Franklin County Transitional Care
44 North 1st East, Preston, ID 83263 · Franklin County · (208) 852-4130
35 certified beds, about 32 residents a day · Government - County · Medicare and Medicaid since 1975
CMS abuse icon: cited for abuse in a recent inspection Inside a hospital Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
1 of 5
Staffing
5 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 135059 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 24, 2026, inspectors cited 15 health deficiencies (the Idaho average is 10.3, the national average 9.2).
Of 26 health citations since May 2024, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $23,001 in the last three years; the largest was $23,001, and the latest is dated July 24, 2026.
Nurses and nurse aides worked 5.01 hours per resident per day, against 4.04 across Idaho and 3.86 nationally. Registered nurses accounted for 1.20 of those hours.
27.1% of nursing staff left within the year CMS measured (Idaho average 50.3%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
305/24
805/25
1507/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 26 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
18D
4E
3F
Potential for minimal harm
0A
0B
0C
July 24, 2026Standard inspection, Complaint inspection · 15 citations
- G Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on record review, policy review, and staff interviews, it was determined the facility failed to ensure residents remained free from abuse and neglect. This was true for 3 of 6 residents (#2, #14, and #28) reviewed for abuse prevention practices. The facility's failure to prevent, identify, and respond to abuse and neglect created harm for Resident #2 and #14 when staff failed to respond in a timely manner to her complaint of pain, and when they forcibly removed a washcloth from Resident #2; and when Resident #28 experienced psychosocial harm, fear, and decreased self esteem.
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, Food Drug Administration (FDA) Food Code, and staff interview, it was determined the facility failed to ensure kitchen equipment was cleaned and sanitized. This deficient practice had the potential to affect the 33 residents who consumed food prepared by the facility. This placed residents at risk for potential foodborne illnesses and adverse health outcomes.
- F Implement a program that monitors antibiotic use.
Inspectors wroteBased on policy review, record review, and staff interview, it was determined the facility failed to implement its antibiotic stewardship program as required. This was true for all residents residing in the facility. This failure created the potential for adverse events, including inappropriate antibiotic use and development of multi drug resistant organisms.
- E Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on record review, policy review, and staff interview, it was determined the facility failed to ensure residents medical records were complete, accurately documented, readily accessible, and systemically organized. This was true for 4 of 6 residents (#2, #3, #4, and #14) reviewed for RNA services. This deficient practice created the potential for harm if resident's records did not show physician ordered services were being completed related to resident's rehabilitation programs.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review, policy review, and staff interview, it was determined the facility failed to ensure Enhanced Barrier Precautions (EBP) were implemented and maintained for 7 of 32 residents who resided in the facility. This failure created the potential for cross contamination, increased risk of infection, and adverse events.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, policy review, staff interview, and record review, the facility failed to ensure care was provided in a manner that supported and promoted dignity and respect. This was true for 1 of 1 resident (Resident #17) observed during a restorative nursing activity. This failure created the potential for embarrassment, social discomfort, and reduced willingness to participate in the restorative nursing program.
- D Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspectors wroteBased on record review, and staff interview, it was determined the facility failed to prevent harm without adequately monitoring the side effects of psychotropic drug medications. This was true for 5 of 5 residents (#4, #6, #9, #19, and #29) whose medication side effect monitoring were reviewed. This deficient practice created the potential for harm for Resident #4 when her psychotropic medication was not monitored and when Residents #6, #9, #19, and #29 were not monitored for signs and symptoms related to psychotropic medication use.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on record review, policy review, and staff interviews, the facility failed to ensure allegations of abuse and neglect were reported to the State Agency (SA) as required. This was true for 3 of 6 residents (Resident #2, #14, and #28) reviewed for allegations of abuse and neglect. The failure to report allegations in accordance with federal timeframes created the potential for unaddressed harm and lack of external oversight.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on observation, policy review, record review, and staff interview, it was determined the facility failed to provide an accurate and thorough report to the Long-Term Care Reporting Portal. This was true for 3 of 6 residents (#2, #14, and #28) reviewed for abuse and neglect. This deficient practice created the potential for psychosocial harm if reports of resident verbal abuse or neglect were not thoroughly investigated to ensure resident safety.
- D Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Inspectors wroteBased on policy review, record review, and staff interview, it was determined the facility failed to ensure residents were provided required written bed hold notification upon transfer out of the facility. This was true for 1 of 1 resident (Resident #8) whose record was reviewed for the discharge process. This failure created the potential for misunderstanding regarding the resident's right to return and the facility's obligation to maintain his bed during hospitalization or therapeutic leave.
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on record review, policy review, and staff interviews it was determined the facility failed to provide a Preadmission Screening and Resident Review (PASRR) level II to the designated state agency. This was true for 1 of 1 residents (Resident #3) whose record was reviewed for PASRR documentation. This deficient practice created the potential for harm if Resident #3's coordination of care was not completed between the facility and the designated state agency.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on policy review, record review, and staff interview, it was determined the facility failed to ensure bowel management was implemented according to the facility's bowel protocol and the resident's individualized plan of care. This was true for 2 of 12 residents (Resident #1 and #2) whose bowel records demonstrated repeated deviations from the required bowel protocol steps. Improper administration created the potential for unmanaged constipation, discomfort, bowel obstruction, and unnecessary use of PRN medications. [...]
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on record review, policy review, and staff interview, it was determined the facility failed to prevent accidents. This was true for 2 of 4 residents (Resident #5 and #28) whose records were reviewed for accident prevention. This deficient practice created a potential for harm when Resident #5 fell while wearing a pressure-relieving boot, and when Resident #28's room items were moved to new locations creating environmental hazards.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on record review and staff interview, it was determined the facility failed to monitor weight. This was true for 1 of 2 residents (Resident #19) whose record was reviewed for significant weight loss. This created the potential harm for Resident #19 when her 17.8 pound or 14.1% significant weight loss was not identified.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on record review, resident interview, and staff interview, it was determined the facility failed to ensure residents received insulin administration, at the physician ordered time. This was true for 1 of 1 resident (Resident #28) reviewed for medication administration. This deficient practice created the potential for harm if time sensitive medication was not offered as ordered by the physician.
May 29, 2025Standard inspection, Complaint inspection · 8 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, policy review, and review of the Idaho Food Code, the facility failed to appropriately store, distribute, and label foods. This deficient practice had the potential to affect all residents who received meals prepared in the facility's kitchen. This placed residents at risk for potential contamination and use of spoiled foods, and adverse health outcomes including food-borne illnesses.
- E 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.
Inspectors wroteBased on record review, policy review, document review, and staff interview, it was determined the facility failed to ensure residents and their representatives received assistance to exercise their right to formulate an Advance Directive. This was true for 6 of 25 Residents (#3, #5, #8, #9, #10, and #22) whose records were reviewed for advance directives. This deficient practice created the potential for harm or adverse outcomes if the residents' wishes were not followed or documented regarding their advance care planning.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on observation, interview, and record review, it was determined the facility failed to ensure the MDS assessment accurately reflected resident's status. This was true for 1 of 12 residents (Resident #21) whose MDS, care plan, and nursing assessments were reviewed. This deficient practice had the potential for negative outcomes if the resident was not assessed and cared for or monitored due to inaccurate assessments.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on record review, policy review and staff interview, it was determined the facility failed to ensure residents care plans were revised and updated. This was true for 2 of 12 residents (#1 and #19) whose care plans were reviewed. This created the potential for harm when residents' care plans were not revised to reflect care or fall prevention needs.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, State Operations Manual, and interviews, it was determined the facility failed to ensure safe water temperatures in resident rooms. This was true for 2 of 5 resident rooms (12 and 15) whose water temperatures were checked. This deficient practice placed residents at risk for harm when using room sink water.
- D 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.
Inspectors wroteBased on observation, record review and staff interview, it was determined the facility failed to ensure licensed nurses performed tasks which they had the knowledge, skills, and competencies. This was true for 4 of 15 licensed nurses. This had the potential for adverse effects to all residents who are assessed for oxygen therapy.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on record review and staff interview, it was determined the facility failed to ensure controlled medications were tracked and kept secure from potential theft and/or diversion. This was true for 1 of 2 medication carts reviewed. This failure created the potential for undetected misuse and/or diversion of controlled medications and had the potential to affect all residents who received controlled medication in the facility.
- D 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.
Inspectors wroteBased on observations, review of the State Operations Manual, and staff interviews it was determined the facility failed to ensure controlled medications were stored and kept secure, and biologicals were labeled when opened. This was true for the facility. These deficient practices created the potential for theft and/or diversion and use of expired biologicals.
May 17, 2024Standard inspection · 3 citations
- E Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on policy review and staff interview, the facility failed to ensure their abuse policy included screening and training of employees, and protection for residents during an investigation. This failure placed all residents in the facility at risk for abuse if staff did not recognize abuse, report it, or put protection measures in place for a residient after an allegation of abuse.
- D 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.
Inspectors wroteBased on record review and staff interview, it was determined the facility failed to ensure residents received gradual dose reductions (GDRs) of psychotropic medications or a stop date ordered for an as needed psychotropic medication unless clinically contraindicated. This was true for 3 of 5 residents (#8, #13, #18) reviewed for unnecessary medications. This failure created the potential for harm should residents receive medications that were unnecessary, ineffective, or used for excessive duration, or should residents experience adverse reactions from medications.
- D Implement a program that monitors antibiotic use.
Inspectors wroteBased on record review and staff interview, the facility failed to ensure an antibiotic stewardship program was implemented to prevent continued use of antibiotics without a rationale. This was true for 2 of 5 residents (#8 and #13) reviewed for unnecessary medications. This deficient practice created the risk for Resident #8 and #13 to develop resistance to antibiotics resulting in ineffective or difficult treatment for infections.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| July 24, 2026 | Fine | $23,001 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Idaho | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 5.01 | 4.04 | 3.86 |
| Registered nurses | 1.20 | 0.86 | 0.69 |
| All nursing staff on weekends | 4.50 | 3.49 | 3.42 |
| Nurse aides | 3.31 | ||
| Licensed practical nurses | 0.49 | ||
| Nursing staff turnover (share who left in a year) | 27.1% | 50.3% | 45.8% |
| Registered nurse turnover | 0.0% | 40.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.31 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 5.21 on weekdays and 4.50 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 6.28 in April to June 2025 to 5.01 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 5.01 | 1.20 | 5.21 | 4.50 | 0.0% | 0 of 90 | 32 |
| Oct to Dec 2025 | 5.40 | 1.17 | 5.68 | 4.67 | 0.0% | 0 of 92 | 30 |
| Jul to Sep 2025 | 5.88 | 1.28 | 6.21 | 5.02 | 0.0% | 0 of 92 | 28 |
| Apr to Jun 2025 | 6.28 | 1.33 | 6.67 | 5.29 | 0.0% | 0 of 91 | 26 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Idaho, Jan to Mar 2026 | 3.90 | 0.80 | 4.11 | 3.37 | 4.9% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Idaho | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 14.1 | 15.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.1 | 1.2 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.9 | 2.0 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.0 | 3.0 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 20.1 | 16.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.3 | 3.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 8.3 | 20.1 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.9 | 1.2 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.8 | 1.7 | 1.8 |
Owners and operators
Legal business name: FRANKLIN COUNTY MEDICAL CENTER.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| County of Franklin | Direct ownership interest | Organization | 01/01/2000 | |
| Dransfield, Darin | Indirect ownership interest | Individual | 01/01/2025 | |
| Jeffers, Avery | Indirect ownership interest | Individual | 05/24/2022 | |
| Dransfield, Darin | Operational/managerial control | Individual | 09/30/2001 | |
| Dransfield, Darin | Adp of the SNF | Individual | 09/30/2001 | |
| Jeffers, Avery | Adp of the SNF | Individual | 04/01/2026 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 5 problems in this area, most recently on July 24, 2026: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
- When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on July 24, 2026: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on July 24, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on July 24, 2026: "Ensure that residents are free from significant medication errors."
Other nursing homes nearby
- Oneida County Hospital & Long Term Care Facility Malad, 20.5 mi · 5 of 5 stars · 13 citations
- Maple Springs Senior Living North Logan, 22.6 mi · 3 of 5 stars · 22 citations
- Rocky Mountain Care - Logan Logan, 23.5 mi · 3 of 5 stars · 24 citations
- Logan Regional Hospital Transitional Care Unit Logan, 23.7 mi · 5 of 5 stars · 2 citations
- Sunshine Terrace Skilled Nursing Logan, 24.9 mi · 2 of 5 stars · 29 citations
Idaho contacts for a concern about a nursing home
These are the official offices in Idaho. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Idaho Department of Health and Welfare, Bureau of Facility Standards, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Idaho Long-Term Care Ombudsman Program, Idaho Commission on Aging, (877) 471-2777. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
Common questions
- What is Franklin County Transitional Care's Medicare star rating?
- CMS rates Franklin County Transitional Care 2 out of 5 stars overall, with 1 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Franklin County Transitional Care get at its last inspection?
- 15 health deficiencies at the standard inspection on July 24, 2026. The Idaho average is 10.3.
- Has Franklin County Transitional Care been fined?
- Yes. CMS lists 1 fine totaling $23,001 in the last three years.
- Does Franklin County Transitional Care accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Franklin County Transitional Care?
- CMS lists 6 owners and managers. Legal business name: FRANKLIN COUNTY MEDICAL CENTER.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.