CCN 055963 · San Francisco County, California
The Avenues Transitional Care Center
2043 19th Avenue, San Francisco, CA 94116
The Avenues Transitional Care Center is a 140-bed for-profit nursing home in San Francisco, California, first certified for Medicare or Medicaid in 1974. CMS rates it 5 out of 5 stars overall in its September 2026 data, and it averaged 134.5 residents a day, about 96% of its certified beds. It has an active FHA-insured Section 232 loan: $23 million originally, at 4.44%, with $21.8 million outstanding as of September 30, 2026 and maturity in October 2057.
Facility facts
- Certified beds
- 140
- Average residents per day
- 134.5 (96.1% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare and Medicaid
- Legal business name
- Asjk LLC
- Certified since
- Mar 29, 1974
- Chain or affiliated group
- Aspen Skilled Healthcare (35 facilities, chain average 3.7 stars)
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | California median | US median |
|---|---|---|---|
| Overall rating | 5 of 5 | State spread: 186 at 1, 213 at 2, 244 at 3, 240 at 4, 270 at 5 | |
| Health inspections | 3 of 5 | ||
| Quality measures | 5 of 5 | ||
| Staffing | 5 of 5 | ||
| Total nurse hours per resident per day | 3.97 | 4.24 | 3.68 |
| RN hours per resident per day | 0.91 | 0.50 | 0.58 |
| Weekend nurse hours per resident per day | 3.73 | ||
| Nursing staff turnover | 38.0% | 36.4% | 44.9% |
| Occupancy (residents / beds) | 96.1% | 92.0% | 85.7% |
| Fines reported by CMS | 1 totaling $12,685 | ||
| Health deficiencies, latest standard survey | 11 (Mar 24, 2025) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). The Avenues Transitional Care Center meets that part today: 5 stars overall, 3 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Asjk LLCOrganization | Operational / Managerial Control | n/a | 12/20/2018 |
| Basa, EdilIndividual | Operational / Managerial Control | n/a | 05/30/2023 |
| Bradshaw, JeffreyIndividual | Operational / Managerial Control | n/a | 01/01/2023 |
| Case, RyanIndividual | Operational / Managerial Control | n/a | 01/01/2023 |
| Go, MariaIndividual | Operational / Managerial Control | n/a | 12/17/2021 |
| Jamali, MehranIndividual | Operational / Managerial Control | n/a | 12/01/2023 |
| Orgill, CraigIndividual | Operational / Managerial Control | n/a | 01/01/2019 |
| Rawe, ColtonIndividual | Operational / Managerial Control | n/a | 01/01/2023 |
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Sep 1, 2017 | Asjk LLC | Hillhaven - Msc Partnership |
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Sep 29, 2022 | 223(f) refinance or purchaseHUD project name: The Avenues Transitional Care Center, 140 beds. Lender at endorsement: White Oak Healthcare Finance LLC | $22,960,000 | Active: 4.44%, $21,789,055 balanceMatures Oct 1, 2057. Servicer: Merchants Capital Corp. | 12122253 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.