Life Care Center of Lewiston

Name: Life Care Center of Lewiston
Address: 325 Warner Drive, Lewiston, ID, 83501, US
Telephone: 2087988500

325 Warner Drive, Lewiston, ID 83501 · Nez Perce County · 121 certified beds · avg 77 residents/day · certified since Oct 15, 1997

Part of chain: LIFE CARE CENTERS OF AMERICA (194 facilities, chain avg rating 3.4★)

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.53

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (16)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Aug 1, 2025	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Aug 1, 2025	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Aug 1, 2025	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Aug 1, 2025	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Aug 1, 2025	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Aug 1, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Aug 18, 2022	E · Potential for harm, repeated	The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.
Aug 18, 2022	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Jul 27, 2018	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Jul 27, 2018	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jul 27, 2018	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Jul 27, 2018	D · Potential for harm, one-off	When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care.
Jul 27, 2018	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Jul 27, 2018	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jul 27, 2018	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.
Jul 27, 2018	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (2 → 6).

Year	Citations	Worst severity that year
2018	8	E
2022	2	E
2025	6	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Idaho avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.53	4.03	3.95	bottom 33% in Idaho; bottom 38% in the U.S.
Registered Nurse hours	0.92	0.87	0.69	top 37% in Idaho; top 19% in the U.S.
Weekend total nurse staffing	2.97	3.48	3.50	bottom 32% in Idaho; bottom 29% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.52	0.56	0.48	top 48% in Idaho; top 30% in the U.S.
Total nursing staff turnover (%)	50.6	50.3	45.8	bottom 49% in Idaho; bottom 35% in the U.S.
RN turnover (%)	50.0	41.0	42.9	bottom 36% in Idaho; bottom 39% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.43, RN 0.90, weekend 2.88. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Developers Investment Company INC	Organization	Direct Ownership Interest	NOT APPLICABLE	07/14/1994
Preston, Forrest	Individual	Direct Ownership Interest	NOT APPLICABLE	07/14/1994
Preston, Forrest	Individual	Indirect Ownership Interest	NOT APPLICABLE	07/14/1994
Baker, Linda	Individual	Managing Control - Governing Body	NOT APPLICABLE	09/01/2021
Baker, Linda	Individual	Operational/Managerial Control	NOT APPLICABLE	09/01/2021
Baker, Linda	Individual	ADP of the SNF	NOT APPLICABLE	02/28/2025
Butner, Nancy	Individual	Managing Control - Governing Body	NOT APPLICABLE	09/16/2018
Butner, Nancy	Individual	Operational/Managerial Control	NOT APPLICABLE	09/16/2018
Clearwater Operations LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	10/15/1997
Clearwater Operations LLC	Organization	ADP of the SNF	NOT APPLICABLE	08/31/2000
Cross, Cindy	Individual	Corporate Officer	NOT APPLICABLE	04/21/1994
Developers Investment Company INC	Organization	Operational/Managerial Control	NOT APPLICABLE	01/01/2017
Fletcher, Todd	Individual	Operational/Managerial Control	NOT APPLICABLE	12/13/2024
Henry, Terry	Individual	Corporate Officer	NOT APPLICABLE	08/16/1999
Jansen, Heather	Individual	Managing Control - Governing Body	NOT APPLICABLE	09/16/2024
Jansen, Heather	Individual	Operational/Managerial Control	NOT APPLICABLE	09/16/2024
Lay, Lisa	Individual	Corporate Officer	NOT APPLICABLE	02/09/2018
Life Care Centers of America, INC.	Organization	Operational/Managerial Control	NOT APPLICABLE	10/15/1997
Life Care Centers of America, INC.	Organization	ADP of the SNF	NOT APPLICABLE	02/28/2025
Preston, Aubrey	Individual	Operational/Managerial Control	NOT APPLICABLE	12/13/2024

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Who completes resident assessments here, and how do you check them for accuracy?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Lewiston Transitional Care of Cascadia	1.0 mi	Lewiston, ID	★★★★☆	4/5
Idaho State Veterans Home - Lewiston	1.2 mi	Lewiston, ID	★★★★★	4/5
Cascadia of Lewiston	1.3 mi	Lewiston, ID	★★★★☆	4/5
Royal Plaza Health and Rehabilitation of Cascadia	1.3 mi	Lewiston, ID	★★☆☆☆	2/5
Orchard View Post Acute	1.5 mi	Lewiston, ID	★★☆☆☆	2/5
Clarkston Health and Rehab of Cascadia	2.5 mi	Clarkston, WA	★★★☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Lewiston →

Facility data as of CMS processing date 2026-08-01. CCN 135128.

The Care File

Visit checklist — Life Care Center of Lewiston

325 Warner Drive, Lewiston, ID 83501 · 2087988500

Health inspection rating 5/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 135128 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)