IDAHO STATE VETERANS HOME - LEWISTON
Open-data reference.
IDAHO STATE VETERANS HOME - LEWISTON is a government - state facility in LEWISTON, ID with 66 certified beds and a 5-star overall CMS rating. The facility has 16 deficiency records on file. Total penalties: $187K.
821 21ST AVENUE, LEWISTON, ID 83501
Phone: 2087503600
Overall Rating
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 135133
- Ownership
- Government - State
- Provider Type
- Medicare and Medicaid
- Beds
- 66
- Residents
- 49
- In Hospital
- No
- County
- Nez Perce
- Last Inspection
- Jul 17, 2025
Staffing Data
- RN Hours
- 1.65 (nat'l avg: 0.68)
- LPN Hours
- 0.29
- CNA Hours
- 2.88
- Total Nursing Hours
- 4.82 (nat'l avg: 3.89)
- PT Hours
- 0.11
- Nursing Turnover
- 37.5%
- RN Turnover
- 12.5%
What the CMS Record Reveals About IDAHO STATE VETERANS HOME - LEWISTON
IDAHO STATE VETERANS HOME - LEWISTON operates 66 certified beds in LEWISTON, ID with approximately 49 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (4★), staffing levels (5★), and quality measures (4★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
The inspection file contains 16 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $187K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 4.82 total nursing hours per resident day (national average 3.89), with RN coverage at 1.65 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.
Classified as "Government - State" ownership and operating as a "Medicare and Medicaid" provider, IDAHO STATE VETERANS HOME - LEWISTON falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 37.5%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.
Deficiency History (16 most recent)
Ensure each resident receives an accurate assessment.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Aug 15, 2025
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Aug 15, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Category: Resident Rights Deficiencies
Corrected: Aug 15, 2025
Respond appropriately to all alleged violations.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Jul 15, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Jul 15, 2024
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Jul 15, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Category: Infection Control Deficiencies
Corrected: Apr 14, 2023
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: May 31, 2019
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.
Category: Pharmacy Service Deficiencies
Corrected: May 31, 2019
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.
Category: Pharmacy Service Deficiencies
Corrected: May 31, 2019
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.
Category: Quality of Life and Care Deficiencies
Corrected: May 31, 2019
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 25, 2019
Provide care and assistance to perform activities of daily living for any resident who is unable.
Category: Quality of Life and Care Deficiencies
Corrected: May 31, 2019
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: May 31, 2019
Respond appropriately to all alleged violations.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: May 31, 2019
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: May 31, 2019
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 17.8% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 2.4% | No |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.1% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.6% | Yes |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 4.2% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.3% | Yes |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 97.2% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 73.2% | No |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | N/A | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 30.2% | Yes |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 6.7% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 95.9% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | N/A | No |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.4% | Yes |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 29.4% | No |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 12.6% | Yes |
Penalty History 1 penalties totaling $187K
| Date | Type | Amount |
|---|---|---|
| Jun 28, 2024 | Fine | $187K |
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Understanding Nursing Home Data
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Frequently Asked Questions
What is the overall CMS rating for IDAHO STATE VETERANS HOME - LEWISTON?
What are the staffing levels at IDAHO STATE VETERANS HOME - LEWISTON?
How many beds does IDAHO STATE VETERANS HOME - LEWISTON have?
Does IDAHO STATE VETERANS HOME - LEWISTON have any deficiencies on record?
Has IDAHO STATE VETERANS HOME - LEWISTON received any fines or penalties?
Who owns IDAHO STATE VETERANS HOME - LEWISTON?
When was IDAHO STATE VETERANS HOME - LEWISTON last inspected?
What quality measures are tracked for IDAHO STATE VETERANS HOME - LEWISTON?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.
Read our methodology — how this data is sourced, computed, and verified.