Gentle Hands Seniors
State licensed2447 19th Avenue, San Francisco, CA 94116
Assisted Living
Assisted livingResidential care for the elderly (RCFE)24-hour personal care
Call for pricing
Prices not published
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Medicare-certifiedSkilled Nursing
The Avenues Transitional Care Center
San Francisco, CaliforniaMedicare inspection record
About The Avenues Transitional Care Center
The Avenues Transitional Care Center brings expert skilled nursing and rehabilitation to San Francisco families during critical recovery periods. Our team provides personalized care plans, advanced therapies, and compassionate support to help patients regain independence and return home stronger.
Community at a glance
Capacity
140 residents
Location
San Francisco, CA
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
2043 19TH AVENUE, San Francisco, California 94116
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on March 24, 2025, state inspectors cited 11 health deficiencies (the California average is 15.5).
Nurses and nurse aides spend 3 hours 58 minutes with each resident a day, below the California average of 4 hours 31 minutes.
Medicare fined The Avenues Transitional Care Center once in the last three years, $12,685 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 58 minutesBelow the California average |
| Registered nurse time per resident, per day | 55 minutesAbove the California average |
| Nursing staff who left in the past year | 38% |
Inspections
15 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
October 2, 2025 · Complaint investigation · 1 citation
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Oct 20, 2025
March 24, 2025 · Standard inspection · 11 citations
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Apr 20, 2025Ensure 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.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Apr 20, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Apr 20, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Apr 20, 2025Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Apr 20, 2025Ensure each resident’s drug regimen must be free from unnecessary drugs.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Apr 20, 2025Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Apr 20, 2025Implement 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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Apr 20, 2025Allow residents to self-administer drugs if determined clinically appropriate.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Apr 20, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Apr 20, 2025Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Minimal harm or risk, a pattern (level B)EnvironmentalWaived by the state
May 21, 2024 · Complaint investigation · 2 citations+
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jun 21, 2024Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jun 21, 2024
January 26, 2024 · Standard inspection · 1 citation+
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Feb 25, 2024
Fines and payment denials
1 fine totaling $12,685 in the last three years.
- October 2, 2025Fine: $12,685
About the home, per Medicare
- Ownership
- For profit - Limited Liability company
- Legal business name
- Asjk LLC
- Medicare-certified beds
- 140
- Average residents per day
- 135
- Accepts
- Medicare and Medicaid
- First certified
- March 29, 1974
- Part of a chain
- Aspen Skilled Healthcare, 35 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 055963
Location
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2043 19TH AVENUESan Francisco, CA 94116
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Senior living near San Francisco
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Questions about The Avenues Transitional Care Center
How did The Avenues Transitional Care Center do on its last inspection?+
State inspectors visited on March 24, 2025 and cited 11 health deficiencies, 1 of them from complaint investigations. The California average is 15.5.
How much nursing care does each resident get at The Avenues Transitional Care Center?+
Nurses and aides spend 3 hours 58 minutes with each resident per day, including 55 minutes from registered nurses. 38% of nursing staff left over the past year.
Has The Avenues Transitional Care Center been fined by Medicare?+
Yes. Medicare fined The Avenues Transitional Care Center once in the last three years, totaling $12,685.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.