Franklin County Transitional Care
44 NORTH 1ST EAST, Preston, ID 83263
Preston, Idaho · CMS verdict
CMS rates Franklin County Transitional Care at 4 of 5 stars overall - above-average on the federal scale, and above the Idaho average of 3.1.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Franklin County Transitional Care in Preston, Idaho holds a CMS overall rating of 4 of 5 stars and a PlainElderCare Quality & Compliance Index of 61 of 100 (grade D). The 35-bed facility operates where a semi-private nursing-home room in Idaho runs a median of $10,494 per month. Figures are from CMS Nursing Home Compare.
PlainElderCare Quality & Compliance Index
A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 4 of 5 stars. How this is calculated.
How the 61 is built
Each segment is a dimension's weighted points toward the score, summing to 61.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Data insights
Quality ratings
Franklin County Transitional Care holds a CMS overall quality rating of 4 out of 5 stars, based on the most recent Care Compare release (data as of April 2026). CMS breaks this into three sub-ratings: health inspection (4/5), staffing (1/5), and quality measures (5/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Preston, Idaho, this facility operates 35 certified beds with an average daily census of roughly 28 residents - an occupancy rate of about 80%. The facility is classified under government - county ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. Occupancy of about 80% puts this facility in normal territory for a stabilized operation, neither unusually full nor unusually empty.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility (17 total). CMS has levied no enforcement penalties over the equivalent window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
The figures above come directly from the U.S. Centers for Medicare \& Medicaid Services Nursing Home Compare dataset for federal quality ratings, combined with the CareScout 2025 Cost of Care Survey of more than 15,000 elder-care providers nationwide and U.S. Census American Community Survey income data. Cost figures are monthly medians, refreshed annually with each new CareScout release; quality ratings are refreshed quarterly from the CMS Provider Information File. Read these state and county medians as benchmarks, then verify current rates with individual providers and consult care managers before making placement decisions. See our methodology for source vintage.
How Franklin County Transitional Care compares to Idaho
CMS five-star sub-ratings (0–5) for this facility against the Idaho facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Idaho state average. Higher is better on all four CMS measures.
Where Franklin County Transitional Care ranks in Idaho
Among the 79 CMS-rated nursing homes in Idaho, Franklin County Transitional Care’s 4-star overall rating is higher than 58% of them. The bars show how all Idaho homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
14 Idaho homes share this 4-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 35 |
| Residents | 28 |
| Ownership | Government - County |
| County | Franklin |
| Penalties | 0 |
| Deficiencies | 17 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Franklin County Transitional Care? ▾
Franklin County Transitional Care has an overall CMS quality rating of 4 out of 5 stars, with a health inspection rating of 4/5, staffing rating of 1/5, and quality measures rating of 5/5.
How much does a nursing home cost per month in Idaho? ▾
In Idaho, a semi-private nursing home room runs a median $10,494/month ($125,925/year) per the CareScout 2025 survey; private rooms average $12,167/month.
What services does Franklin County Transitional Care offer? ▾
With 35 beds with approximately 28 current residents, Franklin County Transitional Care is a skilled nursing facility. It operates under government - county ownership, and CMS's inspection record shows 17 deficiencies and 0 penalties.
Does Franklin County Transitional Care have any deficiencies or penalties? ▾
Franklin County Transitional Care has multiple deficiencies (17 total) and 0 penalties recorded by CMS. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in Idaho? ▾
In Idaho, alternatives include assisted living ($5,175/mo), home health aides ($7,341/mo), and adult day care (N/A/mo).
Elder Care Guides
Explore PlainElderCare
Related Resources
Compare cost and CMS quality across the state on the Idaho elder-care overview, or see how facilities rank nationwide in our highest-rated states ranking.
Weigh nursing care against assisted living, home health, and adult day care, with national median costs, on our care types comparison, and learn how to fund it in our paying for elder care guide.
Source: CMS Nursing Home Compare. Provider ID: 135059.
Read our methodology - how this data is sourced, computed, and verified.