nursing home in San Francisco, CA
The Avenues Transitional Care Center
2043 19th Avenue, San Francisco, CA 94116 · (415) 661-8787
★★★★★5
Much above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★5
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
The Avenues Transitional Care Center at a glance
The Avenues Transitional Care Center is a 140-bed for-profit nursing home in San Francisco, California (San Francisco County).
CMS gives it 5 out of 5 stars on its overall star rating, better than the California average of 3.2.
Residents receive about 4 hours of nursing care per day (0.9 of them from registered nurses), worse than the state average of 4.5 hours.
Its most recent standard health inspection (March 24, 2025) found 11 health citations. The California average is 15.5.
Federal regulators fined it 1 time in the past three years, totaling $12,685.
Nursing staff turnover is 38% per year (state average 36.7%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 140
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Aspen Skilled Healthcare
- Medicare-certified since
- March 29, 1974
- Resident/family council
- Resident
- County
- San Francisco County
- CMS Certification Number
- 055963
Ratings
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 5 / 5 | 3.2 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 5 / 5 | 3.3 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 4.1 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 4.4 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 5 / 5 | 3.6 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.97 hrs | 4.52 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.91 hrs | 0.67 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.46 hrs | 2.65 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.73 hrs | 4.09 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 38% | 36.7% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 16.7% | 38.1% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 11 | 16 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 1 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 69 | 105.8 | 80.6 | Better |
Penalties
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $12,685 | $23,986 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 140 | 99 | 107 | |
| Average residents per day | 135 | 88 | 86 | |
| Occupancy | 96.1% | 88.4% | 80.9% |
Long-stay residents
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 1% | 1.6% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 1.3% | 4.3% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 8.9% | 12% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0.2% | 1.2% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.8% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 4.9% | 10.2% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 6.5% | 9.8% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 1.6% | 4% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 8% | 7.3% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.4% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 4.1% | 13.7% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 17% | 10.2% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98.2% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 98.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0.8% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 98.4% | 93.2% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 100% | 94.4% | 82% | Better |
Inspection citations
State inspectors cited this home for 21 health deficiencies and 25 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| October 2, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected October 20, 2025 |
| March 24, 2025 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | E Potential harm, pattern | Corrected April 7, 2025 |
| March 24, 2025 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected April 7, 2025 |
| March 24, 2025 Fire safety | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Tag K0711 | D Potential harm, isolated | Corrected April 7, 2025 |
| March 24, 2025 Fire safety | Use approved construction type or materials. Construction Deficiencies · Tag K0161 | D Potential harm, isolated | Corrected April 7, 2025 |
| March 24, 2025 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | D Potential harm, isolated | Corrected April 7, 2025 |
| March 24, 2025 Fire safety | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0919 | D Potential harm, isolated | Corrected April 7, 2025 |
| March 24, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected April 7, 2025 |
| March 24, 2025 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | D Potential harm, isolated | Corrected April 7, 2025 |
| March 24, 2025 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | C No harm, widespread | Corrected April 7, 2025 |
| March 24, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | C No harm, widespread | Corrected April 7, 2025 |
| March 24, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected April 20, 2025 |
| March 24, 2025 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected April 20, 2025 |
| March 24, 2025 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | E Potential harm, pattern | Corrected April 20, 2025 |
| March 24, 2025 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected April 20, 2025 |
| March 24, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected April 20, 2025 |
| March 24, 2025 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected April 20, 2025 |
| March 24, 2025 Standard | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Tag F0554 | D Potential harm, isolated | Corrected April 20, 2025 |
| March 24, 2025 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected April 20, 2025 |
| March 24, 2025 Standard | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Tag F0806 | D Potential harm, isolated | Corrected April 20, 2025 |
| March 24, 2025 Standard | 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. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected April 20, 2025 |
| March 24, 2025 Standard | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · Tag F0912 | B No harm, pattern | Corrected April 20, 2025 |
| May 21, 2024 Complaint | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected June 21, 2024 |
| May 21, 2024 Complaint | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Tag F0636 | D Potential harm, isolated | Corrected June 21, 2024 |
| January 26, 2024 Fire safety | Provide family notifications of emergency plan. Emergency Preparedness Deficiencies · Tag E0035 | F Potential harm, widespread | Corrected February 29, 2024 |
| January 26, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected February 29, 2024 |
| January 26, 2024 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | E Potential harm, pattern | Corrected February 29, 2024 |
| January 26, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected February 29, 2024 |
| January 26, 2024 Fire safety | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Tag K0711 | D Potential harm, isolated | Corrected February 29, 2024 |
| January 26, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected February 29, 2024 |
| January 26, 2024 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected February 29, 2024 |
| January 26, 2024 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | D Potential harm, isolated | Corrected February 29, 2024 |
| January 26, 2024 Fire safety | Use approved construction type or materials. Construction Deficiencies · Tag K0161 | D Potential harm, isolated | Corrected February 29, 2024 |
| January 26, 2024 Fire safety | Provide emergency officials' contact information. Emergency Preparedness Deficiencies · Tag E0031 | D Potential harm, isolated | Corrected February 29, 2024 |
| January 26, 2024 Fire safety | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0919 | D Potential harm, isolated | Corrected February 29, 2024 |
| January 26, 2024 Standard | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Tag F0806 | D Potential harm, isolated | Corrected February 25, 2024 |
| April 9, 2021 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | E Potential harm, pattern | Corrected April 27, 2021 |
| April 9, 2021 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected April 27, 2021 |
| April 9, 2021 Fire safety | Have stairways and smokeproof enclosures used as exits that meet safety requirements. Egress Deficiencies · Tag K0225 | D Potential harm, isolated | Corrected April 27, 2021 |
| April 9, 2021 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected April 27, 2021 |
| April 9, 2021 Standard | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Tag F0554 | D Potential harm, isolated | Corrected June 11, 2021 |
| April 9, 2021 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected June 11, 2021 |
| April 9, 2021 Standard | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Tag F0552 | D Potential harm, isolated | Corrected June 11, 2021 |
| April 9, 2021 Standard | 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. Quality of Life and Care Deficiencies · Tag F0693 | D Potential harm, isolated | Corrected June 11, 2021 |
| April 9, 2021 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected June 11, 2021 |
| April 9, 2021 Standard | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · Tag F0912 | C No harm, widespread | Corrected June 11, 2021 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $12,685 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| October 2, 2025 | Fine | $12,685 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| ASJK LLC Organization | adp of the snf | NOT APPLICABLE | 12/20/2018 |
| ASPEN HEALTHCARE SERVICES LLC Organization | adp of the snf | NOT APPLICABLE | 01/01/2023 |
| BASA, EDIL Individual | adp of the snf | NOT APPLICABLE | 05/30/2023 |
| BRADSHAW, JEFFREY Individual | adp of the snf | NOT APPLICABLE | 01/01/2023 |
| BRADY, VERN Individual | adp of the snf | NOT APPLICABLE | 01/01/2023 |
| CASE, RYAN Individual | adp of the snf | NOT APPLICABLE | 01/01/2023 |
| GO, MARIA Individual | adp of the snf | NOT APPLICABLE | 12/17/2021 |
| JAMALI, MEHRAN Individual | adp of the snf | NOT APPLICABLE | 12/01/2023 |
| JURADO, FRANK Individual | adp of the snf | NOT APPLICABLE | 01/01/2023 |
| PAXMAN, MARCUS Individual | adp of the snf | NOT APPLICABLE | 01/01/2023 |
| RAWE, COLTON Individual | adp of the snf | NOT APPLICABLE | 01/01/2023 |
| SEQUOIA HEALTHCARE GROUP LLC Organization | adp of the snf | NOT APPLICABLE | 01/01/2023 |
| SKBM II LLC Organization | adp of the snf | NOT APPLICABLE | 09/22/2025 |
| SKBM LLC Organization | adp of the snf | NOT APPLICABLE | 09/08/2025 |
| ASJK LLC Organization | direct ownership interest | NOT APPLICABLE | 12/20/2018 |
| ASPEN SKILLED HEALTHCARE INC Organization | indirect ownership interest | NOT APPLICABLE | 12/20/2018 |
| BRADSHAW, JEFFREY Individual | indirect ownership interest | NOT APPLICABLE | 12/20/2018 |
| BRADSHAW, PETER Individual | indirect ownership interest | NOT APPLICABLE | 07/07/2023 |
| BRADY, VERN Individual | indirect ownership interest | NOT APPLICABLE | 09/01/2017 |
| CASE, RYAN Individual | indirect ownership interest | NOT APPLICABLE | 12/20/2018 |
| ELSNER, ERIC Individual | indirect ownership interest | NOT APPLICABLE | 12/20/2018 |
| KIRKWOOD, JARED Individual | indirect ownership interest | NOT APPLICABLE | 01/01/2019 |
| ORGILL, CRAIG Individual | indirect ownership interest | NOT APPLICABLE | 01/01/2019 |
| PARTI, RAJESH Individual | indirect ownership interest | NOT APPLICABLE | 12/20/2018 |
| PARTI, SHRUTY Individual | indirect ownership interest | NOT APPLICABLE | 12/20/2018 |
| PAXMAN, MARCUS Individual | indirect ownership interest | NOT APPLICABLE | 04/01/2022 |
| SEQUOIA HEALTHCARE GROUP LLC Organization | indirect ownership interest | NOT APPLICABLE | 01/01/2023 |
| SKBM II LLC Organization | indirect ownership interest | NOT APPLICABLE | 12/20/2018 |
| SKBM LLC Organization | indirect ownership interest | NOT APPLICABLE | 12/20/2018 |
| BRADSHAW, JEFFREY Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 09/23/2025 |
| RAWE, COLTON Individual | managing control - governing body | NOT APPLICABLE | 01/01/2023 |
| ASJK LLC Organization | operational/managerial control | NOT APPLICABLE | 12/20/2018 |
| BASA, EDIL Individual | operational/managerial control | NOT APPLICABLE | 05/30/2023 |
| BRADSHAW, JEFFREY Individual | operational/managerial control | NOT APPLICABLE | 01/01/2023 |
| CASE, RYAN Individual | operational/managerial control | NOT APPLICABLE | 01/01/2023 |
| GO, MARIA Individual | operational/managerial control | NOT APPLICABLE | 12/17/2021 |
| JAMALI, MEHRAN Individual | operational/managerial control | NOT APPLICABLE | 12/01/2023 |
| ORGILL, CRAIG Individual | operational/managerial control | NOT APPLICABLE | 01/01/2019 |
| RAWE, COLTON Individual | operational/managerial control | NOT APPLICABLE | 01/01/2023 |
Other nursing homes near The Avenues Transitional Care Center
Laguna Honda Hospital & Rehabilitation Ctr D/P SNF
375 Laguna Honda Blvd., San Francisco, CA 94116 · 1.1 mi
For-profit · 769 beds
★★★★★3AverageLawton Skilled Nursing & Rehabilitation Center
1575 7th Avenue, San Francisco, CA 94122 · 1.3 mi
For-profit · 68 beds · Part of Generations Healthcare
- CMS high performer
★★★★★5Much above average- ★★★★★3Average
Hayes Convalescent Hospital
1250 Hayes Street, San Francisco, CA 94117 · 2.8 mi
For-profit · 34 beds
- CMS high performer
★★★★★5Much above average- ★★★★★1Much below average
California Pacific Medical Ctr- Davies Campus Hosp
601 Duboce Ave, San Francisco, CA 94117 · 3 mi
Non-profit · 38 beds
- CMS high performer
★★★★★5Much above average
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Frequently asked questions
What is The Avenues Transitional Care Center's rating?
The Avenues Transitional Care Center has 5 out of 5 stars on the CMS overall star rating. The average for California nursing homes is 3.2 stars.
How many inspection citations did The Avenues Transitional Care Center receive?
Its most recent standard health inspection found 11 citations, compared with a California average of 15.5. Every citation is listed on this page with its severity.
Does The Avenues Transitional Care Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns The Avenues Transitional Care Center?
It is for profit - limited liability company and part of Aspen Skilled Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is The Avenues Transitional Care Center and how do I contact it?
The Avenues Transitional Care Center is at 2043 19th Avenue, San Francisco, CA 94116. Phone: (415) 661-8787.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.