Inspection citations
6’21
3’24
12’25
21 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Oct 2, 2025 | G · harm | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Mar 24, 2025 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| Mar 24, 2025 | D · potential | Allow residents to self-administer drugs if determined clinically appropriate. | Routine |
| Mar 24, 2025 | E · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Routine |
| Mar 24, 2025 | E · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Mar 24, 2025 | D · potential | Ensure each resident’s drug regimen must be free from unnecessary drugs. | Routine |
| Mar 24, 2025 | D · potential | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Routine |
| Mar 24, 2025 | E · potential | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Routine |
| Mar 24, 2025 | D · potential | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Routine |
| Mar 24, 2025 | F · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Mar 24, 2025 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Mar 24, 2025 | B · minimal | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Routine |
| May 21, 2024 | D · potential | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Complaint |
| May 21, 2024 | D · potential | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Complaint |
| Jan 26, 2024 | D · potential | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Routine |
| Apr 9, 2021 | D · potential | Ensure that residents are fully informed and understand their health status, care and treatments. | Routine |
| Apr 9, 2021 | D · potential | Allow residents to self-administer drugs if determined clinically appropriate. | Routine |
| Apr 9, 2021 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| Apr 9, 2021 | D · potential | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Routine |
| Apr 9, 2021 | D · potential | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Routine |
| Apr 9, 2021 | C · minimal | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Routine |
Medicare's severity letters: A–C minimal harm, D–F potential for more than minimal harm, G–L actual harm or immediate danger. Source: CMS health deficiencies file, processed October 1, 2026.
Questions to ask on a visit
The Avenues Transitional Care Center
2043 19th Avenue, San Francisco, CA 94116 · (415) 661-8787
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 055963
- Certified beds
- 140
- Legal owner
- Asjk LLC
- Part of
- Aspen Skilled Healthcare
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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