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Nursing HomeMedicaid Top Rated

Idaho State Veterans Home - Lewiston

Strong Medicare quality ratings; families often praise exceptionally clean and well-maintained facility. Still worth an in-person visit.

821 21st Avenue, Lewiston, ID 8350166 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.5/5

based on 21 Google reviews

Idaho State Veterans Home - Lewiston Nursing Home in Lewiston, ID — Street View
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What this means for your family

The facility is highly regarded for its cleanliness and respectful staff, making it a comfortable environment for many veterans. However, because there is a past report of serious concerns regarding clinical care and rehabilitation, we strongly recommend that you schedule a tour to speak directly with the nursing director about their specific protocols for post-stroke recovery and medical oversight.

Google Reviews

Google Reviews

21 reviews on Google
The Idaho State Veterans Home in Lewiston is widely praised for its cleanliness, well-maintained environment, and respectful treatment of veterans. While many visitors report high satisfaction with the facility's appearance and staff demeanor, there is a serious, albeit older, report alleging neglect regarding medical care and rehabilitation support. Prospective families should focus on verifying the current quality of clinical care and communication protocols.

Quality Themes

Tap a score for details
FoodN/AStaff8.0Clean10.0ActivitiesN/AMedsN/AMemoryN/AComms5.0ValueN/A

Strengths

  • Exceptionally clean and well-maintained facility
  • Respectful and caring staff
  • Strong sense of honor and appreciation for veterans
  • Positive environment for visitors

Concerns

  • Allegations of neglect regarding medical care and rehabilitation

Rating Trends

Tap a year to see what changed

234'15(2)'18(2)'20(3)'22(5)'25(2)

Distribution · 24 analyzed

5
17
4
5
3
0
2
1
1
1

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1It is wonderful to see how clean and well-maintained the facility is; what are your specific protocols for keeping the resident areas so pristine?
  • 2We are so impressed by the high staffing rating here; how does your team ensure that every veteran receives personalized, attentive care during their shifts?
  • 3With such a strong sense of honor for veterans in this community, are there specific patriotic events or ceremonies held here for the residents?
  • 4Could you walk us through the process for managing medical needs and how the team coordinates with doctors to ensure no part of a resident's care plan is missed?
  • 5What kind of daily activities or social outings are available to help the residents stay engaged with one another?
  • 6How does the staff handle unexpected medical changes or emergencies that might occur during the night?

Personalized based on this facility's data


Key Review Excerpts

I’ve been in a lot of nursing homes and none are cleaner than this one. The staff are friendly and the resident appear very happy and well taken care of.

Visitor · 2020★★★★★

Excellent staff. Very caring and respectful. A very clean facility.

Visitor · 2018★★★★★

I visited my brother Steve Weber, building smells clean looks great and he was in good shape.

Family member · 2024★★★★★
Source: 21 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.57hrs
OK
Registered nurses for medical care
Total Nursing
4.66hrs
OK
All nurses + aides combined
Staff Turnover
33%
Lower is better (< 30% = good)
RN Turnover
13%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 15 measures

Medicare Rating
4/ 5
Better Than Avg

8

measures

Worse Than Avg

5

measures

Mixed Results

2

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility5.5%
Better than Avg
Here
5.5%
US
19.5%
ID
16.3%
Nez perce
14.5%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility26.3%
Worse than Avg
Here
26.3%
US
15.3%
ID
17.6%
Nez perce
24.8%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility30.2%
Worse than Avg
Here
30.2%
US
19.4%
ID
22.6%
Nez perce
24.4%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility22.2%
Worse than Avg
Here
22.2%
US
14.4%
ID
16.6%
Nez perce
20.0%
😔

Residents with depression symptoms

↓ Lower is better
This Facility8.2%
Better than Avg
Here
8.2%
US
12.1%
ID
14.4%
Nez perce
15.9%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility13.8%
Better than Avg
Here
13.8%
US
15.5%
ID
20.1%
Nez perce
18.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility81.1%
Worse than Avg
Here
81.1%
US
81.8%
ID
90.6%
Nez perce
93.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

3deficiencies
1penalties
Well below state avg (8.8)
3 complaint-triggered
$186,850 in fines

This facility has a concerning pattern of recurring issues with abuse and neglect protections, with families filing complaint reports that triggered recent investigations in 2024. The most frequent problems involve resident safety protections, care planning and assessments, and building safety systems. While all deficiencies show correction dates, the repeated abuse-related violations across multiple years and recent family complaints suggest ongoing challenges with fundamental resident protection standards that families should carefully evaluate.

Jul 17, 2025Routine
8
0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0640Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

0641Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0039Potential for harm · PatternCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0521Potential for harm · PatternCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0345Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0908Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.

Jun 28, 2024Complaint
3
0600Immediate jeopardy · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Jun 28, 2024Routine
2
0907Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure medical gas and vacuum systems have documented maintenance programs.

0761Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Apr 26, 2019Routine
9
0610Immediate jeopardy · WidespreadCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0607Potential for harm · WidespreadCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0758Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0700Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Federal Penalties

Fine

Jun 28, 2024

$186,850

Ownership & Operations

Who Operates This Facility

Owner / Operator

Idaho State Veterans Home - Lewiston

Organization Type

government

Ownership & Management

Key personnel

High, MarkW-2 Managing EmployeeHigh, MarkManager
Source: Medicare provider data

Contact

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References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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