Show Inspection Reports
Total health inspections
7
California average 12.5
Last Health inspection on Oct 2025
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
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Nursing Home
The Avenues Transitional Care Center
Maintain independence in retirement with The Avenues Transitional Care Center, an astounding community in San Francisco, CA, offering rehabilitation and therapy. Residents can keep their peace of mind with a wide range of care services, including pain management, diabetic management, hospice program, wound care, and dementia care. The community ensures residents receive the right care for their unique needs by creating personalized care plans.
Residents will surely recover without hassle, accompanied by the community’s comprehensive care and dedicated services. With an on-site dietitian, residents delight with delicious and well-balanced meals that satisfy their dietary needs and preferences. The community is ideal for those seeking exceptional care for their unique needs, ensuring the finest retirement experience.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
Nurse Aide
Nurse aide hours per resident per day.
Nurse aide hours per resident per day.
Total Nursing (Weekend)
Total number of nurse staff hours per resident per day on weekends.
Total number of nurse staff hours per resident per day on weekends.
Physical Therapist
Physical therapist staff hours per resident per day.
Physical therapist staff hours per resident per day.
RN (Weekend)
Registered nurse hours per resident per day on weekends.
Registered nurse hours per resident per day on weekends.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
140
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
88.1%
Residents per day (avg)
128
Occupancy rate
88.1%
Residents per day (avg)
128
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
41% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
47% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
12% of new residents, often for long-term daily care.
Typical stay
2 years
Finances and operations
Privately-owned community
Home revenue
$24.6M
Profit
$741.4K
Privately-owned community
Home revenue
$24,633,778.00
Profit
$741,388.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$9.4M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$14.4M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$23.9M
Walk Score: 85 / 100
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
BBB Rating: A (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
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Additional licensing details
CMS Certification Number:
55963
What does this home offer?
Housing Options: Private / Shared Rooms
Building Type: 3-story
Dining Services
Transportation Services
Social and Recreational Activities
On-site Medical Care and Health Services
Types of Care at The Avenues Transitional Care Center
Nursing Home
Memory Care
Hospice Care
Respite Care
Inspection History
In California, the Department of Social Services (for assisted living facilities) and the Department of Public Health (for nursing homes) conduct inspections to ensure resident safety and regulatory compliance.
Health Inspection History
Inspections
Total health citations
26
California average 50.2
Citations per inspection
3.71
California average 4.65
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
18 of 26 citations resulted from standard inspections; and 6 of 26 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than California averageCalifornia average: 0.4
Serious Health citations
1
1
In line with California averageCalifornia average: 1
0 critical citations
1 serious citation
23 moderate citations
2 minor citations
Citations history (last 3 years)
Quality of Care serious citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 02, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 02, 2025
Corrected
Environmental minor citation
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Mar 24, 2025
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Mar 24, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Mar 24, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Mar 24, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Mar 24, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Mar 24, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around San Francisco The information below is reported by the California Department of Social Services and Department of Public Health.
The Avenues Transitional Care Center
HC
Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
RC
Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.
San Francisco (Outer Sunset)
140
88.1%
+4%
4.22
0%
0
26
1
128
A
85
Orgill, Craig
$24,4M
$9,4M
38.7%
55963
Private / Shared Rooms
San Francisco Health Care and Rehab Inc.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
San Francisco (North of the Panhandle)
168
60.2%
-29%
4.10
-3%
2
36
3
121
A-
96
Stukov, Stan
$16,3M
$7,7M
47.2%
56272
Private / Shared Rooms
Places of interest near The Avenues Transitional Care Center
5.0 miles from city center
2043 19th Ave, San Francisco, CA 94116
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
205
Employees
152
Contractors
53
Staff to resident ratio
1.65:1
1653126% better than California averageCalifornia average ratio: 0.00:1
Avg staff/day
74
Average shift
8.1 hours
5% better than California averageCalifornia average: 7.7 hours
Total staff hours (quarter)
54,830
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
16
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
29
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
126
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
5.1%
2,779 contractor hours this quarter
Certified Nursing Assistant: 45
Licensed Practical Nurse: 8
Staff by category
| Certified Nursing Assistant | 81 | 45 | 126 | 28,143 | 91 | 100% | 8.3 |
| Licensed Practical Nurse | 21 | 8 | 29 | 7,868 | 91 | 100% | 8.4 |
| Registered Nurse | 16 | 0 | 16 | 6,870 | 91 | 100% | 8.1 |
| Clinical Nurse Specialist | 7 | 0 | 7 | 2,482 | 83 | 91% | 7.5 |
| Physical Therapy Assistant | 6 | 0 | 6 | 2,453 | 77 | 85% | 7.7 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 1,603 | 73 | 80% | 7.6 |
| Dental Services Staff | 3 | 0 | 3 | 1,087 | 65 | 71% | 7.6 |
| Other Dietary Services Staff | 3 | 0 | 3 | 1,015 | 90 | 99% | 7.9 |
| Qualified Social Worker | 2 | 0 | 2 | 880 | 78 | 86% | 6.8 |
| RN Director of Nursing | 3 | 0 | 3 | 620 | 69 | 76% | 8 |
| Administrator | 1 | 0 | 1 | 476 | 61 | 67% | 7.8 |
| Mental Health Service Worker | 1 | 0 | 1 | 440 | 55 | 60% | 8 |
| Speech Language Pathologist | 1 | 0 | 1 | 405 | 54 | 59% | 7.5 |
| Dietitian | 1 | 0 | 1 | 315 | 40 | 44% | 7.9 |
| Nurse Practitioner | 1 | 0 | 1 | 168 | 21 | 23% | 8 |
| Physical Therapy Aide | 1 | 0 | 1 | 8 | 3 | 3% | 2.5 |
126 Certified Nursing Assistant
% of Days
100%
29 Licensed Practical Nurse
% of Days
100%
16 Registered Nurse
% of Days
100%
7 Clinical Nurse Specialist
% of Days
91%
6 Physical Therapy Assistant
% of Days
85%
4 Respiratory Therapy Technician
% of Days
80%
3 Dental Services Staff
% of Days
71%
3 Other Dietary Services Staff
% of Days
99%
2 Qualified Social Worker
% of Days
86%
3 RN Director of Nursing
% of Days
76%
1 Administrator
% of Days
67%
1 Mental Health Service Worker
% of Days
60%
1 Speech Language Pathologist
% of Days
59%
1 Dietitian
% of Days
44%
1 Nurse Practitioner
% of Days
23%
1 Physical Therapy Aide
% of Days
3%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
124 residents
Residents by payment source
Medicare
40 residents (32.3%)
Medicaid
79 residents (63.7%)
Private pay or other
5 residents (4%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
5.1
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
5.1
23% better than California averageCalifornia average: 6.6
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
12.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
12.5
10% worse than California averageCalifornia average: 11.3
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
9.6%
Percent of long-stay residents whose need for help with daily activities has increased
9.6%
13% better than California averageCalifornia average: 11.1%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
11.5%
Percent of long-stay residents whose ability to move independently worsened
11.5%
In line with California averageCalifornia average: 12.0%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
16.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
16.3%
45% worse than California averageCalifornia average: 11.3%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
0.9%
Percent of long-stay residents experiencing one or more falls with major injury
0.9%
43% better than California averageCalifornia average: 1.7%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
1.9%
Percent of long-stay high risk residents with pressure ulcers
1.9%
62% better than California averageCalifornia average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.7%
Percent of long-stay residents with a urinary tract infection
0.7%
41% better than California averageCalifornia average: 1.2%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
1.6%
Percent of long-stay residents who lose too much weight
1.6%
63% better than California averageCalifornia average: 4.2%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
6.9%
Percent of long-stay residents who have depressive symptoms
6.9%
In line with California averageCalifornia average: 6.7%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
8.5%
Percent of long-stay residents who received an antipsychotic medication
8.5%
15% better than California averageCalifornia average: 10.1%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.8%
In line with California averageCalifornia average: 98.5%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with California averageCalifornia average: 98.2%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
3.00
Number of hospitalizations per 1,000 long-stay resident days.
3.00
33% worse than California averageCalifornia average: 2.25
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.94
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.94
85% worse than California averageCalifornia average: 1.59
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.3%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.3%
6% better than California averageCalifornia average: 94.0%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.0%
Percent of short-stay residents who newly received an antipsychotic medication
1.0%
34% better than California averageCalifornia average: 1.5%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
98.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
98.4%
6% better than California averageCalifornia average: 93.2%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
27.6%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
27.6%
19% worse than California averageCalifornia average: 23.2%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
12.0%
Percentage of short-stay residents who had an outpatient emergency department visit.
12.0%
7% worse than California averageCalifornia average: 11.2%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than California averageCalifornia average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
67.9%
Percentage of residents at or above expected ability to care for themselves at discharge.
67.9%
26% better than California averageCalifornia average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
55.0%
Rate of successful return to home or community from a skilled nursing facility.
55.0%
9% better than California averageCalifornia average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for The Avenues Transitional Care Center based on CMS SNF Cost Reports.
Occupancy Rate
88.1%
↑ 5.3pp vs 2022
Net Income
$741,388
↑ ~$248K vs 2022
Total Payroll
$14,270,212
↑ ~$1.9M vs 2022
Profit Margin
3.0%
↑ 0.7pp vs 2022
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