Skilled nursing · Lewiston, ID

Idaho State Veterans Home - Lewiston

821 21ST AVENUE, Lewiston, ID 83501

5 / 5CMS 66 bedsCapacity Apr 2026Inspected

PALMELLE

Below median

Federal · State

Solid

The Palmelle read

Mixed. Idaho State Veterans Home - Lewiston carries a Palmelle Clarity Score of 69 out of 100, derived from federal CMS Care Compare data plus Idaho state records. Health inspection rating sits at 4-star, staffing at 5-star, quality measures at 4-star. Long-stay antipsychotic prescribing is at 12.6 percent, below the 14 percent national median. Long-stay sedative prescribing is at 6.7 percent, below the 15 percent national median. RN coverage is 1.57 hours per resident per day. Nurse turnover 32 percent.

Generated by Palmelle · updated monthly · sources: federal CMS Care Compare, Idaho DPH

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In their own words

No operator description yet.

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Services

What they offer.

Levels of care

Skilled nursing

Amenities

Operator has not yet shared amenities

What the data shows

The safety record, by the numbers.

Going right

5-star health inspection

Top federal score on the most recent inspection.

RN hours per resident, daily

This

1.57

National

0.78

Annual nurse turnover

This

32%

National

53%

Worth asking about

Antipsychotic, long-stay

This

12.6%

National

14%

Ask what behaviors the medication targets and what non-medication options were tried first.

Federal CMS + Idaho state data

The full inspection record.

Federal CMS ratings

Overall★★★★★5 / 5

Health inspection★★★★★4 / 5

Staffing★★★★★5 / 5

Quality measures★★★★★4 / 5

Staffing

RN hours per resident, daily

This

1.57

Nat

0.78

Total nurse hours / resident, daily

This

4.66

Nat

3.62

Annual nurse turnover

This

32%

Nat

53%

Annual RN turnover

This

12%

Nat

47%

Quality measures · long-stay residents

Antipsychotic

This

12.6%

Nat

14%

Sedative / sleep med

This

6.7%

Nat

15%

Physical restraint

This

0.0%

Nat

1.1%

Falls with major injury

This

3.3%

Nat

1.6%

Penalties & status

No abuse iconNot special focusInspection current$186,850 in fines (1)

Identity & licensing

CMS ID135133

OwnershipGovernment - State

ChainIndependent

Beds66

Avg residents51

Citations · last 36 months

Flagged by CMS data
This facility has received 1 federal fine(s) but still shows a 5.0-star overall rating. Federal penalties are serious — they indicate violations found during inspections. A high rating alongside recent penalties warrants extra scrutiny.
From the latest CMS Care Compare reconcile

Sources: federal CMS Care Compare, Idaho DPH · Last reconciled May 5, 2026

Questions families ask

Common questions.

What is the CMS rating for Idaho State Veterans Home - Lewiston?

Idaho State Veterans Home - Lewiston has an overall CMS Care Compare rating of 5 out of 5 stars. It scores 4 of 5 on health inspection, 5 of 5 on staffing, and 4 of 5 on quality measures. The overall rating averages these subscores with health inspection weighted more heavily.

Has Idaho State Veterans Home - Lewiston been cited for resident harm?

It has $186,850 in federal fines across 1 penalty on record in the last 36 months. CMS data flagged 1 concern on the latest reconcile. The full record for Idaho State Veterans Home - Lewiston appears in the record section above.

Does Idaho State Veterans Home - Lewiston use antipsychotic medications?

12.6 percent of long-stay residents at Idaho State Veterans Home - Lewiston are on antipsychotic medications, below the 14 percent national median (CMS measure 481). Sedative and sleep-medication use is near the national median at 6.7 percent. Medications can be appropriate, but they are also commonly used to manage dementia-related behaviors instead of staffing or non-medication approaches. Worth asking on a tour: what behaviors the medication targets and what non-medication options were tried first.

What is Idaho State Veterans Home - Lewiston's Palmelle Clarity Score?

Idaho State Veterans Home - Lewiston has a Palmelle Clarity Score of 69 out of 100, putting it near the national median. The score is a composite of federal CMS and Idaho state inspection data. Higher is better.

How can I tour or contact Idaho State Veterans Home - Lewiston?

Idaho State Veterans Home - Lewiston is located at 821 21ST AVENUE, Lewiston, ID 83501. Phone: (208) 750-3600. Tour hours: contact facility for current schedule. If you would like a Palmelle senior placement advisor to compare this facility with two others on your shortlist and call them on your behalf, use Help Me Choose.

Is Idaho State Veterans Home - Lewiston a special focus facility?

Idaho State Veterans Home - Lewiston is not on the federal Special Focus Facility list, but it does have $186,850 in federal fines on record. See the penalties and status section above.

What does F-689 mean on Idaho State Veterans Home - Lewiston's record?

F-689 is a federal CMS deficiency code for inadequate supervision resulting in actual resident harm. If Idaho State Veterans Home - Lewiston has any active citations or CMS conflict flags, they appear with their details in the record section above, along with any operator response.

How does Idaho State Veterans Home - Lewiston compare to other Lewiston skilled nursing facilities?

Idaho State Veterans Home - Lewiston holds a Palmelle Clarity Score of 69. Browse the full Lewiston directory to compare more facilities by score, staffing, and inspection record.

Can Palmelle help with hospital discharge to skilled nursing at Idaho State Veterans Home - Lewiston?

Yes. Palmelle handles hospital discharge placement and emergency senior placement with a single Placement Specialist owning the case from intake to recommendation. Typical timeline: intake Monday, written recommendation Thursday, follow-up Friday. Call (888) 282-7256 to start, or use Help Me Choose for a comparison report on Idaho State Veterans Home - Lewiston and two other facilities on your shortlist.

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