Idaho State Veterans Home - Lewiston – Nursing Home, Lewiston, Idaho
Medicare and Medicaid
CMS quality ratings
Overall
Health inspection
Quality of care
Staffing
RN staffing
3 substantiated complaints
Last cited survey: 17 July 2025 · 46 health and 21 fire safety citations on file
Source: CMS Care Compare nursing home data. Ratings are updated when CMS publishes new inspection results.
Main info
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Location
821 21st Avenue
Lewiston, ID 83501
Phone: (208) 750-3600
Compare to ID average
See how this facility compares to the ID state average among rated nursing homes (82 homes). Peer best shows the highest rating among similar homes in the same city.
| Metric | This facility | ID average | Peer best (city) |
|---|---|---|---|
| Overall CMS stars | 5 | 3.17 | 5 |
| Health inspection | 4 | 2.7 | 5 |
| Staffing | 5 | 3.04 | 4 |
| Quality measures | 4 | 4.23 | 5 |
| Certified beds | 66 | 75.9 | — |
| Citations on file (health + fire) | 67 | ~9.6 health* | — |
- Cascadia of Lewiston — 2★ overall
- Lewiston Transitional Care of Cascadia — 4★ overall
- Life Care Center of Lewiston — 5★ overall
- Orchard View Post Acute — 2★ overall
- Royal Plaza Health and Rehabilitation of Cascadia — 4★ overall
* State deficiency average uses CMS rating-cycle health deficiency counts.
Owners information
| Name | Role Description | Type | Ownership Percentage | Association Date |
|---|---|---|---|---|
| HIGH, MARK S | W-2 MANAGING EMPLOYEE | Individual | - | 06/29/2016 |
| HIGH, MARK S | OPERATIONAL/MANAGERIAL CONTROL | Individual | 80.00 | 06/29/2016 |
| DIVISION OF VETERANS SERVICES | OTHER | Organization | 100.00 | 01/01/2006 |
Inspections & deficiencies
CMS inspection citations for this nursing home. Filter by type or recency, and use severity chips to spot higher-risk findings.
67 citations on file · Latest survey: 17 July 2025 · 46 health · 21 fire safety
Health deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2025-07-17 | F641 | E — Minimal harm, pattern | Health | Ensure each resident receives an accurate assessment. |
| 2025-07-17 | F641 | E — Minimal harm, pattern | Health | Ensure each resident receives an accurate assessment. |
| 2025-07-17 | F641 | E — Minimal harm, pattern | Health | Ensure each resident receives an accurate assessment. |
| 2025-07-17 | F640 | E — Minimal harm, pattern | Health | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. |
| 2025-07-17 | F640 | E — Minimal harm, pattern | Health | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. |
| 2025-07-17 | F640 | E — Minimal harm, pattern | Health | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. |
| 2025-07-17 | F550 | D — Minimal harm, isolated | Health | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. |
| 2025-07-17 | F550 | D — Minimal harm, isolated | Health | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. |
| 2025-07-17 | F550 | D — Minimal harm, isolated | Health | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. |
| 2024-06-28 | F610 | D — Minimal harm, isolated | Health | Respond appropriately to all alleged violations. |
| 2024-06-28 | F610 | D — Minimal harm, isolated | Health | Respond appropriately to all alleged violations. |
| 2024-06-28 | F610 | D — Minimal harm, isolated | Health | Respond appropriately to all alleged violations. |
| 2024-06-28 | F609 | D — Minimal harm, isolated | Health | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| 2024-06-28 | F609 | D — Minimal harm, isolated | Health | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| 2024-06-28 | F609 | D — Minimal harm, isolated | Health | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| 2024-06-28 | F600 | J — Immediate jeopardy, isolated | Health | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| 2024-06-28 | F600 | J — Immediate jeopardy, isolated | Health | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| 2024-06-28 | F600 | J — Immediate jeopardy, isolated | Health | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| 2023-03-16 | F883 | D — Minimal harm, isolated | Health | Develop and implement policies and procedures for flu and pneumonia vaccinations. |
| 2019-04-26 | F880 | D — Minimal harm, isolated | Health | Provide and implement an infection prevention and control program. |
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Fire safety deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2025-07-17 | E39 | E — Minimal harm, pattern | Fire Safety | Conduct testing and exercise requirements. |
| 2025-07-17 | K345 | D — Minimal harm, isolated | Fire Safety | Have approved installation, maintenance and testing program for fire alarm systems. |
| 2025-07-17 | K521 | E — Minimal harm, pattern | Fire Safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. |
| 2025-07-17 | K712 | F — Minimal harm, widespread | Fire Safety | Have simulated fire drills held at unexpected times. |
| 2025-07-17 | K908 | D — Minimal harm, isolated | Fire Safety | Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. |
| 2025-07-17 | K908 | D — Minimal harm, isolated | Fire Safety | Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. |
| 2025-07-17 | E39 | E — Minimal harm, pattern | Fire Safety | Conduct testing and exercise requirements. |
| 2025-07-17 | K345 | D — Minimal harm, isolated | Fire Safety | Have approved installation, maintenance and testing program for fire alarm systems. |
| 2025-07-17 | K521 | E — Minimal harm, pattern | Fire Safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. |
| 2025-07-17 | K712 | F — Minimal harm, widespread | Fire Safety | Have simulated fire drills held at unexpected times. |
| 2025-07-17 | K908 | D — Minimal harm, isolated | Fire Safety | Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. |
| 2025-07-17 | E39 | E — Minimal harm, pattern | Fire Safety | Conduct testing and exercise requirements. |
| 2025-07-17 | K345 | D — Minimal harm, isolated | Fire Safety | Have approved installation, maintenance and testing program for fire alarm systems. |
| 2025-07-17 | K521 | E — Minimal harm, pattern | Fire Safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. |
| 2025-07-17 | K712 | F — Minimal harm, widespread | Fire Safety | Have simulated fire drills held at unexpected times. |
| 2024-06-28 | K761 | D — Minimal harm, isolated | Fire Safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. |
| 2024-06-28 | K907 | E — Minimal harm, pattern | Fire Safety | Ensure medical gas and vacuum systems have documented maintenance programs. |
| 2024-06-28 | K761 | D — Minimal harm, isolated | Fire Safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. |
| 2024-06-28 | K761 | D — Minimal harm, isolated | Fire Safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. |
| 2024-06-28 | K907 | E — Minimal harm, pattern | Fire Safety | Ensure medical gas and vacuum systems have documented maintenance programs. |
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Additional information
Full CMS quality rating tables
Quality Ratings
| Name | Value |
|---|---|
| Overall Rating | 5 |
| Health Inspection Rating | 4 |
| Quality of Resident Care Rating | 4 |
| Quality of Resident Care Rating (Long Stay) | 5 |
| Quality of Resident Care Rating (Short Stay) (Footnote) | 2 |
| Staffing Rating | 5 |
| RN Staffing Rating | 5 |
| Reported CNA Staffing Hours per Resident per Day | 2.62314 |
| Reported LPN Staffing Hours per Resident per Day | 0.28177 |
| Reported RN Staffing Hours per Resident per Day | 1.57314 |
| Reported Licensed Staffing Hours per Resident per Day | 1.85491 |
| Reported Total Nurse Staffing Hours per Resident per Day | 4.65989 |
| Reported Physical Therapist Staffing Hours per Resident per Day | 0.09184 |
| Casemix CNA Staffing Hours per Resident per Day | 1.89768 |
| Casemix LPN Staffing Hours per Resident per Day | 0.67837 |
| Casemix RN Staffing Hours per Resident per Day | 0.32361 |
| Casemix Total Nurse Staffing Hours per Resident per Day | 2.89966 |
| Adjusted CNA Staffing Hours per Resident per Day | 2.85363 |
| Adjusted LPN Staffing Hours per Resident per Day | 0.35267 |
| Adjusted RN Staffing Hours per Resident per Day | 1.96899 |
| Adjusted Total Nurse Staffing Hours per Resident per Day | 5.83245 |
Health Inspection and Deficiency Ratings
| Name | Value |
|---|---|
Date of Standard Health Survey (Cycle 1) | 2019-04-26 |
Date of Standard Health Survey (Cycle 2) | 2018-01-26 |
Total Number of Health Deficiencies (Cycle 1) | 10 |
Number of Standard Health Deficiencies (Cycle 1) | 9 |
Number of Complaint Health Deficiencies (Cycle 1) | 4 |
Health Deficiency Score (Cycle 1) | 247 |
Number of Health Revisits (Cycle 1) | 3 |
Health Revisit Score (Cycle 1) | 173 |
Total Health Score (Cycle 1) | 420 |
Total Number of Health Deficiencies (Cycle 2) | 8 |
Number of Standard Health Deficiencies (Cycle 2) | 8 |
Number of Complaint Health Deficiencies (Cycle 2) | 2 |
Health Deficiency Score (Cycle 2) | 68 |
Number of Health Revisits (Cycle 2) | 1 |
Total Health Score (Cycle 2) | 68 |
Date of Standard Health Survey (Cycle 3) | 2016-10-06 |
Total Number of Health Deficiencies (Cycle 3) | 5 |
Number of Standard Health Deficiencies (Cycle 3) | 4 |
Number of Complaint Health Deficiencies (Cycle 3) | 1 |
Number of Health Revisits (Cycle 3) | 1 |
Health Deficiency Score (Cycle 3) | 32 |
Total Health Score (Cycle 3) | 32 |
Total Weighted Health Survey Score | 35.75 |
Complaints, Fines, and Penalties
| Name | Value |
|---|---|
Number of Facility Reported Incidents | 3 |
Number of Substantiated Complaints | 3 |
Number of Fines | 1 |
Total Amount of Fines in Dollars | 186850 |
Total Number of Penalties | 1 |
Cited for Abuse | |
Most Recent Health Inspection More Than 2 Years Ago | |
Provider Changed Ownership in Last 12 Months | |
With a Resident and Family Council | Resident |
Automatic Sprinkler Systems in All Required Areas | Yes |
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