IDAHO STATE VETERANS HOME - LEWISTON

The information listed below provides an in-depth look into the type and quality of care offered at Idaho State Veterans Home - Lewiston. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

IDAHO STATE VETERANS HOME - LEWISTON
821 21ST AVENUE
LEWISTON, ID 83501
(208) 799-3422

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

95%

Number of Residents and Certified Beds

  • Residents: 63
  • Certified Beds: 66

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Government - State
  • Offers Both Resident and Family Counseling Services
  • This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Moscow | Orofino | Grangeville

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Special Care Low". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Idaho State Veterans Home - Lewiston. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-1612.9%
Total Percent:12.9%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-14
- Signs of depression
22.6%
Total Percent:22.6%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-5
- No Signs of depression
35.5%
Total Percent:35.5%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 11-14
- No Signs of depression
29.0%
Total Percent:29.0%
 

Rating Details For Idaho State Veterans Home - Lewiston

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours45 Minutes55 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours34 Minutes39 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 19 Minutes2 Hours and 17 Minutes
Total Licensed Nurse Hours1 Hour and 19 Minutes1 Hour and 34 Minutes
Total Nurse Hours3 Hours and 37 Minutes3 Hours and 51 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Idaho are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityIdaho Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%93%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%92%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Had a Urinary Tract Infection3%9%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder9%7%
Percent of Long-Stay Residents Who Lose Too Much Weight4%8%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse11%11%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased17%14%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores5%8%
Percent of Long-Stay Residents Who Were Physically Restrained2%5%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder47%55%
Percent of Long-Stay Residents Who Are More Depressed or Anxious17%18%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair-4%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores2%3%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain4%5%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%87%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%88%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain23%28%
Percent of Short-Stay Residents Who Have Delirium-4%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 09/24/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Post Nurse Staffing Information.
  • Inspection Date: 06/06/2008
  • Correction Date: 07/11/2008
Choose a Doctor to Be the Medical Director.
  • Inspection Date: 06/06/2008
  • Correction Date: 07/11/2008
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 07/17/2009
  • Correction Date: 08/20/2009
Train All Employees on What to Do in an Emergency.
  • Inspection Date: 09/24/2010
  • Correction Date: 10/15/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 06/06/2008
  • Correction Date: 07/11/2008
Get Rid of Garbage Properly.
  • Inspection Date: 06/06/2008
  • Correction Date: 07/11/2008
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 06/06/2008
  • Correction Date: 07/11/2008
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 06/06/2008
  • Correction Date: 07/11/2008
Keep Safe, Clean and Homelike Surroundings.
  • Inspection Date: 07/17/2009
  • Correction Date: 08/20/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 07/17/2009
  • Correction Date: 08/20/2009
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 09/24/2010
  • Correction Date: 10/15/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 09/24/2010
  • Correction Date: 10/15/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 09/24/2010
  • Correction Date: 10/15/2010
Keep All Essential Equipment Working Safely.
  • Inspection Date: 09/24/2010
  • Correction Date: 10/15/2010

Mistreatment

Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others.
  • Inspection Date: 06/06/2008
  • Correction Date: 07/11/2008
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Inspection Date: 06/06/2008
  • Correction Date: 07/11/2008
Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others.
  • Inspection Date: 07/17/2009
  • Correction Date: 08/20/2009
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Inspection Date: 07/17/2009
  • Correction Date: 08/20/2009

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Inspection Date: 06/06/2008
  • Correction Date: 07/11/2008
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 07/17/2009
  • Correction Date: 08/20/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 09/24/2010
  • Correction Date: 10/15/2010

Pharmacy Service

Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 06/06/2008
  • Correction Date: 07/11/2008
Make Sure That Residents Are Safe from Serious Medication Errors.
  • Inspection Date: 07/17/2009
  • Correction Date: 08/20/2009

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 06/06/2008
  • Correction Date: 07/11/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 06/06/2008
  • Correction Date: 08/26/2008
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible.
  • Inspection Date: 06/06/2008
  • Correction Date: 07/11/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 07/17/2009
  • Correction Date: 08/20/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 07/17/2009
  • Correction Date: 08/20/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 07/17/2009
  • Correction Date: 08/20/2009
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 07/17/2009
  • Correction Date: 08/20/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 09/24/2010
  • Correction Date: 10/15/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 09/24/2010
  • Correction Date: 10/15/2010

Resident Assessment

1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
  • Inspection Date: 06/06/2008
  • Correction Date: 07/11/2008
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 07/17/2009
  • Correction Date: 08/20/2009
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
  • Inspection Date: 07/17/2009
  • Correction Date: 08/20/2009

Resident Rights

Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help.
  • Inspection Date: 06/06/2008
  • Correction Date: 07/11/2008
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Inspection Date: 06/06/2008
  • Correction Date: 07/11/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 06/06/2008
  • Correction Date: 07/11/2008
Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care.
  • Inspection Date: 07/17/2009
  • Correction Date: 08/20/2009
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 07/17/2009
  • Correction Date: 08/20/2009

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Idaho State Veterans Home - Lewiston had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 07/14/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 07/26/2007
  • Correction Date: 08/01/2007
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 07/14/2010
  • Correction Date: 08/16/2010

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 07/26/2007
  • Correction Date: 08/01/2007
Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 07/14/2010
  • Correction Date: 08/16/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 07/14/2010
  • Correction Date: 08/16/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 07/14/2010
  • Correction Date: 08/16/2010

Illumination and Emergency Power

Proper Backup Exit Lighting.
  • Inspection Date: 07/14/2010
  • Correction Date: 08/16/2010
Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 07/14/2010
  • Correction Date: 08/16/2010

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 07/14/2010
  • Correction Date: 08/16/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 07/14/2010
  • Correction Date: 08/16/2010
Source: Medicare Nursing Home Compare; Idaho Department of Health and Welfare - Retrieved 2011