Idaho State Veterans Home - Lewiston

In the surveyor’s words

From the most serious findings on record at Idaho State Veterans Home - Lewiston, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Jun 28, 2024

  Based on policy review, record review, review of the State Survey Agency's Long Term Care Reporting Portal, and resident and staff interview, it was determined the facility failed to ensure residents were free from abuse. This was true for 1 of 12 residents (Resident #25) reviewed for abuse. This deficient practice placed Resident #25 in immediate jeopardy of serious harm, impairment, or death when the facility did not protect him from physical and sexual abuse from Resident #52. […]

• Immediate jeopardy, isolatedF600Aug 5, 2021

  Based on policy review, staff and resident interview, review of the State Survey Agency's Long-Term Care Reporting Portal, and review of facility documents, it was determined the facility failed to ensure residents were free from verbal abuse, mental abuse, and neglect. This was true for 2 of 15 residents (#4 and #7) who were reviewed for abuse. Resident #7 was subjected to mental and verbal abuse and neglect, when an RN refused to administer her pain and anti-nausea medication until she said please and thank you for the medications. Resident #4 was verbally abused by the same RN when he stated he felt stupid after a verbal interaction with her. […]

• Actual harm, isolatedF689Sep 3, 2026

  Based on record review, staff interview, and facility policy, it was determined the facility failed to ensure residents were free from accidents. This was true for 1 of 1 resident (Resident #2) whose record was reviewed for avoidable falls. This failure resulted in harm to Resident #2 when the facility did not provide care in accordance with the plan of care and failed to maintain his safety. Findings include:A request was made for the facility's incident and accident policy; however, the facility provided a Resident Incident Report and a Resident Incident/Accident Report Procedure Guide.Resident #2 was admitted to the facility on [DATE] and readmitted on [DATE] with multiple diagnoses including displaced fracture of the second cervical vertebra, vertigo, and dementia.A review of Resident… […]

• No harm, potential for more than minimal, widespreadF812Sep 3, 2026

  Based on observation, the Food Drug Administration (FDA) Food Code, and staff interview, it was determined the facility failed to ensure ice machines were cleaned, and resident freezers did not contain undated food. This deficient practice had the potential to affect the 43 residents who consumed food prepared by the facility. This placed residents at risk for potential contamination of food and adverse health outcomes, including food-borne illnesses. Findings include:1. The FDA Food Code Section 3-501.17 Ready-to-Eat, TCS (time/temperature control for safety) food, date marking, documented marking the date or day the original container is opened in a food establishment, with a procedure to discard the food on or before the last date or day by which the food must be consumed on the… […]

• No harm, potential for more than minimal, patternF804Sep 3, 2026

  Based on observation, record review, resident and staff interviews, it was determined the facility failed to serve palatable food to residents who were interviewed about food temperature and taste. This was true for all residents who consume food prepared at the facility. This deficient practice had the potential to create dissatisfaction with meals and decrease residents' quality of life. Findings include:On 8/31/26 at 3:41 PM, Resident #8 stated her in-room meals are never hot, but cold food is cold.On 9/2/26 at 1:33 PM, during a Resident Council meeting with 11 residents in attendance, the residents expressed concerns the food is only warm on rare occasions when it should be hot.Facility grievances dated January 2026 through August 2026, documented concerns with food texture,… […]