Nursing home · Top rated by CMS
Idaho State Veterans Home - Lewiston
821 21St Avenue, Lewiston, ID 83501 · Map
Government - State · 66 certified beds
Idaho State Veterans Home - Lewiston is a Medicare-certified nursing home in Lewiston, Idaho. CMS rates it 5 out of 5 stars overall (5/5 for staffing, 4/5 for health inspections). Nurse staffing is 4.82 hours per resident per day, above the Idaho average of 4.07. Its most recent inspection on Jul 17, 2025 cited 3 deficiencies.
- 1 fine totaling $186,850In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Idaho State Veterans Home - Lewiston compares
This facility vs. the Idaho and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Idaho avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.82 | 4.07 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 1.65 | 0.83 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.88 | 2.47 | 2.34 | above avg |
| Nursing staff turnover | 37.5% | 49.0% | 46.4% | below avg |
| Deficiencies cited, last inspection | 3.0 | 8.8 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the July 17, 2025 inspection was corrected by August 15, 2025
Penalties in CMS records: 1 fine totaling $186,850, 1 total penalty.
What inspectors found at Idaho State Veterans Home - Lewiston
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Jul 17, 2025 · Full report (PDF) - Potential for harm
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies · Jul 17, 2025 · Full report (PDF) - Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Jul 17, 2025 · Full report (PDF) - Immediate jeopardy
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jun 28, 2024 · Full report (PDF) - Potential for harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jun 28, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jun 28, 2024 · Full report (PDF) - Immediate jeopardy
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Apr 26, 2019 - Potential for harm
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Apr 26, 2019 - Potential for harm
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.
Pharmacy Service Deficiencies · Apr 26, 2019 - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Apr 26, 2019 - Potential for harm
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.
Pharmacy Service Deficiencies · Apr 26, 2019 - Potential for harm
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.
Quality of Life and Care Deficiencies · Apr 26, 2019
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 821 21St Avenue
Lewiston, ID 83501 - CMS certification #
- 135133
- Ownership
- Government - State
- Certified beds
- 66
- Avg residents/day
- 49.1
- Provider type
- Medicare and Medicaid
- First certified
- 2007-12-01
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Idaho State Veterans Home - Lewiston using Google Maps.
Other public records
- Programs State Veterans Home
Full public records, with dates and sources
Paying with Medicaid and other programs
Federal and state programs
- State Veterans Home. Listed as a State Veterans Home (IDAHO STATE VETERANS HOME – LEWISTON) in the national directory that VA links to. Beds listed: Nursing Care: 66. State Veterans Homes are state-owned; VA surveys them each year and pays part of the cost of care for eligible veterans. (State Veterans Homes (NASVH directory), as of Apr 21, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- St Joseph Regional Medical Center, Lewiston. 1.3 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
- Nearest Medicare nursing home
- Life Care Center of Lewiston, Lewiston. 1.2 miles away, straight line.
- Nearest home health agency office
- Elite Home Health, Lewiston. 1.6 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Rite Aid. 0.7 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, 1.1 miles away, straight line (has a shift starting after 5 pm; CMS rating 4 of 5 stars)
Tri-State Memorial Hospital-Dialysis, Clarkston, 1.7 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, 1.6 miles away, straight line
Heart 'N Home Hospice, office in Lewiston, 1.7 miles away, straight line (CMS family survey rating 5 of 5 stars)
Elite Hospice, office in Clarkston, 2.5 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Kadlec Regional Medical Center, Kennewick. 101.0 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 risk
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: very low. By hazard: inland flooding relatively low, wildfire relatively moderate, 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.
What we checked
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 |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| 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 | See above |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Idaho State Veterans Home - Lewiston a good nursing home?
CMS gives Idaho State Veterans Home - Lewiston an overall rating of 5 out of 5 stars, including 5/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Idaho State Veterans Home - Lewiston staffed?
Idaho State Veterans Home - Lewiston reports 4.82 total nurse hours per resident per day, compared with the Idaho average of 4.07.
Has Idaho State Veterans Home - Lewiston had inspection problems?
Its most recent CMS inspection cited 3 deficiencies.
How many beds does Idaho State Veterans Home - Lewiston have?
Idaho State Veterans Home - Lewiston is certified for 66 beds.