nursing home in Lewiston, ID
Idaho State Veterans Home - Lewiston
821 21st Avenue, Lewiston, ID 83501 · (208) 750-3600
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★5
- Quality measures★★★★★4
- CMS high performer
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Idaho State Veterans Home - Lewiston at a glance
Idaho State Veterans Home - Lewiston is a 66-bed government nursing home in Lewiston, Idaho (Nez Perce County).
CMS gives it 5 out of 5 stars on its overall star rating, better than the Idaho average of 3.2.
Residents receive about 4.7 hours of nursing care per day (1.6 of them from registered nurses), better than the state average of 4 hours.
Its most recent standard health inspection (July 17, 2025) found 3 health citations. The Idaho average is 10.3.
Federal regulators fined it 1 time in the past three years, totaling $186,850.
Nursing staff turnover is 26.9% per year (state average 50.3%).
Facility details
- Type
- Nursing home
- Ownership
- Government - State
- Beds
- 66
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- December 1, 2007
- Resident/family council
- Resident
- County
- Nez Perce County
- CMS Certification Number
- 135133
Ratings
| Measure | This facility | Idaho avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 5 / 5 | 3.2 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 2.7 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 5 / 5 | 3.1 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 4.1 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 4 / 5 | 4 / 5 | 3.8 / 5 | Average |
Staffing
| Measure | This facility | Idaho avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.72 hrs | 4.04 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 1.60 hrs | 0.86 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.81 hrs | 2.44 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 4.06 hrs | 3.49 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 26.9% | 50.3% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 6.3% | 41% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | Idaho avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 3 | 10 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 6 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 35.8 | 63.1 | 80.6 | Better |
Penalties
| Measure | This facility | Idaho avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $186,850 | $13,374 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | Idaho avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 66 | 76 | 107 | |
| Average residents per day | 49 | 57 | 86 | |
| Occupancy | 73.9% | 76.3% | 80.9% |
Long-stay residents
| Measure | This facility | Idaho avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 3.2% | 3% | 3.2% | Average |
| Long-stay residents with pressure ulcers (lower is better) | 2% | 3.2% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 16.3% | 20.1% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0.6% | 2% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 2.4% | 1.2% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 19.5% | 15.6% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 18.8% | 16.1% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 2.9% | 5.2% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 11.4% | 15.1% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 6% | 16.3% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 31.9% | 22.1% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 95.9% | 96.2% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 98.4% | 97.3% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Idaho avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents given a pneumonia vaccine (higher is better) | 72% | 91.2% | 82% | Worse |
Inspection citations
State inspectors cited this home for 15 health deficiencies and 7 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm, including 2 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 17, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected October 24, 2025 |
| July 17, 2025 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | E Potential harm, pattern | Corrected October 24, 2025 |
| July 17, 2025 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | E Potential harm, pattern | Corrected October 24, 2025 |
| July 17, 2025 Fire safety | Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0908 | D Potential harm, isolated | Corrected October 24, 2025 |
| July 17, 2025 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | D Potential harm, isolated | Corrected October 24, 2025 |
| July 17, 2025 Standard | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Tag F0640 | E Potential harm, pattern | Corrected August 15, 2025 |
| July 17, 2025 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | E Potential harm, pattern | Corrected August 15, 2025 |
| July 17, 2025 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected August 15, 2025 |
| June 28, 2024 Fire safety | Ensure medical gas and vacuum systems have documented maintenance programs. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0907 | E Potential harm, pattern | Corrected July 31, 2023 |
| June 28, 2024 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | D Potential harm, isolated | Corrected July 31, 2023 |
| June 28, 2024 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | J Immediate jeopardy, isolated | Corrected July 15, 2024 |
| June 28, 2024 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected July 15, 2024 |
| June 28, 2024 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected July 15, 2024 |
| April 26, 2019 Standard | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | L Immediate jeopardy, widespread | Corrected May 31, 2019 |
| April 26, 2019 Standard | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | F Potential harm, widespread | Corrected May 31, 2019 |
| April 26, 2019 Standard | 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. Pharmacy Service Deficiencies · Tag F0758 | E Potential harm, pattern | Corrected May 31, 2019 |
| April 26, 2019 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected May 31, 2019 |
| April 26, 2019 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected May 31, 2019 |
| April 26, 2019 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected May 31, 2019 |
| April 26, 2019 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected July 25, 2019 |
| April 26, 2019 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected May 31, 2019 |
| April 26, 2019 Standard | 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. Quality of Life and Care Deficiencies · Tag F0700 | D Potential harm, isolated | Corrected May 31, 2019 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $186,850 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| June 28, 2024 | Fine | $186,850 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| HIGH, MARK Individual | operational/managerial control | NOT APPLICABLE | 06/29/2016 |
| HIGH, MARK Individual | w-2 managing employee | NOT APPLICABLE | 06/29/2016 |
Other nursing homes near Idaho State Veterans Home - Lewiston
Life Care Center of Lewiston
325 Warner Drive, Lewiston, ID 83501 · 1.2 mi
For-profit · 121 beds · Part of Life Care Centers of America
- CMS high performer
★★★★★5Much above averageRoyal Plaza Health and Rehabilitation of Cascadia
2870 Juniper Drive, Lewiston, ID 83501 · 1.4 mi
For-profit · 78 beds · Part of Cascadia Healthcare
★★★★★2Below averageCascadia of Lewiston
2852 Juniper Drive, Lewiston, ID 83501 · 1.4 mi
For-profit · 34 beds · Part of Cascadia Healthcare
★★★★★4Above averageClarkston Health and Rehab of Cascadia
1242 Eleventh Street, Clarkston, WA 99403 · 1.5 mi
For-profit · 90 beds · Part of Cascadia Healthcare
★★★★★3AverageLewiston Transitional Care of Cascadia
3315 8th Street, Lewiston, ID 83501 · 1.8 mi
For-profit · 96 beds · Part of Cascadia Healthcare
★★★★★4Above averageOrchard View Post Acute
1014 Burrell Avenue, Lewiston, ID 83501 · 2.4 mi
For-profit · 127 beds · Part of Pacs Group
★★★★★2Below average
Frequently asked questions
What is Idaho State Veterans Home - Lewiston's rating?
Idaho State Veterans Home - Lewiston has 5 out of 5 stars on the CMS overall star rating. The average for Idaho nursing homes is 3.2 stars.
How many inspection citations did Idaho State Veterans Home - Lewiston receive?
Its most recent standard health inspection found 3 citations, compared with a Idaho average of 10.3. Every citation is listed on this page with its severity.
Does Idaho State Veterans Home - Lewiston accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Idaho State Veterans Home - Lewiston?
It is government - state. The ownership section on this page lists the owners and managers reported to CMS.
Where is Idaho State Veterans Home - Lewiston and how do I contact it?
Idaho State Veterans Home - Lewiston is at 821 21st Avenue, Lewiston, ID 83501. Phone: (208) 750-3600.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.