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ActivCare 4S Ranch
Assisted Living & Memory Care · San Diego, CA
Exterior view of a senior living facility with gardens Exterior view of a nursing home facility with landscape Outdoor garden area with seating and landscaping Bright lobby with mural and seating area Bright and welcoming common area with seating Cozy private resident room with warm decor

ActivCare 4S Ranch

Assisted Living & Memory Care · San Diego, CA
10603 Rancho Bernardo Rd, San Diego, CA 92127 View map Calculator: See prices in your area
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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. 

Facility Direct Line (858) 500-1113
Facility Direct Line (858) 500-1113
Bed community size
60-bed community Rank #1065 / 1648Bed count — State benchmarkedThis home is ranked 1065th out of 1648 homes in California for Bed Count. Shows this facility's certified or reported bed count compared to other California facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking.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
10 years in operation Rank #667 / 1494Years in operation — State benchmarkedThis home is ranked 667th out of 1494 homes in California for Years In Operation. Shows how long this facility has been in operation compared to other California facilities. Longer operating histories may benefit residents, families, and staff.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A community with a solid operating history and experience delivering ongoing care.
Walk Score
Walk Score: 76 / 100 Rank #529 / 2087Walk Score — State benchmarkedThis home is ranked 529th out of 2087 homes in California for Walk Score. Shows how walkable this facility's neighborhood is compared to the average Walk Score across California facilities. Higher scores benefit residents, families, and staff.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking.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 #714 / 1496Occupancy rate — State benchmarkedThis home is ranked 714th out of 1496 homes in California for Occupancy. Shows this facility's occupancy rate versus the California average, with its Statewide rank out of 1496. Higher occupancy signals strong local demand and financial stability.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking.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
IssuanceJune 16, 2016
CountySan Diego
License Number374603714

Ownership & Operating Entity

ActivCare 4S Ranch is legally operated by Rac Dove Cnyn, Income Property Grp and Activcare Living, and administered 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

Additional Policies & Features

Pets not allowed

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.

Since 2020 · 6 years of data 1 citation 11 total visits 1 complaint visit 5 official inspections 1 complaint investigation
Inspection Score Info A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the California state average. The score below shows how many points this facility sits above or below the typical California assisted living residence score (the benchmark); higher is better.This is a proprietary Assisted Living Magazine score.

14 points above the California average for assisted living residences (81/100)

Rank #108 / 1399 in California Inspection Score — State benchmarked This home is ranked 108th out of 1399 homes in California for Inspection Score. Shows this facility's inspection score compared to the California average among 1399 comparable communities in the ranking pool. Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking. This is a proprietary Assisted Living Magazine score. Inspection score: 95 out of 100. Letter grade A. 14 points above the California average for assisted living residences (81/100)

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 Citations 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 Rank #1 / 1160 Serious citations (Type A) — State benchmarked This home is ranked 1st out of 1160 homes in California for # of serious citations. Shows this facility's # of serious citations compared to the California average among 1160 comparable communities in the ranking pool. Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking.
Moderate citations (Type B) Info Citations 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 Rank #210 / 1388 Complaint visits — State benchmarked This home is ranked 210th out of 1388 homes in California for # of complaint visits. Shows this facility's # of complaint visits compared to the California average among 1388 comparable communities in the ranking pool. Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking.
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.
Show Inspection Reports

Places of interest near ActivCare 4S Ranch

Address 10603 Rancho Bernardo Rd, San Diego, CA 92127

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

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Rank #1065 / 1648
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5
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 78.3% -Income Property Grp And Activcare Living Rac Dove Cnyn-
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Financial Assistance for
Assisted Living 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)

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.

Who is the owner of ActivCare 4S Ranch?

ActivCare 4S Ranch is legally operated by Rac Dove Cnyn, Income Property Grp and Activcare Living, and administered by Denise Notter.

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%.

Are pets allowed at ActivCare 4S Ranch?

No, ActivCare 4S Ranch has a no-pet policy.

Who is the administrator of ActivCare 4S Ranch?

Denise Notter is the administrator of ActivCare 4S Ranch.

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