California average 12.5
Last Health inspection on Oct 2025
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.
California average 12.5
Last Health inspection on Oct 2025
California average 50.2
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.
California average: 0.4
California average: 1
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
Assists with medical care and medications.
Helps with daily care and mobility.
| Certified Nursing Assistant | 85 | 0 | 85 | 29,474 | 92 | 100% | 7.9 |
| Registered Nurse | 24 | 0 | 24 | 7,688 | 92 | 100% | 7.9 |
| Licensed Practical Nurse | 22 | 0 | 22 | 6,923 | 92 | 100% | 7.9 |
| Clinical Nurse Specialist | 7 | 0 | 7 | 2,480 | 82 | 89% | 7.6 |
| Physical Therapy Assistant | 7 | 0 | 7 | 2,111 | 88 | 96% | 7.6 |
| Respiratory Therapy Technician | 5 | 0 | 5 | 2,054 | 74 | 80% | 7.5 |
| Other Dietary Services Staff | 5 | 0 | 5 | 1,098 | 90 | 98% | 8 |
| Dental Services Staff | 3 | 0 | 3 | 988 | 65 | 71% | 7.6 |
| Qualified Social Worker | 3 | 0 | 3 | 851 | 71 | 77% | 7.3 |
| RN Director of Nursing | 4 | 0 | 4 | 674 | 76 | 83% | 7.3 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Speech Language Pathologist | 1 | 0 | 1 | 503 | 67 | 73% | 7.5 |
| Administrator | 1 | 0 | 1 | 476 | 60 | 65% | 7.9 |
| Dietitian | 2 | 0 | 2 | 460 | 57 | 62% | 7.9 |
| Mental Health Service Worker | 1 | 0 | 1 | 448 | 56 | 61% | 8 |
| Physical Therapy Aide | 1 | 0 | 1 | 4 | 2 | 2% | 2.1 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
41% of new residents, usually for short-term rehab.
47% of new residents, often for short stays.
12% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Historical financial and operational data for The Avenues Transitional Care Center from 2011–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
No pets allowed
Housing Options: Private / Shared Rooms
Building Type: 3-story
Transportation Services
Social and Recreational Activities
On-site Medical Care and Health Services
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
New residents most often arrive under private pay (47% of admissions), and a typical private pay stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
3.6 miles from city center
Estimated distance in miles from San Francisco's city center to The Avenues Transitional Care Center's address, calculated via Google Maps.
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Info below is compiled from CMS reports & the CA Dept. of Social Services (CDSS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the state average. See the benchmark below for the typical score in this state; higher is better.
This is a proprietary Assisted Living Magazine score.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The California average is: 61.2% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| The Avenues Transitional Care Center | NH HOS MC RC SNF | San Francisco (Outer Sunset) | 140
Facility
140
CA AVG
103
Rank
#417 / 1,645 |
96.1%
Facility
96.1%
CA AVG
75.9
Rank
#190 / 1,452 | +27% | 4.29
Facility
4.29
CA AVG
4.22
Rank
#108 / 288 | +57% | +2% | $12.7k
Facility
$12.7k
CA AVG
$56.5k
Rank
#205 / 293 | - | 26
Facility
26
CA AVG
50.2
Rank
#71 / 290 | 3.7
Facility
3.7
CA AVG
4.6
Rank
#114 / 290 | 1 | 135 | A |
85
Facility
85
CA AVG
59
Rank
#290 / 2,057 | Craig Orgill | $22.8MFiscal year ending 12/2023
Facility
$22.8MFiscal year ending 12/2023
CA AVG
$15.7M
Rank
#45 / 259 | $11.2MFiscal year ending 12/2023
Facility
$11.2MFiscal year ending 12/2023
CA AVG
$9.0M
Rank
#58 / 259 | 49.3%Fiscal year ending 12/2023
Facility
49.3%Fiscal year ending 12/2023
CA AVG
61.2%
Rank
#196 / 259 | 55963 | ||||
| The Sequoias San Francisco | NH AL HOS MC RC SNF | San Francisco (Japantown) | 400
Facility
400
CA AVG
103
Rank
#28 / 1,645 |
88.0%
Facility
88.0%
CA AVG
75.9
Rank
#401 / 1,452 | +16% | 5.54
Facility
5.54
CA AVG
4.22
Rank
#16 / 288 | +121% | +31% | $0
Facility
$0
CA AVG
$56.5k
Rank
#1 / 293 | 91
Facility
91
CA AVG
81
Rank
#409 / 1,474 | 12
Facility
12
CA AVG
50.2
Rank
#8 / 290 | 4.0
Facility
4.0
CA AVG
4.6
Rank
#140 / 290 | - | 352 | - |
99
Facility
99
CA AVG
59
Rank
#2 / 2,057 | Sequoia Living Inc | $34.3MFiscal year ending 12/2023
Facility
$34.3MFiscal year ending 12/2023
CA AVG
$15.7M
Rank
#9 / 259 | $11.0MFiscal year ending 12/2023
Facility
$11.0MFiscal year ending 12/2023
CA AVG
$9.0M
Rank
#62 / 259 | 32.2%Fiscal year ending 12/2023
Facility
32.2%Fiscal year ending 12/2023
CA AVG
61.2%
Rank
#258 / 259 | 56071 | ||||
| San Francisco Health Care and Rehab Inc. | NH SNF | San Francisco (North Of The Panhandle) | 168
Facility
168
CA AVG
103
Rank
#266 / 1,645 |
91.0%
Facility
91.0%
CA AVG
75.9
Rank
#315 / 1,452 | +20% | 4.00
Facility
4.00
CA AVG
4.22
Rank
#151 / 288 | +9% | -5% | $152.4k
Facility
$152.4k
CA AVG
$56.5k
Rank
#290 / 293 | - | 36
Facility
36
CA AVG
50.2
Rank
#123 / 290 | 5.1
Facility
5.1
CA AVG
4.6
Rank
#209 / 290 | 3 | 153 | A |
96
Facility
96
CA AVG
59
Rank
#43 / 2,057 | Stan Stukov | $15.0MFiscal year ending 12/2023
Facility
$15.0MFiscal year ending 12/2023
CA AVG
$15.7M
Rank
#118 / 259 | $9.0MFiscal year ending 12/2023
Facility
$9.0MFiscal year ending 12/2023
CA AVG
$9.0M
Rank
#109 / 259 | 60.1%Fiscal year ending 12/2023
Facility
60.1%Fiscal year ending 12/2023
CA AVG
61.2%
Rank
#75 / 259 | 56272 |
The Avenues Transitional Care Center is located in San Francisco, California.
Here are the financial assistance programs available to residents in California.
The Avenues Transitional Care Center is in the Outer Sunset neighborhood of San Francisco.
The Avenues Transitional Care Center has a walk score of 85. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
The Avenues Transitional Care Center's occupancy is 88.1%.
No, The Avenues Transitional Care Center has a no-pet policy.
The Avenues Transitional Care Center is registered as a for-profit in CA.
The Avenues Transitional Care Center has had 56 reported citations since 2021 according to records from California Department of Social Services (CDSS).
Yes — there are 7 photos of The Avenues Transitional Care Center in the photo gallery on this page.
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