THE AVENUES TRANSITIONAL CARE CENTER in SAN FRANCISCO, CA was fined $12,685 by CMS following 23 deficiency citations identified during federal surveys.

THE AVENUES TRANSITIONAL CARE CENTER (SAN FRANCISCO, CA) — $12,685 in CMS Fines

Outcome: THE AVENUES TRANSITIONAL CARE CENTER in SAN FRANCISCO, CA was fined $12,685 by CMS following 23 deficiency citations identified during federal surveys.

Deficiency areas cited:

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.


• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.


• Allow residents to self-administer drugs if determined clinically appropriate.


• Provide appropriate treatment and care according to orders, resident’s preferences and goals.


• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.


• Ensure each resident’s drug regimen must be free from unnecessary drugs.


• 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.


• 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.