Franklin County, Idaho · Nursing home
Franklin County Transitional Care
2 of 5 overall from CMS
44 North 1st East, Preston, ID 83263
At a glance
- Overall rating 2 of 5 Below the state average of 3.2
- Nurse time per resident, per day 5.01 hours Above the state average of 4.04
- Nursing staff who left in a year 27.1% Below the state average of 50.3%
- Health citations, last 3 inspection cycles 26 1 at the harm level or above
- Fines in 3 years $23,001 1 fine
- Certified beds in use 90.9% of 35 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Franklin County Transitional Care is a 35-bed nursing home in Preston, Idaho (Franklin County). CMS rates it 2 of 5 stars overall as of Sep 2026. It reports 5.01 nurse staffing hours per resident per day, above the Idaho average of 4.04. CMS lists 1 fine totaling $23,001 in the past three years.
- Certified beds
- 35
- Residents per day (average)
- 31.8
- Certified since
- 1975 (51 yrs)
Government - County Participates in Medicare and MedicaidLocated in a hospitalCMS abuse citation icon: Yes
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
- Abuse citation icon. CMS assigns this icon when a home was cited for abuse where residents were found to be harmed, on its most recent standard inspection or on a complaint or infection-control inspection in the past 12 months, or was cited for abuse with potential harm in that period and again in the period before. Signs of abuse and how to report it
These labels are shown as CMS publishes them. They describe the inspection record, not what has changed since.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Franklin County Transitional Care
Chosen from this home's public data.
- CMS lists 1 fine totaling $23,001 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 15 health deficiencies in the latest inspection cycle (the standard inspection on Jul 24, 2026 plus complaint and infection-control inspections); the Idaho average is 10.3. Which have been corrected?Inspection results in CMS data
- Reported nurse staffing is 4.50 hours per resident on weekends against 5.01 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 2 of 5 Idaho average 3.2
- Health inspections 1 of 5 Idaho average 2.7
- Staffing 5 of 5 Idaho average 3.1
- Quality measures 5 of 5 Idaho average 4.1
The vertical line marks the Idaho average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 5.01 h Idaho average 4.04
- Nurse aides 3.31 h Idaho average 2.44
- Licensed practical nurses 0.49 h Idaho average 0.74
- Registered nurses 1.20 h Idaho average 0.86
- All staff, weekends 4.50 h Idaho average 3.49
How much nurse staffing is enough? All bars share one scale, 0 to 7 hours. The vertical line marks the Idaho average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover27.1%
- Idaho average50.3%
- Registered nurse turnover0.0%
- Idaho average40.9%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Idaho and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Idaho | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 14.1% | 15.6% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 6.0% | 5.2% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.1% | 1.2% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 2.9% | 2.0% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 3.0% | 15.1% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 1.0% | 3.0% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.0% | 97.3% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 20.1% | 16.1% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 29.0% | 16.3% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% | 96.2% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 6.3% | 3.2% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 19.9% | 22.1% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 8.3% | 20.1% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 0.87 | 1.17 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 0.82 | 1.66 | 1.78 |
Short-stay residents
| Measure | This home | Idaho | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.9% | 91.2% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | Too few residents or stays to report | 1.8% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Too few residents or stays to report | 86.5% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | Too few residents or stays to report | 17.7% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | Too few residents or stays to report | 12.3% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 26 health deficiencies in the three most recent inspection cycles. Of these, 1 involved actual harm; the rest were graded as no actual harm. 22 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Jul 24, 2026: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Jul 24, 2026 | 15 | 0 |
| May 29, 2025 | 8 | 0 |
| May 17, 2024 | 3 | 0 |
Idaho homes averaged 10.3 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (26)
-
GActual harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has plan of correction (Aug 28, 2026)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has plan of correction (Aug 28, 2026)
-
FPotential for more than minimal harm, widespread
Implement a program that monitors antibiotic use.
Complaint investigation · Infection Control · Deficient, Provider has plan of correction (Aug 28, 2026)
-
EPotential for more than minimal harm, pattern
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · Deficient, Provider has plan of correction (Aug 28, 2026)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Complaint investigation · Infection Control · Deficient, Provider has plan of correction (Aug 28, 2026)
Show 21 more
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Complaint investigation · Resident Rights · Deficient, Provider has plan of correction (Aug 28, 2026)
-
DPotential for more than minimal harm, isolated
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has plan of correction (Aug 28, 2026)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has plan of correction (Aug 28, 2026)
-
DPotential for more than minimal harm, isolated
Respond appropriately to all alleged violations.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has plan of correction (Aug 28, 2026)
-
DPotential for more than minimal harm, isolated
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Complaint investigation · Resident Rights · Deficient, Provider has plan of correction (Aug 28, 2026)
-
DPotential for more than minimal harm, isolated
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has plan of correction (Aug 28, 2026)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has plan of correction (Aug 28, 2026)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has plan of correction (Aug 28, 2026)
-
DPotential for more than minimal harm, isolated
Provide enough food/fluids to maintain a resident's health.
Complaint investigation · Quality of Life and Care · Deficient, Provider has plan of correction (Aug 28, 2026)
-
DPotential for more than minimal harm, isolated
Ensure that residents are free from significant medication errors.
Complaint investigation · Pharmacy Service · Deficient, Provider has plan of correction (Aug 28, 2026)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Jun 30, 2025)
-
EPotential for more than minimal harm, pattern
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.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jun 30, 2025)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives an accurate assessment.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 30, 2025)
-
DPotential for more than minimal harm, isolated
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 30, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jun 30, 2025)
-
DPotential for more than minimal harm, isolated
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.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Jun 30, 2025)
-
DPotential for more than minimal harm, isolated
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Jun 30, 2025)
-
DPotential for more than minimal harm, isolated
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.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Jun 30, 2025)
-
EPotential for more than minimal harm, pattern
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jun 28, 2024)
-
DPotential for more than minimal harm, isolated
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.
Pharmacy Service · Deficient, Provider has date of correction (Jun 28, 2024)
-
DPotential for more than minimal harm, isolated
Implement a program that monitors antibiotic use.
Infection Control · Deficient, Provider has date of correction (Jun 28, 2024)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Jul 24, 2026 | Fine | $23,001 |
Idaho homes averaged 0.5 fines and $13,374 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Idaho
- Size70 of 80 by certified beds
- Idaho average residents per day56.9
- ChainNone listed
- Resident or family councilResident
- Homes in Franklin County1
Common questions
What is the CMS star rating for Franklin County Transitional Care?
Franklin County Transitional Care has an overall rating of 2 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 5 and quality measures is 5.
How many beds does Franklin County Transitional Care have?
Franklin County Transitional Care has 35 certified beds. It averages 31.8 residents per day, about 90.9% of its certified beds.
How much nursing care do residents get at Franklin County Transitional Care?
The home reports 5.01 hours of nurse staffing per resident per day, including 1.20 hours from registered nurses. The Idaho average is 4.04 hours and 0.86 hours from registered nurses.
Has Franklin County Transitional Care been fined?
Yes. CMS lists 1 fine totaling $23,001 in the past three years.
Does Franklin County Transitional Care accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 5 of 5 Oneida County Hospital & Long Term Care Facility 33beds 61.5%in use 5.85nurse hours a day
- 3 of 5 Maple Springs Senior Living 98beds 37.8%in use 5.88nurse hours a day
- 3 of 5 Rocky Mountain Care - Logan 120beds 57.6%in use 3.36nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Franklin County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 135059. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.