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THE CHRISTIAN AND MISSIONARY ALLIANCE

Every nursing home CMS records under this group, and how the portfolio performs as a whole. Consistency across a group says more about an operator than any single building.

Homes

2

States

2

Beds

276

Avg score

88.3

Avg turnover

38%

Federal fines

$32,139

All 2 homes

A

95.5/100

Town & Country

Santa Ana, CA · Orange County

CMS 5/596 bedsNon-profitMedicaid
Nurse hours
5.47 /day
Staff turnover
32%
Serious cites
0

Town & Country runs on real staffing depth: 5.47 nurse hours per resident day against a national average of 3.86, and its staff turnover of 31.5% sits well below the 45.8% national figure, which matters because consistent caregivers tend to know residents' routines. The trade-off shows up in the inspection record, 53 deficiencies on file, four of them abuse-related, though none rose to the level of harm or jeopardy, and the most recent inspection came in November 2025. That split, strong quality and staffing scores, a thinner three-star inspection history, nonprofit ownership, is what's actually behind the 86. Weekend coverage dips about 16% below weekday levels, worth asking about directly.

B

81/100

Larsen Health Center

Fort Myers, FL · Lee County

CMS 4/5180 bedsNon-profitMedicaid
Nurse hours
5.60 /day
Staff turnover
44%
Serious cites
0

Larsen Health Center runs 5.60 nurse hours per resident day, roughly 45% above the national average, and weekends dip only about 7% below its own weekday levels, so the coverage is real, not just a weekday story. Turnover sits at 44.2%, essentially at the national rate. The caution is on the inspection side: 16 deficiencies on the current record, including two at the harm level and two abuse-related, with one fine of $32,139 and a survey completed in May 2025. The staffing is the strength; the quality measure score of 2 out of 5 and those harm-level findings are what a family should ask about directly.