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The Avenues Transitional Care Center

Nursing Home Facility

2043 19th Avenue, San Francisco, CA 94116

Nursing Home Care Senior Living

The Avenues Transitional Care Center is a senior care community located in San Francisco, CA. It provides nursing home care and senior living for older adults in the San Francisco area. To learn more or schedule a tour, call (415) 661-8787.

Operated by Aspen Skilled Healthcare, which runs 28 communities in our directory.

With 140 beds, The Avenues Transitional Care Center is one of the larger communities in the area, senior care communities in San Francisco average about 95 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.

Federal reporting puts occupancy at about 96% of its licensed beds, which is high; communities this full often maintain a waiting list, so it is worth calling well before you need a place. That is above the San Francisco average of roughly 87%.

Medicare rates this community 5 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in San Francisco average about 4.1 stars. The individual scores differ noticeably: 5 stars for staffing against 3 stars for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in March 2025 and recorded 11 deficiencies.

Residents receive about 4.0 hours of nursing care per day on average, including 0.9 hours from a registered nurse. Communities in San Francisco average about 4.5 hours. Nursing staff turnover over the past year was about 38%.

The community is located in San Francisco County, CA.

Medicare five-star ratings

  • Overall ★★★★★ 5/5
  • Health inspections ★★★★★ 3/5
  • Staffing ★★★★★ 5/5
  • Quality measures ★★★★★ 5/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 21 problems at The Avenues Transitional Care Center. 1 finding involved harm to a resident. 3 came from investigating complaints by residents or families.

In the last three years Medicare fined this home once, a total of $12,685.

Findings from the most recent inspection cycle

  • Caused harm to a resident, one or a few residents Quality of Life and Care

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

    Inspected October 2025, after a complaint. Corrected by October 20, 2025.

  • Could cause more than minimal harm, widespread Nutrition and Dietary

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

    Inspected March 2025. Corrected by April 20, 2025.

  • Could cause more than minimal harm, a pattern Quality of Life and Care

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

    Inspected March 2025. Corrected by April 20, 2025.

  • Could cause more than minimal harm, a pattern Pharmacy Service

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

    Inspected March 2025. Corrected by April 20, 2025.

  • Could cause more than minimal harm, a pattern Pharmacy Service

    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.

    Inspected March 2025. Corrected by April 20, 2025.

  • Could cause more than minimal harm, a pattern Infection Control

    Provide and implement an infection prevention and control program.

    Inspected March 2025. Corrected by April 20, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Rights

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

    Inspected March 2025. Corrected by April 20, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Rights

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

    Inspected March 2025. Corrected by April 20, 2025.

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  • Could cause more than minimal harm, one or a few residents Pharmacy Service

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

    Inspected March 2025. Corrected by April 20, 2025.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    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.

    Inspected March 2025. Corrected by April 20, 2025.

  • Could cause more than minimal harm, one or a few residents Nutrition and Dietary

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

    Inspected March 2025. Corrected by April 20, 2025.

  • Minimal harm or the potential for it, a pattern Environmental

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

    Inspected March 2025. Corrected by April 20, 2025.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

The Avenues Transitional Care Center offers nursing home care and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 140
  • Occupancy 96%
  • Nursing hours per resident/day 4.0
  • Annual staff turnover 38%
  • Last health inspection March 2025

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