Epic Assistance Care Home IV

Nursing Home & Care Home · El Cajon, CA

CMS overall rating

1061 East Bradley Ave, El Cajon, CA 92021 View map

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Epic Assistance Care Home IV accepts Medicare, Medicaid, and private pay.

Calculator: See prices in your area

Epic Assistance Care Home IV accepts Medicare, Medicaid, and private pay.

Overview of Epic Assistance Care Home IV

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.

Facility Direct Line (888) 927-9409

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to California state averages

Total nursing care / resident

3h 27m per day

This facility California avg (4h 13m per day)

vs California avg

-18%

4 of 6 metrics below state avg

Standout metric Physical Therapist is +13% above state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	21m per day	▼ 49% State avg: 40m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	1h 9m per day	▼ 4% State avg: 1h 12m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	2h 40m per day	■ Avg State avg: 2h 39m per day · National avg: 2h 20m per day
Weekend Total Nursing 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 50m per day	▼ 6% State avg: 4h 5m per day · National avg: 3h 27m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	7m per day	▲ 13% State avg: 6m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	12m per day	▼ 61% State avg: 31m per day · National avg: 29m per day

Capacity and availability

56 days

15-bed community

A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.

1 year in operation

A newer community that may feature more recent facilities and programs.

Walk Score: 33 / 100

Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate

93%

Higher than the California average: 72.8%

Occupied beds

14 / 15

Average occupied beds in California homes 87 beds

Facility TypeResidential Care Elderly

StatusLicensed

IssuanceAugust 20, 2024

CountySan Diego

License Number374604818

Epic Assistance Care Home IV is legally operated by Epic Assistance Care Home Inc, and administered by Liza Mesdjian.

Staffing

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

Specialized Dementia Live-in Staff

Specialized Dementia Separate Housekeeping Staff

No Admission Fee

Since 2024 · 2 years of data 0 citations 6 total visits 1 complaint visit 1 official inspection 1 complaint investigation

Inspection Score

14 points above the California average for nursing homes (81/100)

Inspection Scorecard 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 2024 vs. California state average

Overall vs. CA average

Latest Inspection March 20, 2026

Citations Citations are formal regulatory issues recorded during state inspections.	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

Standout metricNo citations on file since 2024 — the California average is 10.

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

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

August 6, 2025 annual inspection found no deficiencies; facility was clean, sanitary, in good repair, and all safety equipment was operational.
November 24, 2025 complaint investigation found wheelchair accessibility complaint unsubstantiated after interviews and record review.
August 9, 2024 pre-licensing inspection passed with no deficiencies; safety equipment and environmental conditions met all regulatory requirements.

Show Inspection Reports

Inspections since 2024

Total health inspections 17

California average 12.5

Last Health inspection on Aug 2025

Total health citations

103

California average 50.2

Citations per inspection

6.06

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).

Breakdown of citation severity (last 2 years)

Critical health citations

100% better than California average

California average: 0.4

Serious health citations

100% better than California average

California average: 1

0 critical citations California average: 0.4

0 serious citations California average: 1

92 moderate citations California average: 47.2

11 minor citations California average: 1.5

Citations history (last 2 years)

Abuse/Neglect moderate citation Aug 04, 2025

Corrected

Administration moderate citation Aug 04, 2025

Corrected

Administration moderate citation Aug 04, 2025

Corrected

Environmental moderate citation Aug 04, 2025

Corrected

Total staff 153

Employees 148

Contractors 5

Staff to resident ratio 1.59 : 1

12% fewer staff per resident than California average

Avg staff/day 68

Average shift 7.3 hours

5% worse than California average

Total staff hours (quarter) 45,504

Nursing staff breakdown

7.6 hours

7.3 hours

7.1 hours

Contractor staffing

75 contractor hours this quarter

Other Physician: 4 Medical Director: 1

Staff by category


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

69 Certified Nursing Assistant

% of Days 100%

26 Licensed Practical Nurse

% of Days 100%

10 Speech Language Pathologist

% of Days 90%

6 Registered Nurse

% of Days 100%

4 Other Dietary Services Staff

% of Days 100%

11 Physical Therapy Aide

% of Days 95%

3 RN Director of Nursing

% of Days 70%

4 Respiratory Therapy Technician

% of Days 76%

5 Physical Therapy Assistant

% of Days 78%

3 Dental Services Staff

% of Days 73%

1 Nurse Practitioner

% of Days 70%

1 Administrator

% of Days 67%

3 Qualified Social Worker

% of Days 79%

2 Clinical Nurse Specialist

% of Days 66%

4 Other Physician

% of Days 3%

1 Medical Director

% of Days 3%

View All Staffing Data in El Cajon

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 4.8

28% better than California average

California average: 6.6

Functional decline score 8.1

29% better than California average

California average: 11.3

Long-stay resident measures

Need for Help with Daily Activities Increased 8.4%

24% better than California average

California average: 11.1%

Walking Ability Worsened 6.1%

49% better than California average

California average: 12.0%

Low Risk Residents with Bowel/Bladder Incontinence 9.7%

14% better than California average

California average: 11.3%

Falls with Major Injury 1.7%

In line with California average

California average: 1.7%

High Risk Residents with Pressure Ulcers 4.6%

6% better than California average

California average: 5.0%

Urinary Tract Infection 0.0%

100% better than California average

California average: 1.2%

Lost Too Much Weight 3.3%

23% better than California average

California average: 4.2%

Depressive Symptoms 13.9%

108% worse than California average

California average: 6.7%

Antipsychotic Use 7.6%

25% better than California average

California average: 10.1%

Pneumococcal Vaccine 100.0%

In line with California average

California average: 98.5%

Influenza Vaccine 100.0%

In line with California average

California average: 98.2%

Short-stay resident measures

Pneumococcal Vaccine 100.0%

6% better than California average

California average: 94.0%

Antipsychotic medication increase 0.4%

70% better than California average

California average: 1.5%

Influenza Vaccine 99.4%

7% better than California average

California average: 93.2%

Breakdown by payment type

Medicare

70% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

18% of new residents, often for short stays.

Typical stay 23 days

Medicaid

12% of new residents, often for long-term daily care.

Typical stay 8 - 9 months

Total residents 96

Medicare

35.4% of residents

Medicaid

56.3% of residents

Private pay or other

8.3% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Financial Trends

Historical financial and operational data for Epic Assistance Care Home IV from 2011–2023, based on CMS SNF Cost Reports.

Occupancy Rate 620.8% ↑ 526.5pp vs 2022

Net Patient Income $2.3M ↑ ~$3.1M vs 2022

Payroll Costs $9.3M ↑ ~$2.3M vs 2022

Operating Margin 12.5% ↑ 19.2pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	88.7%	91.7%	90.3%	89.3%	91.8%	93.6%	93.4%	94.1%	95.9%	88.8%	91.7%	94.2%	620.8%
Beds	99	99	99	99	99	99	99	99	99	99	99	99	15
Net Income	$231,182	-$275,670	-$793,703	-$1,288,881	-$1,106,549	-$440,537	$111,808	$119,622	-$183,688	$1,172,340	$696,600	-$336,623	$3,572,314
Gross Revenue	$15,568,874	$15,926,152	$15,904,093	$15,483,917	$15,959,799	$16,485,023	$16,596,563	$16,682,129	$18,610,285	$19,796,145	$20,658,803	$20,446,576	$32,378,378
Operating Expenses	$8,931,472	$8,955,164	$9,375,070	$9,548,045	$10,670,736	$11,079,491	$10,794,885	$11,004,972	$11,752,314	$13,296,263	$13,611,950	$13,938,072	$15,862,321
Net Patient Income	$33,875	-$465,402	-$982,237	-$1,473,359	-$1,307,753	-$607,655	-$41,079	-$46,698	-$349,499	$1,041,945	$529,417	-$882,972	$2,262,800
Net Patient Revenue	$8,965,347	$8,489,762	$8,392,833	$8,074,686	$9,362,983	$10,471,836	$10,753,806	$10,958,274	$11,402,815	$14,338,208	$14,141,367	$13,055,100	$18,125,121
Payroll Costs	$3,347,227	$3,639,830	$3,697,539	$3,684,550	$3,895,717	$4,187,931	$4,364,612	$4,421,795	$4,808,951	$5,768,163	$6,457,447	$7,024,689	$9,337,603
Operating Margin %	0.4%	-5.5%	-11.7%	-18.3%	-14.0%	-5.8%	-0.4%	-0.4%	-3.1%	7.3%	3.7%	-6.8%	12.5%
Medicare %	16.4%	13.5%	12.2%	8.8%	15.1%	20.2%	17.9%	19.0%	17.3%	32.2%	28.6%	19.8%	42.3%
Medicaid %	70.5%	69.7%	70.3%	67.1%	64.8%	63.9%	65.8%	66.7%	69.2%	46.0%	55.0%	67.7%	51.0%
Private %	13.1%	16.8%	17.6%	24.1%	20.0%	15.9%	16.2%	14.3%	13.5%	21.8%	16.4%	12.5%	6.7%
Net Patient Revenue/Day	$280	$256	$257	$250	$282	$309	$319	$322	$329	$446	$427	$383	$533
Cost/Day	$279	$270	$287	$296	$322	$327	$320	$324	$339	$413	$411	$409	$467
Avg Length of Stay	99.2 days	96.0 days	76.1 days	57.5 days	57.3 days	73.0 days	68.9 days	78.7 days	94.7 days	90.6 days	65.9 days	80.9 days	56.4 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$18.1M

Net patient income

$2.3M

For-profit Operated by a single business entity.

Net patient revenue

$18.1M

Net patient income

$2.3M

Other income

$1.3M

Payroll costs

$9.3M 51.5% of net patient revenue

Other operating costs

$6.5M

Total costs

$15.9M

What does this home offer?

Housing Options: Private Rooms

Building Type: Single-story

Housekeeping Services

Recreational Activities

Exercise Programs

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Most new residents arrive under Medicare (70% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Coverage residents most often arrive under.

Medicare 70%

Private pay 18%

Medicaid 12%

Coverage residents most often leave under.

Medicare 47%

Private pay 15%

Medicaid 38%

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.

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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).

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

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

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.

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

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.

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)

Who is the owner of Epic Assistance Care Home IV?

The legal owner and operator of Epic Assistance Care Home IV is Epic Assistance Care Home Inc.

Is Epic Assistance Care Home IV in a walkable area?

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.

What is the license number of Epic Assistance Care Home IV?

According to CA state health department records, Epic Assistance Care Home IV's license number is 374604818.

What is the occupancy rate at Epic Assistance Care Home IV?

Epic Assistance Care Home IV's occupancy is 93%.

Does Epic Assistance Care Home IV operate as a for-profit or non-profit?

Epic Assistance Care Home IV is registered as a for-profit in CA.

Who is the administrator of Epic Assistance Care Home IV?

Liza Mesdjian is the administrator of Epic Assistance Care Home IV.

How many beds does Epic Assistance Care Home IV have?

Epic Assistance Care Home IV has 15 beds.

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

Nursing Home Data Explorer

Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now

The True Cost of Assisted Living in 2025 – And How Families Are Paying For It

Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Epic Assistance Care Home IV

Overview of Epic Assistance Care Home IV

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Staffing

Staffing(Specialized Dementia)

Facility Details(Specialized Dementia)

Contact Epic Assistance Care Home IV

Inspection History

Inspection Scorecard 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 Citations are formal regulatory issues recorded during state inspections.

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

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

Health Inspection History

Inspections since 2024

Breakdown of citation severity (last 2 years)

Citations history (last 2 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

69 Certified Nursing Assistant

26 Licensed Practical Nurse

10 Speech Language Pathologist

6 Registered Nurse

4 Other Dietary Services Staff

11 Physical Therapy Aide

3 RN Director of Nursing

4 Respiratory Therapy Technician

5 Physical Therapy Assistant

3 Dental Services Staff

1 Nurse Practitioner

1 Administrator

3 Qualified Social Worker

2 Clinical Nurse Specialist

4 Other Physician

1 Medical Director

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

What does this home offer?

Who this home usually serves

Mostly short-term rehab stays

Admissions

Discharges

Places of interest near Epic Assistance Care Home IV

Calculate Travel Distance to Epic Assistance Care Home IV

Financial Assistance for Nursing Home in California

Multipurpose Senior Services Program

In-Home Supportive Services (IHSS)

Multipurpose Senior Services Program (MSSP)

Property Tax Postponement Program (PTP)

Assisted Living Waiver (ALW)

California CARES Program

Guides for Better Senior Living

Financial Assistance for
Nursing Home in California