The Avenues Transitional Care Center
San Francisco, San Francisco County, California · CCN 055963 · For-profit (LLC) · part of Aspen Skilled Healthcare (35 facilities, chain average 3.7 stars)
CMS rates The Avenues Transitional Care Center 5 of 5 overall as of August 2026. 140 certified beds, 135 residents a day on average. 21 citations on record from the current inspection cycles, 1 involving actual harm; 1 fine totalling $12,685.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★★★ 5 of 5 |
|---|---|
| Health inspections | ★★★☆☆ 3 of 5 |
| Staffing | ★★★★★ 5 of 5 |
| Quality measures | ★★★★★ 5 of 5 |
| Quality: long-stay / short-stay | 5 / 5 of 5 |
Staffing
| Total nurse staffing | 3.97013 hours per resident per day |
|---|---|
| Registered nurses | 0.9128 hours per resident per day |
| Weekend total | 3.72746 hours per resident per day |
| Nursing staff turnover | 38% (registered nurses 16.7%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2025-10-02 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2025-10-20 |
| 2025-03-24 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2025-04-20 |
| 2025-03-24 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-04-20 |
| 2025-03-24 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-04-20 |
| 2025-03-24 | Ensure 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. Pharmacy Service Deficiencies · tag F0761 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-04-20 |
| 2025-03-24 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-04-20 |
| 2025-03-24 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-04-20 |
| 2025-03-24 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · tag F0554 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-04-20 |
| 2025-03-24 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · tag F0757 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-04-20 |
| 2025-03-24 | Implement 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. Pharmacy Service Deficiencies · tag F0758 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-04-20 |
| 2025-03-24 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · tag F0806 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-04-20 |
| 2025-03-24 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · tag F0912 |
B No actual harm, with potential for minimal harm; pattern | Waiver has been granted 2025-04-20 |
| 2024-05-21 complaint survey |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · tag F0636 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-21 |
| 2024-05-21 complaint survey |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · tag F0655 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-21 |
| 2024-01-26 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · tag F0806 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-25 |
| 2021-04-09 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · tag F0552 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2021-06-11 |
| 2021-04-09 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · tag F0554 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2021-06-11 |
| 2021-04-09 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2021-06-11 |
| 2021-04-09 | Ensure 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. Quality of Life and Care Deficiencies · tag F0693 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2021-06-11 |
| 2021-04-09 | Ensure 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. Pharmacy Service Deficiencies · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2021-06-11 |
| 2021-04-09 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · tag F0912 |
C No actual harm, with potential for minimal harm; widespread | Waiver has been granted 2021-06-11 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2025-10-02 | Fine | $12,685 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Asjk LLC Organization | adp of the snf | — | 2018-12-20 |
| Aspen Healthcare Services LLC Organization | adp of the snf | — | 2023-01-01 |
| Sequoia Healthcare Group LLC Organization | adp of the snf | — | 2023-01-01 |
| Skbm II LLC Organization | adp of the snf | — | 2025-09-22 |
| Skbm LLC Organization | adp of the snf | — | 2025-09-08 |
| Asjk LLC Organization | direct ownership interest | — | 2018-12-20 |
| Aspen Skilled Healthcare Inc. Organization | indirect ownership interest | — | 2018-12-20 |
| Sequoia Healthcare Group LLC Organization | indirect ownership interest | — | 2023-01-01 |
| Skbm II LLC Organization | indirect ownership interest | — | 2018-12-20 |
| Skbm LLC Organization | indirect ownership interest | — | 2018-12-20 |
| Asjk LLC Organization | operational/managerial control | — | 2018-12-20 |
| Basa, Edil Individual | adp of the snf | — | 2023-05-30 |
| Bradshaw, Jeffrey Individual | adp of the snf | — | 2023-01-01 |
| Brady, Vern Individual | adp of the snf | — | 2023-01-01 |
| Case, Ryan Individual | adp of the snf | — | 2023-01-01 |
| Go, Maria Individual | adp of the snf | — | 2021-12-17 |
| Jamali, Mehran Individual | adp of the snf | — | 2023-12-01 |
| Jurado, Frank Individual | adp of the snf | — | 2023-01-01 |
| Paxman, Marcus Individual | adp of the snf | — | 2023-01-01 |
| Rawe, Colton Individual | adp of the snf | — | 2023-01-01 |
| Bradshaw, Jeffrey Individual | indirect ownership interest | — | 2018-12-20 |
| Bradshaw, Peter Individual | indirect ownership interest | — | 2023-07-07 |
| Brady, Vern Individual | indirect ownership interest | — | 2017-09-01 |
| Case, Ryan Individual | indirect ownership interest | — | 2018-12-20 |
| Elsner, Eric Individual | indirect ownership interest | — | 2018-12-20 |
| Kirkwood, Jared Individual | indirect ownership interest | — | 2019-01-01 |
| Orgill, Craig Individual | indirect ownership interest | — | 2019-01-01 |
| Parti, Rajesh Individual | indirect ownership interest | — | 2018-12-20 |
| Parti, Shruty Individual | indirect ownership interest | — | 2018-12-20 |
| Paxman, Marcus Individual | indirect ownership interest | — | 2022-04-01 |
| Bradshaw, Jeffrey Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-09-23 |
| Rawe, Colton Individual | managing control - governing body | — | 2023-01-01 |
| Basa, Edil Individual | operational/managerial control | — | 2023-05-30 |
| Bradshaw, Jeffrey Individual | operational/managerial control | — | 2023-01-01 |
| Case, Ryan Individual | operational/managerial control | — | 2023-01-01 |
| Go, Maria Individual | operational/managerial control | — | 2021-12-17 |
| Jamali, Mehran Individual | operational/managerial control | — | 2023-12-01 |
| Orgill, Craig Individual | operational/managerial control | — | 2019-01-01 |
| Rawe, Colton Individual | operational/managerial control | — | 2023-01-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for The Avenues Transitional Care Center.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in San Francisco County.