Franklin County Transitional Care
44 North 1st East · Preston, ID · 83263 · 2088524130
35 certified beds Government - County Hospital-based
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 5 of 5 Inspections: 4 of 5 Staffing: 5 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 5.40 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.17 | 0.55–0.75 |
| Weekend hours / resident-day | 4.67 | ≈ weekday level |
| Nursing turnover / year | 32% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (17 in the current record)
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Potential for harm · E May 29, 2025 · found via complaint
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.
Corrected June 30, 2025 · Resident Rights
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Potential for harm · D May 29, 2025 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected June 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 29, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected June 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 29, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 30, 2025 · Quality of Life and Care
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Potential for harm · D May 29, 2025 · found via complaint
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.
Corrected June 30, 2025 · Nursing and Physician Services
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Potential for harm · D May 29, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected June 30, 2025 · Pharmacy Service
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Potential for harm · D May 29, 2025 · found via complaint
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.
Corrected June 30, 2025 · Pharmacy Service
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Potential for harm · F May 29, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 30, 2025 · Nutrition and Dietary
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Potential for harm · E May 17, 2024
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected June 28, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 17, 2024
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.
Corrected June 28, 2024 · Pharmacy Service
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Potential for harm · D May 17, 2024
Implement a program that monitors antibiotic use.
Corrected June 28, 2024 · Infection Control
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Potential for harm · D March 15, 2019
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 19, 2019 · Resident Assessment and Care Planning
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Potential for harm · D March 15, 2019
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 19, 2019 · Quality of Life and Care
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Potential for harm · D March 15, 2019
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 19, 2019 · Quality of Life and Care
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Potential for harm · D March 15, 2019
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected April 19, 2019 · Quality of Life and Care
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Potential for harm · D March 15, 2019
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.
Corrected April 19, 2019 · Pharmacy Service
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Potential for harm · D March 15, 2019
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.
Corrected April 19, 2019 · Environmental
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 135059 · certified since October 1, 1975. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.