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Key information
The Avenues Transitional Care Center is a 140-bed nursing home in San Francisco, part of Aspen Skilled Healthcare. Medicare rates it 4 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 5 for quality of care.
Care on offer includes occupational therapy, physical therapy and speech pathology. It is certified by Medicare and Medi-Cal, and has been since 1974. The nearest hospital, Laguna Honda Hospital & Rehabilitation Center is 1 mile away.
Inspectors have visited 24 times since November 2023, most recently on August 20, 2026. Federal inspectors cited 36 deficiencies in that time (1 actual harm, 32 potential for harm and 3 minor or administrative). Regulators looked into 39 complaints in that time (8 substantiated, 4 partially substantiated, 9 unsubstantiated and 18 without a recorded outcome). Medicare imposed 1 penalty totalling $12,685 in that time (1 civil money penalty).
From April to June 2026, each resident received 3.91 hours of nursing care a day on average, 0.83 of them from registered nurses.
Rating and inspection report
Official rating
- Medicare health inspections3/5 · Average
- Medicare quality measures (long stay)5/5 · Much above average
- Medicare quality measures5/5 · Much above average
- Medicare quality measures (short stay)5/5 · Much above average
- Medicare staffing4/5 · Above average
- State inspections4 serious citations in 3 years
Care & pricing
Care available
- Licensed capacity
- 140 beds
- State license
- CA 220000024 · Active
Pricing
- Average daily charge (Medicare cost report): $428 per dayNursing home
Payment types accepted
Room type
- Private
Daily life
Details
Facilities
- Activity room
- Arts room
- Business room
- Cable TV
- Climate control
- Fitness room
- Furnished
- Game room
- Garden
- Kitchenette
- Library
- Movie room
- Outdoor common space
- Parking Lot
- Private bathroom
- Same day assessments
- Spa /
sauna / wellness room - Telephone in room
- Walking paths
- Wi-Fi and internet access
- For-profit ownership (limited liability company)
- State-licensed skilled nursing facility (California CDPH)
Activities
- Continuing learning experience
- Movie nights
- Music program
- Outdoor programs
- Resident run activities
- Scheduled daily activities
Services
- 12-16 hour nursing
- 24-hour call system
- 24-hour supervision
- Activities of daily living assistance
- Administer insulin injections
- Assistance with bathing
- Assistance with dressing
- Assistance with transfers
- Care with behavioral issues
- Catheter care
- Colostomy /
ostomy care - Concierge
- Coordination with health care providers
- Dementia /
memory care - Diabetes care
- Diabetes management (glucose checks)
- Dialysis support
- Family support services
- Feeding tube (G-tube)
- Hearing or vision impairment support
- Hospice care on site
- Hospice waiver
- Housekeeping
- Incontinence care
- IV therapy
- Laundry
- Licensed nurse on site 24/
7 - Medication administration by staff
- Medication management and reminders
- Mental health conditions accepted
- Mild cognitive impairment
- Move in coordination
- Non-ambulatory care
- Outpatient services
- Outside hospice allowed
- Parkinson's care
- Physical, occupational or speech therapy
- Resident council
- Respite (short) stays
- Social services
- Special diets (diabetic, renal, pureed)
- Staffing & Ancillary Services
- Transport to medical appointments
- Wound care
Dining
- All day dining
- Allergy sensitive
- Diabetes diet
- Dining room
- Gluten free
- Guest Meals
- Professional chef
- Restaurant style dining
Safety and security
- Automatic sprinklers throughout the building
- Emergency alert system
Transportation
- Complimentary Transportation
- Transportation and parking
Policies
- Accepts Medicaid (Medi-Cal)
- Accepts Medicare
- Pet restrictions
Languages spoken on site
- Cantonese spoken
- English
- English spoken
- Mandarin spoken
- Spanish Spoken
- Tagalog spoken
Come and see for yourself
The best way to know if a place is the right fit is to experience it in person. Arrange a visit to explore the space, get a feel for daily life there, and ask any questions along the way.
Reviews and listings
What families and listing sites say.
Ratings on other sites
- 4/5
- 4.3/5
Reviews
- Google1/5
Left asap. The bed was awful. The staff with one exception was unprofessional. When I got there people were running up and down the hall. No one seemed prepared for my arrival. A senior person acted in an appropriate manner toward me. I still have nightmares.
Read full reviewAug 29, 2026
- Google1/5
Poor communication between staff and family members. In my experience, it is borderline negligible treatment to their patients. My grandfather was here for just 2 weeks and contracted COVID from another patient in a room across the hall. The staff did not inform us and we only discovered this when we walked in during a visit to see him get tested (it was positive). Because of this, we’ve had to refrain our visits. The next time we came to visit, it was clear that he had not eaten in over 1 day and he didn’t have proper clothing. Again, the did not communicate that he missed any meals. His blood pressure was 66 over 30 and he had to get escorted to the ER. They only agreed to test his blood pressure after our constant requests. Please be careful when admitting your loved ones and speak out. It is easy for those who can’t speak up to get taken advantage of.
Read full reviewAug 11, 2026
- Google5/5
My Medical Treatment here I'm getting for the accident I had falling down in the shower on 2 Floor end hallway The Lawrence Hotel 48 6th Street Room 21 Sanfrancisco California 94103. Is coming along fine and hopefully I'll be able to leave in Good Health.
Read full reviewApr 21, 2026
- Google5/5
Thank you to the team at The Avenues for their great compassion and care. My grandma was checked in after she fell down and could no longer live alone. It's been a difficult time but every interaction at The Avenues has been so kind and comforting. A special thank you to Nerissa in social services for being so attentive, prompt and patient with all of our questions, needs and concerns. My dad and I were very worried about next steps but Nerissa has been extremely helpful in laying out all the information thoughtfully so that we could make the right decisions for us. Thanks again to everyone, it has meant so much to my family.
Read full reviewNov 1, 2025
- Google5/5
This review is long overdue. My uncle was discharged from to this facility in May 2025 after staying there for about a month. He sustained a fracture after a fall from home. He received physical and occupational therapy. At first I was very skeptical about how this place can help my uncle with his recovery. This was his first time staying at a nursing home. I was very surprise during my first few visits to the facility, to see how happy my uncle was with the nursing staff caring for him. They were very attentive to his needs. Although the room was a shared room, the care my uncle received from the nursing staff was amazing. I love that my uncle had the same physical and occupational therapist follow his care and treatment throughout his stay at the facility. This consistency helped a lot with my uncle's speedy recovery and his eventual discharge back home. Thank you Andrew for keeping us well informed about my uncle's progress throughout his stay at the facility! I highly recommend this facility to anyone who may need short term nursing and rehabilitation care.
Read full reviewJul 30, 2025
- Google5/5
We've been really happy with The Avenues so far. The place is clean (like actually clean) and doesn't have that typical nursing home smell. Everyone - from the nurses and CNAs to housekeeping - has been kind, attentive and just overall good people. It's comforting knowing our loved one is in a place that feels cared for, not just managed. Thank you, Avenues family for all you do!
Read full reviewJun 30, 2025
- Google5/5
One of the case managers at the hospital where my grandfather was admitted recommended The Avenues, and I couldn’t agree more! From the moment we walked in, the front desk staff was incredibly welcoming, which made a great first impression. All the staff members were so friendly, and it was obvious they genuinely enjoyed working there, which created a positive and uplifting atmosphere. The care my grandfather received was outstanding. The CNAs and nurses were always prompt, attentive, and compassionate, ensuring he was comfortable and well cared for at all times. I also appreciated the variety of social activities they offered to keep residents engaged and entertained during their stay. It was great to see how they encouraged family involvement, making us feel like an important part of his recovery process. The Avenues goes above and beyond to provide excellent care and a supportive environment. If you’re looking for a top-notch place for geriatric rehab, I highly recommend The Avenues. It truly is the place to be!
Read full reviewNov 29, 2024
- Caring.com4/5
My mom had been to The Avenues for rehab. My mom enjoyed the services for that particular mode. The staff was qualified and helpful and that's from what I observed as well as what my mother experienced. She appreciated them. They were competent and good. The appearance is adequate. My mom enjoyed the food. There's a higher percentage of the Asian population there and so there was an accommodation for that which was recognized, and she liked that. My mom participated in the activities, and she enjoyed it. What I observed was this session, which involved singing and group participation.
Read full reviewFamily member
Mar 29, 2024
- Google5/5
My experiences at the Avenues is great. The staff are so helpful, have so much fun with the Activity Staff, a lots of activities. They serve a good food and alternate menu is available so resident can order food that they enjoy eating. Great place to stay. I have been a resident here at The Avenues. I'm grateful to tell you about my experience on our new Kitchen Manager/Supervisor Ate Monaliza D. She's a kind and very friendly. Every morning she will greet Good morning to the Residents and staff. Ask does the residents enjoy and how the food is. She makes the residents happy and smile. Brighten the day. Very happy to have her as a TA Staff team. Thank you Miss Mona keep up the good job. Ms. Dalielah J. She's spontaneous, friendly. When you need a friend to talk too I strongly recommend to talk to her. Lovable and warm hearted. I'm proud to have her on TA Staff team. Thank you Dalielah keep up the hard work.
Read full reviewJun 22, 2023
- Caring.com4/5
This facility is under Kindred Healthcare, it's a nursing and rehabilitation cneter. They have their own therapists, doctors and nurses here who are competent so if something happen to your loved ones they are in good hands.
Read full reviewVisitor
Oct 3, 2011