Home›Browse›California›San Francisco›The Avenues Transitional Care Center

Nursing homeFAID #962

The Avenues Transitional Care Center

2043 19TH AVENUE, SAN FRANCISCO, CA, 94116

(415) 661-8787

www.theavenuescare.com

140 licensed beds

CMS rates The Avenues Transitional Care Center 4 out of 5 overall. Federal inspectors issued 46 citations across 8 inspections in the last three years, with $12,685 in fines. Listing last updated 2026-11-06.

★★★★★4/5CMS Five-Star overall3/5 health inspections4/5 staffing5/5 quality measuresSource: CMS Care Compare

Generate this report

Primary Report$79 Advanced Report$99

Delivered within 24–48 hours

Photo of THE AVENUES TRANSITIONAL CARE CENTER

Photo via Google · The Avenues Transitional Care Center

Address

2043 19th Avenue

San Francisco, CA 94116

Get directions

Map facilities in this area

All facilities in San Francisco

Public record summary

What we can show you for free.

Bed capacity

140

CMS facility ID

055963

Care type

Nursing home

County

San Francisco

Facility name

The Avenues Transitional Care Center

Street address

2043 19TH AVENUE

City / state / ZIP

San Francisco, CA 94116

Phone

(415) 661-8787

Website

www.theavenuescare.com

About this facility — The Avenues Transitional Care Center

The Avenues Transitional Care Center is a Medicare/Medicaid-certified skilled nursing facility in San Francisco, California. It is licensed for 140 beds — above the median for skilled nursing facilities in California (98 beds).

It is one of 88 senior care facilities in San Francisco and 1,165 skilled nursing facilities across California. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Aspen Skilled Healthcare, a group of 35 facilities on this site.

Federal inspectors have cited The Avenues Transitional Care Center 46 times across 8 inspections in the last three years, including 3 food-safety citations, and CMS has imposed $12,685 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Aspen Skilled Healthcare

Ownership type

For profit - Limited Liability company

Registered owners & officers

Asjk Llc

Direct owner · Operational control · Additional disclosable party — since 2018

Aspen Healthcare Services Llc

Additional disclosable party — since 2023

Aspen Skilled Healthcare Inc

Indirect owner — since 2018

Basa, Edil

Operational control · Additional disclosable party — since 2023

Bradshaw, Jeffrey

Indirect owner · Operational control · Owner of a disclosable party · Additional disclosable party — since 2018

Bradshaw, Peter

Indirect owner — since 2023

Brady, Vern

Indirect owner · Additional disclosable party — since 2017

Case, Ryan

Indirect owner · Operational control · Additional disclosable party — since 2018

Elsner, Eric

Indirect owner — since 2018

Go, Maria

Operational control · Additional disclosable party — since 2021

Jamali, Mehran

Operational control · Additional disclosable party — since 2023

Jurado, Frank

Additional disclosable party — since 2023

Kirkwood, Jared

Indirect owner — since 2019

Orgill, Craig

Indirect owner · Operational control — since 2019

Parti, Rajesh

Indirect owner — since 2018

Parti, Shruty

Indirect owner — since 2018

Paxman, Marcus

Indirect owner · Additional disclosable party — since 2022

Rawe, Colton

Governing body · Operational control · Additional disclosable party — since 2023

Sequoia Healthcare Group Llc

Indirect owner · Additional disclosable party — since 2023

Skbm Ii Llc

Indirect owner · Additional disclosable party — since 2018

Skbm Llc

Indirect owner · Additional disclosable party — since 2018

Regulatory standing

Federal court records

1 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

1974-03-29

CMS overall rating

4 of 5 stars

Health deficiencies

11 at the last standard inspection

Federal fines

$12,685 total

Last standard inspection

2025-03-24

Nurse staffing

3.9 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$542 per day (≈ $16,480/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

70% Medicaid · 16% Medicare · 14% private/other

Occupancy

88% (fiscal year 2023)

Vs. state median

5% above the CA median of $514/day — full state cost breakdown

Services & coverage

Licensed beds

140

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Daily 9:00 AM – 5:00 PM

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.

2025-10-02Health inspectionComplaint-triggered1 citation

F-0689

G · Actual harmFrom a complaint

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

Corrected 2025-10-20

2025-03-24Health inspection11 citations

F-0550

D · No harm found

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

Corrected 2025-04-20

F-0554

D · No harm found

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

Corrected 2025-04-20

F-0684

E · No harm found

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

Corrected 2025-04-20

F-0755

E · No harm found

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

Corrected 2025-04-20

F-0757

D · No harm found

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

Corrected 2025-04-20

F-0758

D · No harm found

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.

Corrected 2025-04-20

F-0761

E · No harm found

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.

Corrected 2025-04-20

F-0806

D · No harm foundFood safety

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

Corrected 2025-04-20

F-0812

F · No harm foundFood safety

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

Corrected 2025-04-20

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-04-20

F-0912

B · No harm found

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

Corrected 2025-04-20

6 earlier / fire-safety inspections (34 citations)

2024-05-21Health inspectionComplaint-triggered2 citations

F-0636

D · No harm foundFrom a complaint

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

Corrected 2024-06-21

F-0655

D · No harm foundFrom a complaint

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

Corrected 2024-06-21

2024-01-26Health inspection1 citation

F-0806

D · No harm foundFood safety

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

Corrected 2024-02-25

2021-04-09Health inspection6 citations

F-0552

D · No harm found

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2021-06-11

F-0554

D · No harm found

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

Corrected 2021-06-11

F-0658

D · No harm found

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

Corrected 2021-06-11

F-0693

D · No harm found

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.

Corrected 2021-06-11

F-0761

D · No harm found

Corrected 2021-06-11

F-0912

C · No harm found

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

Corrected 2021-06-11

2025-03-24Fire-safety inspection10 citations

E-0039

C · No harm found

Conduct testing and exercise requirements.

Corrected 2025-04-07

K-0161

D · No harm found

Use approved construction type or materials.

Corrected 2025-04-07

K-0211

D · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-04-07

K-0353

D · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-04-07

K-0355

E · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-04-07

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2025-04-07

K-0711

D · No harm found

Provide a written emergency evacuation plan.

Corrected 2025-04-07

K-0712

C · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2025-04-07

K-0919

D · No harm found

Meet requirements for the use of electrical equipment.

Corrected 2025-04-07

K-0923

D · No harm found

Have proper medical gas storage and administration areas.

Corrected 2025-04-07

2024-01-26Fire-safety inspection11 citations

E-0031

D · No harm found

Provide emergency officials' contact information.

Corrected 2024-02-29

E-0035

F · No harm found

Provide family notifications of emergency plan.

Corrected 2024-02-29

K-0161

D · No harm found

Use approved construction type or materials.

Corrected 2024-02-29

K-0211

D · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-02-29

K-0321

D · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-02-29

K-0345

E · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-02-29

K-0353

D · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-02-29

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2024-02-29

K-0711

D · No harm found

Provide a written emergency evacuation plan.

Corrected 2024-02-29

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-02-29

K-0919

D · No harm found

Meet requirements for the use of electrical equipment.

Corrected 2024-02-29

2021-04-09Fire-safety inspection4 citations

K-0225

D · No harm found

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2021-04-27

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2021-04-27

K-0363

D · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2021-04-27

K-0918

E · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2021-04-27

Federal penalties

2025-10-02Fine$12,685

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 055963.

Quality of care & staffing

How it compares in California.

Inspection citations, 3 years

More than 21% of nursing homes in the state

State median: 65

Federal fines, 3 years

$12,685

More than 69% of nursing homes in the state

State median: $0

Nurse staffing, hours per resident per day

3.9

Higher than 14% of nursing homes in the state

State median: 4.3

Nursing staff turnover, annual

40%

Higher than 62% of nursing homes in the state

State median: 36%

Resident outcomes

On 21 federal quality measures, this facility does better than the California average on 14 and worse on 3. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	3.2%	10.2%	13.5%	Better than state
Lose too much weight	2.3%	4.1%	5.1%	Better than state
With a catheter inserted and left in their bladder	0.0%	0.7%	0.7%	Better than state
With a urinary tract infection	0.2%	1.2%	1.5%	Better than state
Have depressive symptoms	6.0%	7.6%	13.5%	Better than state
Were physically restrained	0.0%	0.3%	0.1%	Better than state
Experiencing one or more falls with major injury	1.2%	1.6%	3.2%	Better than state
Assessed and appropriately given the pneumococcal vaccine	100.0%	98.7%	93.7%	Near state average
Ability to walk independently worsened	4.6%	8.9%	12.7%	Better than state
Received an antianxiety or hypnotic medication	3.5%	13.7%	19.5%	Better than state
Assessed and appropriately given the seasonal influenza vaccine	100.0%	97.9%	95.3%	Near state average
With pressure ulcers	1.3%	4.3%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	15.4%	9.8%	18.3%	Worse than state
Received an antipsychotic medication	8.5%	12.3%	15.4%	Better than state
Hospitalizations per 1000 long-stay resident days	2.93	2.21	1.81	Worse than state
Outpatient emergency department visits per 1000 long-stay resident days	2.43	1.50	1.69	Worse than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	100.0%	94.6%	82.3%	Near state average
Newly received an antipsychotic medication	0.8%	1.3%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	100.0%	93.1%	80.1%	Near state average
Were rehospitalized after a nursing home admission	19.6%	22.6%	23.4%	Better than state
Had an outpatient emergency department visit	9.1%	11.1%	11.8%	Better than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

K-0353 3 inspections. Inspect, test, and maintain automatic sprinkler systems.
K-0363 3 inspections. Install corridor and hallway doors that block smoke.
F-0554 2 inspections. Allow residents to self-administer drugs if determined clinically appropriate.
F-0761 2 inspections. 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.
F-0806 2 inspections. Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
F-0912 2 inspections. Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

What its owners also hold

Sequoia Healthcare Group Llc has an ownership stake on file at 19 nursing homes, averaging 4.2 of 5 on CMS's overall rating.
Aspen Skilled Healthcare Inc has an ownership stake on file at 18 nursing homes, averaging 3.3 of 5 on CMS's overall rating.
Skbm Llc has an ownership stake on file at 4 nursing homes, averaging 4.5 of 5 on CMS's overall rating.

Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

Where to check, and what's nearby.

Who to contact in California

Licensing: California Department of Public Health, Center for Health Care Quality, Licensing and Certification
File a complaint: 844-538-8766 · Online
Long-Term Care Ombudsman: 800-231-4024. A free advocate for residents and families.
Adult Protective Services: 833-401-0832. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Ucsf Medical Center, about 1.4 miles. CMS rating 4 of 5.
Ucsf Health St. Mary's Hospital, about 2.2 miles. CMS rating 4 of 5.
San Francisco Va Medical Center, about 2.6 miles. CMS rating 4 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Gonzales Home, San Francisco, about 0.5 miles. 5 state visits on record.
The Ivy At Golden Gate, San Francisco, about 0.5 miles. 9 state visits on record.
Gentle Hands Seniors, San Francisco, about 0.6 miles. 4 state visits on record.
Marian's Care Home I, San Francisco, about 0.8 miles. 4 state visits on record.
Cayco's Care Home, San Francisco, about 0.8 miles. 4 state visits on record.

Visitor reviews

What people say on Google.

4.449 ratings on Google

★★★★★Matthew Murtha · 2026-04-21 · via Google
“My Medical Treatment here I'm getting for the accident I had falling down in the shower on 2 Floor end hallway The Lawrence Hotel 48 6th Street Room 21 Sanfrancisco California 94103. Is coming along fine and hopefully I'll be able to leave in Good Health.”

★★★★★Andra Loy Carson · 2025-11-02 · via Google
“Sunday, Nov 1, 2025 Staff were knowledgeable, experienced, compassionate and kind and went out of their way to get whatever little something you asked them for from a warm blanket to another piece of Chocolate cake after dinner. Eric, Karen, Mary-Lou .. (and I’m leaving out so many), should be running the place. Karen after twenty five years knew exactly where to go for every little request.…”

★★★★★Jason · 2025-07-30 · via Google
“This review is long overdue. My uncle was discharged from to this facility in May 2025 after staying there for about a month. He sustained a fracture after a fall from home. He received physical and occupational therapy. At first I was very skeptical about how this place can help my uncle with his recovery. This was his first time staying at a nursing home. I was very surprise during my fir…”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 46 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

Unlock the full file

Citations, owner history, lawsuits — decoded into one PDF.

$79 $99 Advanced

Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered