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Nursing Homes · Medicare certified

The Avenues Transitional Care Center

2043 19th Avenue · San Francisco, CA 94116 · 140 certified beds

(415) 661-8787

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About The Avenues Transitional Care Center

The Avenues Transitional Care Center is a nursing home in San Francisco, California. Its capacity is 140 beds, above the San Francisco County median of 68 for nursing homes. It is run by a for-profit operator and is part of Aspen Skilled Healthcare. It is Medicare certified. Its public inspection record shows 21 citations, the most recent on October 2, 2025. CMS also lists 1 fine or payment denial against it. Nurse staffing averages 3.91 hours per resident per day. It is one of 19 nursing homes listed in San Francisco. Residents and families can raise concerns with the Office of the State Long-Term Care Ombudsman at 1-800-231-4024. Its public records were last updated in October 2026.

Public record

CMS Care Compare, updated October 2026

Certification

Medicare-certified.

Ratings

Overall

4.0

Staffing

4.0

Quality measures

5.0

CMS Care Compare, October 2026.

Inspection history (21)

Records from April 2021 to October 2025.

  • October 2, 2025

    Tag F0689

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Severity G: isolated, actual harm. Corrected October 20, 2025.

  • March 24, 2025

    Tag F0757

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 20, 2025.

  • March 24, 2025

    Tag F0806

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 20, 2025.

  • March 24, 2025

    Tag F0812

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected April 20, 2025.

  • March 24, 2025

    Tag 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 l….

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 20, 2025.

  • March 24, 2025

    Tag F0550

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 20, 2025.

  • March 24, 2025

    Tag F0684

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 20, 2025.

  • March 24, 2025

    Tag F0554

    Allow residents to self-administer drugs if determined clinically appropriate.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 20, 2025.

  • March 24, 2025

    Tag 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.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 20, 2025.

  • March 24, 2025

    Tag F0755

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 20, 2025.

  • March 24, 2025

    Tag F0880

    Provide and implement an infection prevention and control program.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 20, 2025.

  • March 24, 2025

    Tag F0912

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    Severity B: pattern, no actual harm, potential for minimal harm. Corrected April 20, 2025.

  • May 21, 2024

    Tag F0655

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 21, 2024.

  • May 21, 2024

    Tag F0636

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 21, 2024.

  • January 26, 2024

    Tag F0806

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 25, 2024.

  • April 9, 2021

    Tag 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.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 11, 2021.

  • April 9, 2021

    Tag F0658

    Ensure services provided by the nursing facility meet professional standards of quality.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 11, 2021.

  • April 9, 2021

    Tag F0554

    Allow residents to self-administer drugs if determined clinically appropriate.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 11, 2021.

  • April 9, 2021

    Tag F0912

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    Severity C: widespread, no actual harm, potential for minimal harm. Corrected June 11, 2021.

  • April 9, 2021

    Tag 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.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 11, 2021.

See the source data on data.cms.gov (opens in a new tab)

Penalties (1)

Total fines: $12,685

  • October 2, 2025 · Fine

    CMS recorded a civil money penalty of $12,685 against this nursing home on October 2, 2025.

See the source data on data.cms.gov (opens in a new tab)

Staffing

3.91 nurse hours per resident per day in Q2 2026, down from 3.98 in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

For profit

Part of Aspen Skilled Healthcare, a chain of 35 nursing homes.

Average CMS star ratings across the chain: 3.7 overall, 3.0 for health inspections, 3.9 for staffing, 4.7 for quality measures.

  • Parent company: Aspen Healthcare Services LLC

Typical cost

CareScout Cost of Care Survey, 2025

This provider's prices aren't public. Here is what the same care typically costs in California.

Nursing Homes

California median$12,167/mo

Nearby alternatives

Other licensed providers in San Francisco.

Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care

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