Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

THE AVENUES TRANSITIONAL CARE CENTER

SAN FRANCISCO, CA · 140 certified beds · Last Life Safety survey March 24, 2025

CMS Certification Number 055963 · first certified March 1974

Ownership

Operated by ASPEN SKILLED HEALTHCARE · For profit - Limited Liability company

  • Ownership changed September 1, 2017 (change of ownership)to THE AVENUES TRANSITITIONAL CARE CENTER from HILLHAVEN - MSC PARTNERSHIP
25
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
7
Tags cited more than once
Across separate surveys
12
Inspection & testing records
Of the citations on file

Position within CA

25 citations — more than 71% of the 1,165 certified nursing homes in CA. Compared within CA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 10 citations; the earlier surveys in the window averaged 7.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Past the typical window (March 2026 to September 2026). Most CA facilities have been surveyed by August 2027. This facility’s last Life Safety survey was March 2025. Facilities in CA are typically surveyed 12–18 months after the last one (median 14), measured over 1,766 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

3 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

3 of the 25 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 25 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in CA, and nationally. Surveyors differ markedly between states, so the CA figure is the meaningful one.

This facility25CA median19National median11
Citations on file over three years, compared
MeasureCitations
This facility25
Median facility in CA19
Median facility nationally11

Survey history

Citations at each Life Safety survey
42021-04112024-01102025-03
Citations at each Life Safety survey
Survey dateCitations
April 9, 20214
January 26, 202411
March 24, 202510

Most-cited tags

Most-cited tags at this facility
K-03633K-03533K-09192K-07112K-01612K-09182K-02112E-00311
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0363Install corridor and hallway doors that block smoke.32025-03-24
K-0353Inspect, test, and maintain automatic sprinkler systems.32025-03-24
K-0919Meet requirements for the use of electrical equipment.22025-03-24
K-0711Provide a written emergency evacuation plan.22025-03-24
K-0161Use approved construction type or materials.22025-03-24
K-0918Have generator or other power source capable of supplying service within 10 seconds.22024-01-26
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.22025-03-24
E-0031Provide emergency officials' contact information.12024-01-26

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 9
  • Gas, Vacuum, and Electrical Systems Deficiencies 5
  • Miscellaneous Deficiencies 3
  • Emergency Preparedness Deficiencies 3
  • Other 5
Citations by CMS category
CategoryCitations
Smoke Deficiencies9
Gas, Vacuum, and Electrical Systems Deficiencies5
Miscellaneous Deficiencies3
Emergency Preparedness Deficiencies3
Egress Deficiencies3
Construction Deficiencies2

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

March 24, 2025 — 10 citations

Citations issued on March 24, 2025
TagWhat the surveyor checksStatus
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (April 7, 2025)
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (April 7, 2025)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (April 7, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 7, 2025)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (April 7, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (April 7, 2025)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (April 7, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (April 7, 2025)
K-0919Meet requirements for the use of electrical equipment.Deficient, Provider has date of correction (April 7, 2025)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (April 7, 2025)

January 26, 2024 — 11 citations

Citations issued on January 26, 2024
TagWhat the surveyor checksStatus
E-0031Provide emergency officials' contact information.Deficient, Provider has date of correction (February 29, 2024)
E-0035Provide family notifications of emergency plan.Deficient, Provider has date of correction (February 29, 2024)
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (February 29, 2024)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (February 29, 2024)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (February 29, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (February 29, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (February 29, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (February 29, 2024)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (February 29, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (February 29, 2024)
K-0919Meet requirements for the use of electrical equipment.Deficient, Provider has date of correction (February 29, 2024)

April 9, 2021 — 4 citations

Citations issued on April 9, 2021
TagWhat the surveyor checksStatus
K-0225Have stairways and smokeproof enclosures used as exits that meet safety requirements.Deficient, Provider has date of correction (April 27, 2021)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 27, 2021)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (April 27, 2021)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (April 27, 2021)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.