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2043 19th Avenue San Francisco, CA 94116 · San Francisco County
All 18 nursing homes in San Francisco, CA (15 take Medicaid)
CMS certification number 055963 · See this home on Medicare Care Compare
Is The Avenues Transitional Care Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for The Avenues Transitional Care Center as of October 2026.
CMS rates it 4 out of 5 stars overall, above the California average of 3.2.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.91 hours per resident per day at The Avenues Transitional Care Center, below the California median of 4.27 (US median: 3.72). About 0.83 of those hours are from registered nurses. On weekends it falls to 3.69 hours, 6% below its all-week average. 40% of nursing staff left within a year (California median 36%).
About this nursing home
Paying for care at The Avenues Transitional Care Center: Medicare and Medicaid
The Avenues Transitional Care Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet California's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on March 24, 2025 and found 10 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 21 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 21 citations at The Avenues Transitional Care Center across 5 inspection dates, 3 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on October 2, 2025. The most common areas cited were pharmacy service (5) and resident rights (4). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level G, October 2, 2025).
October 2, 2025 · 1 citation · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
March 24, 2025 · 11 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide appropriate treatment and care according to orders, resident’s preferences and goals.
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
EEnsure 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.
EProvide and implement an infection prevention and control program.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DAllow residents to self-administer drugs if determined clinically appropriate.
DEnsure each resident’s drug regimen must be free from unnecessary drugs.
DImplement 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.
DEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
BProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
May 21, 2024 · 2 citations · includes complaint inspection
DAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
January 26, 2024 · 1 citation
DEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
April 9, 2021 · 6 citations
DEnsure that residents are fully informed and understand their health status, care and treatments.
DAllow residents to self-administer drugs if determined clinically appropriate.
DEnsure services provided by the nursing facility meet professional standards of quality.
DEnsure 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.
DEnsure 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.
CProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Questions to ask on a tour of The Avenues Transitional Care Center
- Inspectors cited the home at the actual-harm level on October 2, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years, including $12,685 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Oct 2, 2025 | Fine | $12,685 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 4/5 | 3/5 | 4/5 | 5/5 |
| August 2026 | 5/5 | 3/5 | 5/5 | 5/5 |
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Location
Hospitals near The Avenues Transitional Care Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 1.3 mi
-
1.5 mi
UCSF Medical Center San FranciscoEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 4h 36m for patients treated and sent home
-
2.2 mi
St Mary's Medical Center San FranciscoEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 46m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near The Avenues Transitional Care Center › All nursing homes in San Francisco ›
Compare The Avenues Transitional Care Center with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Lawton Skilled Nursing & Rehabilitation Center · San Francisco · 5 stars · 1.3 mi
- Hayes Convalescent Hospital · San Francisco · 5 stars · 2.8 mi
- California Pacific Medical Center- Davies Campus Hospital · San Francisco · 5 stars · 3.0 mi
- Jewish Home & Rehab Center D/P SNF · San Francisco · 5 stars · 3.1 mi
Other Aspen Skilled Healthcare nursing homes in California
- Alta Healthcare Center of Camarillo · Camarillo · 5 stars
- Oakland Heights Nursing and Rehabilitation · Oakland · 5 stars
- Greenridge Post Acute · El Sobrante · 5 stars
- The Springs Healthcare Center at the Carlotta · Palm Desert · 5 stars
- University Post-Acute Rehab · Sacramento · 5 stars
- Stonebrook Health and Rehabilitation · Los Gatos · 5 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 35 Aspen Skilled Healthcare nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.