
9’21
18’24
25’25
1’26
53 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Mar 10, 2026 | B · minimal | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Complaint |
| Nov 20, 2025 | B · minimal | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Routine |
| Nov 20, 2025 | D · potential | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Routine |
| Nov 20, 2025 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Routine |
| Nov 20, 2025 | D · potential | Respond appropriately to all alleged violations. | Routine |
| Nov 20, 2025 | B · minimal | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| Nov 20, 2025 | B · minimal | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Routine |
| Nov 20, 2025 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Routine |
| Nov 20, 2025 | D · potential | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Routine |
| Nov 20, 2025 | D · potential | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Routine |
| Nov 20, 2025 | D · potential | Provide safe and appropriate respiratory care for a resident when needed. | Routine |
| Nov 20, 2025 | D · potential | 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. | Routine |
| Nov 20, 2025 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Nov 20, 2025 | D · potential | 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. | Routine |
| Nov 20, 2025 | B · minimal | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Routine |
| Nov 20, 2025 | D · potential | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Routine |
| Nov 20, 2025 | D · potential | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Routine |
| Nov 20, 2025 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Nov 20, 2025 | D · potential | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Routine |
| Nov 20, 2025 | D · potential | Provide and implement an infection prevention and control program. | Routine |
| Nov 20, 2025 | D · potential | Keep all essential equipment working safely. | Routine |
| Nov 20, 2025 | E · potential | 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. | Routine |
| Nov 20, 2025 | D · potential | Make sure that a working call system is available in each resident's bathroom and bathing area. | Routine |
| Jul 24, 2025 | D · potential | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Complaint |
| Jul 24, 2025 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Complaint |
| Jul 24, 2025 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Nov 7, 2024 | B · minimal | Provide and implement an infection prevention and control program. | Complaint |
| Sep 13, 2024 | D · potential | Ensure that residents are fully informed and understand their health status, care and treatments. | Routine |
| Sep 13, 2024 | D · potential | Honor 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. | Routine |
| Sep 13, 2024 | B · minimal | Keep residents' personal and medical records private and confidential. | Routine |
| Sep 13, 2024 | D · potential | Provide activities to meet all resident's needs. | Routine |
| Sep 13, 2024 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Routine |
| Sep 13, 2024 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Sep 13, 2024 | D · potential | Ensure each resident’s drug regimen must be free from unnecessary drugs. | Routine |
| Sep 13, 2024 | D · potential | Implement 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. | Routine |
| Sep 13, 2024 | D · potential | 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. | Routine |
| Sep 13, 2024 | D · potential | Ensure 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. | Routine |
| Sep 13, 2024 | D · potential | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Routine |
| Sep 13, 2024 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Sep 13, 2024 | D · potential | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Routine |
| Sep 13, 2024 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Sep 13, 2024 | E · potential | Keep all essential equipment working safely. | Routine |
| Sep 13, 2024 | E · potential | 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. | Routine |
| Apr 9, 2024 | D · potential | Respond appropriately to all alleged violations. | Complaint |
| Nov 18, 2021 | B · minimal | The resident has the right to receive notices in a format and a language he or she understands. | Routine |
| Nov 18, 2021 | B · minimal | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| Nov 18, 2021 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Routine |
| Nov 18, 2021 | D · potential | 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. | Routine |
| Nov 18, 2021 | D · potential | Provide safe and appropriate respiratory care for a resident when needed. | Routine |
| Nov 18, 2021 | D · potential | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Routine |
| Nov 18, 2021 | D · potential | 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. | Routine |
| Nov 18, 2021 | D · potential | Provide and implement an infection prevention and control program. | Routine |
| Nov 18, 2021 | D · potential | Develop and implement policies and procedures for flu and pneumonia vaccinations. | Routine |
Medicare's severity letters: A–C minimal harm, D–F potential for more than minimal harm, G–L actual harm or immediate danger. Source: CMS health deficiencies file, processed October 1, 2026.
Questions to ask on a visit
Town & Country
555 East Memory Lane, Santa Ana, CA 92706 · (714) 547-7157
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 555141
- Certified beds
- 96
- Legal owner
- Town and Country Manor Christian & Missionary Alliance
- Part of
- The Christian And Missionary Alliance
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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