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Nursing homeFAID #2840

Franklin County Transitional Care

44 NORTH 1ST EAST, PRESTON, ID, 83263
(208) 852-4130
35 licensed beds

CMS rates Franklin County Transitional Care 2 out of 5 overall. Federal inspectors issued 26 citations across 8 inspections in the last three years, with $14,951 in fines. Listing last updated 2026-11-06.

★★★★★2/5CMS Five-Star overall1/5 health inspections5/5 staffing5/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
35
CMS facility ID
135059
Care type
Nursing home
County
Franklin
Facility name
Franklin County Transitional Care
Street address
44 NORTH 1ST EAST
City / state / ZIP
Preston, ID 83263
Phone
(208) 852-4130

About this facility — Franklin County Transitional Care

Franklin County Transitional Care is a Medicare/Medicaid-certified skilled nursing facility in Preston, Idaho. It is licensed for 35 beds — well below the median for skilled nursing facilities in Idaho (70 beds).

It is one of 2 senior care facilities in Preston and 80 skilled nursing facilities across Idaho. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Franklin County Transitional Care 26 times across 8 inspections in the last three years, including 2 food-safety citations, and CMS has imposed $14,951 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Ownership type
Government - County

Registered owners & officers

County of Franklin
Direct owner — since 2000
Dransfield, Darin
Indirect owner · Operational control · Additional disclosable party — since 2001
Jeffers, Avery
Indirect owner · Additional disclosable party — since 2022

Regulatory standing

Licensed / certified since
1975-10-01
CMS overall rating
2 of 5 stars
Health deficiencies
15 at the last standard inspection
Federal fines
$14,951 total
Last standard inspection
2026-07-24
Nurse staffing
5.0 hours per resident per day

Services & coverage

Licensed beds
35
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.
2026-07-24Health inspectionComplaint-triggered15 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2026-08-28
F-0600
G · Actual harmFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2026-08-28
F-0605
D · No harm foundFrom a complaint
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2026-08-28
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2026-08-28
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2026-08-28
F-0627
D · No harm foundFrom a complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected 2026-08-28
F-0644
D · No harm foundFrom a complaint
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2026-08-28
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-08-28
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-08-28
F-0692
D · No harm foundFrom a complaint
Provide enough food/fluids to maintain a resident's health.
Corrected 2026-08-28
F-0760
D · No harm foundFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2026-08-28
F-0812
F · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-08-28
F-0842
E · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-08-28
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2026-08-28
F-0881
F · No harm foundFrom a complaint
Implement a program that monitors antibiotic use.
Corrected 2026-08-28
2025-05-29Health inspectionComplaint-triggered8 citations
F-0578
E · No harm foundFrom a 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 2025-06-30
F-0641
D · No harm foundFrom a complaint
Ensure each resident receives an accurate assessment.
Corrected 2025-06-30
F-0657
D · No harm foundFrom a 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 2025-06-30
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-06-30
F-0726
D · No harm foundFrom a 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 2025-06-30
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-06-30
F-0761
D · No harm foundFrom a 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 2025-06-30
F-0812
F · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-06-30
1 earlier / fire-safety inspection (3 citations)
2024-05-17Health inspection3 citations
F-0607
E · No harm found
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-06-28
F-0758
D · No harm found
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 2024-06-28
F-0881
D · No harm found
Implement a program that monitors antibiotic use.
Corrected 2024-06-28

Federal penalties

2026-07-24Fine$14,951
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 135059.

Quality of care & staffing

How it compares in Idaho.
Inspection citations, 3 years
26
More than 16% of nursing homes in the state
State median: 38
Federal fines, 3 years
$14,951
More than 79% of nursing homes in the state
State median: $0
Nurse staffing, hours per resident per day
5.0
Higher than 89% of nursing homes in the state
State median: 3.8
Nursing staff turnover, annual
26%
Among the lowest of nursing homes in the state
State median: 51%

Resident outcomes

On 15 federal quality measures, this facility does better than the Idaho average on 7 and worse on 3. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased12.6%15.4%13.5%Better than state
Lose too much weight5.7%5.1%5.1%Worse than state
With a catheter inserted and left in their bladder1.0%1.0%0.7%Near state average
With a urinary tract infection2.7%2.0%1.5%Worse than state
Have depressive symptoms1.9%15.7%13.5%Better than state
Were physically restrained0.0%0.0%0.1%Better than state
Experiencing one or more falls with major injury0.0%3.1%3.2%Better than state
Assessed and appropriately given the pneumococcal vaccine100.0%97.8%93.7%Near state average
Ability to walk independently worsened16.9%15.8%12.7%Near state average
Received an antianxiety or hypnotic medication29.5%16.4%19.5%Worse than state
Assessed and appropriately given the seasonal influenza vaccine100.0%96.2%95.3%Near state average
With pressure ulcers2.3%3.4%4.5%Better than state
With new or worsened bowel or bladder incontinence17.6%21.2%18.3%Better than state
Received an antipsychotic medication10.8%20.3%15.4%Better than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine95.6%91.8%82.3%Near state average
Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

  • F-0689 2 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0812 2 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  • F-0881 2 inspections. Implement a program that monitors antibiotic use.

Verify & compare

Where to check, and what's nearby.

Who to contact in Idaho

  • Licensing: Idaho Department of Health and Welfare, Residential Assisted Living Facilities Program (Licensing and Certification)
  • File a complaint: 208-364-1962 · Online
  • Long-Term Care Ombudsman: 877-471-2777. A free advocate for residents and families.
  • Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

  • Franklin County Medical Center, about 0.2 miles. CMS rating 3 of 5.
  • Nell J Redfield Memorial Hospital, about 21 miles.
  • Cache Valley Hospital, about 22 miles.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Inside your report

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Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

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The 26 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
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Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered