Franklin County Transitional Care

Nursing Home · Preston, ID

CMS overall rating 5/5 Government - County

CMS certification number135059

Contact & location

44 North 1st East
Preston, ID 83263
Franklin County
Phone
(208) 852-4130
ZIP code
83263 – all care providers

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Facility details

Certified beds
35
Residents per day
31.8 (91% occupied)
Ownership
Government - County
Legal name
Franklin County Medical Center
Medicare certified since
October 1, 1975
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 5/5
State avg 3.1
Health inspections★★★★★ 4/5
State avg 2.7
Staffing★★★★★ 5/5
State avg 3.1
Quality measures★★★★★ 5/5
State avg 4.1
Long-stay quality★★★★★ 5/5
Short-stay qualityNot rated

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
5.01 (state 4.04 · U.S. 3.86)
Registered nurses (RN)
1.20 (state 0.86 · U.S. 0.69)
Licensed practical nurses
0.49 (state 0.74 · U.S. 0.86)
Nurse aides
3.31 (state 2.44 · U.S. 2.32)
Weekend total
4.50 (state 3.49 · U.S. 3.42)
Nursing staff turnover
27.1 (state 50.3 · U.S. 45.8)%
RN turnover
0.0 (state 40.9 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
May 29, 2025
Health deficiencies (last cycle)
8.0 (state 10.2 · U.S. 9.3)
From complaints
8
Citations on record (3 years)
17 health · 0 fire safety
DateCitationSeverityStatus
2025-05-29 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
Corrected 2025-06-30
2025-05-29 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.
F0578 · Resident Rights Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-06-30
2025-05-29 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-30
2025-05-29 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-30
2025-05-29 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-30
2025-05-29 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.
F0726 · Nursing and Physician Services Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-30
2025-05-29 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-30
2025-05-29 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.
F0761 · Pharmacy Service Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-30
2024-05-17 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-06-28
2024-05-17 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.
F0758 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-28
2024-05-17 Implement a program that monitors antibiotic use.
F0881 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-28
2019-03-15 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2019-04-19
2019-03-15 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2019-04-19
2019-03-15 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2019-04-19
2019-03-15 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.
F0700 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2019-04-19
2019-03-15 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.
F0758 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2019-04-19
2019-03-15 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.
F0909 · Environmental Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2019-04-19

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
Dransfield, Darin (individual)Administrator · NOT APPLICABLE
Jeffers, Avery (individual)Administrator · NOT APPLICABLE
County of Franklin (organization)Direct Ownership Interest · NOT APPLICABLE
Dransfield, Darin (individual)Indirect Ownership Interest · NOT APPLICABLE
Jeffers, Avery (individual)Indirect Ownership Interest · NOT APPLICABLE
Dransfield, Darin (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Franklin County Transitional Care?

Franklin County Transitional Care has a 5-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Idaho.

How many beds does Franklin County Transitional Care have?

It has 35 certified beds and cares for about 32 residents per day.

Has Franklin County Transitional Care been fined?

CMS lists no federal fines or payment denials in the last three years.

What is the phone number of Franklin County Transitional Care?

(208) 852-4130. The facility is located at 44 North 1st East, Preston, ID 83263.

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.