All states › Idaho › Lewiston › Idaho State Veterans Home - Lewiston
821 21st Avenue Lewiston, ID 83501 · Nez Perce County
All 6 nursing homes in Lewiston, ID (5 take Medicaid)
CMS certification number 135133 · See this home on Medicare Care Compare
Is Idaho State Veterans Home - Lewiston a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Idaho State Veterans Home - Lewiston as of October 2026.
CMS rates it 2 out of 5 stars overall, below the Idaho average of 3.1.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 4.98 hours per resident per day at Idaho State Veterans Home - Lewiston, above the Idaho median of 3.76 (US median: 3.72). About 1.68 of those hours are from registered nurses. On weekends it falls to 4.11 hours, 18% below its all-week average. Ask how weekends are staffed. 33.3% of nursing staff left within a year (Idaho median 50.5%). That is lower than most homes in Idaho, a sign of a steadier team.
About this nursing home
Paying for care at Idaho State Veterans Home - Lewiston: Medicare and Medicaid
Idaho State Veterans Home - Lewiston is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Idaho's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on September 3, 2026 and found 13 deficiencies. In total, inspectors issued 19 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: 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.
What the inspections found
Over the last three years, inspectors issued 19 citations at Idaho State Veterans Home - Lewiston across 3 inspection dates, 3 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on June 28, 2024 (complaint inspection). The most common areas cited were resident assessment and care planning (7) and freedom from abuse, neglect, and exploitation (4). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level J, June 28, 2024). 4 citations were under CMS's abuse, neglect and exploitation rules.
September 3, 2026 · 13 citations
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
DHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DEnsure each resident receives an accurate assessment.
DPASARR screening for Mental disorders or Intellectual Disabilities
DNotify the appropriate authorities when residents with MD or ID services has a significant change in condition.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DEnsure each resident’s drug regimen must be free from unnecessary drugs.
DProvide and implement an infection prevention and control program.
July 17, 2025 · 3 citations
EEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
EEnsure each resident receives an accurate assessment.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
June 28, 2024 · 3 citations, includes immediate jeopardy · includes complaint inspection
JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
Questions to ask on a tour of Idaho State Veterans Home - Lewiston
- Inspectors cited the home at the immediate-jeopardy level on June 28, 2024 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on September 3, 2026. How are staff trained, and how are concerns reported?
- Weekend staffing is 18% below the all-week average. Who is on duty on Saturday nights?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
2 penalties in the last three years, including $206,282 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Sep 3, 2026 | Fine | $19,432 |
| Jun 28, 2024 | Fine | $186,850 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 1/5 | 5/5 | 4/5 |
| August 2026 | 5/5 | 4/5 | 5/5 | 4/5 |
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Location
Hospitals near Idaho State Veterans Home - Lewiston
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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1.3 mi
St Joseph Regional Medical Center LewistonEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 2h 9m for patients treated and sent home
-
1.7 mi
Tri-State Memorial Hospital ClarkstonEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 23m for patients treated and sent home
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22.8 mi
Pullman Memorial Hospital PullmanEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 1h 55m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Idaho State Veterans Home - Lewiston › All nursing homes in Lewiston ›
Compare Idaho State Veterans Home - Lewiston with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Life Care Center of Lewiston · Lewiston · 5 stars · 1.2 mi
- Cascadia of Lewiston · Lewiston · 4 stars · 1.4 mi
- Lewiston Transitional Care of Cascadia · Lewiston · 4 stars · 1.8 mi
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.