Nursing home

The Avenues Transitional Care Center

2043 19TH Avenue, San Francisco, CA 94116

★★★★★Overall Medicare rating
★★★★★Health inspections
★★★★★Staffing
★★★★★Quality measures

Medicare rates every nursing home from 1 to 5 stars. 5 is much above average, 1 is much below.

Findings, latest cycle12
Findings with harm or immediate jeopardy, 3 cycles1
Fines, 3 years$12,685
Beds140

Inspection findings

Inspectors recorded 21 findings in the last three inspection cycles.

1 Actual harm to a resident18 No harm, but a risk of harm2 No harm, minimal risk

Each entry below is a requirement that inspectors found the home did not meet on that date, in the regulator's own English wording.

Inspection dateAreaRequirement the home did not meet (official wording, in English)SeverityCorrected
Oct 2, 2025Quality of life and careEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689)Actual harm to a resident
isolated · from a complaint
Corrected: Oct 20, 2025
Mar 24, 2025Building and environmentProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (F0912)No harm, minimal risk
pattern
Corrected: Apr 20, 2025
Mar 24, 2025Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
pattern
Corrected: Apr 20, 2025
Mar 24, 2025Food and nutritionProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812)No harm, but a risk of harm
widespread
Corrected: Apr 20, 2025
Mar 24, 2025Food and nutritionEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. (F0806)No harm, but a risk of harm
isolated
Corrected: Apr 20, 2025
Mar 24, 2025Pharmacy and medicationsEnsure 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. (F0761)No harm, but a risk of harm
pattern
Corrected: Apr 20, 2025
Mar 24, 2025Pharmacy and medicationsImplement 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. (F0758)No harm, but a risk of harm
isolated
Corrected: Apr 20, 2025
Mar 24, 2025Pharmacy and medicationsEnsure each resident’s drug regimen must be free from unnecessary drugs. (F0757)No harm, but a risk of harm
isolated
Corrected: Apr 20, 2025
Mar 24, 2025Pharmacy and medicationsProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (F0755)No harm, but a risk of harm
pattern
Corrected: Apr 20, 2025
Mar 24, 2025Quality of life and careProvide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684)No harm, but a risk of harm
pattern
Corrected: Apr 20, 2025
Mar 24, 2025Resident rightsAllow residents to self-administer drugs if determined clinically appropriate. (F0554)No harm, but a risk of harm
isolated
Corrected: Apr 20, 2025
Mar 24, 2025Resident rightsHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (F0550)No harm, but a risk of harm
isolated
Corrected: Apr 20, 2025
May 21, 2024Resident assessment and care planningCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (F0655)No harm, but a risk of harm
isolated · from a complaint
Corrected: Jun 21, 2024
May 21, 2024Resident assessment and care planningAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (F0636)No harm, but a risk of harm
isolated · from a complaint
Corrected: Jun 21, 2024
Earlier inspections (7)
Inspection dateAreaRequirement the home did not meet (official wording, in English)SeverityCorrected
Jan 26, 2024Food and nutritionEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. (F0806)No harm, but a risk of harm
isolated
Corrected: Feb 25, 2024
Apr 9, 2021Building and environmentProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (F0912)No harm, minimal risk
widespread
Corrected: Jun 11, 2021
Apr 9, 2021Pharmacy and medicationsEnsure 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. (F0761)No harm, but a risk of harm
isolated
Corrected: Jun 11, 2021
Apr 9, 2021Quality of life and careEnsure 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. (F0693)No harm, but a risk of harm
isolated
Corrected: Jun 11, 2021
Apr 9, 2021Resident assessment and care planningEnsure services provided by the nursing facility meet professional standards of quality. (F0658)No harm, but a risk of harm
isolated
Corrected: Jun 11, 2021
Apr 9, 2021Resident rightsAllow residents to self-administer drugs if determined clinically appropriate. (F0554)No harm, but a risk of harm
isolated
Corrected: Jun 11, 2021
Apr 9, 2021Resident rightsEnsure that residents are fully informed and understand their health status, care and treatments. (F0552)No harm, but a risk of harm
isolated
Corrected: Jun 11, 2021

Fines and payment denials

Federal fines in the last three years: $12,685 (1). Payment denials: 0.

DateTypeAmount
Oct 2, 2025Fine$12,685

Staffing

Nurse staff hours per resident per day3.91California median: 4.27
Registered nurse hours per resident per day0.83California median: 0.52
Nurse staff hours on weekends3.69California median: 3.85
Nursing staff who left within a year40.0%California median: 36.0%

About this home

Beds140
Residents per day, average133.7
OwnershipFor-profit, limited liability company
Legal business nameAsjk LLC
ChainAspen Skilled Healthcare (35 homes)
In Medicare/Medicaid sinceMar 29, 1974

Questions to ask when you call

Source. Medicare Care Compare (CMS Provider Data), data dated Oct 1, 2026. Open this home on Medicare.gov · Report an error

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