Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
172
172 employees · 0 contractors · 79 on an average day The Avenues Transitional Care Center
Nursing Home, Hospice Care, Memory Care, Respite Care & Skilled Nursing · San Francisco, CA
ALM Inspection Grade
B
ALM's inspection grade is 85 / 100, a B — 1 point above the California average for CMS-certified facilities (84/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 85 / 100, a B — 1 point above the California average for CMS-certified facilities (84/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
The Avenues Transitional Care Center
Nursing Home, Hospice Care, Memory Care, Respite Care & Skilled Nursing · San Francisco, CA
ALM Inspection Grade
B
ALM's inspection grade is 85 / 100, a B — 1 point above the California average for CMS-certified facilities (84/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 85 / 100, a B — 1 point above the California average for CMS-certified facilities (84/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
The Avenues Transitional Care Center accepts Medicare, Medicaid, and private pay.
The Avenues Transitional Care Center offers nursing home care, hospice care, memory care, nursing care, respite care, and skilled nursing in San Francisco, California. Memory care is provided in a secured setting with supervision for someone at risk of wandering. Skilled nursing includes licensed nursing care on site around the clock, while hospice care supports residents receiving end of life care and respite care offers a short stay for a family caregiver who needs coverage while traveling or recovering.
The community has 140 beds, with private and shared rooms available. A private room gives one resident a single living space, while a shared room places residents together in the same room; Medicare, Medicaid, and private pay are accepted. Total nurse staffing is 4 hours and 11 minutes per resident per day, representing the daily hands on nursing time allocated to each resident, and the Outer Sunset neighborhood has a Walk Score of 85, making most errands possible on foot for a resident who no longer drives and wants to reach nearby destinations independently. Respite care may be a good fit for a family whose usual caregiver needs short term support while traveling or recovering.
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.
Staffing
Data period: Q4 2025 (October 1 – December 31, 2025).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Jun 2026).
Total nursing care per resident / day
This nursing home is ranked 113th out of 290 nursing homes we track in California for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 11m
This nursing home is ranked 113th out of 290 nursing homes we track in California for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 11mStandout metric: Physical therapist is +66% above California average
2 of 6 metrics below California average
Daily care time per resident, by role
Registered nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. All 24 are the facility's own employees; no agency contractors work in this role.
24 staff · 7.9-hour shifts
53m
↑ 37% · CA 39mThis facility: 53m per resident per day, 37% above the California average of 39m (among California facilities reporting a recent figure).
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. All 24 are the facility's own employees; no agency contractors work in this role.
24 staff · 7.9-hour shiftsUS average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 41m
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. All 22 are the facility's own employees; no agency contractors work in this role.
22 staff · 7.9-hour shifts
39m
↓ 47% · CA 1h 13mThis facility: 39m per resident per day, 47% below the California average of 1h 13m (among California facilities reporting a recent figure).
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. All 22 are the facility's own employees; no agency contractors work in this role.
22 staff · 7.9-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. All 85 are the facility's own employees; no agency contractors work in this role.
85 staff · 7.9-hour shifts
2h 39m
≈ 0% · CA 2h 39mThis facility: 2h 39m per resident per day, level with the California average of 2h 39m (among California facilities reporting a recent figure).
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. All 85 are the facility's own employees; no agency contractors work in this role.
85 staff · 7.9-hour shiftsUS average: 2h 21m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 21m
Physical therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
8m
↑ 66% · CA 5mThis facility: 8m per resident per day, 66% above the California average of 5m (among California facilities reporting a recent figure).
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
RN + LPN + aide · Sat–Sun
3h 56m
↓ 3% · CA 4h 5mThis facility: 3h 56m per resident per day, 3% below the California average of 4h 5m (among California facilities reporting a recent figure).
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
RN + LPN + aide · Sat–SunUS average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 26m
RN, weekends
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
Sat–Sun
37m
↑ 24% · CA 30mThis facility: 37m per resident per day, 24% above the California average of 30m (among California facilities reporting a recent figure).
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
Sat–SunUS average: 29m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 29m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
172
172 employees · 0 contractors · 79 on an average day
172 total staff / 124 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q4 2025).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
1.39 : 1
↓ 22% · CA 1.79This facility: 1.39 staff per resident, 22% below the California average of 1.79 (among California facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
172 staff ÷ 124 residents
See full California ranking →
Average hours one staff member works on a day they are on shift, across every role.
7.8 h
↑ 1% · CA 7.7 hThis facility: 7.8 h, 1% above the California average of 7.7 h (among California facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
56,743 staff hours this quarter
See full California ranking →100% of staff hours were worked by the facility's own employees
California average: 95.3% · No agency contractors this quarter
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A mid-sized community that may balance personal attention with shared amenities and social activities.
140
Rank #118 / 341Bed count — State benchmarked This nursing home is ranked 118th out of 341 nursing homes we track in California for bed count. Shows this facility's certified or reported bed count compared to other California facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A mid-sized community that may balance personal attention with shared amenities and social activities.
140
Rank #118 / 341Bed count — State benchmarked This nursing home is ranked 118th out of 341 nursing homes we track in California for bed count. Shows this facility's certified or reported bed count compared to other California facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Medium-capacity home · Offers a balance of services and community atmosphere.
Walk Score
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Rank #54 / 344Walk Score — State benchmarked This nursing home is ranked 54th out of 344 nursing homes we track in California for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across California facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Rank #54 / 344Walk Score — State benchmarked This nursing home is ranked 54th out of 344 nursing homes we track in California for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across California facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
85
/ 100
Occupancy rate
Occupancy higher than 95% suggests steady demand, but availability may be limited.
Rank #34 / 299Occupancy rate — State benchmarked This nursing home is ranked 34th out of 299 nursing homes we track in California for occupancy. Shows this facility's occupancy rate versus the California average, with its Statewide rank out of 299. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy higher than 95% suggests steady demand, but availability may be limited.
Rank #34 / 299Occupancy rate — State benchmarked This nursing home is ranked 34th out of 299 nursing homes we track in California for occupancy. Shows this facility's occupancy rate versus the California average, with its Statewide rank out of 299. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
95.5%
This home is often near full
Based on residents per day and 140 beds.
Higher than the California average: 82.2%
Residents per day (avg)
The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
134
Source: CMS Provider Information, average daily residents
Avg. Length of Stay
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
135
days
BBB Rating
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
A
Not Accredited
How BBB ratings workAbout This Community
CMS Certification Number055963
Resident Council
Transportation
Pets not allowed
Building Type3-story
Room Types
Private
Shared Rooms
CMS Health Inspection History
ALM Inspection Grade
85 / 100
Calculated from CMS inspection data for this community's nursing-home beds
How it compares
1 point above the California average for CMS-certified facilities (84/100)
Category breakdown
Citations
Typical
74 severity-weighted points (21 citations) · 22% lower than the typical CMS-certified CA facility (median: 95)
Enforcement
Typical
$12,685 in fines · 1 enforcement action
Persistence
Concern
37 days to fix issues · slower than the typical CMS-certified CA facility (median: 25)
Total health inspections
5
↓ 59% · CA 12.2This facility: 5, 59% below the California average of 12.2 (among California facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
21
Rank #41 / 293Health citations — State benchmarked This nursing home is ranked 41st out of 293 nursing homes we track in California for health citations. Shows this facility's total health deficiency citations benchmarked to the California State average, with a ranking across all 293 CA facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 58% · CA 49.9This facility: 21, 58% below the California average of 49.9 (among California facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
4.2
Rank #149 / 293Citations per inspection — State benchmarked This nursing home is ranked 149th out of 293 nursing homes we track in California for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the California mean across 293 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 12% · CA 4.75This facility: 4.2, 12% below the California average of 4.75 (among California facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected
21 of 21 citations corrected
Critical
J–L
0
↓ 100% · CA 0.3This facility: 0, 100% below the California average of 0.3 (among California facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
1
↑ 11% · CA 0.9This facility: 1, 11% above the California average of 0.9 (among California facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate
D–F
18
↓ 62% · CA 47.2This facility: 18, 62% below the California average of 47.2 (among California facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
Minor
A–C
2
↑ 33% · CA 1.5This facility: 2, 33% above the California average of 1.5 (among California facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal riskLatest inspection: Oct 02, 2025 · 1 citation (Quality of Care, serious), corrected
Most cited category: Pharmacy Services, 5 of 21 citations · 7 categories in total
Citations history
Most recent first
Oct 02, 2025
1 citation
Quality of Care serious citation
Corrected
Corrected
Mar 24, 2025
11 citations
Environmental minor citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
May 21, 2024
2 citations
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Jan 26, 2024
1 citation
Nutrition moderate citation
Corrected
Corrected
Apr 09, 2021
6 citations
Environmental minor citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Top deficiency categories
Share of 21 citations
Pharmacy Services
5 deficiencies (24%)
Resident Rights
4 deficiencies (19%)
Resident Assessment & Care Planning
3 deficiencies (14%)
Quality of Life & Care
3 deficiencies (14%)
Nutrition & Dietary
3 deficiencies (14%)
Environmental
2 deficiencies (10%)
Infection Control
1 deficiency (5%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
18 of 21 citations resulted from standard inspections; and 3 of 21 resulted from complaint investigations.
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
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.
Show Inspection Reports
Enforcement
Penalties and fines
Penalties and fines
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 · Data as of Aug 2026
1 penalty in the past 3 years
Latest: Oct 2, 2025 · $12,685 civil money penalty
Oct 2, 2025 · $12,685 civil money penalty
Total fines
$12,685
↓ 78% · CA $58KThis facility: $12,685, 78% below the California average of $57,703. Average among the 498 California facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg $67KUS average: $67,417, among the 6,775 US facilities with a penalty on record.Rank #209 / 295Federal fines — State benchmarked This nursing home is ranked 209th out of 295 nursing homes we track in California for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the California average among facilities with fines, and where it ranks among 295 facilities in the pool. Lower total dollars mean a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Number of fines
1
↓ 52% · CA 2.06This facility: 1, 52% below the California average of 2.06. Average among the 498 California facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg 1.96US average: 1.96, among the 6,775 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
CA avg 0.57California average: 0.57. Average among the 498 California facilities with a penalty on record.US avg 0.36US average: 0.36, among the 6,775 US facilities with a penalty on record.
Penalty history · past 3 years
Oct 2, 2025
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$12,685
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$12,685Fine amount comparison
This facility
$12,685
California average
$57,703
US average
$67,417
Totals count every penalty on record; the history lists the past 3 years. California and US averages are among facilities with a penalty on record.
A civil money penalty is a fine for noncompliance, per day or per instance. A payment denial stops Medicare/Medicaid payments for new residents until issues are fixed.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the California average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
5
/ 5
Significantly above average
↑ 18% · CA 4.2This facility: 5.0, 18% above the CA average of 4.2 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
5
/ 5
Significantly above average
↑ 42% · CA 3.5This facility: 5.0, 42% above the CA average of 3.5 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
3.0
Score · lower is better
↓ 49% · CA 5.9This facility: 3.0, 49% below the CA average of 5.9 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
9.4
Score · lower is better
↓ 6% · CA 10.0This facility: 9.4, 6% below the CA average of 10.0 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.13 long-stay measures: 7 better, 4 worse, 2 near CA average
8 short-stay measures: 3 better, 2 worse, 3 compared with US only
Long-stay residents
People who live at the home · 13 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
4.9%
↓ 53% · CA 10.2This facility: 4.9, 53% below the CA average of 10.2 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
4.9%
↓ 53% · CA 10.2This facility: 4.9, 53% below the CA average of 10.2 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
6.5%
↓ 34% · CA 9.8This facility: 6.5, 34% below the CA average of 9.8 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
6.5%
↓ 34% · CA 9.8This facility: 6.5, 34% below the CA average of 9.8 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.0%
↑ 66% · CA 10.2This facility: 17.0, 66% above the CA average of 10.2 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.0%
↑ 66% · CA 10.2This facility: 17.0, 66% above the CA average of 10.2 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
0.3%
↓ 79% · CA 1.2This facility: 0.3, 79% below the CA average of 1.2 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
0.3%
↓ 79% · CA 1.2This facility: 0.3, 79% below the CA average of 1.2 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
1.0%
↓ 39% · CA 1.6This facility: 1.0, 39% below the CA average of 1.6 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
1.0%
↓ 39% · CA 1.6This facility: 1.0, 39% below the CA average of 1.6 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
1.3%
↓ 70% · CA 4.3This facility: 1.3, 70% below the CA average of 4.3 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
1.3%
↓ 70% · CA 4.3This facility: 1.3, 70% below the CA average of 4.3 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
1.6%
↓ 61% · CA 4.0This facility: 1.6, 61% below the CA average of 4.0 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
1.6%
↓ 61% · CA 4.0This facility: 1.6, 61% below the CA average of 4.0 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
8.0%
↑ 10% · CA 7.3This facility: 8.0, 10% above the CA average of 7.3 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
8.0%
↑ 10% · CA 7.3This facility: 8.0, 10% above the CA average of 7.3 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
9.0%
↓ 25% · CA 12.0This facility: 9.0, 25% below the CA average of 12.0 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
9.0%
↓ 25% · CA 12.0This facility: 9.0, 25% below the CA average of 12.0 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 1% · CA 98.6This facility: 100.0, 1% above the CA average of 98.6 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 1% · CA 98.6This facility: 100.0, 1% above the CA average of 98.6 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 2% · CA 98.2This facility: 100.0, 2% above the CA average of 98.2 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 2% · CA 98.2This facility: 100.0, 2% above the CA average of 98.2 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
3.00
↑ 33% · CA 2.25This facility: 3.00, 33% above the CA average of 2.25 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of hospitalizations per 1,000 long-stay resident days.
3.00
↑ 33% · CA 2.25This facility: 3.00, 33% above the CA average of 2.25 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.94
↑ 85% · CA 1.59This facility: 2.94, 85% above the CA average of 1.59 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.94
↑ 85% · CA 1.59This facility: 2.94, 85% above the CA average of 1.59 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 8 measures
Daily care & independence
Able to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
67.9%
↑ 26% · US 53.7This facility: 67.9, 26% above the US average of 53.7 (among US facilities reporting a recent figure).
Percentage of residents at or above expected ability to care for themselves at discharge.
67.9%
↑ 26% · US 53.7This facility: 67.9, 26% above the US average of 53.7 (among US facilities reporting a recent figure).
Returned home or to the community
Rate of successful return to home or community from a skilled nursing facility.
55.0%
↑ 9% · US 50.6This facility: 55.0, 9% above the US average of 50.6 (among US facilities reporting a recent figure).
Rate of successful return to home or community from a skilled nursing facility.
55.0%
↑ 9% · US 50.6This facility: 55.0, 9% above the US average of 50.6 (among US facilities reporting a recent figure).Safety & clinical stability
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
↓ 100% · US 0.8This facility: 0.0, 100% below the US average of 0.8 (among US facilities reporting a recent figure).
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
↓ 100% · US 0.8This facility: 0.0, 100% below the US average of 0.8 (among US facilities reporting a recent figure).Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
0.8%
↓ 47% · CA 1.5This facility: 0.8, 47% below the CA average of 1.5 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents who newly received an antipsychotic medication
0.8%
↓ 47% · CA 1.5This facility: 0.8, 47% below the CA average of 1.5 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 6% · CA 94.4This facility: 100.0, 6% above the CA average of 94.4 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 6% · CA 94.4This facility: 100.0, 6% above the CA average of 94.4 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
98.4%
↑ 6% · CA 93.2This facility: 98.4, 6% above the CA average of 93.2 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
98.4%
↑ 6% · CA 93.2This facility: 98.4, 6% above the CA average of 93.2 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Re-hospitalized after admission
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
27.6%
↑ 19% · CA 23.2This facility: 27.6, 19% above the CA average of 23.2 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
27.6%
↑ 19% · CA 23.2This facility: 27.6, 19% above the CA average of 23.2 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits
Percentage of short-stay residents who had an outpatient emergency department visit.
12.0%
↑ 7% · CA 11.2This facility: 12.0, 7% above the CA average of 11.2 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who had an outpatient emergency department visit.
12.0%
↑ 7% · CA 11.2This facility: 12.0, 7% above the CA average of 11.2 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
The Avenues Transitional Care Center’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 288 California nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Dec 2024
Is it financially stable?
Profitable on care
6.9% operating margin
+4.7 pts vs prior year
Positive margin in 5 of the last 8 reported years. Net income $1.8M after other income.
Does it invest in staff?
Spends less on payroll than most California homes
52.0% payroll share of revenue
CA average 61.4%Rank #170 / 288Payroll % of net patient revenue — State benchmarked This nursing home is ranked 170th out of 288 nursing homes we track in California for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the California average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll rose $2.0M while revenue rose $2.7M. A low share can mean leaner staffing; check hours per resident in the staffing section.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with California homes.
Revenue & profit
Profitable on care
| Metric | FY 2024 | vs prior year | Trend 2016 → 2024Trend | CA median | Compared with CA homesRank in CA | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $25.5M | +$2.7M | Trend 20162024 | CA median $15.3M | Rank in CA Rank #52 / 288Net patient revenue — State benchmarked This nursing home is ranked 52nd out of 288 nursing homes we track in California for net patient revenue. Shows this facility's net patient revenue compared to the California average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 82% of homes | Above CA median Higher net patient revenue than 82% of CA homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $23.8M | +$1.5M | Trend 20162024 | CA median — | Rank in CA Not ranked | Within revenue Operating expenses are lower than net patient revenue, so resident care covers its costs. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | $1.8M | +$1.3M | Trend 20162024 | CA median — | Rank in CA Not ranked | Profit, growing Resident care made money this year, more than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | 6.9% | +4.7 pts | Trend 20162024 | CA median — | Rank in CA Not ranked | Healthy margin More than 5% of revenue is left after operating expenses. |
| Other income Money not from resident care: investments, grants, services. | $0.0M | — | Trend — | CA median — | Rank in CA Not ranked | Adds to profit Income from outside resident care, on top of the profit from care. |
| Net income The bottom line after other income. | $1.8M | +$1.1M | Trend — | CA median — | Rank in CA Not ranked | Profit The bottom line is above zero after other income. |
Staffing spend
Spends less of revenue on staff than most California homes
| Metric | FY 2024 | vs prior year | Trend 2016 → 2024Trend | CA median | Compared with CA homesRank in CA | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $13.3M | +$2.0M | Trend 20162024 | CA median $8.8M | Rank in CA Rank #55 / 288Payroll costs — State benchmarked This nursing home is ranked 55th out of 288 nursing homes we track in California for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the California average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 81% of homes | Above CA median Higher payroll than 81% of CA homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 52.0% | +2.7 pts | Trend 20162024 | CA median 53.8% | Rank in CA Rank #170 / 288Payroll % of net patient revenue — State benchmarked This nursing home is ranked 170th out of 288 nursing homes we track in California for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the California average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 41% of homes | 9.4 pts under CA average The CA average is 61.4% of revenue. Within 3 points of it reads as near the average. |
Charts, 2016–2024 2 charts · CA benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income No report
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the California payroll average.
% of net patient revenue
Payroll share Operating margin CA payroll average No report
Year-by-year data, 2016–2024 every reported year · latest first, scroll sideways
| Metric | 2016 | 2017no report | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 |
|---|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $13.0M | $14.3M | $15.6M | $17.3M | $19.2M | $20.2M | $22.8M | $25.5M | |
| Operating expenses | $12.8M | $16.1M | $17.3M | $17.4M | $18.3M | $19.8M | $22.3M | $23.8M | |
| Net patient income | $0.2M | −$1.8M | −$1.7M | −$0.1M | $0.8M | $0.5M | $0.5M | $1.8M | |
| Operating margin | 1.4% | −12.6% | −10.6% | −0.5% | 4.4% | 2.3% | 2.2% | 6.9% | |
| Net income | $0.2M | −$1.7M | −$1.7M | $0.2M | $1.1M | $0.5M | $0.7M | $1.8M | |
| Payroll costs | $8.0M | $8.6M | $9.5M | $9.1M | $9.7M | $10.2M | $11.2M | $13.3M | |
| Payroll share of revenue | 61.3% | 59.8% | 60.5% | 52.7% | 50.5% | 50.5% | 49.3% | 52.0% | |
| Beds | 140 | 140 | 140 | 140 | 140 | 140 | 140 | 140 | |
| Gross revenue | $15.3M | $16.1M | $16.5M | $16.6M | $19.2M | $21.2M | $24.4M | $28.1M | |
| Salaries | $6.4M | $7.1M | $7.8M | $7.6M | $8.1M | $8.6M | $9.4M | $11.1M | |
| Wage-related costs | $1.6M | $1.5M | $1.6M | $1.5M | $1.6M | $1.6M | $1.8M | $2.2M | |
| Contract labor | $0.5M | $0.9M | $1.2M | $1.1M | $1.4M | $2.1M | $3.0M | $1.7M | |
| Other operating costs | $4.8M | $7.6M | $7.8M | $8.3M | $8.7M | $9.6M | $11.0M | $10.5M | |
| Net patient revenue per day | $264 | $311 | $339 | $422 | $456 | $479 | $506 | $516 | |
| Cost per day | $261 | $350 | $375 | $424 | $436 | $467 | $495 | $480 | |
| Average length of stay | 242.6 days | 175.0 days | 126.2 days | 115.5 days | 109.6 days | 127.5 days | 117.5 days | 135.3 days |
Showing 2024–2022 · scroll sideways for 6 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2024
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Jun 2026
Arriving
362 admissions · FY2024
Residents admitted during the year.
Medicare
155 · 43%
Medicaid
25 · 7%
Private pay & other
182 · 50%
Resident snapshot
124 residents · Jun 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
40 · 32%
Medicaid
79 · 64%
Private pay & other
5 · 4%
Leaving
366 discharges · FY2024
Residents discharged during the year.
Medicare
147 · 40%
Medicaid
52 · 14%
Private pay & other
167 · 46%
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.
Places of interest near The Avenues Transitional Care Center
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.
Calculate Travel Distance to The Avenues Transitional Care Center
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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-ranked to lowest-ranked based on our 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.
CCRC (Continuing Care Retirement Community):
A campus with multiple care levels so residents can age in place without moving.
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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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A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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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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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: 61.4% 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
161
Rank
#118 / 341 | B |
95.5%
Facility
95.5%
CA AVG
82.2%
Rank
#34 / 299 | +16% | 4.18
Facility
4.18
CA AVG
4.33
Rank
#113 / 290 | +57% | -4% | $12.7k
Facility
$12.7k
CA AVG
$60.5k
Rank
#209 / 295 | 21
Facility
21
CA AVG
49.9
Rank
#41 / 293 | 4.2
Facility
4.2
CA AVG
4.7
Rank
#149 / 293 | 1 | 134 | A |
85
Facility
85
CA AVG
60
Rank
#54 / 344 | Craig Orgill | $25.5MFiscal year ending 12/2024
Facility
$25.5MFiscal year ending 12/2024
CA AVG
$17.3M
Rank
#52 / 288 | $13.3MFiscal year ending 12/2024
Facility
$13.3MFiscal year ending 12/2024
CA AVG
$9.8M
Rank
#55 / 288 | 52%Fiscal year ending 12/2024
Facility
52%Fiscal year ending 12/2024
CA AVG
61.4%
Rank
#170 / 288 | 055963 | ||||
| The Sequoias San Francisco | NH AL CCRC HOS MC RC SNF | San Francisco (Japantown) | 400
Facility
400
CA AVG
161
Rank
#27 / 341 | ? |
88.0%
Facility
88.0%
CA AVG
82.2%
Rank
#158 / 299 | +7% | 1.56
Facility
1.56
CA AVG
4.33
Rank
#15 / 290 | +121% | -64% | $0
Facility
$0
CA AVG
$60.5k
Rank
#1 / 295 | 15
Facility
15
CA AVG
49.9
Rank
#17 / 293 | 5.0
Facility
5.0
CA AVG
4.7
Rank
#193 / 293 | - | 352 | - |
99
Facility
99
CA AVG
60
Rank
#1 / 344 | Sequoia Living, Inc | $7.0MFiscal year ending 12/2024
Facility
$7.0MFiscal year ending 12/2024
CA AVG
$17.3M
Rank
#273 / 288 | $12.2MFiscal year ending 12/2024
Facility
$12.2MFiscal year ending 12/2024
CA AVG
$9.8M
Rank
#70 / 288 | 173.8%Fiscal year ending 12/2024
Facility
173.8%Fiscal year ending 12/2024
CA AVG
61.4%
Rank
#7 / 288 | 056071 | ||||
| San Francisco Health Care and Rehab Inc. | NH SNF | San Francisco (North Of The Panhandle) | 168
Facility
168
CA AVG
161
Rank
#92 / 341 | C |
85.0%
Facility
85.0%
CA AVG
82.2%
Rank
#111 / 299 | +3% | 4.24
Facility
4.24
CA AVG
4.33
Rank
#154 / 290 | +9% | -2% | $152.4k
Facility
$152.4k
CA AVG
$60.5k
Rank
#291 / 295 | 34
Facility
34
CA AVG
49.9
Rank
#114 / 293 | 6.8
Facility
6.8
CA AVG
4.7
Rank
#262 / 293 | 3 | 143 | A |
96
Facility
96
CA AVG
60
Rank
#6 / 344 | Stan Stukov | $15.3MFiscal year ending 12/2024
Facility
$15.3MFiscal year ending 12/2024
CA AVG
$17.3M
Rank
#145 / 288 | $6.6MFiscal year ending 12/2024
Facility
$6.6MFiscal year ending 12/2024
CA AVG
$9.8M
Rank
#215 / 288 | 43%Fiscal year ending 12/2024
Facility
43%Fiscal year ending 12/2024
CA AVG
61.4%
Rank
#267 / 288 | 056272 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other CA nursing home we track that reports that metric, not just the 3 on this page. See how we rank facilities
Financial Assistance for
Nursing Home in California
The Avenues Transitional Care Center is located in San Francisco, California.
Here are the financial assistance programs available to residents in California.
Frequently Asked Questions about The Avenues Transitional Care Center
What neighborhood is The Avenues Transitional Care Center in?
The Avenues Transitional Care Center is in the Outer Sunset neighborhood of San Francisco.
Is The Avenues Transitional Care Center in a walkable area?
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.
What is the occupancy rate at The Avenues Transitional Care Center?
The Avenues Transitional Care Center's occupancy is 95.5%.
Are pets allowed at The Avenues Transitional Care Center?
No, The Avenues Transitional Care Center has a no-pet policy.
Does The Avenues Transitional Care Center operate as a for-profit or non-profit?
The Avenues Transitional Care Center is registered as a for-profit in CA.
What is the overall rating for The Avenues Transitional Care Center?
The Avenues Transitional Care Center received a 4-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
How many beds does The Avenues Transitional Care Center have?
The Avenues Transitional Care Center has 140 beds.
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