Quick answers
- Where is Franklin County Transitional Care?
- 44 North 1st East, Preston, ID 83263, in Franklin County, Idaho.
- What is the phone number of Franklin County Transitional Care?
- (208) 852-4130, as listed by Medicare (CMS).
- What is the Medicare star rating of Franklin County Transitional Care?
- Medicare overall rating: 2 out of 5 stars (CMS data updated 2026-10-01).
- Has Franklin County Transitional Care been fined?
- Medicare lists 1 fine totaling $14,951.
- What did inspectors find at Franklin County Transitional Care?
- In its last three inspection cycles (May 17, 2024 to July 24, 2026), Medicare lists 26 health citations; the most serious was level G. 1 was level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (May 17, 2024 to July 24, 2026), Franklin County Transitional Care had 26 health citations; the most serious was level G (actual harm to residents). 1 of them was level G or higher (actual harm or immediate jeopardy). It was fined $14,951 in total (1 fine, the latest on July 24, 2026). Nurse staffing is 4.99 hours per resident per day; the Idaho average is 3.99 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: July 24, 2026 — 15 health citations
Inspections in this cycle: July 24, 2026 (complaint investigation); July 24, 2026 (standard health inspection).
F0600 Level G
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
actual harm to residents; isolated (a few residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Show 14 less serious citations (levels A to F)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0881 Level F
“Implement a program that monitors antibiotic use.”
F0842 Level E
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0605 Level D
“Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0610 Level D
“Respond appropriately to all alleged violations.”
F0627 Level D
“Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.”
F0644 Level D
“Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0692 Level D
“Provide enough food/fluids to maintain a resident's health.”
F0760 Level D
“Ensure that residents are free from significant medication errors.”
Previous cycle: May 29, 2025 — 8 health citations
Inspections in this cycle: May 29, 2025 (complaint investigation); May 29, 2025 (standard health inspection).
Show 8 citations (levels A to F, no actual harm)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0578 Level E
“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.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0657 Level D
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0726 Level D
“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.”
F0755 Level D
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0761 Level D
“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.”
Earlier cycle: May 17, 2024 — 3 health citations
Inspections in this cycle: May 17, 2024 (standard health inspection).
Show 3 citations (levels A to F, no actual harm)
F0607 Level E
“Develop and implement policies and procedures to prevent abuse, neglect, and theft.”
F0758 Level D
“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.”
F0881 Level D
“Implement a program that monitors antibiotic use.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fines and payment denials
Total fines over about the last three years: $14,951 (1 fine). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| July 24, 2026 | Fine | $14,951 |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Idaho | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 1.11 | 0.84 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.54 | 0.73 | 0.86 |
| Nurse aide hours per resident per day | 3.34 | 2.41 | 2.35 |
| Total nurse staff hours per resident per day | 4.99 | 3.99 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 4.42 | 3.39 | 3.43 |
| RN hours per resident per day on the weekend | 0.84 | 0.56 | 0.48 |
| Nursing staff turnover (per year) | 26.2% | 49.5% | 45.3% |
| RN turnover (per year) | 0.0% | 40.7% | 42.5% |
| Administrators who left in the last year | 0.0 | 0.3 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Legal business name: Franklin County Medical Center.
Owners and managers Medicare lists (3)
| Name | Role | Share | Since |
|---|---|---|---|
| County of Franklin | Direct owner | NOT APPLICABLE | January 1, 2000 |
| Dransfield, Darin | Indirect owner | NOT APPLICABLE | January 1, 2025 |
| Jeffers, Avery | Indirect owner | NOT APPLICABLE | May 24, 2022 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 35 |
| Average residents per day | 32.7 |
| Takes part in | Medicare and Medicaid |
| Ownership | Government – county |
| Legal business name | Franklin County Medical Center |
| First approved by Medicare/Medicaid | 1975-10-01 |
| Located inside a hospital | Yes |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 44 North 1st East, Preston, ID 83263 |
| County | Franklin County |
| State | Idaho |
| Phone | (208) 852‑4130 |
| CMS Certification Number | 135059 |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Oneida County Hospital & Long Term Care Facility20 mi · Malad, ID · 5 of 5 stars
- Maple Springs Senior Living23 mi · North Logan, UT · 3 of 5 stars
- Rocky Mountain Care - Logan24 mi · Logan, UT · 3 of 5 stars
- Logan Regional Hospital Transitional Care Unit24 mi · Logan, UT · 5 of 5 stars
- Sunshine Terrace Skilled Nursing25 mi · Logan, UT · 2 of 5 stars
Nearest hospital emergency rooms
- Franklin County Medical Center0.2 mi · Preston, ID · Critical Access Hospital
- Nell J Redfield Memorial Hospital21 mi · Malad City, ID · Critical Access Hospital
- Cache Valley Hospital22 mi · North Logan, UT · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13