★★★★★CMS 5/566 bedsGovernmentMedicaid
- Nurse hours
- 4.72 /day
- Staff turnover
- 27%
- Serious cites
- 0
The Idaho State Veterans Home in Lewiston runs on state money and 66 beds, with nurse staffing at 4.72 hours per resident day, roughly 22% above the national average, and weekend coverage holding fairly steady, down only about 14% from weekdays. Staff turnover sits at 26.9%, well under the national 45.8%, which matters for residents who need consistent faces. But the inspection record is where this home gets complicated: 15 deficiencies, two of them serious enough to endanger residents, five tied to abuse, and a single fine that climbed to $186,850. The most recent inspection was July 2025, so the picture is current. Strong staffing and low turnover are real strengths; those deficiency numbers are equally real.
★★★★★CMS 5/5121 bedsFor-profitMedicaid
- Nurse hours
- 3.43 /day
- Staff turnover
- 51%
- Serious cites
- 0
Life Care Center of Lewiston runs 121 certified beds under corporate for-profit ownership, and the numbers tell a mixed story. Inspections are a genuine strength, a five-star health inspection rating, zero deficiencies at the harm or jeopardy level, no abuse citations, and a recent survey from August 2025. Where it slips is staffing: 3.43 nurse hours per resident day sits about 11% under the national average, weekend coverage drops roughly 16% below its own weekday level, and annual turnover of 50.6% runs above the 45.8% national figure. Strong quality measures and a clean inspection record count for a lot, but thin weekend staffing matters most exactly when families can't easily visit and check.
★★☆☆☆CMS 2/578 bedsFor-profitMedicaid
- Nurse hours
- 3.24 /day
- Staff turnover
- 53%
- Serious cites
- 0
Royal Plaza runs on thin staffing for a 76-bed home, 3.24 nurse hours per resident day against a national average of 3.86, with weekends dropping about 18% below its own weekday level. That matters because care doesn't pause on Saturdays. The 27 deficiencies on record include five at the harm or jeopardy level, which is a meaningful count, though inspectors have visited recently and returned a four-star inspection rating. Annual turnover sits at 53.4%, higher than the national 45.8%, so aides and nurses are cycling through. Quality measures land at two stars even as inspections hold at four. The ownership is a for-profit partnership, and the split between those ratings tells you where to push when you tour.
★★☆☆☆CMS 2/5127 bedsFor-profitMedicaid
- Nurse hours
- 3.39 /day
- Staff turnover
- 46%
- Serious cites
- 0
Orchard View Post Acute runs 127 beds in Lewiston under for-profit limited liability ownership, and its inspection record is the part that stands out: 33 deficiencies on file, including one at the harm or jeopardy level and four tied to abuse. The health inspection and quality measure ratings both sit at 2 out of 5, and a single fine of $16,790 has been levied. Nurse staffing averages 3.39 hours per resident per day, about 12 percent under the national figure, and weekends drop roughly 11 percent below the home's own weekday coverage. Turnover is 46 percent, essentially matching the national rate rather than beating it.
★★★★☆CMS 4/534 bedsFor-profit
- Nurse hours
- 4.31 /day
- Staff turnover
- 68%
- Serious cites
- 0
Cascadia of Lewiston runs 34 beds under for-profit LLC ownership, and its inspection record is genuinely solid, a 4/5 health inspection rating and a perfect 5/5 on quality measures. The problem sits in staffing, where CMS gives it just 1/5. Total nurse hours come in around 4.31 per resident day, roughly 12% above the national average, but weekends drop about 15% below the home's own weekday levels, and annual turnover hits 68.4% against a national 45.8%. Its current record carries 21 deficiencies, including one at the harm level and three tied to abuse. A recent inspection in May 2026 keeps the picture current. Good care metrics, thin and unstable staffing.
★★★★☆CMS 4/596 bedsFor-profitMedicaid
- Nurse hours
- 3.51 /day
- Staff turnover
- 48%
- Serious cites
- 0
Lewiston Transitional Care of Cascadia runs 96 beds under for-profit LLC ownership, and its staffing is the number to look at first. At 3.51 nurse hours per resident day, it sits about 9% under the national average of 3.86, and weekends drop roughly 12% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover lands at 48.1%, a bit above the national 45.8%, which means the aides and nurses cycling through are still learning residents' routines. The good news: state inspectors were last in on August 21, 2025, and found 20 deficiencies, none at harm or jeopardy level and none abuse-related.