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The Avenues Transitional Care Center is a 3-star (out of 5) Medicare-certified nursing home in San-francisco, CA with 140 beds. Federal inspectors have documented 59 health violations across 9 years of data.

Summary generated from CMS public inspection records.

Inspection History Overview

Data current as of March 24, 2026 · Source: CMS Provider Data

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Detailed Inspection Reports

Notice: These are official CMS inspection narratives containing detailed regulatory findings. This information is not available in searchable format anywhere else online.

October 2, 2025 Complaint Investigation

Fines and Penalties by Year

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Health Violations by Year

2025 10 violations

Tag 0550 D Mar 24, 2025

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Apr 20, 2025
Tag 0554 D Mar 24, 2025

Allow residents to self-administer drugs if determined clinically appropriate.

✓ Corrected: Apr 20, 2025
Tag 0684 E Mar 24, 2025

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Apr 20, 2025
Tag 0755 E Mar 24, 2025

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Apr 20, 2025
Tag 0757 D Mar 24, 2025

Ensure each resident’s drug regimen must be free from unnecessary drugs.

✓ Corrected: Apr 20, 2025
Tag 0761 E Mar 24, 2025

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.

✓ Corrected: Apr 20, 2025
Tag 0806 D Mar 24, 2025

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

✓ Corrected: Apr 20, 2025
Tag 0812 F Mar 24, 2025

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Apr 20, 2025
Tag 0880 E Mar 24, 2025

Provide and implement an infection prevention and control program.

✓ Corrected: Apr 20, 2025
Tag 0912 B Mar 24, 2025

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

✓ Corrected: Apr 20, 2025

2024 3 violations

Tag 0636 D May 21, 2024

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

✓ Corrected: Jun 21, 2024
Tag 0655 D May 21, 2024

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: Jun 21, 2024
Tag 0806 D Jan 26, 2024

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

✓ Corrected: Feb 25, 2024

2023 5 violations

Tag 0689 D Apr 5, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Tag 0880 E Apr 5, 2023

Provide and implement an infection prevention and control program.

Tag 0657 D Feb 3, 2023

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: May 8, 2023
Tag 0658 D Feb 3, 2023

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: May 8, 2023
Tag 0726 D Feb 3, 2023

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

✓ Corrected: May 8, 2023

2022 1 violations

Tag 0661 D Jan 7, 2022

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

✓ Corrected: Mar 17, 2022

2021 11 violations

Tag 0689 D May 24, 2021

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Aug 5, 2021
Tag 0552 D Apr 9, 2021

Ensure that residents are fully informed and understand their health status, care and treatments.

✓ Corrected: Jun 11, 2021
Tag 0554 D Apr 9, 2021

Allow residents to self-administer drugs if determined clinically appropriate.

✓ Corrected: Jun 11, 2021
Tag 0658 D Apr 9, 2021

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Jun 11, 2021
Tag 0693 D Apr 9, 2021

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.

✓ Corrected: Jun 11, 2021
Tag 0761 D Apr 9, 2021

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.

✓ Corrected: Jun 11, 2021
Tag 0912 C Apr 9, 2021

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

✓ Corrected: Jun 11, 2021
Tag 0697 D Feb 23, 2021

Provide safe, appropriate pain management for a resident who requires such services.

✓ Corrected: Mar 9, 2021
Tag 0657 D Feb 3, 2021

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: May 8, 2023
Tag 0658 D Feb 3, 2021

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: May 8, 2023
Tag 0726 D Feb 3, 2021

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

✓ Corrected: May 8, 2023

2020 5 violations

Tag 0880 E Oct 14, 2020

Provide and implement an infection prevention and control program.

Tag 0623 D Feb 14, 2020

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

✓ Corrected: Mar 26, 2020
Tag 0636 D Feb 14, 2020

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

✓ Corrected: Mar 26, 2020
Tag 0656 D Feb 14, 2020

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Mar 26, 2020
Tag 0609 D Jan 21, 2020

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Feb 18, 2020

2019 8 violations

Tag 0584 E May 17, 2019

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

✓ Corrected: Jul 26, 2019
Tag 0756 D May 17, 2019

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

✓ Corrected: Jul 26, 2019
Tag 0758 D May 17, 2019

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.

✓ Corrected: Jul 26, 2019
Tag 0761 E May 17, 2019

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.

✓ Corrected: Jul 26, 2019
Tag 0804 D May 17, 2019

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

✓ Corrected: Jul 26, 2019
Tag 0806 D May 17, 2019

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

✓ Corrected: Jul 26, 2019
Tag 0812 E May 17, 2019

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Jul 26, 2019
Tag 0912 E May 17, 2019

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

✓ Corrected: Jul 26, 2019

2018 5 violations

Tag 0600 D Aug 15, 2018

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Oct 2, 2018
Tag 0610 D Aug 15, 2018

Respond appropriately to all alleged violations.

✓ Corrected: Oct 2, 2018
Tag 0812 F Jul 12, 2018

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Sep 6, 2018
Tag 0912 B Jul 12, 2018

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

✓ Corrected: Sep 6, 2018
Tag 0725 E Apr 5, 2018

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

✓ Corrected: May 24, 2018

2017 11 violations

Tag 0284 D Oct 11, 2017

Develop a post-discharge plan with the resident and family for the resident's care after leaving the nursing home.

✓ Corrected: Nov 22, 2017
Tag 0252 E Jun 21, 2017

Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.

✓ Corrected: Aug 28, 2017
Tag 0278 D Jun 21, 2017

Ensure each resident receives an accurate assessment by a qualified health professional.

✓ Corrected: Aug 28, 2017
Tag 0279 D Jun 21, 2017

Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Aug 28, 2017
Tag 0281 E Jun 21, 2017

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Aug 28, 2017
Tag 0323 E Jun 21, 2017

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

✓ Corrected: Aug 28, 2017
Tag 0329 E Jun 21, 2017

Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

✓ Corrected: Aug 28, 2017
Tag 0371 F Jun 21, 2017

Store, cook, and serve food in a safe and clean way.

✓ Corrected: Aug 28, 2017
Tag 0441 F Jun 21, 2017

Have a program that investigates, controls and keeps infection from spreading.

✓ Corrected: Aug 28, 2017
Tag 0456 F Jun 21, 2017

Keep all essential equipment working safely.

✓ Corrected: Aug 28, 2017
Tag 0458 E Jun 21, 2017

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

✓ Corrected: Aug 28, 2017
🏥 Facility Summary

THE AVENUES TRANSITIONAL CARE CENTER is a 3-star nursing home in SAN FRANCISCO, CA with 140 beds.

Most recent inspection: Data not available. No current violations on record.

📞 4156618787
📍 2043 19TH AVENUE, SAN FRANCISCO, CA
💵 Accepts Medicare and Medicaid
Data source: Centers for Medicare & Medicaid Services (CMS). Facility information updated daily. Star ratings range from 1 (much below average) to 5 (much above average).

Frequently Asked Questions About THE AVENUES TRANSITIONAL CARE CENTER

What violations has THE AVENUES TRANSITIONAL CARE CENTER received?
THE AVENUES TRANSITIONAL CARE CENTER has 0 health and safety violation(s) documented by CMS inspections. All violation data comes from official Medicare inspection reports and is updated regularly from government sources.
What is the quality rating of THE AVENUES TRANSITIONAL CARE CENTER?
THE AVENUES TRANSITIONAL CARE CENTER has a 3-star rating out of 5 from CMS. This is an average rating, meeting basic quality standards. The rating is based on health inspections, staffing levels, and quality measures.
When was THE AVENUES TRANSITIONAL CARE CENTER last inspected?
Inspection reports are documented by state survey agencies and the Centers for Medicare & Medicaid Services (CMS). Reports typically lag 2-3 months behind the actual inspection date. Visit the facility's full profile page for detailed violation information and inspection history.
Is THE AVENUES TRANSITIONAL CARE CENTER safe?
Safety at THE AVENUES TRANSITIONAL CARE CENTER should be evaluated based on multiple factors: the facility's CMS rating, recent violation history, and personal visits. We recommend reviewing the complete inspection history, speaking with current residents and families, consulting healthcare professionals, and visiting in person before making placement decisions.
How do I contact THE AVENUES TRANSITIONAL CARE CENTER?
Phone: 4156618787. Address: 2043 19TH AVENUE, SAN FRANCISCO, CA. For visiting hours and admission information, call the facility directly.
What services does THE AVENUES TRANSITIONAL CARE CENTER offer?
THE AVENUES TRANSITIONAL CARE CENTER is a skilled nursing facility with 140 beds. The facility accepts Medicare and Medicaid. For specific services like rehabilitation, memory care, or short-term recovery, contact the facility directly.
What are better facilities near SAN FRANCISCO, CA?
Compare THE AVENUES TRANSITIONAL CARE CENTER with other nursing homes in SAN FRANCISCO, CA on our facilities page. Filter by star rating, bed count, and recent inspection results to find the best match for your needs.
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