250a N State St, Preston, ID 83263
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Affordable senior housingIndependent livingAge 62+ community
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Medicare-certifiedSkilled Nursing
Franklin County Transitional Care
Preston, IdahoMedicare inspection record
About Franklin County Transitional Care
Franklin County Transitional Care is a government - county nursing home in Preston, ID with 35 certified beds.
Community at a glance
Capacity
35 residents
Location
Preston, ID
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
44 North 1st East, Preston, Idaho 83263
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
- Medicare flags Franklin County Transitional Care for a citation related to abuse of residents in its recent inspections.
At its most recent standard inspection, on July 24, 2026, state inspectors cited 15 health deficiencies (the Idaho average is 10.3).
Nurses and nurse aides spend 5 hours 1 minute with each resident a day, above the Idaho average of 4 hours 2 minutes.
Medicare fined Franklin County Transitional Care once in the last three years, $23,001 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 5 hours 1 minuteAbove the Idaho average |
| Registered nurse time per resident, per day | 1 hour 12 minutesAbove the Idaho average |
| Nursing staff who left in the past year | 27%Below the Idaho average |
Inspections
26 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
July 24, 2026 · Standard inspection · 15 citations
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Residents were harmed, a few residents (level G)Freedom from Abuse, Neglect, and ExploitationFrom a complaintPlan to fix it acceptedImplement a program that monitors antibiotic use.
Risk of harm, no one hurt, widespread (level F)Infection ControlFrom a complaintPlan to fix it acceptedProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryFrom a complaintPlan to fix it acceptedProvide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlFrom a complaintPlan to fix it acceptedSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningPlan to fix it acceptedHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintPlan to fix it acceptedEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintPlan to fix it acceptedCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintPlan to fix it acceptedTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintPlan to fix it acceptedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintPlan to fix it acceptedEnsure that residents are free from significant medication errors.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintPlan to fix it acceptedRespond appropriately to all alleged violations.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintPlan to fix it acceptedProvide enough food/fluids to maintain a resident's health.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintPlan to fix it acceptedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintPlan to fix it acceptedPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintPlan to fix it accepted
May 29, 2025 · Standard inspection · 8 citations
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryFrom a complaintCorrected Jun 30, 2025Honor 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.
Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Jun 30, 2025Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesFrom a complaintCorrected Jun 30, 2025Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jun 30, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Jun 30, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jun 30, 2025Ensure each resident receives an accurate assessment.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jun 30, 2025Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Jun 30, 2025
May 17, 2024 · Standard inspection · 3 citations+
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationCorrected Jun 28, 2024Implement 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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jun 28, 2024Implement a program that monitors antibiotic use.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Jun 28, 2024
Fines and payment denials
1 fine totaling $23,001 in the last three years.
- July 24, 2026Fine: $23,001
About the home, per Medicare
- Ownership
- Government - County
- Legal business name
- Franklin County Medical Center
- Medicare-certified beds
- 35
- Average residents per day
- 32
- Accepts
- Medicare and Medicaid
- First certified
- October 1, 1975
- Inside a hospital
- Yes
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 135059
Location
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44 North 1st EastPreston, ID 83263
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Questions about Franklin County Transitional Care
How did Franklin County Transitional Care do on its last inspection?+
State inspectors visited on July 24, 2026 and cited 15 health deficiencies, 14 of them from complaint investigations. The Idaho average is 10.3.
How much nursing care does each resident get at Franklin County Transitional Care?+
Nurses and aides spend 5 hours 1 minute with each resident per day, including 1 hour 12 minutes from registered nurses. 27% of nursing staff left over the past year.
Has Franklin County Transitional Care been fined by Medicare?+
Yes. Medicare fined Franklin County Transitional Care once in the last three years, totaling $23,001.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.