nursing home in Preston, ID
Franklin County Transitional Care
44 North 1st East, Preston, ID 83263 · (208) 852-4130
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★5
- Quality measures★★★★★5
- Abuse citation
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Franklin County Transitional Care at a glance
Franklin County Transitional Care is a 35-bed government nursing home in Preston, Idaho (Franklin County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Idaho average of 3.2.
Residents receive about 5 hours of nursing care per day (1.2 of them from registered nurses), better than the state average of 4 hours.
Its most recent standard health inspection (July 24, 2026) found 15 health citations. The Idaho average is 10.3.
Federal regulators fined it 1 time in the past three years, totaling $23,001.
Nursing staff turnover is 27.1% per year (state average 50.3%).
Facility details
- Type
- Nursing home
- Ownership
- Government - County
- Beds
- 35
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- October 1, 1975
- Resident/family council
- Resident
- County
- Franklin County
- CMS Certification Number
- 135059
Ratings
| Measure | This facility | Idaho avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 3.2 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.7 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 5 / 5 | 3.1 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 4.1 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 4 / 5 | 3.8 / 5 | Better |
Staffing
| Measure | This facility | Idaho avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 5.01 hrs | 4.04 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 1.20 hrs | 0.86 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 3.31 hrs | 2.44 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 4.50 hrs | 3.49 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 27.1% | 50.3% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 0% | 41% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | Idaho avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 15 | 10 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 14 | 6 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 93 | 63.1 | 80.6 | Worse |
Penalties
| Measure | This facility | Idaho avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $23,001 | $13,374 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | Idaho avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 35 | 76 | 107 | |
| Average residents per day | 32 | 57 | 86 | |
| Occupancy | 90.9% | 76.3% | 80.9% |
Long-stay residents
| Measure | This facility | Idaho avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 1% | 3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 6.3% | 3.2% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 8.3% | 20.1% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 2.9% | 2% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 1.1% | 1.2% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 14.1% | 15.6% | 13.9% | Average |
| Long-stay residents whose walking worsened (lower is better) | 20.1% | 16.1% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 6% | 5.2% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 3% | 15.1% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 29% | 16.3% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 19.9% | 22.1% | 19% | Average |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 96.2% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99% | 97.3% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Idaho avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents given a pneumonia vaccine (higher is better) | 95.9% | 91.2% | 82% | Better |
Inspection citations
State inspectors cited this home for 26 health deficiencies and 0 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 24, 2026 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | G Actual harm, isolated | Corrected August 28, 2026 |
| July 24, 2026 Complaint | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Tag F0881 | F Potential harm, widespread | Corrected August 28, 2026 |
| July 24, 2026 Complaint | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected August 28, 2026 |
| July 24, 2026 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected August 28, 2026 |
| July 24, 2026 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | E Potential harm, pattern | Corrected August 28, 2026 |
| July 24, 2026 Complaint | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 | D Potential harm, isolated | Corrected August 28, 2026 |
| July 24, 2026 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected August 28, 2026 |
| July 24, 2026 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected August 28, 2026 |
| July 24, 2026 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected August 28, 2026 |
| July 24, 2026 Complaint | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights Deficiencies · Tag F0627 | D Potential harm, isolated | Corrected August 28, 2026 |
| July 24, 2026 Complaint | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected August 28, 2026 |
| July 24, 2026 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected August 28, 2026 |
| July 24, 2026 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected August 28, 2026 |
| July 24, 2026 Complaint | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected August 28, 2026 |
| July 24, 2026 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected August 28, 2026 |
| May 29, 2025 Complaint | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected June 30, 2025 |
| May 29, 2025 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. Resident Rights Deficiencies · Tag F0578 | E Potential harm, pattern | Corrected June 30, 2025 |
| May 29, 2025 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. Nursing and Physician Services Deficiencies · Tag F0726 | D Potential harm, isolated | Corrected June 30, 2025 |
| May 29, 2025 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected June 30, 2025 |
| May 29, 2025 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected June 30, 2025 |
| May 29, 2025 Complaint | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected June 30, 2025 |
| May 29, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected June 30, 2025 |
| May 29, 2025 Complaint | 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 · Tag F0657 | D Potential harm, isolated | Corrected June 30, 2025 |
| May 17, 2024 Standard | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | E Potential harm, pattern | Corrected June 28, 2024 |
| May 17, 2024 Standard | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Tag F0881 | D Potential harm, isolated | Corrected June 28, 2024 |
| May 17, 2024 Standard | 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 · Tag F0758 | D Potential harm, isolated | Corrected June 28, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $23,001 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| July 24, 2026 | Fine | $23,001 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| DRANSFIELD, DARIN Individual | adp of the snf | NOT APPLICABLE | 09/30/2001 |
| JEFFERS, AVERY Individual | adp of the snf | NOT APPLICABLE | 04/01/2026 |
| COUNTY OF FRANKLIN Organization | direct ownership interest | NOT APPLICABLE | 01/01/2000 |
| DRANSFIELD, DARIN Individual | indirect ownership interest | NOT APPLICABLE | 01/01/2025 |
| JEFFERS, AVERY Individual | indirect ownership interest | NOT APPLICABLE | 05/24/2022 |
| DRANSFIELD, DARIN Individual | operational/managerial control | NOT APPLICABLE | 09/30/2001 |
Other nursing homes near Franklin County Transitional Care
Oneida County Hospital & Long Term Care Facility
150 North 200 West, Malad, ID 83252 · 20.5 mi
Government · 33 beds
- CMS high performer
★★★★★5Much above averageMaple Springs Senior Living
350 East 2200 North, North Logan, UT 84341 · 22.6 mi
For-profit · 98 beds · Part of Maple Springs Living
★★★★★3AverageRocky Mountain Care - Logan
1480 North 400 East, Logan, UT 84341 · 23.5 mi
For-profit · 120 beds · Part of Rocky Mountain Care
★★★★★3AverageLogan Regional Hospital Transitional Care Unit
1400 North 500 East, Logan, UT 84341 · 23.7 mi
Non-profit · 11 beds
★★★★★5Much above average- ★★★★★2Below average
Bear Lake Memorial Skilled Nursing Facility
164 South Fifth Street, Montpelier, ID 83254 · 32.9 mi
Government · 36 beds
★★★★★3Average
Frequently asked questions
What is Franklin County Transitional Care's rating?
Franklin County Transitional Care has 2 out of 5 stars on the CMS overall star rating. The average for Idaho nursing homes is 3.2 stars.
How many inspection citations did Franklin County Transitional Care receive?
Its most recent standard health inspection found 15 citations, compared with a Idaho average of 10.3. Every citation is listed on this page with its severity.
Does Franklin County Transitional Care accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Franklin County Transitional Care?
It is government - county. The ownership section on this page lists the owners and managers reported to CMS.
Where is Franklin County Transitional Care and how do I contact it?
Franklin County Transitional Care is at 44 North 1st East, Preston, ID 83263. Phone: (208) 852-4130.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.