Franklin County Transitional Care
44 North 1st East, Preston, ID 83263 · (208) 852-4130
Government - County · 35 certified beds
Abuse icon Medicare's Care Compare says: “This nursing home has been cited for abuse.” Medicare marks homes recently cited for harm or potential harm from abuse or neglect, and caps their health inspection rating at 2 stars.
Franklin County Transitional Care has a 2-star overall rating from Medicare, out of 5. Its last standard inspection, in July 2026, found 15 citations, 1 for actual harm or immediate jeopardy (the Idaho average is 10.3). It was fined 1 time in the last three years, $23,001 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 2 out of 5 stars · Below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 1 out of 5 stars · Much below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 5 out of 5 stars · Much above average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 5 out of 5 stars · Much above average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on July 24, 2026 found 15 citations. What an inspection citation means
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.July 24, 2026 · F0600 · Level of harm: Actual harm · Residents affected: Few
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.July 24, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Implement a program that monitors antibiotic use.July 24, 2026 · F0881 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.July 24, 2026 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide and implement an infection prevention and control program.July 24, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.July 24, 2026 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.July 24, 2026 · F0605 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.July 24, 2026 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.July 24, 2026 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.July 24, 2026 · F0627 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.July 24, 2026 · F0644 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.July 24, 2026 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.July 24, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide enough food/fluids to maintain a resident's health.July 24, 2026 · F0692 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that residents are free from significant medication errors.July 24, 2026 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 22 citations.
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.July 24, 2026 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.July 24, 2026 · F0600 · Level of harm: Actual harm · Residents affected: Few
- Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.July 24, 2026 · F0605 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.July 24, 2026 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.July 24, 2026 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.July 24, 2026 · F0627 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.July 24, 2026 · F0644 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.July 24, 2026 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.July 24, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide enough food/fluids to maintain a resident's health.July 24, 2026 · F0692 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that residents are free from significant medication errors.July 24, 2026 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.July 24, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Provide and implement an infection prevention and control program.July 24, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Implement a program that monitors antibiotic use.July 24, 2026 · F0881 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- 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.May 29, 2025 · F0578 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure each resident receives an accurate assessment.May 29, 2025 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.May 29, 2025 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.May 29, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.May 29, 2025 · F0726 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.May 29, 2025 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.May 29, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.May 29, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
Fines and payment denials
- Fine of $23,001July 24, 2026
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Idaho average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 5.01 | 4.04 | 3.86 |
| Registered nurses (RN) | 1.20 | 0.86 | 0.69 |
| Licensed practical nurses (LPN) | 0.49 | 0.74 | 0.86 |
| Nurse aides | 3.31 | 2.44 | 2.32 |
| Total nursing staff turnover | 27.1% | 50.3% | 45.8% |
About this home
| Ownership | Government - County |
| Certified beds | 35 |
| Average residents per day | 31.8 |
| Inside a hospital | Yes |
| Continuing care retirement community | No |
Nursing homes nearby
- Power County Skilled Nursing Facility American Falls · ★★★★★ 1 out of 5 stars
- Syringa Chalet Nursing Facility Blackfoot · ★★★★★ 5 out of 5 stars
- Bingham Memorial Skilled Nursing & Rehabilitation Blackfoot · ★★★★★ 4 out of 5 stars
- Oneida County Hospital & Long Term Care Facility Malad City · ★★★★★ 5 out of 5 stars
- Bear Lake Memorial Skilled Nursing Facility Montpelier · ★★★★★ 3 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Franklin County Transitional Care on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.