Nursing homeActive
The Avenues Transitional Care Center
2043 19th Avenue, San Francisco, CA 941164156618787140 certified beds · 135 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
5
since 2021
Deficiencies
21
● 2● 18● 1
Penalties · 3 yrs
$12,685
1 fine
Last survey
2025-10-02
Complaint
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 3
Staffing 5
Quality 5
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · California Department of Public Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-10-02 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2025-03-24 | Standard | 1100 | CMS-2567 (Care Compare) | — |
| 2024-05-21 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2024-01-26 | Standard | 010 | CMS-2567 (Care Compare) | — |
| 2021-04-09 | Standard | 150 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · California Department of Public Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-10-20Record 055963-20251002-F689
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-20Record 055963-20250324-F550
F554Allow residents to self-administer drugs if determined clinically appropriate.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-20Record 055963-20250324-F554
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-20Record 055963-20250324-F684
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-20Record 055963-20250324-F755
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-20Record 055963-20250324-F757
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-20Record 055963-20250324-F758
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-20Record 055963-20250324-F761
F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-20Record 055963-20250324-F806
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-04-20Record 055963-20250324-F812
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-20Record 055963-20250324-F880
F912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.Scope/severity BPaperwork
Environment
Pattern; potential for minimal harm.Corrected 2025-04-20Record 055963-20250324-F912
F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-21Record 055963-20240521-F636
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-21Record 055963-20240521-F655
F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-25Record 055963-20240126-F806
F552Ensure that residents are fully informed and understand their health status, care and treatments.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-06-11Record 055963-20210409-F552
F554Allow residents to self-administer drugs if determined clinically appropriate.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-06-11Record 055963-20210409-F554
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-06-11Record 055963-20210409-F658
F693Ensure 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-06-11Record 055963-20210409-F693
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-06-11Record 055963-20210409-F761
F912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.Scope/severity CPaperwork
Environment
Widespread; potential for minimal harm.Corrected 2021-06-11Record 055963-20210409-F912
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-10-02 | Civil money penalty | $12,685 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.91
Facility
California
National
California 0.67 · National 0.69
Total nurse hours per resident day3.97
Facility
California
National
California 4.52 · National 3.86
Weekend total nurse hours3.73
Facility
California
National
California 4.09 · National 3.42
Total nursing staff turnover38%
Facility
California
National
California 37% · National 46%
Registered nurse turnover17%
Facility
California
National
California 38% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | California | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 1.3% | 4.3% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 1.0% | 1.6% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 8.9% | 12.0% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.2% | 1.2% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.4% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 4.9% | 10.2% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 1.6% | 4.0% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 4.1% | 13.7% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Asjk LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Basa, Edil Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Bradshaw, Jeffrey Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Case, Ryan Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Go, Maria Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Jamali, Mehran Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Orgill, Craig Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Rawe, Colton Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Asjk LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Asjk LLC Organization | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Aspen Healthcare Services LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Aspen Skilled Healthcare Inc Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Basa, Edil Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bradshaw, Jeffrey Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bradshaw, Jeffrey Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bradshaw, Jeffrey Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Bradshaw, Peter Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Brady, Vern Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Brady, Vern Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Case, Ryan Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Case, Ryan Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Elsner, Eric Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Go, Maria Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Jamali, Mehran Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Jurado, Frank Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kirkwood, Jared Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Orgill, Craig Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Parti, Rajesh Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Parti, Shruty Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Paxman, Marcus Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Paxman, Marcus Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Rawe, Colton Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Rawe, Colton Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sequoia Healthcare Group LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Sequoia Healthcare Group LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Skbm II LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Skbm II LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Skbm LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Skbm LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Aspen Skilled Healthcare — 35 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or California.
No county cost figures on file for San Francisco.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Laguna Honda Hospital & Rehabilitation Ctr D/P SNF San Francisco | 1.1 mi | 2026-04-23 | 0346 |
| Lawton Skilled Nursing & Rehabilitation Center San Francisco | 1.3 mi | 2026-04-17 | 160 |
| St. Anne's Home San Francisco | 2.8 mi | 2023-11-17 | 080 |
| Hayes Convalescent Hospital San Francisco | 2.8 mi | 2025-11-07 | 0100 |
| San Francisco Health Care San Francisco | 2.8 mi | 2026-04-28 | 0253 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |