Montpelier · 83254
Bear Lake Memorial Skilled Nursing Facility
164 South Fifth Street
Montpelier, ID 83254
Franklin County Transitional Care
Inside a hospital. This nursing unit is part of a hospital. Units like this often care for that hospital’s patients for a short stay after an admission, and may have their own admission rules. Ask before you plan around it.
⌖ Preston, ID · Franklin County
No photos yet
Medicare overall rating 2 of 5 stars
Certified beds35
Medicare / MedicaidMedicare & Medicaid
OwnershipGovernment (county)
About Franklin County Transitional Care
Franklin County Transitional Care is a 35-bed government-run nursing home in Preston, ID. Medicare rates it 2 out of 5 stars overall (below average); the average in Idaho is 3.2. At its last full inspection (Jul 2026), inspectors found 15 problems, more than the Idaho average of 10.3. 1 citation in its recent inspections was for residents being harmed or put in immediate danger. Nurses and aides spend about 5 hr 01 min a day with each resident, more than the Idaho average of 4 hr 03 min. About 27% of its nursing staff left in the past year. Medicare fined it $23,001 in the last three years.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
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Key details
Facility nameFranklin County Transitional Care
LocationFranklin County, Idaho
Phone(208) 852-4130
Address44 North 1st East, Preston, ID 83263 · Franklin County
CMS provider number135059
Ownership typeGovernment (county)
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceOctober 1, 1975 (50 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
3 strengths and 4 things to ask about in Medicare's inspection, fine and staffing records for this home. 1 care-quality measure is worse than the state average in the rehab and long-term care section below.
Strengths
- Nurse staffing per resident5 hr 01 min a dayIdaho average: 4 hr 03 minStrength
- Registered nurse time per resident1 hr 12 min a dayIdaho average: 51 minStrength
- Nursing staff turnover27% a yearIdaho average: 50%Strength
Things to ask about
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- Abuse citationOn recordMedicare shows this icon when a home was cited for abuse, neglect or exploitation in recent inspections. Ask what happened and what changed.Ask about this
- Serious health citations1 for actual harmCitations where inspectors found residents were harmed or put in immediate danger, most recently in Jul 2026 (within the past year). All 1 were later corrected.Ask about this
- Fines and penalties1 fine totaling $23,001Federal penalties from the last three years, most recently in Jul 2026 (within the past year). The national average is $30,972 per home.Worth asking about
- Health citations at last inspection15 (Jul 2026)Idaho average: 10.3. Most citations are minor and corrected within weeks.Worse than state average
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Idaho average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury1.0%State average: 3.0%Better than average
- Pressure sores (bedsores)6.3%State average: 3.2%Worse than average
- Given antipsychotic drugs8.3%State average: 20.1%Better than average
- Hospital stays per 1,000 resident days0.9State average: 1.2Better than average
Source: Medicare (CMS) quality measures, compared with the Idaho average. Lower is better for every rate shown.
Ratings over time
Its overall Medicare rating is 2 stars now, down from 5 stars in January 2019. It has ranged from 2 to 5 stars and changed 9 times.
Overall rating2★
Health inspections1★
Staffing5★
Quality of care5★
Nurse hours per resident per day5.0
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 5 | 4 | 5 | 4 | 6.4 |
| Jan 2020 | 5 | 4 | 5 | 3 | 6.7 |
| Jan 2021 | 5 | 4 | 5 | 4 | 6.3 |
| Jan 2022 | 5 | 4 | 5 | 2 | 5.5 |
| Jan 2023 | 5 | 4 | 5 | 3 | 5.6 |
| Jan 2024 | 5 | 4 | 5 | 3 | 5.7 |
| Feb 2025 | 5 | 4 | 5 | 3 | 6.1 |
| Feb 2026 | 4 | 4 | 1 | 5 | – |
| Sep 2026 | 2 | 1 | 5 | 5 | 5.0 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
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Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
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