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The Avenues Transitional Care Center
2043 19th Avenue, San Francisco, CA 94116
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 140 beds, The Avenues Transitional Care Center serves San Francisco in San Francisco County, California and has taken Medicare and Medicaid residents since 1974.
CMS gives it 5 of 5 stars overall, above the California median of 3; the health inspection rating is 3, staffing 5 and quality measures 5.
Inspectors recorded 21 health deficiencies across the three most recent survey cycles (12, 1, 8 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 15.0 per 100 beds, fewer than the state median of 51.1.
CMS lists 1 penalty in the period covered: fines totalling $13K.
Reported nurse staffing is 4.0 hours per resident per day (0.9 RN), close to the California median of 4.2; nursing staff turnover is 38.0%.
Compared with county, state and nation
| Measure | This facility | San Francisco Co. median | California median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 5 | 3 | 3.0 |
| Health citations, 3 cycles | 21 | 24 | 44 | 28.7 |
| Citations per 100 beds | 15.0 | 29.4 | 51.1 | 26.8 |
| Total nurse hours per resident day | 4.0 | 4.3 | 4.2 | 3.9 |
| RN hours per resident day | 0.9 | 0.9 | 0.5 | 0.7 |
| Nursing staff turnover | 38.0% | 35.5% | 36.4% | 45.8% |
| Fines listed | $12,685 | $0 | $0 | — |
County and state figures are medians across facilities (18 in the county, 1165 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: California average per facility for the same cycle, as published by CMS. Standard health survey dates: 24 Mar 2025, 26 Jan 2024.
Severity mix: G ×1 D ×13 E ×4 F ×1 B ×1 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 2 Oct 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 20 Oct 2025 |
| 24 Mar 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 20 Apr 2025 |
| 24 Mar 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 20 Apr 2025 |
| 24 Mar 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 20 Apr 2025 |
| 24 Mar 2025 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard survey | 20 Apr 2025 |
| 24 Mar 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 20 Apr 2025 |
| 24 Mar 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 20 Apr 2025 |
| 24 Mar 2025 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 20 Apr 2025 |
| 24 Mar 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 20 Apr 2025 |
| 24 Mar 2025 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 20 Apr 2025 |
| 24 Mar 2025 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 20 Apr 2025 |
| 24 Mar 2025 | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | Standard survey | 20 Apr 2025 |
| 21 May 2024 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Complaint investigation | 21 Jun 2024 |
| 21 May 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint investigation | 21 Jun 2024 |
| 26 Jan 2024 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 25 Feb 2024 |
| 9 Apr 2021 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 11 Jun 2021 |
| 9 Apr 2021 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 11 Jun 2021 |
| 9 Apr 2021 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 11 Jun 2021 |
| 9 Apr 2021 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard survey | 11 Jun 2021 |
| 9 Apr 2021 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | 11 Jun 2021 |
| 9 Apr 2021 | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | C | Standard survey | 11 Jun 2021 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 2 Oct 2025 | Fine | $12,685 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 38.0%, RNs 16.7%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | California median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 4.9% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.2% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.0% | 1.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.8% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 6.5% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.3% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 8.9% | 9.1% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Asjk Llc. Chain: Aspen Skilled Healthcare (35 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Asjk LLC | Direct ownership interest | NOT APPLICABLE | 12/20/2018 |
| Aspen Skilled Healthcare Inc | Indirect ownership interest | NOT APPLICABLE | 12/20/2018 |
| Sequoia Healthcare Group LLC | Indirect ownership interest | NOT APPLICABLE | 01/01/2023 |
| Skbm LLC | Indirect ownership interest | NOT APPLICABLE | 12/20/2018 |
| Asjk LLC | Operational/managerial control | NOT APPLICABLE | 12/20/2018 |
| Asjk LLC | Adp of the snf | NOT APPLICABLE | 12/20/2018 |
| Aspen Healthcare Services LLC | Adp of the snf | NOT APPLICABLE | 01/01/2023 |
| Sequoia Healthcare Group LLC | Adp of the snf | NOT APPLICABLE | 01/01/2023 |
| Skbm LLC | Adp of the snf | NOT APPLICABLE | 09/08/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in San Francisco County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| California Pacific Medical Ctr- Davies Campus Hosp | San Francisco | 38 | 5 | 5 | 5 | 10 | 26.3 | — | 9 Jan 2026 |
| Central Gardens Post Acute | San Francisco | 92 | 5 | 5 | 3 | 26 | 28.3 | — | 20 Feb 2025 |
| Hayes Convalescent Hospital | San Francisco | 34 | 5 | 5 | 4 | 10 | 29.4 | — | 12 Dec 2024 |
| Jewish Home & Rehab Center D/P SNF | San Francisco | 362 | 5 | 4 | 5 | 51 | 14.1 | — | 12 Feb 2026 |
| Laurel Heights Community Care | San Francisco | 32 | 5 | 4 | 4 | 24 | 75.0 | $8K | 31 Jul 2025 |
| Lawton Skilled Nursing & Rehabilitation Center | San Francisco | 68 | 5 | 5 | 4 | 19 | 27.9 | — | 17 Apr 2026 |
| Pacific Heights Transitional Care Center | San Francisco | 120 | 5 | 5 | 4 | 25 | 20.8 | $25K | 13 Mar 2026 |
| San Francisco Post Acute | San Francisco | 53 | 5 | 4 | 2 | 24 | 45.3 | — | 12 Dec 2024 |
All 18 facilities in San Francisco County
Questions and answers
How many deficiencies has The Avenues Transitional Care Center been cited for?
21 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.
Has The Avenues Transitional Care Center been fined?
Yes. CMS lists fines totalling $13K in the period covered.
How does staffing at The Avenues Transitional Care Center compare?
Reported total nurse staffing is 4.0 hours per resident per day against a California median of 4.2 and a national average of 3.9.
Who operates The Avenues Transitional Care Center?
It is part of the Aspen Skilled Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Asjk LLC, Aspen Skilled Healthcare Inc and Sequoia Healthcare Group LLC. Individual owners and managers are not listed on this site.
When was The Avenues Transitional Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 2 Oct 2025; the most recent standard health survey was 24 Mar 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.