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THE AVENUES TRANSITIONAL CARE CENTER

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THE AVENUES TRANSITIONAL CARE CENTER is a for profit - limited liability company facility in SAN FRANCISCO, CA with 140 certified beds and a 3-star overall CMS rating. The facility has 26 deficiency records on file. Total penalties: $13K.

2043 19TH AVENUE, SAN FRANCISCO, CA 94116

Phone: 4156618787

Overall Rating

3/5

Health Inspection

3/5

Staffing

4/5

Quality Measures

4/5

Long-Stay Quality

5/5

Facility Information

Provider Number
055963
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
140
Residents
129
In Hospital
No
County
San Francisco
Last Inspection
Mar 24, 2025

Staffing Data

RN Hours
0.88 (nat'l avg: 0.68)
LPN Hours
0.63
CNA Hours
2.40
Total Nursing Hours
3.90 (nat'l avg: 3.89)
PT Hours
0.16
Nursing Turnover
44.0%
RN Turnover
20.0%

What the CMS Record Reveals About THE AVENUES TRANSITIONAL CARE CENTER

THE AVENUES TRANSITIONAL CARE CENTER operates 140 certified beds in SAN FRANCISCO, CA with approximately 129 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (3★), staffing levels (4★), and quality measures (4★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 26 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $13K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.90 total nursing hours per resident day (national average 3.89), with RN coverage at 0.88 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, THE AVENUES TRANSITIONAL CARE CENTER falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 44.0%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (26 most recent)

G — Isolated - Actual harm Oct 2, 2025 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Oct 20, 2025

B — Pattern - No harm Mar 24, 2025 Tag: 0912

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

Category: Environmental Deficiencies

Corrected: Apr 20, 2025

E — Pattern - Minimal harm Mar 24, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Apr 20, 2025

F — Widespread - Minimal harm Mar 24, 2025 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 20, 2025

D — Isolated - Minimal harm Mar 24, 2025 Tag: 0806

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

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 20, 2025

E — Pattern - Minimal harm Mar 24, 2025 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Apr 20, 2025

D — Isolated - Minimal harm Mar 24, 2025 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: Apr 20, 2025

D — Isolated - Minimal harm Mar 24, 2025 Tag: 0757

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

Category: Pharmacy Service Deficiencies

Corrected: Apr 20, 2025

E — Pattern - Minimal harm Mar 24, 2025 Tag: 0755

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

Category: Pharmacy Service Deficiencies

Corrected: Apr 20, 2025

E — Pattern - Minimal harm Mar 24, 2025 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Apr 20, 2025

D — Isolated - Minimal harm Mar 24, 2025 Tag: 0554

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

Category: Resident Rights Deficiencies

Corrected: Apr 20, 2025

D — Isolated - Minimal harm Mar 24, 2025 Tag: 0550

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

Category: Resident Rights Deficiencies

Corrected: Apr 20, 2025

D — Isolated - Minimal harm May 21, 2024 Tag: 0655

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 21, 2024

D — Isolated - Minimal harm May 21, 2024 Tag: 0636

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 21, 2024

D — Isolated - Minimal harm Jan 26, 2024 Tag: 0806

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

Category: Nutrition and Dietary Deficiencies

Corrected: Feb 25, 2024

E — Pattern - Minimal harm Apr 5, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: May 16, 2023

D — Isolated - Minimal harm Apr 5, 2023 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: May 16, 2023

D — Isolated - Minimal harm Feb 3, 2023 Tag: 0726

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Category: Nursing and Physician Services Deficiencies

Corrected: May 8, 2023

D — Isolated - Minimal harm Feb 3, 2023 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 8, 2023

D — Isolated - Minimal harm Feb 3, 2023 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 8, 2023

C — Widespread - No harm Apr 9, 2021 Tag: 0912

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

Category: Environmental Deficiencies

Corrected: Jun 11, 2021

D — Isolated - Minimal harm Apr 9, 2021 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Jun 11, 2021

D — Isolated - Minimal harm Apr 9, 2021 Tag: 0693

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.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 11, 2021

D — Isolated - Minimal harm Apr 9, 2021 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 11, 2021

D — Isolated - Minimal harm Apr 9, 2021 Tag: 0554

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

Category: Resident Rights Deficiencies

Corrected: Jun 11, 2021

D — Isolated - Minimal harm Apr 9, 2021 Tag: 0552

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

Category: Resident Rights Deficiencies

Corrected: Jun 11, 2021

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 8.5% Yes
Percentage of long-stay residents who lose too much weight Long Stay 1.6% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.3% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.7% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 8.4% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 1.0% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 99.8% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 99.6% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.1% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 10.4% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 3.9% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 98.4% No
Percentage of long-stay residents with pressure ulcers Long Stay 2.1% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 18.4% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 10.5% Yes

Penalty History 1 penalties totaling $13K

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for THE AVENUES TRANSITIONAL CARE CENTER?
THE AVENUES TRANSITIONAL CARE CENTER has an overall CMS rating of 3 out of 5 stars. This rating combines health inspection results (3★), staffing levels (4★), and quality measures (4★).
What are the staffing levels at THE AVENUES TRANSITIONAL CARE CENTER?
THE AVENUES TRANSITIONAL CARE CENTER reports 3.90 total nursing hours per resident day (national average: 3.89). RN hours are 0.88 per resident day (national average: 0.68). Nursing staff turnover is 44.0%.
How many beds does THE AVENUES TRANSITIONAL CARE CENTER have?
THE AVENUES TRANSITIONAL CARE CENTER has 140 certified beds with approximately 129 residents. The facility is located at 2043 19TH AVENUE, SAN FRANCISCO, CA 94116.
Does THE AVENUES TRANSITIONAL CARE CENTER have any deficiencies on record?
Yes, THE AVENUES TRANSITIONAL CARE CENTER has 26 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has THE AVENUES TRANSITIONAL CARE CENTER received any fines or penalties?
Yes, THE AVENUES TRANSITIONAL CARE CENTER has received 1 penalties totaling $13K.
Who owns THE AVENUES TRANSITIONAL CARE CENTER?
THE AVENUES TRANSITIONAL CARE CENTER is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was THE AVENUES TRANSITIONAL CARE CENTER last inspected?
The most recent health inspection for THE AVENUES TRANSITIONAL CARE CENTER was on Mar 24, 2025. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for THE AVENUES TRANSITIONAL CARE CENTER?
THE AVENUES TRANSITIONAL CARE CENTER is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial