Starfile / California

THE AVENUES TRANSITIONAL CARE CENTER

2043 19TH AVENUE, SAN FRANCISCO, CA 94116 · CCN 055963

Inspection history vs California & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$12,685

Number of fines

1

Number of penalties

1

Payment denials

0

Chain

Chain

ASPEN SKILLED HEALTHCARE

Facilities in chain

34

Chain avg overall

3.50 / 5

Inspection citations (23)1 actual harm

1. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-10-02 · Health · corrected 2025-10-20

   Actual harm

2. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-03-24 · Health · corrected 2025-04-20

   Potential for more than minimal harm

3. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2025-03-24 · Health · corrected 2025-04-20

   Potential for more than minimal harm

4. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-03-24 · Health · corrected 2025-04-20

   Potential for more than minimal harm

5. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-03-24 · Health · corrected 2025-04-20

   Potential for more than minimal harm

6. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-03-24 · Health · corrected 2025-04-20

   Potential for more than minimal harm

7. DF0758Implement 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.2025-03-24 · Health · corrected 2025-04-20

   Potential for more than minimal harm

8. EF0761Ensure 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.2025-03-24 · Health · corrected 2025-04-20

   Potential for more than minimal harm

9. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2025-03-24 · Health · corrected 2025-04-20

   Potential for more than minimal harm

10. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-03-24 · Health · corrected 2025-04-20

    Potential for more than minimal harm

11. EF0880Provide and implement an infection prevention and control program.2025-03-24 · Health · corrected 2025-04-20

    Potential for more than minimal harm

12. BF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2025-03-24 · Health · corrected 2025-04-20

    Potential for minimal harm

13. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2024-05-21 · Health · corrected 2024-06-21

    Potential for more than minimal harm

14. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-05-21 · Health · corrected 2024-06-21

    Potential for more than minimal harm

15. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2024-01-26 · Health · corrected 2024-02-25

    Potential for more than minimal harm

16. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-04-05 · Health · corrected 2023-05-16

    Potential for more than minimal harm

17. EF0880Provide and implement an infection prevention and control program.2023-04-05 · Health · corrected 2023-05-16

    Potential for more than minimal harm

18. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2021-04-09 · Health · corrected 2021-06-11

    Potential for more than minimal harm

19. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2021-04-09 · Health · corrected 2021-06-11

    Potential for more than minimal harm

20. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2021-04-09 · Health · corrected 2021-06-11

    Potential for more than minimal harm

21. DF0693Ensure 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.2021-04-09 · Health · corrected 2021-06-11

    Potential for more than minimal harm

22. DF0761Ensure 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.2021-04-09 · Health · corrected 2021-06-11

    Potential for more than minimal harm

23. CF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2021-04-09 · Health · corrected 2021-06-11

    Potential for minimal harm

Ownership

Other facilities in SAN FRANCISCO

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.