Best Assisted Living in Lewiston, ID

Why trust this guide? Our editorial team analyzed 8 assisted living communities in Lewiston, ID using ID Dept. of Health & Welfare (DHW) data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in ID
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Last updated
We analyzed These are the facilities in Lewiston, ID our team has analyzed — not a count of every assisted living provider in Lewiston, ID.
8 homes
Other senior care options in Lewiston:

Compare Assisted Living around Lewiston (Metro Area)

Info below is compiled from the ID Dept. of Health & Welfare (DHW), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest-ranked to lowest-ranked based on our methodology.

Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RESC (Residential Care): Personal care and daily-living support in a smaller, more intimate residential setting.
City and state of the facility. Used for mapping and state-average comparisons.
Licensed bed capacity (maximum allowed). Not the same as how many beds are currently filled.
Indicates whether residents are allowed to have pets in the facility.
Third-party neighborhood walkability score (0–100). Convenience/context metric, not a healthcare quality measure.
Number of years the company has been in operation.
A named contact for the facility. Hover the name to see their role — Administrator (state administrator of record or facility-provided administrator), Nursing Director, Medical Director, or Staff. The most authoritative available is shown.
Name of the licensed owner, operator, or managing entity as filed with the state. Useful for grouping facilities under the same organization.
Count of regulatory inspections in the reporting window. Higher volume can reflect more oversight visits, complaint-driven surveys, or routine licensure cycles.
Number of inspections triggered by complaints or allegations. Useful for spotting facilities that receive frequent complaint-driven scrutiny.
Count of fire and life-safety inspections reported by the state. Focuses on building safety systems, egress, and related code compliance.
How many inspections had one or more deficiencies recorded. Compare to total inspections to see how often problems were found on visit.
Total count of deficiencies (cited regulatory issues) recorded in the selected reporting period. Read alongside inspection counts for context.
The average number of deficiencies this facility receives each time it's inspected, calculated as total deficiencies ÷ total inspections. A lower number suggests more consistent compliance with safety and care standards.
Brookdale Lewiston
AL
Lewiston
133
Facility 133
ID AVG 63
Rank #3 / 88
Yes
42
Facility 42
ID AVG 38
Rank #48 / 116
48
Facility 48
ID AVG 15
Rank #1 / 101
Brackett HopeEmeritus Properties II, Inc. (Primary)7
3
Facility 3
ID AVG 1
Rank #74 / 86
3
Facility 3
ID AVG 1.7
Rank #52 / 66
7
Facility 7
ID AVG 4.2
Rank #73 / 86
50
Facility 50
ID AVG 24
Rank #75 / 83
7.1
Facility 7.1
ID AVG 6.0
Rank #59 / 83
Serenity Place Residential Care
AL
RESC
Lewiston
16
Facility 16
ID AVG 63
Rank #79 / 88
No
64
Facility 64
ID AVG 38
Rank #14 / 116
16
Facility 16
ID AVG 15
Rank #45 / 101
Cook JoyCook Joy4
1
Facility 1
ID AVG 1
Rank #36 / 86
1
Facility 1
ID AVG 1.7
Rank #13 / 66
4
Facility 4
ID AVG 4.2
Rank #37 / 86
9
Facility 9
ID AVG 24
Rank #19 / 83
2.3
Facility 2.3
ID AVG 6.0
Rank #6 / 83
Wedgewood Terrace
AL
MC
Lewiston
-No
28
Facility 28
ID AVG 38
Rank #71 / 116
33
Facility 33
ID AVG 15
Rank #7 / 101
--------
Pleasant Valley Shelter Home
AL
Lewiston
9
Facility 9
ID AVG 63
Rank #88 / 88
No
64
Facility 64
ID AVG 38
Rank #14 / 116
25
Facility 25
ID AVG 15
Rank #18 / 101
Cook JoyCook Joy2
0
Facility 0
ID AVG 1
Rank #1 / 86
1
Facility 1
ID AVG 1.7
Rank #13 / 66
2
Facility 2
ID AVG 4.2
Rank #14 / 86
8
Facility 8
ID AVG 24
Rank #15 / 83
4.0
Facility 4.0
ID AVG 6.0
Rank #20 / 83
Generations at Lewiston
AL
MC
Lewiston
-No
18
Facility 18
ID AVG 38
Rank #90 / 116
---------
Joyce’s Orchard Residential
AL
Lewiston
12
Facility 12
ID AVG 63
Rank #85 / 88
No
42
Facility 42
ID AVG 38
Rank #48 / 116
25
Facility 25
ID AVG 15
Rank #18 / 101
Cook JoyCook Joy | Wallace Thelma Joyce1
1
Facility 1
ID AVG 1
Rank #36 / 86
1
Facility 1
ID AVG 1.7
Rank #13 / 66
1
Facility 1
ID AVG 4.2
Rank #1 / 86
3
Facility 3
ID AVG 24
Rank #4 / 83
3.0
Facility 3.0
ID AVG 6.0
Rank #9 / 83
Unique Senior Care – Assisted Living
AL
Lewiston
-No
12
Facility 12
ID AVG 38
Rank #101 / 116
---------
Prospect Shelter Care
AL
Lewiston
-No
23
Facility 23
ID AVG 38
Rank #86 / 116
---------

Rank badges are statewide and care-type specific: each assisted living community is ranked against every other ID assisted living community we track that reports that metric, not just the 8 analyzed for Lewiston. See how we rank facilities

Overview of Serenity Place Residential Care

Sixteen beds, sixteen years.; those two numbers tell you Serenity Place Residential Care in Lewiston is small by design, and it’s been running that way long enough to have real staying power. The community sits at 1917 17th Avenue, administered by Cook Joy.

With only 16 residents at capacity, staff-to-resident interaction tends to run closer than at a larger facility, and the care model reflects that: assistance with daily living tasks, medication oversight, and monthly registered nurse supervision, backed by around-the-clock support. Walk Score lands at 64, moderately walkable, enough that some errands are realistically doable on foot, with a decent mix of amenities nearby.

Daily life runs on a few concrete pillars: transportation services, personal care support, a wellness program, and home-cooked meals rather than something more institutional. Activities fill out the calendar, and staff come background-checked and trained in first aid and CPR. Regulatory attention here has spanned several routine categories: medication management, fire-safety systems, emergency preparedness, documentation, dietary service, and general housekeeping, the standard spread inspectors look at across residential care broadly.

Serenity Place Residential Care is a small, well-established setting built around close staff contact and daily practical support, in a Lewiston neighborhood where getting around on foot is genuinely feasible for at least some of the day-to-day.

Contact Serenity Place Residential Care

Overview of Pleasant Valley Shelter Home

Pleasant Valley Shelter Home offers assisted living in Lewiston, ID. Assisted living provides support with daily tasks such as dressing, bathing, and medication management, making the community relevant for a resident who needs help with routine activities.

With 9 beds, Pleasant Valley Shelter Home is a smaller community where residents and staff can get to know one another; it may be a good fit for someone who prefers a more intimate setting. Medicaid is accepted, giving eligible residents a payment option when private savings may not cover the full cost of care.

The area has a Walk Score of 64 and is somewhat walkable, meaning some errands can be done on foot. That can give a resident who no longer drives some opportunity to get out independently. Cook Joy serves as the administrator.

Contact Pleasant Valley Shelter Home

Overview of Brookdale Lewiston

Brookdale Lewiston in Lewiston, Idaho, is an exceptional assisted living community that provides residents with just the right amount of help and the opportunity to get more out of life. The community’s caring staff works closely with each new resident and their family to learn about their life history, daily routines, and preferences, creating personalized service plans to meet their unique needs. Residents can enjoy the independence they cherish while receiving exceptional care, with staff available 24/7 to assist in case of an emergency.

The community offers spacious apartments, a full calendar of activities, and delicious dining experiences, all designed to help residents live their best lives. Lewiston, the community’s location, offers a vibrant and fulfilling retirement, with local wineries, farmers markets, museums, and festivals. Residents can explore the area’s natural beauty, from the Lewiston Levee Parkway to the Clearwater River, or attend the annual Lewiston Roundup rodeo event.

Contact Brookdale Lewiston

Overview of Joyce’s Orchard Residential

Twelve beds, twenty-five years running: Joyce’s Orchard Residential in Lewiston is small and has stayed that way for a quarter century, a combination that tends to mean staff know residents by name rather than by room number. Cook Joy administers the community at 615 Cedar Avenue.

Getting around the neighborhood is doable but not effortless. Walk Score sits at 42, somewhat walkable, so a few errands are reachable on foot while most others still call for transportation.

Medicaid is accepted here, which matters for families weighing coverage options early in the process rather than discovering the answer later.

Regulatory attention at Joyce’s Orchard has centered on emergency preparedness and documentation practices, the kind of routine categories inspectors look at across residential care broadly, not anything pointing to direct resident-care concerns.

What Joyce’s Orchard Residential offers is a small, deeply established assisted living option in Lewiston, twenty-five years of operating history behind it, built for families who want an intimate setting and straightforward Medicaid access.

Contact Joyce’s Orchard Residential

Overview of Wedgewood Terrace

Located in Lewiston, Idaho, Wedgewood Terrace stands as a non-profit assisted living and memory care community, offering residents the perfect blend of independence, necessary support, and the utmost comfort. With a commitment to meeting residents’ unique needs, Wedgewood Terrace ensures a warm and inviting environment for all.
Senior residents can embrace an active and engaging lifestyle, supported by compassionate and dedicated staff who prioritize their well-being. With a focus on fostering a sense of belonging and promoting a fulfilling experience, Wedgewood Terrace is a place where seniors can truly feel at home. 

Contact Wedgewood Terrace

Overview of Generations at Lewiston

A putting green at an assisted living community isn’t something you see everywhere, and Generations at Lewiston has one, alongside a swimming pool, salon and spa, and movie theater, all built into its Vineyard Avenue location. The community specializes in assisted living, memory care, and respite care, backed by a secured perimeter and emergency systems that matter specifically for memory care safety.

Staffing runs deep here: 24-hour care staff, a nurse on staff, plus licensed nurses and CNAs providing round-the-clock clinical coverage. Rehabilitation services sit alongside respite care, covering both ongoing therapeutic needs and short-term family relief.

Music therapy, art therapy, and pet therapy go well beyond a standard activities calendar, and personalized meal plans with nutritional counseling suggest an operation paying real attention to individual resident needs rather than a one-size-fits-all approach. Gardening, exercise classes, and social activities round out the recreational side.

Walk Score sits at 18, firmly car-dependent, so this is a community where residents lean on what’s inside the building rather than what’s outside it. Pets are welcome too, which matters for anyone not willing to leave a companion animal behind.

Generations at Lewiston ultimately is assisted living and memory care wrapped in genuinely specialized therapeutic programming and a resort-caliber amenity set, in a Lewiston location built for residents who’ll spend most of their time on-site.

Contact Generations at Lewiston

Overview of Unique Senior Care – Assisted Living

Unique Senior Care, Assisted Living provides assisted living in Lewiston, Idaho. Residents can receive help with daily tasks such as dressing, bathing, and medication while maintaining a private living space. The home may suit someone who needs that support without daily skilled nursing care.

Contact Unique Senior Care – Assisted Living

Overview of Prospect Shelter Care

Prospect Shelter Care is an assisted living community in Lewiston, Idaho. Assisted living provides help with daily routines such as dressing, bathing, and taking medication while residents keep their own apartments, making the home a possible fit for someone who needs support with those tasks.

Contact Prospect Shelter Care

Weighting overview

  • 35%
    Resident Experience
  • 25%
    Regulatory
  • 15%
    Visual Media
  • 10%
    Website
  • 10%
    Stability
  • 5%
    Environment
01

Resident & Family Experience 35%

The single largest share of every ranking. Aggregated review sentiment and volume from major platforms — the closest signal to real resident experience.

  • Includes
  • Review Sentiment
  • Review Volume
02

Regulatory & Safety Record 25%

State inspection records, citations, and complaint visits. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • State Inspections
  • Citations/Inspection
  • % Inspections w/ Citations
  • Complaint Visits
  • Accreditations
  • BBB Rating
03

Visual Media & Transparency 15%

Communities that publish high-quality visuals give families a real preview. No photos or tours = a negative transparency signal.

  • Includes
  • Video Tours
  • Virtual Walkthroughs
  • Photo Quantity
  • Photo Quality
04

Website & Operator Transparency 10%

Site quality and whether the operator publishes basic accountability information — staff names, contact details, ownership.

  • Includes
  • Website Content
  • Mobile Usability
  • Staff Info Available
  • Owner Info Available
05

Community Stability 10%

Operational signals indicating whether a community is well-run and meeting demand.

  • Includes
  • Occupancy Rate
  • Bed Options
06

Environment & Pricing 5%

Walkability and pricing transparency. Walk Score is weighted higher for Independent Living than for Memory Care, where most residents do not leave unaccompanied.

  • Includes
  • Walk Score
  • Pricing Transparency
No paid rankings Communities cannot pay to influence placement.
How we're paid: If we help you find a community and you move in, that community may pay us a referral fee. This never affects where they rank or what you pay. Learn more
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Assisted Living in Lewiston at a glance

Avg Monthly Cost: $4,893The average monthly cost across facilities in Lewiston, ID. Reflects published or estimated base rates and can vary with care level, room type, and amenities. Individual facilities can vary widely from this average.
National Average: $5,600
Avg Walk Score: 37/ 100The average Walk Score across facilities in Lewiston, ID. A third-party neighborhood walkability score (0–100) measuring convenience and context, not healthcare quality. Individual facilities can vary widely from this average.
National Average: 50/ 100
Avg No. of Beds: 43The average licensed bed capacity across facilities in Lewiston, ID. Individual facilities can vary widely from this average.
National Average: 90
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Frequently Asked Questions about Assisted Living in Lewiston, ID

What is the average cost of assisted living in Lewiston, ID?

The average monthly cost of assisted living in Lewiston, ID is approximately $4,300. Actual rates vary by community, level of care, and floorplan.

What is the price range for assisted living in Lewiston, ID?

Assisted living in Lewiston, ID typically ranges from $3,800–$6,400 per month, depending on the community, room type, and care needs.

What is the typical staff-to-resident ratio at assisted living facilities in Lewiston, ID?

Assisted living facilities in Lewiston, ID typically operate with a staff-to-resident ratio in the range of 1:6 to 1:12.

What's the difference between assisted living and memory care in Idaho?

Assisted living in Idaho supports residents with daily activities (bathing, dressing, medication management) while preserving independence. Memory care is a specialized form of assisted living for residents living with Alzheimer's or dementia, and adds 24/7 secured environments, dementia-trained staff, and structured routines designed to reduce confusion and wandering.

What's the difference between assisted living and a nursing home in Idaho?

Assisted living in Idaho is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does Idaho Medicaid cover assisted living?

Idaho Medicaid does not directly pay room-and-board for assisted living, but most states (including Idaho) offer Home and Community-Based Services (HCBS) waivers that can offset the cost of care services delivered inside a licensed community. Eligibility, waitlists, and covered services vary — check directly with the state Medicaid agency.

What is assisted living?

Assisted living combines private or semi-private apartments with help on activities of daily living (meals, bathing, dressing, medication management) and a social calendar — for residents who need some support but do not need 24/7 medical care.