Assisted Living
Joyce's Orchard Residential Care Home
615 Cedar Avenue, Lewiston, ID 83501 · Map
Licensed for 12 residents
Joyce's Orchard Residential Care Home is a state-licensed assisted living community in Lewiston, Idaho. It is licensed for 12 residents. Lilisity publishes no score or ranking for this community; the details below come from the state licensing record.
Prices
This community does not publish its prices.
Lilisity’s independent report
What the public record shows
Gathered by Lilisity from state and federal sources. Communities can’t edit this part of the page.
License
Active, 12 residents
Residential Assisted Living Facility (SMALL).
Nearest emergency room
3.1 miles
St Joseph Regional Medical Center, rated 2 of 5 stars by CMS.
Side by side with nearby communities
The 4 nearest communities that offer assisted living, by straight-line distance. Prices are starting prices each community publishes; we never show estimates.
| Community | Distance | Licensed capacity | Published starting price | License | Inspection citations |
|---|---|---|---|---|---|
| Joyce's Orchard Residential Care Home this community | 12 | Not published | Active | 0 core, 3 non-core deficiencies | |
| Living Spring Residential Care | 1.4 mi | 8 | Not published | Active | No record |
| Emeritus at Juniper Meadows | 1.5 mi | 133 | $3,660/mo | Active | 0 core, 50 non-core deficiencies |
| Royal Plaza Retirement & Care Center / Rcf | 1.5 mi | 110 | Not published | Active | 0 core, 43 non-core deficiencies |
| Guardian Angel Homes Lewiston I | 1.7 mi | 91 | Not published | Active | 0 core, 9 non-core deficiencies |
State inspection record0 core, 3 non-core deficiencies
- Last survey
- November 4, 2025 Health Care Licensure and Follow-Up
- Surveys
- 4, including 1 complaint investigation
- Core deficiencies
- 0
- Non-core deficiencies
- 3 plus 1 survey with issues not counted here; see the report
- Enforcement actions
- None listed
- License
- Unrestricted, expires December 31, 2026
- No deficiencies cited at the last 2 surveys (February 2023 to November 2025)
Surveys in the last five years
- November 4, 2025: Health Care Licensure and Follow-Up. No issues found (no deficiencies). Gold Excellence in Care Award
- February 8, 2023: Health Care Licensure and Follow-Up. No issues found (no deficiencies).
- October 27, 2022: Fire Life Safety and Sanitation Licensure. Non-core issues found (0 core, 3 non-core), response due November 26, 2022. report
- Fire and life safety standards for existing buildings licensed for three through sixteen residents non-core, IDAPA 16.03.22.403
- Prohibited Applications non-core, IDAPA 16.03.22.405.04
- Requirements for emergency actions and fire drills non-core, IDAPA 16.03.22.410
- August 9, 2022: Health Care Complaint Investigation. Non-core issues found. report
See recent surveys on the State’s FLARES site → Search for “Joyce's Orchard Residential Care Home” under Find a Provider for the full history.
What these terms mean
Idaho law: “Core issues” means “abuse, neglect, exploitation, inadequate care, inoperable fire detection or extinguishing systems with no fire watch in place pending the correction of the system, and surveyors denied access to records, residents, or facilities.” A “non-core issue” is “any finding of deficient practice that is not a core issue” (Idaho Code 39-3302).
Facilities “must correct non-core issues within thirty (30) calendar days of the exit conference” (IDAPA 16.03.22.127). Facilities without core issues in two consecutive licensure surveys are inspected at least every 36 months; facilities with core issues at least every 15 months.
“A provisional license may be issued when a facility has one (1) or more core issues, when non-core issues have not been corrected, have become repeat deficiencies, or an acceptable plan of correction is not submitted” (IDAPA 16.03.22.935).
FLARES awards: “Gold Excellence in Care Award - No deficiencies were cited during the survey”; “Silver Excellence in Care Award - No core deficiencies were found and there were three or fewer non-core deficiencies cited during the survey.”
Each cited rule is shown with the heading the State printed in its report. Idaho’s assisted living rules changed on July 1, 2026, and some section numbers now point to different rules, so read each citation with its heading.
This community is licensed for 12 residents; larger communities are surveyed and reported on more often, so read counts with size in mind. Source: Idaho Department of Health and Welfare, Residential Assisted Living Facilities program, FLARES survey records as of October 15, 2026, showing the last five years. Always visit in person and ask the community about anything listed here.
License and ownershipActive license
- License type
- Residential Assisted Living Facility (SMALL)
- License status
- Active
- Licensed capacity
- 12
- County
- Nez Perce County
- Administrator
- Joy Cook
Source: Idaho state licensing records (agency listing), retrieved 2026-09-09. Licensing status is a matter of public record; it is not a quality rating.
Administrator name from the Idaho licensing record, as of Oct 12, 2026.
Paying with Medicaid and other programsOn the Idaho list of Medicaid providers (2026)
On the Idaho list of Medicaid providers. Listed as Joyce's Orchard Residential Care Home under Accepts Medicaid clients (FLARES facility page). (state list, as of Oct 15, 2026)
Being on the list means the community has taken part in the program. Ask whether it has a Medicaid opening now, and how many residents it serves on Medicaid.
How Medicaid pays for care in Idaho
- Idaho Medicaid. Some Idaho assisted living facilities accept Medicaid clients, and the state facility search lets you filter for them. The fetched pages did not name the specific Medicaid program that pays for assisted living care. (state page)
Staff pay and workplace safety1 federal wage case with violations found
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Feb 19, 2010 to Feb 17, 2012. Violations found: Overtime. Back wages: $6,250 owed to 1 employee. Employer as DOL recorded it: Joyce's Orchard Residential Care. Case 1649928.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby careNearest hospital 3.1 mi, nursing home 0.7 mi, pharmacy 1.7 mi
- Nearest hospital with an emergency room
- St Joseph Regional Medical Center, Lewiston. 3.1 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
- Nearest Medicare nursing home
- Lewiston Transitional Care of Cascadia, Lewiston. 0.7 miles away, straight line.
- Nearest home health agency office
- Elite Home Health, Lewiston. 3.4 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 1.7 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 83501 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Lewis-Clark Kidney Center, Lewiston, 2.3 miles away, straight line (has a shift starting after 5 pm; CMS rating 4 of 5 stars)
Tri-State Memorial Hospital-Dialysis, Clarkston, 3.2 miles away, straight line (CMS rating 1 of 5 stars) - Hospice
- 5 Medicare hospices tell CMS they serve ZIP code 83501.
Elite Hospice, office in Lewiston, 3.4 miles away, straight line
Heart 'N Home Hospice, office in Lewiston, 3.5 miles away, straight line (CMS family survey rating 5 of 5 stars)
Elite Hospice, office in Clarkston, 4.3 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Kadlec Regional Medical Center, Kennewick. 101.8 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard riskFEMA overall risk relatively moderate; outside FEMA's high-risk flood areas
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- FEMA has a flood map for this community (takes effect October 29, 2026), but it is not in FEMA's digital flood map data, so the zone at this address could not be read. FEMA's Map Service Center has the map. (FEMA flood map)
- Wildfire risk to homes
- In Lewiston, ID, risk to homes is greater than 60% of communities in Idaho and 87% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: inland flooding relatively moderate, wildfire relatively high, tornado very low, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
Questions to ask on a tour9 questions picked for this community from its record
Picked for this community from its record. Ask them in person and write down the answers.
- What does the base rate include, and when did rates last go up?
- How many caregivers are on duty during the day and at night?
- What happens if care needs increase? When would someone need to move?
- What fees are charged at move-in?
- How do you tell families about falls, illness or changes?
- How long have the executive director and the head of care been here?
- Who gives medications, and what training do they have?
- For what reasons can a resident be asked to leave?
- Is the apartment held during a hospital stay, and at what cost?
What we checked12 public sources we searched, with dates
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| Idaho Department of Health and Welfare, Residential Assisted Living Facilities program inspection records | Oct 15, 2026 | See above |
| Idaho Medicaid provider list | Oct 15, 2026 | See above |
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
Common questionsAnswers to 4 questions families ask
What type of care does Joyce's Orchard Residential Care Home provide?
Joyce's Orchard Residential Care Home is licensed by the state of Idaho for assisted living in Lewiston, Idaho. Its licensed capacity is 12 residents.
Does Lilisity rate Joyce's Orchard Residential Care Home?
No. We publish state licensing details for Joyce's Orchard Residential Care Home but no score, rating, or ranking. Only communities on the Top Communities list or with a Senior Living Alliance Excellence Award, both based on phone-verified resident and family interviews, are ranked.
How much does Joyce's Orchard Residential Care Home cost?
Joyce's Orchard Residential Care Home does not publish its prices.
How do I contact Joyce's Orchard Residential Care Home?
Visit Joyce's Orchard Residential Care Home at 615 Cedar Avenue, Lewiston, ID 83501.
How Lilisity works. The only scores or rankings Lilisity publishes are the Top Communities list and the Excellence Awards, both built from phone-verified resident and family interviews. Communities can pay Lilisity a flat monthly fee to manage their own listing: photos, prices, contact details, and receiving the inquiries families choose to send them. The fee is the same no matter how many families contact them or move in. Senior Living Alliance, which runs Lilisity, offers the same listing to its member communities as part of their membership; members pay SLA for its resident and family interview program. No community pays Lilisity per inquiry, per referral or per move-in. Payment never changes a testimonial, a rating, or the order of search results. The "Nearby Senior Living Alliance communities" box shows member communities only. How we verify testimonials · How we are paid