Idaho State Veterans Home - Lewiston
821 21st Avenue · Lewiston, ID · 83501 · 2087503600
66 certified beds Government - State
- Staffing hours comfortably above national benchmarks.
- Inspection results have improved across recent cycles.
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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 5 of 5 Inspections: 4 of 5 Staffing: 5 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.66 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.57 | 0.55–0.75 |
| Weekend hours / resident-day | 3.94 | ≈ weekday level |
| Nursing turnover / year | 33% | median 45% |
| Fines (3-yr window) | 1 · $186,850 |
Inspection citations (15 in the current record)
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Potential for harm · D July 17, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected August 15, 2025 · Resident Rights
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Potential for harm · E July 17, 2025
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected August 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · E July 17, 2025
Ensure each resident receives an accurate assessment.
Corrected August 15, 2025 · Resident Assessment and Care Planning
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Immediate jeopardy · J June 28, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected July 15, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 28, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected July 15, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 28, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected July 15, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · L April 26, 2019
Respond appropriately to all alleged violations.
Corrected May 31, 2019 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · F April 26, 2019
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected May 31, 2019 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 26, 2019
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected May 31, 2019 · Resident Assessment and Care Planning
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Potential for harm · D April 26, 2019
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 31, 2019 · Quality of Life and Care
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Potential for harm · D April 26, 2019
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 25, 2019 · Quality of Life and Care
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Potential for harm · D April 26, 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.
Corrected May 31, 2019 · Quality of Life and Care
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Potential for harm · E April 26, 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.
Corrected May 31, 2019 · Pharmacy Service
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Potential for harm · D April 26, 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.
Corrected May 31, 2019 · Pharmacy Service
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Potential for harm · D April 26, 2019
Provide and implement an infection prevention and control program.
Corrected May 31, 2019 · Infection Control
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 28, 2024 | Fine | $186,850 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 135133 · certified since December 1, 2007. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.