ActivCare 4S Ranch
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.
Inspection Report Summary for ActivCare 4S Ranch
**Overview**
ActivCare at 4S Ranch, a 740‑type group home in San Diego, houses up to 60 older adults, many of whom are non‑ambulatory and some of whom are under a hospice waiver. Over the past two years the California Department of Social Services conducted several unannounced visits, including case‑management reviews in response to resident‑related incidents and the required one‑year compliance inspections.
**Resident‑Related Incidents and Deficiencies**
A series of adverse events involving Resident #1 (R1), who has dementia and uses a walker, prompted multiple inspections. R1 was found unconscious with head trauma on the night of 12/07/2021 and later died; an incident report and death certificate were filed. In November 2022, R1 left the facility unobserved and was returned by law enforcement after an approximate one‑hour absence; this AWOL event triggered a deficiency citation under 87705(c)(4) for inadequate direct‑care staffing for residents with dementia. A similar fall on 12/12/2022 resulted in R1’s death on 12/17/2022. In the 1/6/2023 case‑management visit, the deficiency was formally documented and a plan of correction was developed. Subsequent case‑management visits in 2021, 2022, and 2023 (1/18/2023) found no additional health or safety concerns and did not cite new deficiencies.
**Compliance and Annual Inspections**
The facility’s infection‑control program was evaluated during a 6/16/2022 unannounced inspection, where the Department confirmed full compliance with the COVID‑19 Mitigation Plan (LIC 808). A required one‑year inspection on 10/16/2023 likewise found the facility substantially compliant with Title 22 regulations, noting adequate staffing for its 56 current residents and proper physical security measures. The only documented shortfall remains the staffing level cited for dementia care in the January 2023 visit; the facility has been given a plan of correction to address this issue. Overall, the reports indicate that, aside from the noted deficiency, ActivCare at 4S Ranch maintains standard compliance with state regulations and has effectively managed the serious incidents that have occurred.

Facility Overview
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Facility ID
Unique ID assigned by the California Department of Social Services for this licensed facility. 374603714
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Facility Type
Indicates the state license category — e.g., RCFE (Residential Care Facility for the Elderly). RESIDENTIAL CARE ELDERLY
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License Status
Shows whether the facility is currently licensed, closed, or pending renewal. LICENSED
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Licensed Since
Date when the facility’s license was first issued by the state. June 16, 2016
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Licensee / Operator
Entity or organization legally responsible for managing this facility. RAC DOVE CNYN,INCOME PROPERTY GRP;ACTIVCARE LIVING
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County
The county where the facility is located. SAN DIEGO
Inspection & Compliance
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All Visits
Sum of inspections, complaint visits, and other administrative visits. 11 visits
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Inspections
Formal inspections conducted by the state’s licensing division. 5 inspections
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Other Visits
Administrative or follow-up visits not related to complaints or inspections. 5 visits
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Complaint Visits
Inspections triggered by official complaints filed with the state. 1 complaint
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Citations
Number of deficiencies or violations found during inspections. 1 citation
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Official Report
Opens the facility's official licensing and inspection record on the state regulatory portal. View State Report
Places of interest near ActivCare 4S Ranch
24 miles from city center
10603 Rancho Bernardo Rd, San Diego, CA 92127
[email protected]
1 858-500-1113
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Guides for Better Senior Living
From costs to care, explore the most important topics to make informed decisions about your future.
Claim What’s Yours: Financial Aid for California Seniors
- General: Age 65+, 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 Specifics: County-managed; waitlists possible.
- Services: In-home support (4-6 hours/day), respite care (14 days/year), meals (~$6/meal), transportation (8 trips/month), care management.
- General: Age 65+, California resident, Medicaid-eligible or low-income.
- Income Limits: ~$1,732/month (individual, Medi-Cal threshold).
- Asset Limits: $2,000 (individual).
- CA Specifics: Can hire family as caregivers.
- Services: Personal care (up to 283 hours/month), homemaker services, respite (varies).
- General: Age 65+, 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 Specifics: Available in 38 counties; waitlists common.
- Services: Case management, respite care (up to 10 days/year), minor home mods (avg. $500), adult day care (~$50/day).
- General: Age 62+, 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 Specifics: Deferred taxes accrue interest (5% as of 2024); repaid upon sale/death.
- Services: Property tax deferral (avg. $1,000-$3,000/year, varies by county).
- General: Age 65+ or disabled, California resident, Medi-Cal-eligible, nursing home-eligible.
- Income Limits: ~$2,829/month (300% FBR, individual).
- Asset Limits: $2,000 (individual).
- CA Specifics: Available in 15 counties (e.g., LA, Sacramento); waitlists common.
- Services: Personal care in ALFs (5-7 hours/day), medication management, social services.
- 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 Specifics: High demand in urban areas; complements IHSS respite.
- Services: Respite care (up to 10 days/year), counseling (4-6 sessions/year), training (2-3 workshops/year), supplies (~$200/year).
- General: Age 60+ priority, California resident, low-income, utility/heating need.
- Income Limits (2025): ~$2,510/month (200% of poverty level, individual).
- Asset Limits: Not applicable; income-focused.
- CA Specifics: High demand in inland/coastal extremes; weatherization capped at $5,000/home.
- Services: Utility payments (avg. $500-$1,000/year), weatherization (e.g., insulation, avg. $1,000-$3,000 savings).
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Beds shows the number of beds currently filled in each community agianst the total number of beds. Higher occupied beds usually indicates strong demand and reputation, while lower occupancy may suggest more availability for new residents.
Community |
Occupancy |
Beds |
Home Revenue |
Owner |
CCN |
|---|---|---|---|---|---|
| ABBY GARDENS HEALTHCARE CENTER | 99 | $7,436,740.00 | #N/A | 55698 | |
| BALBOA NURSING AND REHAB CENTER | 88.7% | 194 | $28,502,816.00 | CHRISTENSEN, SPENCER | 56105 |
| BERNARDO HEIGHTS HEALTHCARE INC. | 95.6% | 120 | $25,134,876.00 | MATTHEWS, GLENN | 555326 |
| BRIGHTON PLACE SAN DIEGO | 96.1% | 99 | $15,120,270.00 | 55795 | |
| BROOKDALE AT CARMEL VALLEY | 79.3% | 45 | $13,710,226.00 | DANENHAUER, JEREMY | 555746 |
| CASA DE LAS CAMPANAS | 56.3% | 99 | $41,770,630.00 | FINCH-DOMINY, KIMBERLY | 555362 |
| CITY HEIGHTS HEALTH ASSOCIATES LLC | 88.3% | 53 | $9,817,733.00 | MOORE, OME | 55505 |
| DEVONSHIRE HEALTHCARE INC. | 0.0% | 99 | $18,339,483.00 | 56182 | |
| HILLCREST HEIGHTS HEALTHCARE CENTER | 94.5% | 96 | $17,038,019.00 | ASD6, LLC | 555630 |
| JACOB HEALTH CARE CENTER | 92.0% | 168 | $27,811,316.00 | 55508 |
Want to See More Data?
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Frequently Asked Questions
Several government programs offer financial assistance for senior housing in various countries, focusing on the United States for a broad overview:
- Medicaid: Medicaid is a state and federally funded program that can cover the costs of nursing home care for those who meet eligibility criteria, including income and asset limits. Some states also offer Medicaid waivers that help pay for home and community-based services to prevent or delay nursing home placement.
- Medicare: Medicare, primarily a health insurance program for people aged 65 and over, does not cover long-term housing costs. However, it can cover short-term stays in a skilled nursing facility under specific conditions following a hospital stay.
- Section 202 Supportive Housing for the Elderly Program: This program provides housing for low-income seniors. It offers rental assistance and access to supportive services, such as cleaning, cooking, and transportation.
- Low-Income Housing Tax Credit (LIHTC) Properties: While not a direct subsidy, LIHTC encourages developers to create affordable housing. Seniors with low incomes can find reduced-rent apartments through this program.
- State and Local Programs: Many states, counties, and cities offer their own programs to assist seniors with housing costs. These can include property tax relief programs, rental assistance programs, and programs that offer affordable senior housing options.
- Veterans Affairs (VA): The VA offers several programs for veterans, including the Aid and Attendance benefit, which provides monthly payments to veterans who require the aid of another person, or are housebound, to help cover the cost of care in homes, nursing homes, and assisted living facilities.
- Social Security: While Social Security primarily provides retirement income, for many seniors, these benefits are a crucial part of their budget, including housing costs.
Before recommending homes, we conduct a thorough evaluation on crucial factors that define a senior home such as the quality of care they provide, the reputation of the organization, and a comprehensive review of community testimonials as well. Every detail is assessed to assure that seniors are offered not just senior care options, but trustworthy homes where they can experience the care that they deserve.
Yes. Assisting families who need Medicaid is important to us as it plays a crucial role in offering financial support to seniors confronting economic challenges. We would like to keep essential healthcare services accessible to all community members, irrespective of one’s financial circumstances.
We extend our services at no cost, ensuring that families and seniors can benefit from tailored assistance in their search for care and home options. Our ability to offer personalized guidance without charge to families and seniors is made possible through the support and funding from the communities with which we team up.
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