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Skilled nursing facility · CMS certified · CCN 135059

Franklin County Transitional Care

44 North 1st East, Preston, ID 83263 · Franklin County · one of 80 skilled nursing facilities in Idaho
35
certified beds
2 / 5
overall CMS rating
Government
ownership type
90.9%
occupancy, Oct 2026: 32 residents a day · Idaho 76.2%
1.22
case mix, 0.87x the national average
5.01
nurse hours per resident day · Idaho 4.04
What if · run the numbers

There is no full-year Medicare cost report on file for this building, so there is nothing to start the calculator from.

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How Franklin County Transitional Care compares

Franklin County has 0 other certified buildings, too few to compare, so this is against Idaho. 80 buildings.

Better than most of Idaho on 4 of 8 lines.

Occupancy, Oct 202690.9%Better than mostHigher than 68 of the 79 other buildings in Idaho

Residents on an average day as a share of certified beds, from CMS's monthly census. The middle of the set: 79.8%. Source: CMS monthly provider files, Oct 2026.

Nurse hours per resident day5.01Better than mostHigher than 70 of the 78 other buildings in Idaho

Nurse and aide hours for each resident, each day, from CMS payroll records. The middle of the set: 3.83. Source: CMS monthly provider files, Oct 2026.

Overall CMS rating2 / 5Behind mostHigher than 12 of the 78 other buildings in Idaho, level with 16

CMS's overall star rating, set from inspections, staffing and quality measures. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Health inspection rating1 / 5Behind mostLevel with 17 of the 78 other buildings in Idaho; the other 61 are ahead

CMS's star rating for the building's recent health inspections. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Staffing rating5 / 5Better than mostHigher than 66 of the 77 other buildings in Idaho, level with 11

CMS's star rating for nurse staffing levels and turnover. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Quality measures rating5 / 5Mid-packHigher than 37 of the 78 other buildings in Idaho, level with 41

CMS's star rating for resident-care quality measures. The middle of the set: 5 / 5. Source: CMS Provider Information, Oct 2026 file.

RN hours per resident day1.11Better than mostHigher than 62 of the 78 other buildings in Idaho, level with 1

Registered nurse hours for each resident, each day. The middle of the set: 0.76. Source: CMS Provider Information, Oct 2026 file.

Deficiencies cited15Behind mostFewer than 22 of the 79 other buildings in Idaho, the same as 2

Health deficiencies cited at the building's most recent standard survey. Fewer is better. The middle of the set: 11. Source: CMS Provider Information, Oct 2026 file.

From its cost report and Medicaid rate, against Idaho
Net margin00.0%

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Medicaid share of days00.0%

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Medicaid rate$000

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Tap a line for what it measures and the middle of the set. Each count leaves this building out. Source: CMS monthly provider files, Oct 2026; CMS Provider Information, Oct 2026 file.

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Street view of Franklin County Transitional Care
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Street View
44 North 1st East, Preston, ID
Map around Franklin County Transitional Care
Map · Franklin County
Franklin County, Idaho
1 skilled nursing facility; average overall rating 2.0, Idaho 3.1.
See how Franklin County compares ›
Cost report, against Idaho
Each line is what this building filed with Medicare for its latest full year, beside the middle building in Idaho. The rank counts from the top: 1st is the highest figure among Idaho's filing buildings on that line, out of the buildings that filed it. The arrow beside a figure compares it with the building's own full year before: green is better, red is worse, grey is neither. Shares and margins move in points. A line standing on fewer than 20 filings is not ranked. Operating expense is the cost report's own operating line. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus that line.
Medicare cost reports, as filed

No full-year Medicare cost report on file for this building for FY2024 to FY2026. What the buildings in Idaho that did file reported is below.

Line
State median
Reports
OccupancyPatient days as a share of available bed days, both off Worksheet S-3 Part I.
76.3%
69
Medicare share of daysTraditional Medicare days as a share of all patient days, off Worksheet S-3 Part I.
8.4%
70
Medicaid share of daysMedicaid days as a share of all patient days, off Worksheet S-3 Part I.
70.9%
70
Patient revenue per patient dayNet patient revenue off Worksheet G-3, divided by patient days off Worksheet S-3 Part I. Blended across every payer.
$422
71
Operating expense per patient dayTotal operating expense off Worksheet G-3, divided by patient days. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus this line.
$416
71
Net income per patient dayNet income off Worksheet G-3, divided by patient days.
$19
71
Net marginNet income off Worksheet G-3 over net patient revenue off the same worksheet.
4.3%
71
Quality and staffing
CMS Care Compare · Oct 2026
Overall rating2 / 5 · state 3.1
Health inspection1 / 5 · state 2.6
Staffing5 / 5 · state 3
RN hours per resident per day1.11 · state 0.84
Overall rating, last 8 quarters
055Q3’245Q4’245Q1’255Q2’253Q3’255Q4’254Q1’265Q2’26latest
back to 5 / 5 over the 8 quarters shown, having been as low as 3 / 5

CMS sets the overall star rating from health inspections, staffing and quality measures. The occupancy percentage is not the star rating. Occupancy compares average residents with certified beds. Certified beds can include beds the home chooses not to fill; this figure does not tell us why beds are unused.

Resident care
CMS quality measures · 2025Q3 to 2026Q2 · Oct 2026
measurethis buildingIdahonationrecent quarters
Needed more help with daily activities12.6%better than state15.4%13.5%2025Q2: 16.7%2025Q3: 17.4%2025Q4: 15.4%2026Q1: 7.7%2026Q2: 10.7%
16.7% → 10.7%
Q2’25 to Q2’26
Catheter inserted and left in1.0%level with state1.0%0.7%2025Q2: 0.0%2025Q3: 0.0%2025Q4: 4.1%2026Q1: 0.0%2026Q2: 0.0%
0.0% → 0.0%
Q2’25 to Q2’26
Urinary tract infection2.7%worse than state2.0%1.5%2025Q2: 4.2%2025Q3: 4.3%2025Q4: 0.0%2026Q1: 3.4%2026Q2: 3.2%
4.2% → 3.2%
Q2’25 to Q2’26
Fall with major injury0.0%better than state3.1%3.2%2025Q2: 4.2%2025Q3: 0.0%2025Q4: 0.0%2026Q1: 0.0%2026Q2: 0.0%
4.2% → 0.0%
Q2’25 to Q2’26
Newly given an antipsychotic (short stay)too few residents to report1.7%1.5%too few quarters to chart
Ability to walk independently worsened16.9%worse than state15.8%12.7%2026Q1: 23.1%2026Q2: 4.0%
23.1% → 4.0%
Q1’26 to Q2’26
Pressure ulcers2.3%better than state3.4%4.5%2025Q2: 16.7%2025Q3: 0.0%2025Q4: 0.0%2026Q1: 8.6%2026Q2: 0.0%
16.7% → 0.0%
Q2’25 to Q2’26
Given an antipsychotic10.8%better than state20.3%15.4%2025Q4: 9.1%2026Q1: 8.3%2026Q2: 17.9%
9.1% → 17.9%
Q4’25 to Q2’26

Each figure is the share of residents, so lower is better. The building's figure, the state's and the nation's are CMS's four-quarter averages; the small bars are single quarters, which move more than the average does.

Surveys and enforcement
CMS health inspections
Jul 2026
last standard survey
15
deficiencies cited · Idaho avg 13.2
$14,951
fines, last 3 years
Not reported
CMS affiliation

CMS groups homes with shared ownership or management. An affiliation does not establish that a chain owns this building.

Medicaid in Idaho
state rate files
$227
median daily rate across the Idaho buildings in our rate book, Oct 2026 file
Idaho rates and what changed ›
Franklin County
buildingbedsoverallFranklin County Transitional Care352 / 5
All Idaho buildings in Franklin County ›
Idaho at a glance
80
buildings
6,115
licensed beds
75%
occupancy
81%
for-profit
Idaho market intelligence report ›
The neighborhood
Street map © OpenStreetMap · satellite © Esri · pins: CMS Care Compare · loads as you reach it
Nearby skilled nursing
buildingbedsoveralloccupancyOneida County Hospital & Long Term Care FacilityMalad · 20.5 mi335 / 5under 70%Maple Springs Senior LivingNorth Logan · 22.6 mi983 / 5under 70%Rocky Mountain Care - LoganLogan · 23.5 mi1203 / 5under 70%Logan Regional Hospital Transitional Care UnitLogan · 23.7 mi115 / 5over 85%Sunshine Terrace Skilled NursingLogan · 24.9 mi1722 / 5under 70%Bear Lake Memorial Skilled Nursing FacilityMontpelier · 32.9 mi364 / 5over 85%
The map and the list carry the same facts, from SNFRadar's system.
About this data
What is the CMS overall rating of Franklin County Transitional Care?
Franklin County Transitional Care in Preston, ID carries an overall CMS rating of 2 out of 5 stars in the Oct 2026 CMS file.
How many beds does Franklin County Transitional Care have?
Franklin County Transitional Care is certified for 35 beds in the Oct 2026 CMS file.
How full is Franklin County Transitional Care?
CMS's reported average residents put Franklin County Transitional Care's occupancy in the over 85% band in the Oct 2026 CMS file.
Source: CMS Provider Information, Care Compare and Payroll-Based Journal staffing · CMS files dated October 2026.
Published by 3G Healthcare Real Estate, skilled nursing advisors. Authors: Stan Klos III, Founder · Christian Patrick, President.
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Source: CMS Provider Information and Care Compare, Oct 2026 files. Tracked every month in SNFRadar's system.