Cycle 1
Health 2025-08-01 · Fire 2022-08-18
6 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Lewiston, ID
Life Care Center Of Lewiston
5-star overall rating with 5-star inspections with 6 recent health deficiencies
325 Warner Drive, Lewiston, ID
(208) 798-8500
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
121
Certified beds
Average residents
70
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Life Care Centers Of America
Operator or chain grouping
Approved since
1997-10-15
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
194 facilities
Chain averages 4 overall / 3 health / 3 staffing / 5 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.65
Registered nurse staffing · state 0.83 · national 0.68
LPN hours / resident day
1.01
Licensed practical nurse staffing · state 0.77 · national 0.87
Aide hours / resident day
2.04
Nurse aide staffing · state 2.47 · national 2.35
Total nurse hours
3.70
All reported nurse hours · state 4.07 · national 3.89
Licensed hours
1.66
RN + LPN hours · state 1.60 · national 1.54
Weekend hours
3.17
Weekend nurse staffing · state 3.47 · national 3.43
Weekend RN hours
0.37
Weekend registered nurse coverage · state 0.53 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.68
CMS adjusted RN staffing hours
Adjusted total hours
3.88
CMS adjusted total nurse staffing hours
Case-mix index
1.30
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
47%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
7,928
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
28.37
Composite VBP score used to determine payment impact.
Payment multiplier
0.9850
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.62
Baseline 18.18% · Performance 19.75% · Measure score 3.62 · Achievement 3.62 · Improvement 0
Healthcare-associated infections
2.90
Baseline 6.21% · Performance 6.97% · Measure score 2.90 · Achievement 2.90 · Improvement 0
Total nurse turnover
3.17
Baseline 48.44% · Performance 50.70% · Measure score 3.17 · Achievement 3.17 · Improvement 0
Adjusted total nurse staffing
1.66
Baseline 3.58 hours · Performance 3.55 hours · Measure score 1.66 · Achievement 1.66 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.13% |
10.72%
1.6 pts better
|
No Different than the National Rate · Eligible stays 165 · Observed rate 6.06% · Lower 95% interval 6.75% |
| Discharge to community | 46.95% |
50.57%
3.6 pts worse
|
No Different than the National Rate · Eligible stays 155 · Observed rate 45.16% · Lower 95% interval 38.85% |
| Medicare spending per beneficiary | 0.78 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 97.56% |
95.27%
2.3 pts better
|
Numerator 120 · Denominator 123 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 123 |
| Discharge self-care score | 64.13% |
53.69%
10.4 pts better
|
Numerator 59 · Denominator 92 |
| Discharge mobility score | 55.43% |
50.94%
4.5 pts better
|
Numerator 51 · Denominator 92 |
| Pressure ulcers or injuries, new or worsened | 2.44% |
2.29%
0.1 pts worse
|
Numerator 3 · Denominator 123 · Adjusted rate 2.99% |
| Healthcare-associated infections requiring hospitalization | 6.97% |
7.12%
0.2 pts better
|
No Different than the National Rate · Eligible stays 109 · Observed rate 5.5% · Lower 95% interval 4.38% |
| Staff COVID-19 vaccination coverage | 0.88% |
8.2%
7.3 pts worse
|
Numerator 1 · Denominator 114 |
| Staff flu vaccination coverage | 47.58% |
42%
5.6 pts better
|
Numerator 59 · Denominator 124 |
| Discharge function score | 73.91% |
56.45%
17.5 pts better
|
Numerator 68 · Denominator 92 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 98.72% |
96.28%
2.4 pts better
|
Numerator 77 · Denominator 78 |
| Resident COVID-19 vaccinations up to date | 21.54% |
25.2%
3.7 pts worse
|
Numerator 14 · Denominator 65 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.2 |
1.1
0.9 pts better
|
1.9
1.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.2 · Observed 0.2 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.0 |
1.6
0.6 pts better
|
1.8
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 1.0 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.6% |
96.8%
2.8 pts better
|
93.4%
6.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 98.4% · 4Q avg 99.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
96.2%
3.8 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.4% |
2.7%
0.7 pts worse
|
3.3%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 5.3% · Q4 8.2% · 4Q avg 3.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.4% |
13.6%
13.2 pts better
|
11.4%
11 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.7% · 4Q avg 0.4% |
| Percentage of long-stay residents who lose too much weight | 6.1% |
5.4%
0.7 pts worse
|
5.4%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 5.3% · Q3 5.5% · Q4 13.3% · 4Q avg 6.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.7% |
16.2%
5.5 pts better
|
19.6%
8.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.2% · Q2 12.3% · Q3 10.7% · Q4 9.8% · 4Q avg 10.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 4.6% |
20.5%
15.9 pts better
|
16.7%
12.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 4.4% · Q3 6.1% · Q4 3.9% · 4Q avg 4.6% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 1.7% |
0.1%
1.6 pts worse
|
0.1%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 1.8% · Q3 1.8% · Q4 1.6% · 4Q avg 1.7% |
| Percentage of long-stay residents whose ability to walk independently worsened | 18.5% |
17.9%
0.6 pts worse
|
16.3%
2.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.7% · Q2 21.3% · Q3 14.6% · Q4 14.3% · 4Q avg 18.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 16.8% |
16.7%
0.1 pts worse
|
14.9%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.6% · Q2 13.7% · Q3 17.6% · Q4 12.3% · 4Q avg 16.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5% |
1.5%
1 pts better
|
1.0%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.4% |
1.9%
1.5 pts better
|
1.7%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.7% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.5% |
22.6%
2.1 pts better
|
19.8%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 32.7% · Q3 20.4% · Q4 24.1% · 4Q avg 20.5% |
| Percentage of long-stay residents with pressure ulcers | 8.0% |
3.4%
4.6 pts worse
|
5.1%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 10.7% · Q3 6.9% · Q4 7.1% · 4Q avg 8.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.0% |
90.2%
7.8 pts better
|
81.7%
16.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.8% · Q2 99.1% · Q3 96.4% · Q4 97.8% · 4Q avg 98.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.4% |
11.6%
1.8 pts worse
|
12.0%
1.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.4% · Observed 11.8% · Expected 9.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.5%
1.5 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 92.7% |
86.5%
6.2 pts better
|
79.7%
13 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 92.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 15.5% |
17.5%
2 pts better
|
23.9%
8.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 15.5% · Observed 11.8% · Expected 18.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-08-18 · Fire 2018-07-27
2 health deficiencies
Top issue: Administration (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2018-07-27 · Fire 2016-07-28
8 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
1 fire-safety deficiencies
Top issue: Interior (1 deficiency)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2016-07-28
K72 · Interior Deficiencies
Fire Safety
Exits that are free from obstructions and can be used at all times.
Corrected 2016-01-15
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-08-01
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-09-12
D · Potential for more than minimal harm
2025-08-01
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-09-12
D · Potential for more than minimal harm
2025-08-01
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-09-12
D · Potential for more than minimal harm
2025-08-01
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-09-12
D · Potential for more than minimal harm
2025-08-01
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-09-12
D · Potential for more than minimal harm
2025-08-01
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-09-12
E · Potential for more than minimal harm
2022-08-18
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2022-09-22
D · Potential for more than minimal harm
2022-08-18
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-09-22
E · Potential for more than minimal harm
2018-07-27
F761 · Pharmacy Service Deficiencies
Health
Ensure 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.
Corrected 2018-08-31
E · Potential for more than minimal harm
2018-07-27
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2018-08-31
D · Potential for more than minimal harm
2018-07-27
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2018-08-31
D · Potential for more than minimal harm
2018-07-27
F661 · Resident Assessment and Care Planning Deficiencies
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2018-08-31
D · Potential for more than minimal harm
2018-07-27
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2018-08-31
D · Potential for more than minimal harm
2018-07-27
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2018-08-31
D · Potential for more than minimal harm
2018-07-27
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2018-08-31
D · Potential for more than minimal harm
2018-07-27
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2018-08-31
Penalties and ownership
What sits behind the stars
Ownership
Preston, Forrest
5% Or Greater Direct Ownership Interest · Individual
Baker, Linda
Operational/Managerial Control · Individual
Butner, Nancy
Operational/Managerial Control · Individual
Clearwater Operations LLC
Operational/Managerial Control · Organization
Cross, Cindy
Corporate Officer · Individual
Developers Investment Company Inc
Operational/Managerial Control · Organization
Fletcher, Todd
Operational/Managerial Control · Individual
Henry, Terry
Corporate Officer · Individual
Jansen, Heather
Operational/Managerial Control · Individual
Lay, Lisa
Corporate Officer · Individual
Life Care Centers Of America, Inc.
Operational/Managerial Control · Organization
Preston, Aubrey
Operational/Managerial Control · Individual
Rudolph, John
Operational/Managerial Control · Individual
Swanker, Richard
Corporate Officer · Individual
Thurmond, Joan
Corporate Officer · Individual
Ziegler, James
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Lewiston Transitional Care Of Cascadia
Lewiston, ID
4-star overall rating with 4-star inspections with 6 recent health deficiencies
#2
Idaho State Veterans Home - Lewiston
Lewiston, ID
5-star overall rating with 4-star inspections with $186,850 in total fines with 3 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#3
Cascadia Of Lewiston
Lewiston, ID
2-star overall rating with 2-star inspections with $2,098 in total fines with 8 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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