Idaho State Veterans Home - Lewiston
821 21st Avenue, Lewiston, ID 83501 · All homes in Lewiston
Idaho State Veterans Home - Lewiston, a 66-bed government - state nursing facility in Lewiston, ID, holds a 5-star CMS overall rating - well above the 3.0-star national average, ranking #14 of 79 rated homes in ID on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 2087503600
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- 5 / 5
- Much above average · CMS overall · nat'l 3.0
- #14 of 79
- In-state rank among rated ID homes
- 4.72
- Well above average · nurse hrs/day · nat'l 3.86
- 15
- Inspection findings · 2 serious
If a nursing-home resident is in immediate danger, call 911.
For elder abuse or neglect concerns, contact your state's Adult Protective Services (search "APS" + your state) or call the Eldercare Locator at 1-800-677-1116. For facility advocacy, reach your Long-Term Care Ombudsman. CMS ratings and inspection data below are a research screen, not an emergency channel.
The verdict
Idaho State Veterans Home - Lewiston, a 66-bed government - state nursing facility in Lewiston, ID, holds a 5-star CMS overall rating - well above the 3.0-star national average, ranking #14 of 79 rated homes in ID on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.
- 5 / 5
- CMS overall · national 3.0
- #14 of 79
- In-state rank among rated ID homes
- 4.72
- Nurse hrs/resident-day · national 3.86
- 15
- Inspection findings · 2 serious
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 80 ID nursing homes split by ownership sector
This facility is recorded as Government - State. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
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
How the 4.72 total nursing hours per resident-day are staffed:
- RN Hours
- 1.60 (nat'l avg: 0.69)
- LPN Hours
- 0.31
- CNA Hours
- 2.81
- Total Nursing Hours
- 4.72 (nat'l avg: 3.86)
- PT Hours
- 0.10
- Nursing Turnover
- 26.9%
- RN Turnover
- 6.3%
What the CMS Record Reveals About Idaho State Veterans Home - Lewiston
According to CMS Nursing Home Compare, Idaho State Veterans Home - Lewiston ranks #14 of 79 rated nursing homes in ID on overall stars (tie-broken by health+staffing+quality, then fewer fines). 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 (health inspection 4★ · staffing 5★ · quality 4★).
The inspection file contains 15 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. CMS enforcement records show 1 penalty totaling $187K levied against this facility. Staffing is reported at 4.72 total nursing hours per resident day (national average 3.86), with RN coverage at 1.60 per resident day.
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. Reported nursing staff turnover at this facility is 26.9% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. 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.
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. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
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 the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (15 most recent)
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
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
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
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
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
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
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: May 31, 2019
Respond appropriately to all alleged violations.
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 | 19.5% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.4% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.6% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.2% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 18.8% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.0% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 16.3% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | N/A | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 2.9% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 11.4% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 98.4% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 6.0% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 95.9% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 31.9% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 72.0% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | N/A | No |
Penalty History 1 penalties totaling $187K
| Date | Type | Amount |
|---|---|---|
| Jun 28, 2024 | Fine | $187K |
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Idaho State Veterans Home - Lewiston, both outside ID so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside ID (66 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside ID (6.13 here).
Nearby Nursing Homes in ID
79 other nursing homes are on record in ID; 6 are shown here.
Advanced Health Care of Coeur d'Alene
Coeur d'Alene, ID
Arbor Valley of Cascadia
Boise, ID
Ashton Memorial Living Center
Ashton, ID
Aspen Park of Cascadia
Moscow, ID
Aspen Transitional Rehabilitation
Meridian, ID
Bear Lake Memorial Skilled Nursing Facility
Montpelier, ID
Understanding Nursing Home Data
What the CMS records show for Idaho State Veterans Home - Lewiston
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The ID registry aggregates state averages and the highest-rated homes in this cohort. View ID registry
- Peer homes near 66 beds show how CMS stars vary at a similar scale in ID. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for Idaho State Veterans Home - Lewiston?
Where does Idaho State Veterans Home - Lewiston rank among nursing homes in ID?
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. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
