Above average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Life Care Center Of Lewiston during CMS and state inspections, most recent first.
The facility did not accurately code the MDS for three residents, resulting in discrepancies between the medications documented as received and those actually administered. Errors included misclassifying an antiplatelet as an anticoagulant, failing to document missed antidepressant doses, and omitting antibiotic administration, as confirmed by MAR review and staff interviews.
A resident with severe cognitive impairment and mobility dependence was moved from the floor back to bed by two CNAs after a fall, without a licensed nurse assessment as required by facility policy. The RN was notified only after the resident was already in bed and noted abrasions. One CNA was unaware of the protocol, while the other admitted to not following it despite prior education. Training documentation was incomplete for one CNA, and both the DON and RN confirmed the necessity of nurse assessment before moving a resident post-fall.
A resident with multiple complex medical conditions developed a new stage III pressure ulcer. Although the wound was identified by a wound care physician, there was a delay in obtaining and implementing specific treatment orders for the new ulcer. As a result, no documented wound care was provided for several days, contrary to facility policy requiring prompt attention to new skin breakdown.
A resident with severe cognitive impairment and high fall risk fell from bed during care when a CNA failed to relock the bed brakes after moving a mechanical lift. The bed shifted, causing the resident to fall onto the CNA, resulting in minor injury. Documentation and interviews confirmed the bed was not locked, despite prior training and facility policy requiring this safety measure.
The facility did not ensure pharmaceutical services were provided to meet each resident's needs and failed to employ or obtain a licensed pharmacist as required.
The facility did not establish or maintain an infection prevention and control program as required, resulting in a deficiency identified by surveyors.
Inaccurate MDS Coding of Medications for Multiple Residents
Penalty
Summary
The facility failed to ensure that the Minimum Data Set (MDS) accurately reflected the medications received by three residents during the required observation period. For one resident with a history of stroke and major depressive disorder, the MDS was incorrectly coded to show receipt of an anticoagulant and antidepressant, while the resident actually received an antiplatelet medication (clopidogrel) and did not receive the prescribed antidepressant (Lexapro) during the look-back period. The MDS Coordinator was uncertain about the correct classification of clopidogrel and relied on the medication order's wording, leading to the error. Additionally, the MDS did not reflect the missed doses of the antidepressant, as documented in the Medication Administration Record (MAR) and progress notes. Another resident with a history of transient ischemic attack and stroke was also incorrectly coded on the MDS as receiving an anticoagulant instead of an antiplatelet, due to similar confusion over medication classification. A third resident with gastroparesis was coded as not receiving antibiotics, despite daily administration of erythromycin as documented in the MAR. These inaccuracies were confirmed through interviews with the MDS Coordinator, who acknowledged the errors and the need for correction. The facility's policy requires that the MDS accurately reflect the resident's status during the observation period, which was not met in these cases.
Resident Moved After Fall Without Prior Nurse Assessment
Penalty
Summary
A deficiency occurred when a resident with Alzheimer's disease, severe cognitive impairment, and dependence on staff for mobility experienced a fall from bed while being cared for by a CNA. After the fall, two CNAs moved the resident from the floor back to bed using a mechanical lift before a licensed nurse could assess the resident for injuries. The RN was only summoned after the resident had already been returned to bed, at which point abrasions were noted on the resident's forehead and knee. Both CNAs involved stated that no assessment was performed prior to moving the resident, and one CNA acknowledged being aware of the protocol but did not follow it due to stress and concern for the resident's immediate care needs. Interviews and record reviews confirmed that the facility's policy required a licensed nurse to assess any resident for injury before being moved after a fall. One CNA reported not being aware of this requirement until after the incident, while the other CNA admitted to prior education on the policy but failed to adhere to it during the event. The facility's training records showed documentation of relevant training for one CNA, but not for the other. The DON and RN confirmed that professional standards and facility policy dictate that a nurse assessment must occur before moving a resident post-fall, regardless of visible injury.
Delay in Treatment of Newly Identified Pressure Ulcer
Penalty
Summary
The facility failed to ensure timely treatment of a newly identified pressure ulcer for a resident with significant medical conditions, including quadriplegia, malnutrition, muscle wasting, and multiple contractures. Upon review, the resident was admitted with multiple pressure ulcers and later developed a new stage III pressure ulcer on the right inferior hip. Documentation showed that the wound was identified during a wound care physician visit, but there were no specific treatment orders for the new wound upon the resident's return to the facility. The resident's care plan and wound observation tool noted the presence of the new wound, but the treatment being provided was for a different, pre-existing wound. Staff interviews and record reviews revealed that the lack of clear treatment orders for the new wound led to a delay in implementing appropriate care. The resident care manager was unable to clarify the necessary orders with the wound care physician for several days, resulting in no documented wound treatment for the new pressure ulcer between its identification and the eventual receipt of orders. The facility's policy required prompt attention and potential changes to the care plan when skin breakdown occurs, but this was not followed in this instance.
Failure to Lock Bed Brakes Results in Resident Fall
Penalty
Summary
A deficiency occurred when staff failed to ensure that the brakes on a resident's bed were locked during care, resulting in a fall with minor injury. The resident involved had Alzheimer's disease, adult failure to thrive, osteoarthritis, osteoporosis, and anxiety, and was assessed as having severely impaired cognition and being at high risk for falls. She required assistance with bed mobility and transfers, and her care plan included instructions to keep her bed in an appropriate position for safety. During incontinence care, a CNA unlocked the bed to move a mechanical lift and forgot to relock it, causing the bed to move and the resident to fall out of bed onto the CNA. Review of documentation and interviews revealed that the CNA had received prior training on locking bed brakes but did not attend a recent mandatory clinical meeting that reinforced this requirement. The facility's policy and the manufacturer's instructions for the bed emphasized the importance of locking the bed for resident safety. The incident report and staff interviews confirmed that the bed was not locked at the time of the fall, directly leading to the accident.
Failure to Provide Required Pharmaceutical Services
Penalty
Summary
The facility failed to provide pharmaceutical services to meet the needs of each resident and did not employ or obtain the services of a licensed pharmacist. This deficiency was identified during the survey process, indicating that the required pharmaceutical oversight and services were not in place for residents as mandated by regulations. No additional details regarding specific residents, their medical history, or their condition at the time of the deficiency are provided in the report.
Failure to Implement Infection Prevention and Control Program
Penalty
Summary
The facility failed to provide and implement an infection prevention and control program. This deficiency was identified during the survey process, indicating that the required measures to prevent and control infections were not established or maintained as per regulatory standards. The report notes the absence of a comprehensive infection prevention and control program but does not provide further details regarding specific actions, inactions, or events, nor does it mention any particular residents or staff involved.
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What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Lewiston
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Lewiston Transitional Care Of Cascadia | 1 mi | ★★★★★ | 0 | 0 |
| Idaho State Veterans Home - Lewiston | 1.2 mi | ★★★★★ | 0 | 0 |
| Cascadia Of Lewiston | 1.3 mi | ★★★★★ | 5 | 0 |
| Royal Plaza Health And Rehabilitation Of Cascadia | 1.3 mi | ★★★★★ | 14 | 0 |
| Orchard View Post Acute | 1.5 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.