Nursing home
Franklin County Transitional Care
44 North 1St East, Preston, ID 83263 · Map
Government - County · 35 certified beds
Franklin County Transitional Care is a Medicare-certified nursing home in Preston, Idaho. CMS rates it 4 out of 5 stars overall (1/5 for staffing, 4/5 for health inspections). Its most recent inspection on May 29, 2025 cited 8 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Franklin County Transitional Care compares
This facility vs. the Idaho and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Idaho avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | — | 4.07 | 3.89 | — |
| RN staffing (hrs/resident/day) | — | 0.83 | 0.68 | — |
| Aide staffing (hrs/resident/day) | — | 2.47 | 2.34 | — |
| Nursing staff turnover | 29.8% | 49.0% | 46.4% | below avg |
| Deficiencies cited, last inspection | 8.0 | 8.8 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at Franklin County Transitional Care
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · May 29, 2025 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · May 29, 2025 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · May 29, 2025 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · May 29, 2025 · Full report (PDF) - Potential for harm
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.
Nursing and Physician Services Deficiencies · May 29, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · May 29, 2025 · Full report (PDF) - Potential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · May 29, 2025 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · May 29, 2025 · Full report (PDF) - Potential for harm
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · May 17, 2024 · Full report (PDF) - Potential for harm
Implement a program that monitors antibiotic use.
Infection Control Deficiencies · May 17, 2024 · Full report (PDF) - Potential for harm
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 Deficiencies · May 17, 2024 · Full report (PDF) - Potential for harm
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.
Environmental Deficiencies · Mar 15, 2019
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 44 North 1St East
Preston, ID 83263 - CMS certification #
- 135059
- Ownership
- Government - County
- Certified beds
- 35
- Avg residents/day
- 27.8
- Provider type
- Medicare and Medicaid
- First certified
- 1975-10-01
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Franklin County Transitional Care using Google Maps.
Other public records
- Programs Medicare-certified hospice at this address
Full public records, with dates and sources
Care and services
Medicare agencies at this address
- Medicare-certified hospice at this address. Medicare-certified hospice FRANKLIN COUNTY MEDICAL CENTER HOSPICE (Medicare CCN 131519) lists this same street address. Ownership type: Government. Medicare certified since 11/02/1994. (CMS Hospice - General Information, as of Aug 19, 2026)
A shared street address is a fact about location. CMS does not say whether the agency is run by the community.
Location and nearby care
- Nearest hospital with an emergency room
- Franklin County Medical Center, Preston. 0.2 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Oneida County Hospital & Long Term Care Facility, Malad. 20.5 miles away, straight line.
- Nearest home health agency office
- Franklin County Medical Center Home Care, Preston. 0.4 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Preston Drug. 0.2 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 83263 as metropolitan (metropolitan low commuting).
- Hospice
- 8 Medicare hospices tell CMS they serve ZIP code 83263.
Franklin County Medical Center Hospice, office in Preston, 0.2 miles away, straight line
Intermountain Homecare Hospice Of Logan, office in Logan, 23.6 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Praveen Walaliyadda, MD, Pocatello. 60.8 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- FEMA has a flood map for this community (effective September 24, 1984), but it is not in FEMA's digital flood map data, so the zone at this address could not be read. FEMA's Map Service Center has the map. (FEMA flood map)
- Wildfire risk to homes
- In Preston, ID, risk to homes is greater than 26% of communities in Idaho and 61% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: inland flooding relatively high, wildfire relatively high, tornado very low, heat wave relatively moderate, earthquake relatively moderate. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | See above |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
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Frequently asked questions
Is Franklin County Transitional Care a good nursing home?
CMS gives Franklin County Transitional Care an overall rating of 4 out of 5 stars, including 1/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
Has Franklin County Transitional Care had inspection problems?
Its most recent CMS inspection cited 8 deficiencies.
How many beds does Franklin County Transitional Care have?
Franklin County Transitional Care is certified for 35 beds.