ActivCare 4S Ranch
Memory Care · San Diego, CA

Overview of Activcare 4s Ranch

Activcare 4s Ranch shines as a sanctuary of exceptional memory care in San Diego. This distinguished residential facility offers an array of specialized services, catering to varying levels of memory impairment while prioritizing top-notch medical care. The dedicated team members, armed with extensive training in memory care, utilize personalized approaches to engage residents in meaningful moments. 
Specially trained caregivers stand as guardians of comfort, providing unwavering support and companionship to those entrusted in their care. The tranquil courtyard, meticulously manicured and secure, offers a haven where nature’s embrace merges with the soothing melody of resident footsteps. Akin to a breath of fresh air, the atmosphere at Activcare 4s Ranch exudes warmth and serenity. Bathed in natural light, the spaces are designed to inspire connection and renewal. Every detail has been thoughtfully curated, from the open layouts that invite the conversation to the uplifting ambiance that permeates each corner. 

(858) 500-1113
Bed community size
60-bed community Rank #1071 / 1658Bed count — State benchmarkedThis home is ranked 1071st out of 1658 homes in California. Shows this facility's certified or reported bed count compared to other California SNFs. Larger communities may offer more amenities, programs, and on-site services for residents and families.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Years in operation
9 years in operation Rank #703 / 1485Years in operation — State benchmarkedThis home is ranked 703rd out of 1485 homes in California. Shows how long this facility has been in operation compared to other California SNFs. Longer operating histories may benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
An established community with some operational experience and growing routines.
Walk Score
Walk Score: 76 / 100 Rank #531 / 2093Walk Score — State benchmarkedThis home is ranked 531st out of 2093 homes in California. Shows how walkable this facility's neighborhood is compared to the average Walk Score across California SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

Occupancy

Occupancy rate
78%
Rank #698 / 1407Occupancy rate — State benchmarkedThis home is ranked 698th out of 1407 homes in California. Shows this facility's occupancy rate versus the California average, with its Statewide rank out of 1407. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Higher than the California average: 72.8%
Occupied beds
47 / 60
Average occupied beds in California homes 87 beds

License Details

Facility TypeResidential Care Elderly
StatusLicensed
IssuanceJune 16, 2016
CountySan Diego
License Number374603714

Ownership & Operating Entity

ActivCare 4S Ranch is legally operated by Rac Dove Cnyn,income Property Grp;activcare Living, and administrated by Denise Notter.

Staffing

Key information about the people who lead and staff this community.

Staffing(Specialized Dementia)

Specialized Dementia Live-in Staff
Specialized Dementia Separate Housekeeping Staff

Facility Details(Specialized Dementia)

No Admission Fee

Amenities & Lifestyle

Specific ProgramsMemory care services

Contact ActivCare 4S Ranch

Inspection History

In California, the Department of Social Services (for assisted living facilities) and the Department of Public Health (for nursing homes) conduct inspections to ensure resident safety and regulatory compliance.

Inspection Score Info A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the California state average. See the assisted living residences benchmark below for the typical California score; higher is better.

Above the California average for assisted living residences.

California assisted living residences benchmark: C 76/100

Inspection score: 89 out of 100. Letter grade B+. Above the California average for assisted living residences.

Inspection Scorecard Info This scorecard compares key inspection, citation, and complaint metrics at this facility against the California state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2020 vs. California state average
Overall vs. CA average 1 Worse Metrics worse than California average:
• Official inspections (25% above)
9 Better Metrics better than California average:
• Total citations (90% below)
• Serious citations (Type A) (100% below)
• Moderate citations (Type B) (75% below)
• Citations per year (88% below)
• Citations per inspection (97% below)
• Total visits (31% below)
• Complaint visits (92% below)
• Other visits (29% below)
• Complaint investigations (90% below)
Latest Inspection December 22, 2025

Citations Info Citations are formal regulatory issues recorded during state inspections.

This FacilityCA Averagevs. CA Avg
Total citations Info Formal regulatory issues recorded by inspectors across all inspection types. 110 This facility has 90% fewer total citations than a typical California assisted living residence (1 vs. CA avg 10).↓ 90% better
Serious citations (Type A) Info Violations that pose an immediate risk to resident health or safety. Type A citations are the most serious and typically require prompt corrective action. 03 This facility has 100% fewer serious citations (type a) than a typical California assisted living residence (0 vs. CA avg 3).↓ 100% better
Moderate citations (Type B) Info Violations that do not pose an immediate risk but still represent a departure from required care or operational standards. 14 This facility has 75% fewer moderate citations (type b) than a typical California assisted living residence (1 vs. CA avg 4).↓ 75% better
Citations per year Info Average citations per year since 2020. 0.21.7 This facility has 88% fewer citations per year than a typical California assisted living residence (0.2 vs. CA avg 1.7).↓ 88% better
Citations per inspection Info Average citations per inspection. 0.13.3 This facility has 97% fewer citations per inspection than a typical California assisted living residence (0.1 vs. CA avg 3.3).↓ 97% better

Inspections & Visits Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityCA Averagevs. CA Avg
Total visits Info Combined count of complaint visits, other regulatory visits, and official scheduled inspections. 1116 This facility has 31% fewer total visits than a typical California assisted living residence (11 vs. CA avg 16).↓ 31% better
Complaint visits Info On-site visits triggered by formal complaints filed by residents, families, or staff. 113 This facility has 92% fewer complaint visits than a typical California assisted living residence (1 vs. CA avg 13).↓ 92% better
Other visits Info Regulatory visits that are neither routine inspections nor complaint investigations — administrative check-ins, follow-up reviews, licensing-related visits. 57 This facility has 29% fewer other visits than a typical California assisted living residence (5 vs. CA avg 7).↓ 29% better
Official inspections Info Routine, scheduled inspections conducted by state regulators to evaluate whether the facility meets federal and state standards. 54 This facility has 25% more official inspections than a typical California assisted living residence (5 vs. CA avg 4).↑ 25% worse
Complaint investigations Info On-site investigations triggered by complaints filed with California regulators. 110 This facility has 90% fewer complaint investigations than a typical California assisted living residence (1 vs. CA avg 10).↓ 90% better

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • The most recent inspection on December 22, 2025, found no deficiencies or health and safety concerns during a follow-up visit after a resident's hospitalization and hospice death.
  • The May 7, 2025 annual inspection cited no deficiencies, confirming the facility was clean, sanitary, in good repair, and compliant with safety and emergency preparedness standards.
  • A January 6, 2023 complaint investigation substantiated a deficiency for inadequate staffing to support residents with dementia, linked to a resident absent without leave incident; a plan of correction was cleared.

Places of interest near ActivCare 4S Ranch

Address 24.0 miles from city center Info Estimated distance in miles from San Diego's city center to ActivCare 4S Ranch's address, calculated via Google Maps. — 0.22 miles to nearest hospital (Children's Primary Care Medical Group 4S Ranch)

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Financial Assistance for
Memory Care in California

ActivCare 4S Ranch is located in San Diego, California.
Here are the financial assistance programs available to residents in California.

Get Financial aid guidance

Multipurpose Senior Services Program

MSSP (Medi-Cal Waiver)

Age 65+
General California resident, Medi-Cal eligible, nursing home risk.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
CA

County-managed; waitlists possible.

Benefits
In-home support (4-6 hours/day) Respite care (14 days/year) Meals (~$6/meal) Transportation (8 trips/month) Care management

In-Home Supportive Services (IHSS)

California IHSS

Age 65+
General California resident, Medicaid-eligible or low-income.
Income Limits ~$1,732/month individual, Medi-Cal threshold
Asset Limits $2,000 individual
CA

Can hire family as caregivers.

Benefits
Personal care (up to 283 hours/month) Homemaker services Respite (varies)

Multipurpose Senior Services Program (MSSP)

CA MSSP

Age 65+
General California resident, Medi-Cal-eligible, nursing home-eligible but community-capable.
Income Limits ~$2,829/month 300% FBR, individual
Asset Limits $2,000 individual
CA

Available in 38 counties; waitlists common.

Benefits
Case management Respite care (up to 10 days/year) Minor home mods (avg. $500) Adult day care (~$50/day)

Property Tax Postponement Program (PTP)

CA PTP

Age 62+
General California resident, own and live in home, 40% equity.
Income Limits (2025) ~$51,500/year household, adjusted annually
Asset Limits Equity-based; no strict asset cap.
CA

Deferred taxes accrue interest (5% as of 2024); repaid upon sale/death.

Benefits
Property tax deferral (avg. $1,000-$3,000/year, varies by county)

Assisted Living Waiver (ALW)

CA ALW

Age 65+ or disabled
General California resident, Medi-Cal-eligible, nursing home-eligible.
Income Limits ~$2,829/month 300% FBR, individual
Asset Limits $2,000 individual
CA

Available in 15 counties (e.g., LA, Sacramento); waitlists common.

Benefits
Personal care in ALFs (5-7 hours/day) Medication management Social services

California CARES Program

CA CARES

Age
General Caregivers of California residents 60+ needing help with 3+ daily activities; no caregiver age limit.
Income Limits No strict limit; cost-sharing above ~$2,500/month threshold.
Asset Limits Not applicable; need-based.
CA

High demand in urban areas; complements IHSS respite.

Benefits
Respite care (up to 10 days/year) Counseling (4-6 sessions/year) Training (2-3 workshops/year) Supplies (~$200/year)

Compare Memory Care around San Diego

The information below is reported by the California Department of Social Services and Department of Public Health.

Filter by care type
Belmont Village Senior Living Sabre Springs
MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

San Diego (Sabre Springs)184Yes 29 4
29
Facility 29
CA AVG 11.6
Rank #1256 / 1397
7
Facility 7
CA AVG 3.2
Rank #988 / 1164
13
Facility 13
CA AVG 13
Rank #528 / 1485
81.5%
Facility 81.5%
CA AVG 75.9%
Rank #544 / 1249
-Belmont Village Sabre Spr Tnnt & LP; Belmont ThreeStudio / 1 Bed
Golden Living Point Loma
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

San Diego (Point Loma Heights)113No 72 4
62
Facility 62
CA AVG 11.6
Rank #1372 / 1397
12
Facility 12
CA AVG 3.2
Rank #1087 / 1164
20
Facility 20
CA AVG 13
Rank #351 / 1485
63.7%
Facility 63.7%
CA AVG 75.9%
Rank #975 / 1249
C+Golden Living Health Management, Inc.-
ActivCare 4S Ranch
MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

San Diego (4S Ranch)60No 76 5
1
Facility 1
CA AVG 11.6
Rank #210 / 1397
-
Facility -
CA AVG 3.2
Rank #1 / 1164
9
Facility 9
CA AVG 13
Rank #703 / 1485
78.3%
Facility 78.3%
CA AVG 75.9%
Rank #608 / 1249
-Income Property Grp;Activcare Living Rac Dove Cnyn-
ActivCare Mission Bay
MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

San Diego (Pacific Beach)60No 71 4
2
Facility 2
CA AVG 11.6
Rank #323 / 1397
-
Facility -
CA AVG 3.2
Rank #1 / 1164
11
Facility 11
CA AVG 13
Rank #609 / 1485
91.7%
Facility 91.7%
CA AVG 75.9%
Rank #228 / 1249
-Rac Mission Bay/Income Prop. Grp/Activcare Lv Inc-

Frequently Asked Questions about ActivCare 4S Ranch

What neighborhood is ActivCare 4S Ranch in?

ActivCare 4S Ranch is in the 4S Ranch neighborhood of San Diego.

What languages are spoken at ActivCare 4S Ranch?

The team at ActivCare 4S Ranch speaks ["english"].

Who is the owner of ActivCare 4S Ranch?

The legal owner and operator of ActivCare 4S Ranch is Rac Dove Cnyn,Income Property Grp;Activcare Living.

Is ActivCare 4S Ranch in a walkable area?

ActivCare 4S Ranch has a walk score of 76. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

What is the license number of ActivCare 4S Ranch?

According to CA state health department records, ActivCare 4S Ranch's license number is 374603714.

What is the occupancy rate at ActivCare 4S Ranch?

ActivCare 4S Ranch's occupancy is 78%.

Who is the administrator of ActivCare 4S Ranch?

Denise Notter is the administrator of ActivCare 4S Ranch.

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