Deficiency Index

Franklin County Transitional Care

Preston, Idaho · CCN 135059

13 surveys since 2011, 5 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
117
Surveys
13
Harm or worse
5
Immediate jeopardy
0
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse5

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file9/13

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
35
Ownership
Government - County
Chain
Independent
County
Franklin
Medicare-certified since
1975

CMS ratings

Overall
2
Health inspection
1
Staffing
5
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat more weighted findings than its peer group.

Weighted by harm level, against 34 facilities with fewer than 66 beds in Idaho.

Last survey on record

Jul 24, 2026

108 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day5.015.09
Registered-nurse hours per resident day1.20—
Annual nurse turnover27.1%35.8%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$23,001 across 1 penalty
Abuse icon
Flagged by CMS on Care Compare

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG13.1%H—I—
No harm, potential for more than minimalD2475.0%E412.5%F39.4%
No harm, potential for minimalA—B—C—
CMS’s current file: 32 of the 117 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6893×

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • F6572×

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  • F6842×

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • F7582×

    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.

  • F8122×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

In the surveyor’s words

From the most serious findings on record at Franklin County Transitional Care, in the surveyor’s own words.

  • Actual harm, isolatedF600Jul 24, 2026

    Based 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. […]

  • No harm, potential for more than minimal, widespreadF812Jul 24, 2026

    Based 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. Findings include:The FDA Code Section 4-602.12 Cooking and Baking Equipment documented food-contact surfaces of cooking equipment must be cleaned to prevent encrustation's that may impede heat transfer necessary to adequately cook food. […]

  • No harm, potential for more than minimal, widespreadF881Jul 24, 2026

    Based 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. Findings include:A review of the facility's Antimicrobial Stewardship Protocol, revised 3/2/26, documented the facility must:-Assess residents for infection using standardized tools and criteria.-Use Lobes minimum criteria before initiating antibiotics.-Provide education to prescribing practitioners and nursing staff.-Require antibiotic orders to include indication, dose, and duration. […]

  • No harm, potential for more than minimal, widespreadF812May 29, 2025

    Based 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. Findings include: The Idaho Food Code, revised February 2021, stated, 3-501.17 Ready-to-Eat, Time/Temperature Control for Safety Food, Date Marking . […]

  • No harm, potential for more than minimal, patternF842Jul 24, 2026

    Based 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. Findings include:The facility's Restorative Nursing Program, dated 5/18/20, documented maintenance and restorative services will be provided to residents designed to maintain or improve a resident's ability to the highest practicable level. […]

Read 24 findings in full →The most serious and the most recent: 24 of 117 on record.

Every survey on record

FindingsAt actual harm or above

  • Jul 24, 2026Standard and complaint15 findings · 1 harm
  • May 29, 2025Standard and complaint8 findings
  • May 17, 2024Standard3 findings
  • Nov 5, 2020Infection control2 findings
  • Jul 8, 2020Infection control2 findings
  • Mar 15, 2019Standard6 findings
  • Sep 21, 2017Standard7 findings
  • Jun 9, 2016Standard6 findings
Show the 5 earlier surveys
  • Mar 13, 2015Standard16 findings · 1 harm
  • Nov 22, 2013—10 findings
  • Nov 30, 2012—2 findings
  • Sep 28, 2012Standard26 findings · 3 harm
  • Jun 27, 2011—14 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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