Where They Care · plain answers about nursing homes

The Avenues Transitional Care Center

2043 19th Avenue, San Francisco, CA 94116 · 140 beds · For profit - Limited Liability company

The records flag: 1 citation where a resident was harmed.

Everything here comes from Medicare's own inspection and payroll records. We don't rank facilities or take payment from them.

Medicare overall rating
★★★★★
Much above average · 5 of 5
All nursing staff, hours / resident
4.29
RNs, LPNs and aides · state average 4.31
Weekend RN coverage
−36%
vs weekdays
Staff turnover
38%
state average 37%
1 citation where a resident was harmed
Harm was found, without immediate danger to life.
Registered nurse staffing above the state average
0.99 hours per resident per day, against a state average of 0.62.

These are drawn straight from Medicare's records. We report what the record says — we don't rate facilities or judge the care given in them.

Who's actually on the floor

Staffing is the thing most closely tied to day-to-day quality of care, and it's the number families most often never see. This is registered nurses only — a smaller figure than the all-staff total above, because it counts the most highly qualified staff on their own — per resident, per day, comparing an average weekday against an average weekend.

Weekdays
0.99 hrs
Weekends
0.63 hrs
CA average
0.62 hrs

Registered nurses only — hours per resident per day. Longer is better.

Registered nurse coverage drops about 36% at weekends.

Staff turnover: 38%

High turnover matters because continuity does — a nurse who knows your mother notices when something is different about her. Someone on their second shift doesn't have that baseline.

What inspectors found

State inspectors visit at least once a year and after complaints. Over the last three years this facility received 21 citations. Raw counts mislead, though — a paperwork slip and a resident being harmed both count as one. Here they are by how serious inspectors judged them.

SeverityCitations
Actual harm
A resident was harmed, without immediate danger to life
1
Potential for harm
No one harmed yet, but conditions could allow it
18
No harm
Rule and paperwork findings
2

3 of these came from someone filing a complaint rather than a routine visit — worth weighing differently, because it means a person picked up the phone. All findings are recorded as corrected.

Medicare has issued $12,685 in fines here over the past three years.

Disclosed affiliations

Medicare requires every facility to disclose the people and companies connected to it. Most names below are not owners — they are officers, directors, managers, trustees, and what Medicare calls “additional disclosable parties.” The role beside each name is the one Medicare recorded. This is worth reading because operators tend to run their facilities alike: where the same group stands behind a dozen homes, the record across all twelve tells you more than any single inspection does.

NameRole recorded by MedicareSince
Asjk LLC Direct owner, Operational or managerial control, Additional disclosable party 12/20/2018
Aspen Skilled Healthcare INC Indirect owner 12/20/2018
Bradshaw, Jeffrey Indirect owner, Operational or managerial control, Owner, partner or trustee of an additional disclosable party, Additional disclosable party 12/20/2018
Bradshaw, Peter Indirect owner 07/07/2023
Brady, Vern Indirect owner, Additional disclosable party 09/01/2017
Case, Ryan Indirect owner, Operational or managerial control, Additional disclosable party 12/20/2018
Elsner, Eric Indirect owner 12/20/2018
Kirkwood, Jared Indirect owner 01/01/2019
Orgill, Craig Indirect owner, Operational or managerial control 01/01/2019
Parti, Rajesh Indirect owner 12/20/2018
Parti, Shruty Indirect owner 12/20/2018
Paxman, Marcus Indirect owner, Additional disclosable party 04/01/2022
Sequoia Healthcare Group LLC Indirect owner, Additional disclosable party 01/01/2023
Skbm II LLC Indirect owner, Additional disclosable party 12/20/2018
Skbm LLC Indirect owner, Additional disclosable party 12/20/2018
Basa, Edil Operational or managerial control, Additional disclosable party 05/30/2023
Go, Maria Operational or managerial control, Additional disclosable party 12/17/2021
Jamali, Mehran Operational or managerial control, Additional disclosable party 12/01/2023
Rawe, Colton Governing body, Operational or managerial control, Additional disclosable party 01/01/2023
Aspen Healthcare Services LLC Additional disclosable party 01/01/2023
Jurado, Frank Additional disclosable party 01/01/2023

Of the 21 parties disclosed here, 15 hold an ownership interest; the rest are recorded in a management, officer, financial, or other disclosable capacity. A percentage is shown only where Medicare published one — for most disclosed parties it publishes none.

Other options nearby

Most families are choosing between whatever is close enough to visit often — and visiting often is itself one of the better protections a resident has. These are the closest 8 facilities.

FacilityMilesRating Nurse hrsWeekend
Laguna Honda Hospital & Rehabilitation Ctr D/p SNF
San Francisco
1.1 3 2.14 −45%
Lawton Skilled Nursing & Rehabilitation Center
San Francisco
1.3 5 1.22 +10%
St. Anne'S Home
San Francisco
2.8 3
Hayes Convalescent Hospital
San Francisco
2.8 5 0.75 +7%
San Francisco Health Care
San Francisco
2.8 1 0.80 −11%
California Pacific Medical Ctr- Davies Campus Hosp
San Francisco
3.0 5 5.41 +16%
Jewish Home & Rehab Center D/p SNF
San Francisco
3.1 5 1.33 −36%
San Francisco Post Acute
San Francisco
3.2 5 0.44 +11%

Weekend column shows the change in registered-nurse coverage at weekends compared with weekdays.

Worth asking on a visit

Records only tell you so much. These are the questions this facility's particular numbers suggest you ask — go on a weekend if you possibly can.

  1. Can I visit on a Sunday rather than a weekday? How many registered nurses are on duty then, and for how many residents?
  2. Who will actually be caring for my relative at 3am on a Saturday — an agency nurse or someone on staff?

Where these numbers come from

All figures are published by the Centers for Medicare & Medicaid Services. Different measures cover different periods — some are considerably older than others, so each is dated separately below rather than under one "last updated" stamp.

Staffing hours
Jan–Mar 2026
Staff turnover
calendar year 2025
Inspections & citations
Jul 2023 – Jun 2026
Fines & penalties
last 3 years
Ownership
as reported to Medicare
Star rating & file release
CMS file dated 1 July 2026

We report what the records say and don't draw conclusions about care quality. If you believe something on this page is wrong — email a correction. It reaches a person, not a form. We check every report, fix what is wrong, and say so on the page; see how we handle corrections. If you work at this facility and our figures disagree with your own records, we want to hear that too.