We arrange tours, appointments, and even moving support so you don’t have to
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Providing care for over 15 years, Epic Assistance Care Home Iv is an esteemed community in East Bradley Avenue, El Cajon, CA, that offers assisted living. Here, residents with dementia also receive specialized care from an experienced and well-trained team available 24/7. The community also handles the housekeeping and linen services for a worry-free retirement.
Enjoy your later years with fun activities and engaging programs tailored to leisure and wellness. Have hassle-free dining with healthy and delicious meals served daily to cater to dietary needs and preferences. Medical support, medication management, and incontinence care are also provided to meet residents’ healthcare needs. The community is ideal for those who need assistance in their daily activities with its dedicated and genuine care offered at an affordable cost.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 308th out of 346 homes in California. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 51m per day |
Higher than the California average: 72.8%Epic Assistance Care Home IV is legally operated by Epic Assistance Care Home Inc, and administrated by Liza Mesdjian.
Key information about the people who lead and staff this community.
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.
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.
Citations
| This Facility | CA Average | vs. CA Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 0 | 10 | This facility has 100% fewer total citations than a typical California nursing home (0 vs. CA avg 10).↓ 100% better |
Inspections & Visits
| This Facility | CA Average | vs. CA Avg |
|---|---|---|---|
|
Total visits
Combined count of complaint visits, other regulatory visits, and official scheduled inspections.
| 6 | 16 | This facility has 63% fewer total visits than a typical California nursing home (6 vs. CA avg 16).↓ 63% better |
|
Complaint visits
On-site visits triggered by formal complaints filed by residents, families, or staff.
| 1 | 13 | This facility has 92% fewer complaint visits than a typical California nursing home (1 vs. CA avg 13).↓ 92% better |
|
Other visits
Regulatory visits that are neither routine inspections nor complaint investigations — administrative check-ins, follow-up reviews, licensing-related visits.
| 4 | 7 | This facility has 43% fewer other visits than a typical California nursing home (4 vs. CA avg 7).↓ 43% better |
|
Official inspections
Routine, scheduled inspections conducted by state regulators to evaluate whether the facility meets federal and state standards.
| 1 | 4 | This facility has 75% fewer official inspections than a typical California nursing home (1 vs. CA avg 4).↓ 75% better |
|
Complaint investigations
On-site investigations triggered by complaints filed with California regulators.
| 1 | 10 | This facility has 90% fewer complaint investigations than a typical California nursing home (1 vs. CA avg 10).↓ 90% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
This facility’s inspection record is mostly clean, showing steady improvement after initial pre-licensing issues in August 2024. The most recent inspection on August 6, 2025, found no deficiencies, with all safety equipment operational and documents properly maintained. Early inspections in August 2024 flagged regulatory compliance problems that delayed licensing, but follow-up visits in April and August 2025 showed full compliance and no complaints substantiated.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsCalifornia average 12.5
Last Health inspection on Aug 2025
California average 50.2
California average 4.65
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
64 of 103 citations resulted from standard inspections; 37 of 103 resulted from complaint investigations; and 2 of 103 came from combined inspections (standard and complaint).
100% better than California averageCalifornia average: 0.4
100% better than California averageCalifornia average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
1593650% better than California average
5% worse than California average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
75 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 69 | 0 | 69 | 22,803 | 92 | 100% | 7.1 |
| Licensed Practical Nurse | 26 | 0 | 26 | 8,419 | 92 | 100% | 7.3 |
| Speech Language Pathologist | 10 | 0 | 10 | 2,352 | 83 | 90% | 7 |
| Registered Nurse | 6 | 0 | 6 | 1,972 | 92 | 100% | 7.6 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,881 | 92 | 100% | 7.8 |
| Physical Therapy Aide | 11 | 0 | 11 | 1,768 | 87 | 95% | 7.3 |
| RN Director of Nursing | 3 | 0 | 3 | 1,464 | 64 | 70% | 8 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 981 | 70 | 76% | 7.3 |
| Physical Therapy Assistant | 5 | 0 | 5 | 961 | 72 | 78% | 7.2 |
| Dental Services Staff | 3 | 0 | 3 | 923 | 67 | 73% | 7.6 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Administrator | 1 | 0 | 1 | 496 | 62 | 67% | 8 |
| Qualified Social Worker | 3 | 0 | 3 | 455 | 73 | 79% | 5.9 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 444 | 61 | 66% | 7.3 |
| Other Physician | 0 | 4 | 4 | 45 | 3 | 3% | 3.8 |
| Medical Director | 0 | 1 | 1 | 30 | 3 | 3% | 10 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
4.8
28% better than California averageCalifornia average: 6.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
8.1
29% better than California averageCalifornia average: 11.3
Percent of long-stay residents whose need for help with daily activities has increased
8.4%
24% better than California averageCalifornia average: 11.1%
Percent of long-stay residents whose ability to move independently worsened
6.1%
49% better than California averageCalifornia average: 12.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
9.7%
14% better than California averageCalifornia average: 11.3%
Percent of long-stay residents experiencing one or more falls with major injury
1.7%
In line with California averageCalifornia average: 1.7%
Percent of long-stay high risk residents with pressure ulcers
4.6%
6% better than California averageCalifornia average: 5.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than California averageCalifornia average: 1.2%
Percent of long-stay residents who lose too much weight
3.3%
23% better than California averageCalifornia average: 4.2%
Percent of long-stay residents who have depressive symptoms
13.9%
108% worse than California averageCalifornia average: 6.7%
Percent of long-stay residents who received an antipsychotic medication
7.6%
25% better than California averageCalifornia average: 10.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with California averageCalifornia average: 98.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with California averageCalifornia average: 98.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
6% better than California averageCalifornia average: 94.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.4%
70% better than California averageCalifornia average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
99.4%
7% better than California averageCalifornia average: 93.2%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
70% of new residents, usually for short-term rehab.
18% of new residents, often for short stays.
12% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
96Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Epic Assistance Care Home IV based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #141 / 347Payroll — State benchmarkedThis home is ranked 141st out of 347 homes in California. Shows total annual staff payroll benchmarked to the California average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Housing Options: Private Rooms
Building Type: Single-story
Dining Services
Housekeeping Services
Recreational Activities
Exercise Programs
Most residents typically stay for a few weeks or months before returning home or moving on.
2.8 miles from city center
Estimated distance in miles from El Cajon's city center to Epic Assistance Care Home IV's address, calculated via Google Maps.
Add your location
Epic Assistance Care Home IV is located in El Cajon, California.
Here are the financial assistance programs available to residents in California.
The team at Epic Assistance Care Home IV speaks ["english"].
The legal owner and operator of Epic Assistance Care Home IV is Epic Assistance Care Home Inc.
Epic Assistance Care Home IV has a walk score of 33. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to CA state health department records, Epic Assistance Care Home IV's license number is 374604818.
Epic Assistance Care Home IV's occupancy is 93%.
Liza Mesdjian is the administrator of Epic Assistance Care Home IV.
Epic Assistance Care Home IV has 15 beds.
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