The Avenues Transitional Care Center
- Reviewed By
Anthony C. Lanzone, Founding Partner
The Avenues Transitional Care Center is a nursing home facility located in San Francisco, California. It is operated by the Aspen Skilled Healthcare for-profit nursing home chain and provides transitional care for residents recovering from illness or injury. While the facility purports to help residents reach their recovery potential, public data raises questions about its quality of care.
- The facility reports a total of 95 nurse staffing hours per resident per day, which is below California’s state average of 4.5 hours per resident per day.
- A March 2025 inspection revealed 11 deficiencies, including one for infection control, two regarding residents’ rights , several for pharmacy services, and multiple regarding nutrition and diet.
- The facility has received 12 health citations, exceeding the national average of 9.6.
- Yelp reviews for the facility average 3.3 stars, with many one-star reviews alleging unsanitary conditions and neglectful care.
The Avenues Transitional Care Center Ratings & Reviews
Public ratings and reviews offer insight into how The Avenues performs in key areas that directly affect resident care.
One area that stands out is nurse staffing. The facility reports an average of 3.95 nurse hours per resident per day. Compared with California’s statewide average of 4.5 hours, this metric suggests limited time for nurses to monitor residents, respond to their needs, and provide hands-on care.
The facility’s nurse turnover rate is 37.3% , which is close to the state average of 38.4%. This percentage represents the share of nursing staff who left the facility over a 12-month period. This level of turnover can disrupt care continuity and indicate potential understaffing.
On Yelp, The Avenues Transitional Care Center has an average rating of 3.3 stars, which includes 12 one-star reviews from residents’ family members. Common themes in these reviews include reports of delayed assistance, inadequate hygiene, and poor staff communication. Some families describe having to repeatedly follow up to get their loved ones’ basic needs met, while others report concerns about patients being discharged with untreated infections.
Complaints & Deficiencies Documented at The Avenues Transitional Care Center
Inspection reports and complaint investigations show multiple deficiencies and citations across several areas of care at The Avenues.
March 2025 Inspection Deficiencies
Deficiencies highlight a nursing home’s failure to meet care requirements. A March 2025 inspection from the Centers for Medicare and Medicaid Services documented several deficiencies at The Avenues Transitional Care Center, including:
- Resident Rights Deficiency: Failure to honor a resident’s right to a dignified existence, self-determination, communication, and the ability to exercise their rights
- Infection Control Deficiency: Failure to provide and implement an infection prevention and control program
- Quality of Life and Care Deficiency: Failure to provide appropriate treatment and care according to physicians’ orders and the resident’s preferences and goals
- Nutrition and Dietary Deficiency: Failure to procure, store, prepare, and serve food in line with professional standards
- Pharmacy Service Deficiency: Failure to provide pharmaceutical services to meet each resident’s needs and obtain a licensed pharmacist’s services
Recent Citations
The Avenues has accumulated 12 total health citations in recent years, which is higher than the U.S. average of 9.6. It has also received 10 fire safety and emergency preparedness citations, well above both the U.S. average of 4.7 and the California average of 6.3.
Over the past three years, the facility has received four complaints that resulted in health citations. Complaint-based citations often stem from concerns raised by residents and family members. One other citation resulted from an issue reported by the facility.
Additionally, the facility has received two infection control-related citations within the past three years. Such violations can be concerning in nursing home settings, where residents may be particularly vulnerable to serious illness.
What Rights Do Nursing Home Residents Have in California?
Federal law establishes important protections for nursing home residents. Under 42 C.F.R. § 483.10, residents have the right to a dignified existence, self-determination, and meaningful communication. Elder care facilities must provide equal access to quality care, treat residents with respect, involve them in care planning, and protect them from retaliation for exercising their rights.
California law expands on these protections. California Health & Safety Code § 1599.1 requires nursing homes to provide sanitary living conditions and hygiene care and maintain functional nurse call systems. It also protects residents from inappropriate use of psychotherapeutic drugs, including unnecessary chemical restraints. Furthermore, California Code of Regulations Title 22 § 72329.2 requires most California skilled nursing facilities to employ enough nursing staff to provide at least 3.5 direct care hours per patient per day.
Every resident at The Avenues Transitional Care Center has the right to these fundamental protections. When staff members’ failure to provide the required level of care causes harm to a resident, the facility may be liable through a nursing home abuse claim. If you’re concerned about the quality of care you or your loved one has received at The Avenues, we encourage you to contact our California skilled nursing facility lawyers to discuss your case.
Accountability Matters When a Nursing Home Breaks Your Trust
When your loved one enters a transitional care facility, you have every reason to expect attentive, dignified care. When a facility fails to meet those expectations, the responsibility lies with the provider—not with you.
At Lanzone Morgan, LLP, our California nursing home abuse lawyers hold facilities accountable when their deficiencies result in harm to residents. As a nationally recognized advocate for victims of nursing home abuse and neglect, we’re prepared to fight for the results your family deserves. Our team has over 75 years of combined experience handling these types of cases and has recovered over $250 million in compensation for residents and their loved ones.
We bring compassionate support and skillful representation to cases statewide, including those involving harm at The Avenues Transitional Care Center. If you’re concerned about mistreatment in a California nursing home, you can trust our San Francisco nursing home abuse lawyers to stand up to the powerful corporations behind these facilities on your loved one’s behalf. Contact us online or call 888-887-9777 for a free consultation about your rights, options, and next steps.
Disclaimer: The inspection information provided above comes from public sources. Lanzone Morgan, LLP cannot ensure that this page reflects the most current data or complete findings. For the latest information, visit https://projects.propublica.org/ or medicare.gov. Deficiencies listed may have been corrected since the inspection date and the time of publication. This page is a legal advertisement and information resource. It is not endorsed by the named facility or any government agency. Lanzone Morgan, LLP, is not affiliated with the facility discussed.
- Fact-Checked
This content has been legally reviewed and approved by nursing home abuse attorney, Anthony Lanzone. Anthony holds notable memberships with professional organizations including the American Association for Justice and Consumer Attorneys of California.
VIEW SOURCES
72329.2. Nursing Service — Staff. (n.d.). California Code of Regulations. https://govt.westlaw.com/calregs/Document/IB961C33A5B6111EC9451000D3A7C4BC3?viewType=FullText&originationContext=documenttoc&transitionType=CategoryPageItem&contextData=%28sc.Default%29
42 CFR 483.10 — Resident rights. (n.d.). U.S. Code of Federal Regulations. https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-G/part-483/subpart-B/section-483.10
HSC 1599.1. (n.d.). California Code. https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=HSC§ionNum=1599.1
Talbot, R., Groeger, L. V., & Ornstein, C. (n.d.). The Avenues Transitional Care Center in California | Nursing Home Records. ProPublica. https://projects.propublica.org/nursing-homes/homes/h-055963
The Avenues Transitional Care Center. (n.d.). U.S. Centers For Medicare And Medicaid Services. https://www.medicare.gov/care-compare/details/nursing-home/055963/view-all?state=CA
- Fact-Checked
This content has been legally reviewed and approved by nursing home abuse attorney, Anthony Lanzone. Anthony holds notable memberships with professional organizations including the American Association for Justice and Consumer Attorneys of California.
VIEW SOURCES
72329.2. Nursing Service — Staff. (n.d.). California Code of Regulations. https://govt.westlaw.com/calregs/Document/IB961C33A5B6111EC9451000D3A7C4BC3viewType=FullText&originationContext=documenttoc&transitionType=CategoryPageItem&contextData=%28sc.Default%29
42 CFR 483.10 — Resident rights. (n.d.). U.S. Code of Federal Regulations. https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-G/part-483/subpart-B/section-483.10
HSC 1599.1. (n.d.). California Code. https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=HSC§ionNum=1599.1
Talbot, R., Groeger, L. V., & Ornstein, C. (n.d.). The Avenues Transitional Care Center in California | Nursing Home Records. ProPublica. https://projects.propublica.org/nursing-homes/homes/h-055963
The Avenues Transitional Care Center. (n.d.). U.S. Centers For Medicare And Medicaid Services. https://www.medicare.gov/care-compare/details/nursing-home/055963/view-all?state=CA