Idaho › Franklin County › Preston
Franklin County Transitional Care
44 North 1st East, Preston, ID 83263
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 35 beds, Franklin County Transitional Care serves Preston in Franklin County, Idaho and has taken Medicare and Medicaid residents since 1975.
CMS gives it 5 of 5 stars overall, above the Idaho median of 3; the health inspection rating is 4, staffing 5 and quality measures 5.
Inspectors recorded 17 health deficiencies across the three most recent survey cycles (8, 3, 6 by cycle, most recent first), none at the actual-harm level. That is 48.6 per 100 beds, more than the state median of 34.8.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 5.0 hours per resident per day (1.2 RN), above the Idaho median of 3.8; nursing staff turnover is 27.1%.
Compared with county, state and nation
| Measure | This facility | Franklin Co. median | Idaho median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 5 | 3 | 3.0 |
| Health citations, 3 cycles | 17 | 17 | 26 | 28.7 |
| Citations per 100 beds | 48.6 | 48.6 | 34.8 | 26.8 |
| Total nurse hours per resident day | 5.0 | 5.0 | 3.8 | 3.9 |
| RN hours per resident day | 1.2 | 1.2 | 0.8 | 0.7 |
| Nursing staff turnover | 27.1% | 27.1% | 50.0% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (1 in the county, 80 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Idaho average per facility for the same cycle, as published by CMS. Standard health survey dates: 29 May 2025, 17 May 2024.
Severity mix: D ×14 E ×2 F ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 29 May 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 30 Jun 2025 |
| 29 May 2025 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | E | Complaint investigation | 30 Jun 2025 |
| 29 May 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 30 Jun 2025 |
| 29 May 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 30 Jun 2025 |
| 29 May 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 30 Jun 2025 |
| 29 May 2025 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Complaint investigation | 30 Jun 2025 |
| 29 May 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 30 Jun 2025 |
| 29 May 2025 | F0761 | 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. | D | Complaint investigation | 30 Jun 2025 |
| 17 May 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 28 Jun 2024 |
| 17 May 2024 | F0758 | 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. | D | Standard survey | 28 Jun 2024 |
| 17 May 2024 | F0881 | Implement a program that monitors antibiotic use. | D | Standard survey | 28 Jun 2024 |
| 15 Mar 2019 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 19 Apr 2019 |
| 15 Mar 2019 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 19 Apr 2019 |
| 15 Mar 2019 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 19 Apr 2019 |
| 15 Mar 2019 | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Standard survey | 19 Apr 2019 |
| 15 Mar 2019 | F0758 | 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. | D | Standard survey | 19 Apr 2019 |
| 15 Mar 2019 | F0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | D | Standard survey | 19 Apr 2019 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Idaho average. Turnover: nursing staff 27.1%, RNs 0.0%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Idaho median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 14.1% | 15.5% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.1% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.9% | 1.4% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.0% | 2.3% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 20.1% | 16.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.3% | 3.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 8.3% | 16.9% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: government, county. Legal business name: Franklin County Medical Center.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| County of Franklin | Direct ownership interest | NOT APPLICABLE | 01/01/2000 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Questions and answers
How many deficiencies has Franklin County Transitional Care been cited for?
17 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Idaho median is 26 per facility.
Has Franklin County Transitional Care been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Franklin County Transitional Care compare?
Reported total nurse staffing is 5.0 hours per resident per day against a Idaho median of 3.8 and a national average of 3.9.
Who operates Franklin County Transitional Care?
Ownership type is government, county. Organisations in the CMS ownership record include County of Franklin. Individual owners and managers are not listed on this site.
When was Franklin County Transitional Care last inspected?
The most recent survey or investigation in the CMS record is dated 29 May 2025; the most recent standard health survey was 29 May 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.