Nursing HomeInspections

The Avenues Transitional Care Center

Nursing home in San Francisco, CA

Medicare & Medicaid certified5★ overall (CMS)

Call (415) 661-8787Send a messageMap ↗

Public-record details

Address
2043 19th Avenue, San Francisco, CA 94116
Phone
(415) 661-8787
Listed under
For-profit, 4–5 star overall rating
Medicare CCN
055963
Overall star rating
5 of 5 ★★★★★
Health inspection rating
3 of 5
Staffing rating
5 of 5
Quality measures rating
5 of 5
Certified beds
140
Average residents per day
135
Ownership
For-profit, limited Liability company
Legal business name
Asjk LLC
Chain
Aspen Skilled Healthcare (35 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Mar 29, 1974
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 055963. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Mar 24, 2025. CMS lists 21 health citations for this facility across its last three standard inspection cycles and complaint inspections (Apr 9, 2021 to Oct 2, 2025): 3 from complaint inspections, 1 at the “actual harm” level or higher.

InspectionCitationSeverity
Oct 2, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection
G
Actual harm, isolated
Mar 24, 2025Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental
B
Potential for minimal harm, pattern
Mar 24, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights
D
Potential for more than minimal harm, isolated
Mar 24, 2025Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights
D
Potential for more than minimal harm, isolated
Mar 24, 2025Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service
D
Potential for more than minimal harm, isolated
Mar 24, 2025Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and…
Pharmacy Service
D
Potential for more than minimal harm, isolated
Mar 24, 2025Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary
D
Potential for more than minimal harm, isolated
Mar 24, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care
E
Potential for more than minimal harm, pattern
Mar 24, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service
E
Potential for more than minimal harm, pattern
Mar 24, 2025Ensure 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…
Pharmacy Service
E
Potential for more than minimal harm, pattern
Mar 24, 2025Provide and implement an infection prevention and control program.
Infection Control
E
Potential for more than minimal harm, pattern
Mar 24, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary
F
Potential for more than minimal harm, widespread

Showing the 12 most recent of 21. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $12,685 in the last three years.

Oct 2, 2025Fine: $12,685

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.97 hours
Registered nurse (RN) time per resident per day
0.91 hours
Nurse aide time per resident per day
2.46 hours
Total nurse staffing on weekends
3.73 hours
Nursing staff turnover (yearly)
38%
RN turnover (yearly)
17%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in San Francisco

California Pacific Medical Ctr- Davies Campus Hosp601 Duboce Ave · San Francisco, CA 94117 · (415) 600-6000 · Nonprofit10 health citations in 3 inspection cycles · last standard inspection Jan 9, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified5★ overall (CMS)Central Gardens Post Acute1355 Ellis Street · San Francisco, CA 94115 · (415) 567-2967 · For-profit26 health citations in 3 inspection cycles · last standard inspection Feb 20, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified5★ overall (CMS)Hayes Convalescent Hospital1250 Hayes Street · San Francisco, CA 94117 · (415) 931-8806 · For-profit10 health citations in 3 inspection cycles · last standard inspection Nov 7, 2025 · no CMS fines in 3 yrsMedicaid-certified5★ overall (CMS)Jewish Home & Rehab Center D/p SNF302 Silver Avenue · San Francisco, CA 94112 · (415) 334-2500 · Nonprofit51 health citations in 3 inspection cycles · last standard inspection Feb 12, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified5★ overall (CMS)Laurel Heights Community Care2740 California St · San Francisco, CA 94115 · (415) 567-3133 · For-profit24 health citations in 3 inspection cycles · last standard inspection Jul 31, 2025 · $8,018 in CMS fines (3 yrs)Medicare-certified5★ overall (CMS)Lawton Skilled Nursing & Rehabilitation Center1575 7th Avenue · San Francisco, CA 94122 · (415) 566-1200 · For-profit19 health citations in 3 inspection cycles · last standard inspection Apr 17, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified5★ overall (CMS)Pacific Heights Transitional Care Center2707 Pine Street · San Francisco, CA 94115 · (415) 563-7600 · For-profit25 health citations in 3 inspection cycles · last standard inspection Mar 13, 2026 · $25,490 in CMS fines (3 yrs)Medicare & Medicaid certified5★ overall (CMS)San Francisco Post Acute5767 Mission Street · San Francisco, CA 94112 · (415) 584-3294 · For-profit24 health citations in 3 inspection cycles · last standard inspection Dec 12, 2024 · no CMS fines in 3 yrsMedicare & Medicaid certified5★ overall (CMS)

All 18 in San Francisco →