Franklin County Medical Center (Preston, Idaho). Franklin County Medical Center is a 20-bed critical access hospital with an attached 35-bed skilled nursing facility. The hospital offers employees numerous benefits, including education assistance and tuition reimbursement for career enhancement. Hospital staff can earn up to five weeks of paid time off per year. Franklin County Medical Center strives to create a fun and engaged work environment through numerous holiday and summer parties, tailgates and themed celebrations throughout the year. The National Organization of State Offices of Rural Health presented FCMC with the Performance Leadership Award 2016.