Nursing homeActive
Idaho State Veterans Home - Lewiston
821 21st Avenue, Lewiston, ID 83501208750360066 certified beds · 49 residentsGovernment - StateMedicare and Medicaid
Surveys on file
3
since 2019
Deficiencies
15
● 0● 13● 2
Penalties · 3 yrs
$186,850
1 fine
Last survey
2025-07-17
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 4
Staffing 5
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Idaho Bureau of Facility Standards · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-07-17 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2024-06-28 | Complaint | 021 | CMS-2567 (Care Compare) | — |
| 2019-04-26 | Standard | 081 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Idaho Bureau of Facility Standards publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-15Record 135133-20250717-F550
F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-08-15Record 135133-20250717-F640
F641Ensure each resident receives an accurate assessment.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-08-15Record 135133-20250717-F641
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity JHarm
Abuse & neglect
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-07-15Record 135133-20240628-F600
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-15Record 135133-20240628-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-15Record 135133-20240628-F610
F610Respond appropriately to all alleged violations.Scope/severity LHarm
Abuse & neglect
Widespread; immediate jeopardy to resident health or safety.Corrected 2019-05-31Record 135133-20190426-F610
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity FStandard
Abuse & neglect
Widespread; no actual harm, potential for more than minimal harm.Corrected 2019-05-31Record 135133-20190426-F607
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-05-31Record 135133-20190426-F657
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-05-31Record 135133-20190426-F677
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-07-25Record 135133-20190426-F684
F700Try 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-05-31Record 135133-20190426-F700
F758Implement 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2019-05-31Record 135133-20190426-F758
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-05-31Record 135133-20190426-F761
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-05-31Record 135133-20190426-F880
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2024-06-28 | Civil money penalty | $186,850 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day1.60
Facility
Idaho
National
Idaho 0.86 · National 0.69
Total nurse hours per resident day4.72
Facility
Idaho
National
Idaho 4.04 · National 3.86
Weekend total nurse hours4.06
Facility
Idaho
National
Idaho 3.49 · National 3.42
Total nursing staff turnover27%
Facility
Idaho
National
Idaho 50% · National 46%
Registered nurse turnover6%
Facility
Idaho
National
Idaho 41% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Idaho | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 2.0% | 3.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 3.2% | 3.0% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 16.3% | 20.1% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.6% | 2.0% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 19.5% | 15.6% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 2.9% | 5.2% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 6.0% | 16.3% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| High, Mark Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| High, Mark Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Idaho.
No county cost figures on file for Nez Perce.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Life Care Center of Lewiston Lewiston | 1.2 mi | 2025-08-01 | 060 |
| Royal Plaza Health and Rehabilitation of Cascadia Lewiston | 1.4 mi | 2026-06-26 | 0250 |
| Cascadia of Lewiston Lewiston | 1.4 mi | 2026-05-21 | 0201 |
| Clarkston Health And Rehab Of Cascadia Clarkston | 1.5 mi | 2025-08-18 | 0411 |
| Lewiston Transitional Care of Cascadia Lewiston | 1.8 mi | 2025-08-21 | 090 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |