During the first quarter of 2026, Life Care Center of Lewiston was the second biggest nursing home in Nez Perce County, the Centers for Medicare and Medicaid Services (CMS) reported.
The facility offered 121 beds—34 above the county average for that period—and provided care for an average of 71.6 residents.
The CMS awarded Life Care Center of Lewiston an overall score of 5 out of 5, surpassing the average statewide rating for Idaho nursing homes, which stood at 3.2.
For the same period, Orchard View Post Acute was Nez Perce County’s largest facility with 127 beds, while Lewiston Transitional Care of Cascadia ranked third with 96 beds.
Life Care Center of Lewiston also recorded no fines or penalties in the first quarter of 2026.
There were a total of five for-profit nursing homes operating in Nez Perce County, Idaho.
U.S. Census Bureau estimates show a continuing increase in the nation’s older adult population, while numbers for younger age groups have declined. From 2020 to 2024, the population of Americans 65 and older rose by 13%, compared to a 1.7% decrease for those under 18. Over the last century, the older adult population in the U.S. has expanded significantly, growing from 4.9 million in 1920 to more than 61 million by 2024.
A 2021 study found that nearly 50% of this age group—approximately 28 million people—may require long-term services and support, with projections indicating that over a third could eventually enter nursing home care.
“Living a long life is something that many of us want and could get,” said Jesse Slome, executive director of the American Association for Long-Term Care Insurance, an insurance education organization. “But when we live a long life, the chances of us needing long-term care increase exponentially. But when you need that type of care, there are limited options.”
| Rank | Nursing Home | Overall Rating |
|---|---|---|
| 1 | Orchard View Post Acute | 2 |
| 2 | Life Care Center of Lewiston | 5 |
| 3 | Lewiston Transitional Care of Cascadia | 4 |
| 4 | Royal Plaza Health and Rehabilitation of Cascadia | 4 |
| 5 | Idaho State Veterans Home – Lewiston | 5 |
| 6 | Cascadia of Lewiston | 2 |
Information in this article was obtained from the Centers for Medicare and Medicaid Services. The source data can be found here.
