Home›Browse›Idaho›Lewiston›Idaho State Veterans Home - Lewiston

Nursing homeFAID #2884

Idaho State Veterans Home - Lewiston

821 21ST AVENUE, LEWISTON, ID, 83501

(208) 750-3600

66 licensed beds

CMS rates Idaho State Veterans Home - Lewiston 2 out of 5 overall. Federal inspectors issued 28 citations across 7 inspections in the last three years, with $206,282 in fines. Listing last updated 2026-11-06.

★★★★★2/5CMS Five-Star overall1/5 health inspections5/5 staffing4/5 quality measuresSource: CMS Care Compare

Generate this report

Primary Report$79 Advanced Report$99

Delivered within 24–48 hours

Address

821 21st Avenue

Lewiston, ID 83501

Get directions

Map facilities in this area

All facilities in Lewiston

Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

135133

Care type

Nursing home

County

Nez Perce

Facility name

Idaho State Veterans Home - Lewiston

Street address

821 21ST AVENUE

City / state / ZIP

Lewiston, ID 83501

Phone

(208) 750-3600

About this facility — Idaho State Veterans Home - Lewiston

Idaho State Veterans Home - Lewiston is a Medicare/Medicaid-certified skilled nursing facility in Lewiston, Idaho. It is licensed for 66 beds — close to the median for skilled nursing facilities in Idaho (70 beds).

It is one of 17 senior care facilities in Lewiston and 80 skilled nursing facilities across Idaho. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Idaho State Veterans Home - Lewiston 28 times across 7 inspections in the last three years, including 2 food-safety citations, and CMS has imposed $206,282 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Ownership type

Government - State

Registered owners & officers

High, Mark

Managing employee · Operational control — since 2016

Regulatory standing

Licensed / certified since

2007-12-01

CMS overall rating

2 of 5 stars

Health deficiencies

13 at the last standard inspection

Federal fines

$206,282 total

Last standard inspection

2026-09-03

Nurse staffing

5.0 hours per resident per day

Cost & payer profile (FY2024 cost report)

Average billed charges

$568 per day (≈ $17,270/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

40% Medicaid · 1% Medicare · 59% private/other

Occupancy

74% (fiscal year 2024)

Vs. state median

26% above the ID median of $452/day — full state cost breakdown

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.

2026-09-03Health inspection13 citations

F-0578

D · No harm found

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2026-10-01

F-0580

D · No harm found

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2026-10-01

F-0609

D · No harm found

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

Corrected 2026-10-01

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2026-10-01

F-0645

D · No harm found

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2026-10-01

F-0646

D · No harm found

Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

Corrected 2026-10-01

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2026-10-01

F-0657

D · No harm found

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

Corrected 2026-10-01

F-0689

G · Actual harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2026-06-01

F-0757

D · No harm found

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2026-10-01

F-0804

E · No harm foundFood safety

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2026-10-01

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2026-10-01

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-10-01

2025-07-17Health inspection3 citations

F-0550

D · No harm found

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

Corrected 2025-08-15

F-0640

E · No harm found

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

Corrected 2025-08-15

F-0641

E · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2025-08-15

4 earlier / fire-safety inspections (12 citations)

2024-06-28Health inspectionComplaint-triggered3 citations

F-0600

J · Immediate jeopardyFrom a complaint

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

Corrected 2024-07-15

F-0609

D · No harm foundFrom a complaint

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

Corrected 2024-07-15

F-0610

D · No harm foundFrom a complaint

Respond appropriately to all alleged violations.

Corrected 2024-07-15

2026-09-03Fire-safety inspection2 citations

K-0291

F · No harm found

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2026-09-04

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2026-09-04

2025-07-17Fire-safety inspection5 citations

E-0039

E · No harm found

Conduct testing and exercise requirements.

Corrected 2025-10-24

K-0345

D · No harm found

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

Corrected 2025-10-24

K-0521

E · No harm found

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

Corrected 2025-10-24

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2025-10-24

K-0908

D · No harm found

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

Corrected 2025-10-24

2024-06-28Fire-safety inspection2 citations

K-0761

D · No harm found

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

Corrected 2023-07-31

K-0907

E · No harm found

Ensure medical gas and vacuum systems have documented maintenance programs.

Corrected 2023-07-31

Federal penalties

2026-09-03Fine$19,432

2024-06-28Fine$186,850

Total fines$206,282

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 135133.

Quality of care & staffing

How it compares in Idaho.

Inspection citations, 3 years

More than 23% of nursing homes in the state

State median: 38

Federal fines, 3 years

$206,282

More than 98% of nursing homes in the state

State median: $0

Nurse staffing, hours per resident per day

5.0

Higher than 86% of nursing homes in the state

State median: 3.8

Nursing staff turnover, annual

33%

Higher than 8% of nursing homes in the state

State median: 51%

Resident outcomes

On 17 federal quality measures, this facility does better than the Idaho average on 9 and worse on 5. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	20.6%	15.4%	13.5%	Worse than state
Lose too much weight	3.9%	5.1%	5.1%	Better than state
With a catheter inserted and left in their bladder	1.1%	1.0%	0.7%	Near state average
With a urinary tract infection	0.5%	2.0%	1.5%	Better than state
Have depressive symptoms	13.6%	15.7%	13.5%	Better than state
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	2.1%	3.1%	3.2%	Better than state
Assessed and appropriately given the pneumococcal vaccine	98.4%	97.8%	93.7%	Near state average
Ability to walk independently worsened	18.6%	15.8%	12.7%	Worse than state
Received an antianxiety or hypnotic medication	6.5%	16.4%	19.5%	Better than state
Assessed and appropriately given the seasonal influenza vaccine	98.2%	96.2%	95.3%	Near state average
With pressure ulcers	2.1%	3.4%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	28.7%	21.2%	18.3%	Worse than state
Received an antipsychotic medication	17.8%	20.3%	15.4%	Better than state
Hospitalizations per 1000 long-stay resident days	0.51	1.03	1.81	Better than state
Outpatient emergency department visits per 1000 long-stay resident days	2.00	1.49	1.69	Worse than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	62.5%	91.8%	82.3%	Worse than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0609 2 inspections. Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F-0641 2 inspections. Ensure each resident receives an accurate assessment.

Verify & compare

Where to check, and what's nearby.

Who to contact in Idaho

Licensing: Idaho Department of Health and Welfare, Residential Assisted Living Facilities Program (Licensing and Certification)
File a complaint: 208-364-1962 · Online
Long-Term Care Ombudsman: 877-471-2777. A free advocate for residents and families.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

St Joseph Regional Medical Center, about 1.3 miles. CMS rating 2 of 5.
Tri-state Memorial Hospital, about 1.7 miles. CMS rating 4 of 5.
Gritman Medical Center, about 23 miles. CMS rating 3 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Life Care Center of Lewiston, Lewiston, about 1.2 miles. CMS rating 5 of 5.
Cascadia of Lewiston, Lewiston, about 1.4 miles. CMS rating 4 of 5.
Royal Plaza Health and Rehabilitation of Cascadia, Lewiston, about 1.4 miles. CMS rating 2 of 5.
Clarkston Health and Rehab of Cascadia, Clarkston, about 1.5 miles. CMS rating 3 of 5.
Lewiston Transitional Care of Cascadia, Lewiston, about 1.8 miles. CMS rating 4 of 5.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 28 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

Unlock the full file

Citations, owner history, lawsuits — decoded into one PDF.

$79 $99 Advanced

Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered