About Franklin County Transitional CareFranklin County Transitional Care is located at 44 North 1St East, Preston, ID, reachable at (208) 852-4130. This Government – County facility operates 35.0 certified beds and serves an average of 27 residents per day. Medicare and Medicaid services have been provided since 1975-10-01. The facility currently holds a above average (4-star) overall rating from the Centers for Medicare & Medicaid Services (CMS).
Franklin County Transitional Care is a strong choice for families in the Preston, ID area seeking a well-inspected, high-quality care environment. Families should inquire about nurse-to-resident ratios, as the CMS Staffing Rating is currently 1 out of 5.
Overall Rating 2022-2026
Total Nurse Hours/Day 2022-2026
Current Ratings (2026)
Overall Rating
★★★★★4 / 5
Health Inspection
★★★★★4 / 5
Staffing Rating
★★★★★1 / 5
Quality Measures (QM)
★★★★★5 / 5
Long-Stay QM Rating
★★★★★5 / 5
Short-Stay QM Rating
N/A
5-Year Rating Trends
Overall Rating
Health Inspection Rating
Quality of Care (QM)
Staffing Rating
Average Residents per Day
Occupancy % (Residents / Beds)
Staffing InsightFranklin County Transitional Care currently provides N/A of total nurse staffing per resident per day, including N/A of Registered Nurse (RN) coverage. The CMS Staffing Rating of 1 out of 5 is below average — a point worth discussing with facility management before admission. Total nursing staff turnover is 29.8%, near the national average.
Current Staffing Hours Per Resident Per Day (2026)
Total Nurse Staffing
Nurse Aide Hours
Licensed Practical Nurse (LPN) Hours
Registered Nurse (RN) Hours
Physical Therapist Hours
National average total nurse staffing is approximately 3.5 hours per day
Weekend Staffing Hours Per Resident Per Day (2026)
Weekend Total Nurse Hours
Weekend Registered Nurse (RN) Hours
Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.
5-Year Staffing Trends
Total Nurse Hours/Day
Registered Nurse (RN) Hours/Day
Licensed Practical Nurse (LPN) Hours/Day
Nurse Aide Hours/Day
Total Staff Turnover %
Registered Nurse (RN) Turnover %
Compliance SummaryThe facility has received 5 fine(s) over the 5-year period, totaling $11,203. No substantiated complaints have been recorded in the available data.
Nationally, Franklin County Transitional Care ranks 1384th out of 14,703 facilities (composite score: 86.0/100), placing it in the top 10% nationwide. Within ID, it ranks 11th out of 80 nursing homes. For 2025 staffing: total nurse hours rank #358 nationally and RN hours rank #1,019 nationally (#12 in ID).
Total Nurse Staffing – Year-by-Year National and State Ranks
Year
Hours/Day
National Rank
ID State Rank
Note
2022
5.54
#641 / 14,703
#8 / 80
Top 5%
2023
5.63
#505 / 14,703
#6 / 80
Top 5%
2024
5.67
#524 / 14,703
#5 / 80
Top 5%
2025
6.09
#358 / 14,703
#4 / 80
Top 5%
2026
—
#14,175 / 14,703
#76 / 80
⚠️ Bottom 5%
Registered Nurse (RN) Hours – Year-by-Year National and State Ranks
Year
Hours/Day
National Rank
ID State Rank
Note
2022
1.11
#1,539 / 14,703
#19 / 80
Top 25%
2023
1.12
#1,270 / 14,703
#15 / 80
Top 10%
2024
1.41
#620 / 14,703
#8 / 80
Top 5%
2025
1.22
#1,019 / 14,703
#12 / 80
Top 10%
2026
—
#14,175 / 14,703
#76 / 80
⚠️ Bottom 5%
Total Nurse Rank – National (lower number = better)
Registered Nurse Rank – National (lower number = better)
Frequently Asked Questions
Franklin County Transitional Care is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1975-10-01. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (208) 852-4130 or your local Medicaid office to verify current eligibility.
Franklin County Transitional Care holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 4 out of 5 stars. This is made up of three components: Health Inspection (4★), Staffing (1★), and Quality of Resident Care (5★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 86.0/100, placing it #1384 of 14703 facilities nationally and #11 of 80 in Idaho. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.
Each resident at Franklin County Transitional Care receives a reported average of N/A of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — N/A; Licensed Practical Nurse (LPN) — N/A; Nurse Aide — N/A. On weekends, total nurse staffing is N/A per resident per day. The CMS Staffing Rating for this facility is 1 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 29.8%. Families are encouraged to ask about current staffing schedules during their facility visit.
The facility has received 5 fine(s) over the 5-year period, totaling $11,203. No substantiated complaints have been recorded in the available data. In the most recent CMS reporting period, the facility received 0 fine(s) totaling $0, and 0 Medicare payment denial(s). Total penalties: 0. The Total Weighted Health Survey Score is 40.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.
Nationally, Franklin County Transitional Care ranks 1384th out of 14,703 facilities (composite score: 86.0/100), placing it in the top 10% nationwide. Within ID, it ranks 11th out of 80 nursing homes. For 2025 staffing: total nurse hours rank #358 nationally and RN hours rank #1,019 nationally (#12 in ID). Our composite quality score of 86.0/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Preston, visit: https://nursinghomesnearme.org/idaho/preston/
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.