The Avenues Transitional Care Center: Staffing, Turnover, and Inspection Record
The Avenues Transitional Care Center is a 140-bed for-profit nursing home in San Francisco, California, part of Aspen Skilled Healthcare. In the CMS August 2026 release it reported 2.46 nurse aide hours per resident per day, 7% below the California average of 2.65, and 38.0% nursing staff turnover (California average 36.7%).
The Avenues Transitional Care Center
2043 19th AvenueSan Francisco, CA 94116
San Francisco County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At The Avenues Transitional Care Center, nurse aides logged 2.46 hours per resident per day, 7% below the California average. With about 135 residents a day, that works out to roughly 331 aide hours a day, or about 41 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 6% below the all-days figure.
| Hours per resident per day | This home | California avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.46 | 2.65 | 2.32 |
| Licensed practical nurses | 0.60 | 1.20 | 0.86 |
| Registered nurses | 0.91 | 0.67 | 0.69 |
| All nursing staff | 3.97 | 4.52 | 3.86 |
| All nursing staff, weekends | 3.73 | 4.09 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
38.0% of nursing staff at The Avenues Transitional Care Center left over the year CMS measured, against a California average of 36.7% and a US average of 45.8%. Registered nurse turnover was 16.7%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Mar 24, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 11 health deficiencies (California average 15.7). CMS lists 1 fine totaling $12,685 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Oct 2, 2025 | Fine | $12,685 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. The Avenues Transitional Care Center holds 5 of 5 overall; the California average is 3.2.
About The Avenues Transitional Care Center
- Ownership: For profit - Limited Liability company
- Chain: Aspen Skilled Healthcare, 35 homes
- Legal name: Asjk LLC
- Medicare and Medicaid certified since: Mar 29, 1974
- Councils: resident council
- Area: urban
Nursing homes near The Avenues Transitional Care Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Laguna Honda Hospital & Rehabilitation Ctr D/P SNF San Francisco · abuse citation | 1.1 | 769 | 2.97 | 5.83 | 17.3% | 3 | $55,499 |
| Lawton Skilled Nursing & Rehabilitation Center San Francisco | 1.3 | 68 | 2.20 | 4.36 | 40.0% | 5 | None |
| St. Anne's Home San Francisco · no staffing data submitted | 2.8 | 46 | — | — | — | 3 | None |
| Hayes Convalescent Hospital San Francisco | 2.8 | 34 | 2.81 | 4.00 | 44.1% | 5 | None |
| San Francisco Health Care San Francisco | 2.8 | 168 | 2.59 | 3.79 | 40.2% | 1 | $152,404 |
| California Pacific Medical Ctr- Davies Campus Hosp San Francisco | 3.0 | 38 | 2.34 | 8.97 | 29.0% | 5 | None |
| Jewish Home & Rehab Center D/P SNF San Francisco | 3.1 | 362 | 3.16 | 5.20 | 25.6% | 5 | None |
| San Francisco Post Acute San Francisco | 3.2 | 53 | 2.53 | 4.35 | 35.5% | 5 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.