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Idaho Best Medicaid Nursing Homes 2026

75 of Idaho's 80 nursing homes are certified to accept Medicaid and 75 of them also accept Medicare.

Medicaid homes against the rest of Idaho

5 Idaho homes are not certified for Medicaid. 0 of the 75 certified homes carry a harm-level citation on their current record, and 14 grade A while 8 grade D or F. The most certified homes sit in Boise (8), Nampa (6) and Lewiston (5).

Nursing hours per resident per day

3.99

Homes not certified: 4.8

Nurse staff turnover

50.5%

Homes not certified: 48.1%

Average ElderGrade score

74.4/100

Homes not certified: 73.5/100

Best-graded Medicaid homes in Idaho

#1
A

99/100

Oneida County Hospital & Long Term Care Facility

Malad, ID · Oneida County

CMS 5/533 bedsGovernmentMedicaid
Nurse hours
5.85 /day
Staff turnover
27%
Serious cites
0

Oneida County Hospital & Long Term Care runs on county money in a small Idaho town, and the numbers back up the setup. Nurse staffing sits at 5.85 hours per resident day, roughly half again the national average, and weekend coverage dips only about 10% below its own weekday level, a smaller drop than many homes manage. Staff turnover is 26.8% against a national 45.8%, so the people caring for residents tend to stay. Inspectors found 13 deficiencies, none involving harm or abuse, and the most recent visit was in May 2026. Five stars across inspections, quality measures, and staffing, with 33 certified beds, tells you this is a stable, well-run county operation.

#2
A

94.5/100

St Luke's Elmore Long Term Care

Mountain Home, ID · Elmore County

CMS 5/538 bedsNon-profitMedicaid
Nurse hours
6.99 /day
Staff turnover
35%
Serious cites
0

St Luke's Elmore runs on a nonprofit model with 38 certified beds in Mountain Home, and the staffing numbers stand out: 6.99 nurse hours per resident day, roughly 81% above the national average of 3.86. Weekend coverage dips about 18% below its own weekday levels, which is worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover sits at 34.5%, better than the 45.8% national figure. The home carries eight deficiencies on its current record, none at the harm or jeopardy level and none abuse-related, with its most recent inspection dated January 23, 2026.

#3
A

93/100

Idaho State Veterans Home - Pocatello

Pocatello, ID · Bannock County

CMS 5/566 bedsGovernmentMedicaid
Nurse hours
4.95 /day
Staff turnover
49%
Serious cites
0

The Idaho State Veterans Home in Pocatello runs on state government ownership and 66 certified beds, and its nurse staffing sits at 4.95 hours per resident day, roughly 28% above the national average of 3.86. That number carries real weight, though weekends dip about 14% below the home's own weekday levels, so coverage isn't perfectly even across the week. Turnover runs 48.6%, a bit above the national 45.8%. The current inspection record shows 23 deficiencies, none at the harm or jeopardy level, but 4 are abuse-related, which families should ask about directly. The last inspection was in August 2025, so the record is recent.

#4
A

93/100

Ashton Memorial Living Center

Ashton, ID · Fremont County

CMS 5/538 bedsFor-profitMedicaid
Nurse hours
4.65 /day
Staff turnover
52%
Serious cites
0

Ashton Memorial Living Center runs on unusually generous nurse staffing for a 38-bed home, 4.65 hours per resident day, roughly a fifth more than the national average, which is the main reason its marks come out as strong as they do. The catch is consistency: weekend coverage drops about 12% below the home's own weekday level, and staff turnover sits at 52.4%, several points above the national figure. The inspection record shows 24 deficiencies, none at the harm level, but one tied to abuse. Corporate-owned and last inspected in December 2025, it's a small rural facility that performs well on paper and depends heavily on whether it can hold onto the people providing that care.

#5
A

91.5/100

Boundary County Nursing Home

Bonners Ferry, ID · Boundary County

CMS 4/520 bedsFor-profitMedicaid
Nurse hours
5.74 /day
Staff turnover
41%
Serious cites
0

Boundary County Nursing Home runs on unusually heavy staffing for its size, 5.74 nurse hours per resident day, roughly half again the national average, and that shows up in a five-star staffing rating. Weekend coverage dips about 16% below weekday levels, so ask how that plays out on Saturdays. Turnover sits at 41.4%, a bit better than the 45.8% national figure, which matters in a 20-bed home where one departure is felt. The inspection record is the weak spot: 26 deficiencies, including one abuse-related citation, though none rose to harm or jeopardy, and the last survey was May 2026. Quality measures score well; the compliance history is what to press on.

#6
A

91/100

Syringa Chalet Nursing Facility

Blackfoot, ID · Bingham County

CMS 5/542 bedsGovernmentMedicaid
Nurse hours
5.79 /day
Staff turnover
37%
Serious cites
0

Syringa Chalet runs on state government ownership in Blackfoot, and the numbers show a home that's mostly getting the fundamentals right. Nurse staffing sits at 5.79 hours per resident day, roughly half again the national average, and weekend coverage dips only about 9% below weekdays, so care doesn't fall off a cliff on Saturdays and Sundays. Turnover runs 37.3%, better than the 45.8% national figure, which matters because familiar faces tend to know residents' routines. The tradeoff: 22 deficiencies on the current record, two of them serious enough to involve harm or jeopardy, and one fine of $13,923. Inspectors were last in on January 22, 2026, so that picture is current.

#7
A

89/100

Life Care Center Of Treasure Valley

Boise, ID · Ada County

CMS 4/5120 bedsFor-profitMedicaid
Nurse hours
3.90 /day
Staff turnover
39%
Serious cites
0

Life Care Center of Treasure Valley runs 120 certified beds in Boise under corporate for-profit ownership, and its staffing sits slightly above the national average at 3.90 nurse hours per resident day. That edge is thin, though, and weekends run about 11% leaner than weekdays, so coverage isn't even across the week. Turnover lands at 39.2%, better than the 45.8% national figure, which suggests workers tend to stick around longer here than at the typical home. The current record shows 30 deficiencies, one serious enough to involve harm or jeopardy, and none tied to abuse. A June 2025 inspection keeps that record recent.

#8
A

88/100

Idaho State Veterans Home - Lewiston

Lewiston, ID · Nez Perce County

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.

#9
A

87.5/100

Bear Lake Memorial Skilled Nursing Facility

Montpelier, ID · Bear Lake County

CMS 3/536 bedsGovernmentMedicaid
Nurse hours
3.74 /day
Staff turnover
35%
Serious cites
0

Bear Lake Memorial runs on thin staffing for a 36-bed county-owned home: 3.74 nurse hours per resident day, a bit under the national average, and weekends drop about 16% below its own weekday coverage. That gap shows up in the federal staffing rating. What offsets it is consistency, 35.3% turnover against a national 45.8% means the aides and nurses who are there tend to stay, which matters more in a small rural facility than raw hours. The inspection record carries 22 deficiencies, one serious enough to involve harm, though none tied to abuse. Quality measures score well; the last survey was February 2026.

#10
A

87/100

Bridgeview Estates

Twin Falls, ID · Twin Falls County

CMS 3/5116 bedsFor-profitMedicaid
Nurse hours
3.98 /day
Staff turnover
39%
Serious cites
0

Bridgeview Estates runs 116 certified beds in Twin Falls under for-profit LLC ownership, and its nurse staffing sits at 3.98 hours per resident day, modestly above the national average. The catch is weekends, when coverage drops about 14% below the home's own weekday level, so care can thin out right when families visit. Staff turnover is 39.1%, better than the 45.8% national figure, which matters because consistent caregivers know residents' routines. The tradeoff shows up in inspections: 31 deficiencies on record, one involving harm or jeopardy, and a 2/5 health inspection rating from the most recent survey in July 2025. Strong quality measures and steady staffing can't fully offset that citation history, ask to see the plan of correction.

#11
A

87/100

Parke View Rehabilitation & Care Center

Burley, ID · Cassia County

CMS 5/586 bedsFor-profitMedicaid
Nurse hours
3.90 /day
Staff turnover
42%
Serious cites
0

Parke View runs 3.90 nurse hours per resident day, just above the national average of 3.86, and weekends dip about 11% below its own weekday coverage. Staff turnover sits at 41.8%, better than the 45.8% national figure. Inspectors were last in on August 21, 2025, and the home carries 20 deficiencies on its current record, none at the harm or jeopardy level, none abuse-related. Health inspection rating is 4 out of 5, quality measures 5 out of 5, staffing 4 out of 5. Corporate-owned and larger than average at 86 beds, so ask about weekend coverage and how they hold onto staff, but the record itself is fairly clean.

#12
A

85.5/100

Life Care Center Of Sandpoint

Sandpoint, ID · Bonner County

CMS 3/5124 bedsFor-profitMedicaid
Nurse hours
3.92 /day
Staff turnover
36%
Serious cites
0

Life Care Center of Sandpoint runs 124 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.92 hours per resident day, just above the national average of 3.86. That edge shrinks on weekends, when coverage drops roughly 17% below the home's own weekday level, so families should ask who's actually on the floor on Saturdays and Sundays. Staff turnover is 35.8%, meaningfully better than the 45.8% national figure, which matters because consistent caregivers tend to know residents' routines. The tradeoff shows up in inspections: 38 deficiencies on the current record and a 2-star health inspection rating, though none reached harm or jeopardy level and none were abuse-related. The most recent inspection was July 25, 2025.

#13
A

85.5/100

Owyhee Health & Rehabilitation Center

Homedale, ID · Owyhee County

CMS 5/558 bedsFor-profitMedicaid
Nurse hours
3.98 /day
Staff turnover
39%
Serious cites
0

Owyhee Health & Rehabilitation Center runs 58 certified beds in Homedale, and the numbers here hold up better than most. Nurse staffing sits at 3.98 hours per resident day, a bit above the national average of 3.86, though weekends drop roughly 20% below its own weekday level, worth asking about if your family visits on Saturdays or Sundays. Staff turnover is 38.8%, lower than the national 45.8%, which matters for whether you see the same faces month to month. The home carries 13 deficiencies on its current record, none at the harm or jeopardy level and none abuse-related, with its last inspection in August 2025. Corporate for-profit ownership, so ask who's actually on the floor.

#14
A

85.5/100

Mountain Valley Of Cascadia

Kellogg, ID · Shoshone County

CMS 4/568 bedsFor-profitMedicaid
Nurse hours
3.75 /day
Staff turnover
33%
Serious cites
0

Mountain Valley of Cascadia runs a tight ship on retention: 33.3% annual turnover beats the national 45.8% by a wide margin, so the aides and nurses here tend to stick around. Staffing sits at 3.75 hours per resident day, a bit under the 3.86 national average, and weekends drop roughly 18% below weekday coverage, worth asking about if your family visits Saturdays or Sundays. The ten deficiencies on record are all low-level, none causing harm, though one is abuse-related and deserves a direct question. Inspections are recent and the federal ratings are solid across health, quality, and staffing.

#15
B

84.5/100

Advanced Health Care Of Coeur D'alene

Coeur D'alene, ID · Kootenai County

CMS 5/534 bedsFor-profitMedicaid
Nurse hours
5.49 /day
Staff turnover
45%
Serious cites
0

Advanced Health Care of Coeur d'Alene runs a tight ship on the clinical side. The 34-bed home provides 5.49 nurse hours per resident day, roughly 42 percent more than the national average, and has a perfect five-star rating on both health inspections and quality measures, with no deficiencies at the harm or jeopardy level and nothing abuse-related on record. The tradeoffs are smaller. Weekend staffing drops about 18 percent below its own weekday level, which matters if your family visits mainly on Saturdays and Sundays, and staff turnover sits at 45.2 percent, essentially matching the national rate of 45.8 percent. Its most recent inspection was in May 2026, so the picture is current.