Assisted Living
Activcare at 4s Ranch
10603 Rancho Bernardo Road, San Diego, CA 92127 · Map
Licensed for 60 residents · RAC DOVE CNYN,INCOME PROPERTY GRP;ACTIVCARE LIVING
Activcare at 4s Ranch is a state-licensed assisted living community in San Diego, California. It is licensed for 60 residents. Lilisity publishes no score or ranking for this community; the details below come from the state licensing record.
Prices
This community does not publish its prices.
Area costs
Lilisity’s independent report
What the public record shows
Gathered by Lilisity from state and federal sources. Communities can’t edit this part of the page.
License
Active, 60 residents
RESIDENTIAL CARE ELDERLY 374603714, licensed since Jun 16, 2016. Licensee RAC DOVE CNYN,INCOME PROPERTY GRP;ACTIVCARE LIVING.
Nearest emergency room
3.2 miles
Palomar Medical Center Poway, rated 4 of 5 stars by CMS.
Side by side with nearby communities
The 4 nearest communities that offer assisted living, by straight-line distance. Prices are starting prices each community publishes; we never show estimates.
| Community | Distance | Licensed capacity | Published starting price | License | Inspection citations |
|---|---|---|---|---|---|
| Activcare at 4s Ranch this community | 60 | Not published | Active | 0 Type A, 1 Type B | |
| Casa Cielo | 1.2 mi | 6 | Not published | Active | 1 Type A, 2 Type B |
| Garden Abode | 1.4 mi | 6 | Not published | Active | 2 Type A, 1 Type B |
| Remington Club II | 2.0 mi | 140 | Not published | Active | 0 Type A, 10 Type B |
| Silvergate Rancho Bernardo | 2.1 mi | 285 | Not published | Active | 1 Type A, 0 Type B |
State inspection record0 Type A, 1 Type B
- Last state visit
- June 16, 2026
- State visits since December 14, 2021
- 11 (including 5 inspections, 1 complaint investigated)
- Type A citations
- 0 immediate risk
- Type B citations
- 1 potential risk if not corrected
- Complaint allegations investigated
- 1: 0 substantiated, 1 not substantiated
- No citations at the last 4 inspections (October 2023 to June 2026)
- License active since 2016
Citations (1), newest first
- 87705(c)(4) (plan of correction due January 6, 2023): Care of Persons with Dementia. Rules for caring for residents with dementia, including staff training, door alarms, and delayed-exit or locked exterior doors.
Plain meanings are our short reading of the rule cited, from the state’s regulation text. The state’s report says what happened.
Complaints with no substantiated allegation (1)
- November 26, 2024: 1 unsubstantiated
Every state visit (11)
- June 16, 2026: Inspection
- December 22, 2025: Other visit
- May 7, 2025: Inspection
- November 21, 2024: Complaint visit
- June 26, 2024: Inspection
Show all 11
- October 16, 2023: Inspection
- September 6, 2023: Other visit
- January 18, 2023: Other visit
- January 6, 2023: Other visit
- June 16, 2022: Inspection
- December 14, 2021: Other visit
Read every report on the state’s site →
What these terms mean
Type A citations are for “the most serious type of violations in which there is an immediate risk to the health, safety or personal rights of those in care,” and are issued “even if the violation is corrected on the spot.”
Type B citations are for “a violation that, if not corrected, may [pose] an immediate risk to the health, safety or personal rights of clients,” such as faulty medical record keeping or staff training.
CCLD: “There is no difference between an inconclusive and an unsubstantiated complaint allegation. Both terms mean that there was no preponderance of evidence to prove that an alleged violation occurred.” Allegations CCLD finds unfounded are also not substantiated.
This community is licensed for 60 residents; larger communities are visited and complained about more often, so read counts with size in mind. Source: California Department of Social Services, Community Care Licensing, data as of September 28, 2026, covering the five years of records the state publishes. The state’s advice: “Never rely on this information alone to make a decision about a facility. Always visit facilities in person.”
License and ownershipActive license, licensee RAC DOVE CNYN,INCOME PROPERTY GRP;ACTIVCARE LIVING
- License type
- RESIDENTIAL CARE ELDERLY
- License number
- 374603714
- License status
- Active
- Licensed since
- 2016-06-16
- Licensed capacity
- 60
- Licensee
- RAC DOVE CNYN,INCOME PROPERTY GRP;ACTIVCARE LIVING
- County
- San Diego County
- Administrator
- Denise Notter
Source: California state licensing records (agency listing), retrieved 2026-09-09. Licensing status is a matter of public record; it is not a quality rating.
Administrator name from public records we reviewed, as of Oct 12, 2026.
Paying with Medicaid and other programsHow Medicaid pays for care in California, and other programs
How Medicaid pays for care in California
- Assisted Living Waiver (ALW). Medi-Cal can pay for assisted living care services through the Assisted Living Waiver, but only in 15 counties, only for people who need nursing home level care, and there is a waitlist. The resident still pays room and board. (state page)
- Waitlist. The Assisted Living Waiver has a waitlist. DHCS reported 18,365 people on it in December 2025. (source)
Ask the community whether it accepts Medicaid.
Location and nearby careNearest hospital 3.2 mi, nursing home 1.5 mi, pharmacy 0.4 mi
- Nearest hospital with an emergency room
- Palomar Medical Center Poway, Poway. 3.2 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Villa Rancho Bernardo Care Center, San Diego. 1.5 miles away, straight line.
- Nearest home health agency office
- Arc Health Systems LLC, San Diego. 0.4 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 0.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 92127 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fmcna Dialysis Services Of Rancho, San Diego, 1.0 mile away, straight line (CMS rating 4 of 5 stars)
Davita Carmel Mountain Dialysis, San Diego, 4.3 miles away, straight line (has a shift starting after 5 pm; CMS rating 5 of 5 stars)
Home Dialysis Therapies Of San Diego-North, San Diego, 5.7 miles away, straight line - Hospice
- 55 Medicare hospices tell CMS they serve ZIP code 92127.
Charter Hospice Of San Diego LLC, office in San Diego, 0.9 miles away, straight line
Rbrk Healthcare LLC, office in San Diego, 1.4 miles away, straight line
Paramount Hospice, office in San Diego, 1.7 miles away, straight line - Nearest geriatric medicine practice
- Palomar Hospitalist Medical Group Inc, Poway. 3.2 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard riskFEMA overall risk relatively high; outside FEMA's high-risk flood areas
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- Wildfire risk to homes
- In San Diego County, CA, risk to homes is greater than 100% of communities in California and 100% of communities nationwide. USDA rates the whole county, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane very low, inland flooding relatively high, wildfire relatively high, tornado very low, heat wave relatively low, earthquake relatively moderate. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
Questions to ask on a tour9 questions picked for this community from its record
Picked for this community from its record. Ask them in person and write down the answers.
- What does the base rate include, and when did rates last go up?
- How many caregivers are on duty during the day and at night?
- What happens if care needs increase? When would someone need to move?
- What fees are charged at move-in?
- How do you tell families about falls, illness or changes?
- How long have the executive director and the head of care been here?
- Who gives medications, and what training do they have?
- For what reasons can a resident be asked to leave?
- Is the apartment held during a hospital stay, and at what cost?
What we checked13 public sources we searched, with dates
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| California Department of Social Services, Community Care Licensing inspection records | Sep 28, 2026 | See above |
| California Medicaid provider list | Mar 3, 2026 | Not on the state list we checked. These lists are often incomplete. |
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
Common questionsAnswers to 4 questions families ask
What type of care does Activcare at 4s Ranch provide?
Activcare at 4s Ranch is licensed by the state of California for assisted living in San Diego, California. Its licensed capacity is 60 residents.
Does Lilisity rate Activcare at 4s Ranch?
No. We publish state licensing details for Activcare at 4s Ranch but no score, rating, or ranking. Only communities on the Top Communities list or with a Senior Living Alliance Excellence Award, both based on phone-verified resident and family interviews, are ranked.
How much does Activcare at 4s Ranch cost?
Assisted Living in San Diego County typically starts at $3,500 to $5,400 a month. Based on 23 communities that publish prices. These are area figures, not this community's price. Activcare at 4s Ranch does not publish its prices.
How do I contact Activcare at 4s Ranch?
Use Activcare at 4s Ranch's website, activcareliving.com, or visit at 10603 Rancho Bernardo Road, San Diego, CA 92127.
How Lilisity works. The only scores or rankings Lilisity publishes are the Top Communities list and the Excellence Awards, both built from phone-verified resident and family interviews. Communities can pay Lilisity a flat monthly fee to manage their own listing: photos, prices, contact details, and receiving the inquiries families choose to send them. The fee is the same no matter how many families contact them or move in. Senior Living Alliance, which runs Lilisity, offers the same listing to its member communities as part of their membership; members pay SLA for its resident and family interview program. No community pays Lilisity per inquiry, per referral or per move-in. Payment never changes a testimonial, a rating, or the order of search results. The "Nearby Senior Living Alliance communities" box shows member communities only. How we verify testimonials · How we are paid