Nursing home
The Avenues Transitional Care Center
2043 19Th Avenue, San Francisco, CA 94116 · Map
For profit - Limited Liability company · Part of Aspen Skilled Healthcare (34 facilities) · 140 certified beds
The Avenues Transitional Care Center is a Medicare-certified nursing home in San Francisco, California. CMS rates it 3 out of 5 stars overall (4/5 for staffing, 3/5 for health inspections). Nurse staffing is 3.90 hours per resident per day, below the California average of 4.51. Its most recent inspection on Mar 24, 2025 cited 11 deficiencies.
- 1 fine totaling $12,685In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How The Avenues Transitional Care Center compares
This facility vs. the California and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | California avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.90 | 4.51 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.88 | 0.65 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.40 | 2.64 | 2.34 | below avg |
| Nursing staff turnover | 44.0% | 38.1% | 46.4% | above avg |
| Deficiencies cited, last inspection | 11.0 | 15.4 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the October 2, 2025 inspection was corrected by October 20, 2025
Penalties in CMS records: 1 fine totaling $12,685, 1 total penalty.
What inspectors found at The Avenues Transitional Care Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Oct 2, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Mar 24, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Mar 24, 2025 · Full report (PDF) - Potential for harm
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 · Mar 24, 2025 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Mar 24, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Mar 24, 2025 · Full report (PDF) - Potential for harm
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 · Mar 24, 2025 · Full report (PDF) - Potential for harm
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 · Mar 24, 2025 · Full report (PDF) - Potential for harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Mar 24, 2025 · Full report (PDF) - Potential for harm
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Mar 24, 2025 · Full report (PDF) - Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Mar 24, 2025 · Full report (PDF) - Minimal
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental Deficiencies · Mar 24, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 2043 19Th Avenue
San Francisco, CA 94116 - CMS certification #
- 055963
- Ownership
- For profit - Limited Liability company
- Certified beds
- 140
- Avg residents/day
- 129.1
- Provider type
- Medicare and Medicaid
- First certified
- 1974-03-29
- Chain
- Aspen Skilled Healthcare (34 facilities)
- Setting
- Urban
Part of Aspen Skilled Healthcare
Aspen Skilled Healthcare operates 34 nursing facilities across the United States. View all Aspen Skilled Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around The Avenues Transitional Care Center using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Ucsf Medical Center, San Francisco. 1.4 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Laguna Honda Hospital & Rehabilitation CTR D/p SNF, San Francisco. 1.1 miles away, straight line.
- Nearest home health agency office
- Crossroads Home Health & Hospice, San Francisco. 0.7 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- North East Medical Services. 0.3 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 94116 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Rai Ocean Avenue, San Francisco, 2.0 miles away, straight line (has a shift starting after 5 pm; CMS rating 5 of 5 stars)
Shc San Francisco Geary, San Francisco, 2.5 miles away, straight line (CMS rating 5 of 5 stars)
Davita Golden Gate Dialysis, San Francisco, 2.9 miles away, straight line (CMS rating 4 of 5 stars) - Hospice
- 25 Medicare hospices tell CMS they serve ZIP code 94116.
Crossroads Home Health & Hospice, office in San Francisco, 0.7 miles away, straight line
Kaiser Foundation Hospital Hospice-San Francisco, office in San Francisco, 2.3 miles away, straight line (CMS family survey rating 3 of 5 stars)
Alliance Hospice, office in Daly City, 3.5 miles away, straight line - Nearest geriatric medicine practice
- City And County Of San Francisco, San Francisco. 1.2 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: inland flooding relatively low, tornado very low, heat wave relatively low, earthquake relatively high. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: no FEMA wildfire rating of moderate or higher here |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
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Frequently asked questions
Is The Avenues Transitional Care Center a good nursing home?
CMS gives The Avenues Transitional Care Center an overall rating of 3 out of 5 stars, including 4/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is The Avenues Transitional Care Center staffed?
The Avenues Transitional Care Center reports 3.90 total nurse hours per resident per day, compared with the California average of 4.51.
Has The Avenues Transitional Care Center had inspection problems?
Its most recent CMS inspection cited 11 deficiencies.
How many beds does The Avenues Transitional Care Center have?
The Avenues Transitional Care Center is certified for 140 beds.