Idaho › Nez Perce County › Lewiston
Idaho State Veterans Home - Lewiston
821 21st Avenue, Lewiston, ID 83501
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 66 beds, Idaho State Veterans Home - Lewiston serves Lewiston in Nez Perce County, Idaho and has taken Medicare and Medicaid residents since 2007.
CMS gives it 5 of 5 stars overall, above the Idaho median of 3; the health inspection rating is 4, staffing 5 and quality measures 4.
Inspectors recorded 15 health deficiencies across the three most recent survey cycles (3, 0, 12 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 22.7 per 100 beds, fewer than the state median of 34.8.
CMS lists 1 penalty in the period covered: fines totalling $187K.
Reported nurse staffing is 4.7 hours per resident per day (1.6 RN), close to the Idaho median of 3.8; nursing staff turnover is 26.9%.
Compared with county, state and nation
| Measure | This facility | Nez Perce Co. median | Idaho median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 15 | 21 | 26 | 28.7 |
| Citations per 100 beds | 22.7 | 26.0 | 34.8 | 26.8 |
| Total nurse hours per resident day | 4.7 | 3.5 | 3.8 | 3.9 |
| RN hours per resident day | 1.6 | 0.9 | 0.8 | 0.7 |
| Nursing staff turnover | 26.9% | 50.6% | 50.0% | 45.8% |
| Fines listed | $186,850 | $0 | $0 | — |
County and state figures are medians across facilities (6 in the county, 80 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Idaho average per facility for the same cycle, as published by CMS. Standard health survey dates: 17 Jul 2025, 28 Jun 2024.
Severity mix: J ×1 L ×1 D ×9 E ×3 F ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 17 Jul 2025 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | E | Standard survey | 15 Aug 2025 |
| 17 Jul 2025 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 15 Aug 2025 |
| 17 Jul 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 15 Aug 2025 |
| 28 Jun 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 15 Jul 2024 |
| 28 Jun 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 15 Jul 2024 |
| 28 Jun 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 15 Jul 2024 |
| 26 Apr 2019 | F0610 | Respond appropriately to all alleged violations. | L | Standard survey | 31 May 2019 |
| 26 Apr 2019 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | F | Standard survey | 31 May 2019 |
| 26 Apr 2019 | F0758 | 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. | E | Standard survey | 31 May 2019 |
| 26 Apr 2019 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 31 May 2019 |
| 26 Apr 2019 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 31 May 2019 |
| 26 Apr 2019 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 25 Jul 2019 |
| 26 Apr 2019 | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Standard survey | 31 May 2019 |
| 26 Apr 2019 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | 31 May 2019 |
| 26 Apr 2019 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 31 May 2019 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 28 Jun 2024 | Fine | $186,850 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Idaho average. Turnover: nursing staff 26.9%, RNs 6.3%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Idaho median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 19.5% | 15.5% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.4% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.6% | 1.4% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.2% | 2.3% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 18.8% | 16.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.0% | 3.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 16.3% | 16.9% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: government, state. Legal business name: Division Of Veterans Services.
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Nez Perce County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Life Care Center of Lewiston | Lewiston | 121 | 5 | 5 | 3 | 16 | 13.2 | — | 1 Aug 2025 |
| Cascadia of Lewiston | Lewiston | 34 | 4 | 4 | 1 | 21 | 61.8 | — | 3 Apr 2025 |
| Lewiston Transitional Care of Cascadia | Lewiston | 96 | 4 | 4 | 2 | 20 | 20.8 | — | 21 Aug 2025 |
| Orchard View Post Acute | Lewiston | 127 | 2 | 2 | 4 | 33 | 26.0 | $17K | 15 Aug 2025 |
| Royal Plaza Health and Rehabilitation of Cascadia | Lewiston | 76 | 2 | 2 | 3 | 25 | 32.9 | — | 26 Jun 2026 |
All 6 facilities in Nez Perce County
Questions and answers
How many deficiencies has Idaho State Veterans Home - Lewiston been cited for?
15 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Idaho median is 26 per facility.
Has Idaho State Veterans Home - Lewiston been fined?
Yes. CMS lists fines totalling $187K in the period covered.
How does staffing at Idaho State Veterans Home - Lewiston compare?
Reported total nurse staffing is 4.7 hours per resident per day against a Idaho median of 3.8 and a national average of 3.9.
Who operates Idaho State Veterans Home - Lewiston?
Ownership type is government, state. Individual owners and managers are not listed on this site.
When was Idaho State Veterans Home - Lewiston last inspected?
The most recent survey or investigation in the CMS record is dated 17 Jul 2025; the most recent standard health survey was 17 Jul 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.