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Best Assisted Living in Lewiston, ID

Why trust this guide? Our editorial team analyzed 5 assisted living communities in Lewiston, ID using Idaho Department of Health and Welfare (DHW) data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in ID
Reviewed by
Last updated
Jul 2026
We analyzed
5 homes
Other senior care options in Lewiston:
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: 36/ 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: 68The average licensed bed capacity across facilities in Lewiston, ID. Individual facilities can vary widely from this average.
National Average: 90
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 Evergreen Estates

Located at 1215 Evergreen Court in Clarkston, Washington, Evergreen Estates operates as a 45-bed independent and assisted living community in Asotin County. The facility has been in operation for 37 years and is licensed to accept Medicare and Medicaid residents. Twenty-four-hour nursing care and staff are on-site. Rehabilitation services and respite care are available.

Current occupancy stands at 82% with 37 of 45 beds occupied, exceeding Idaho’s state average of 69.1%.

The inspection record traces a clear trajectory. August 2023 brought a serious finding: state surveyors investigated complaints of resident falls with injuries. The investigation substantiated that the facility had failed to maintain updated care plans with documented fall prevention measures for residents with fall history. One fall resulted in a resident death.

Within a year, the facility faced additional regulatory scrutiny: in September 2024, the State Fire Marshal documented six distinct fire safety deficiencies. These included combustible materials stored in boiler and mechanical rooms, electrical hazards from appliances connected to multiplug adapters, automatic fire doors failing to close properly, sprinkler system tamper switches left disconnected after backflow repair, missing annual fire extinguisher certification, and coded exit doors lacking required instructions. Most cited violations were corrected during the inspection itself; the sprinkler switches and door instructions remained outstanding.

The most recent full inspection on July 3, 2025, reported no deficiencies, which is a significant improvement.

Across three years, the facility recorded seven total deficiencies, averaging 2.3 per year compared to Washington’s average of 10.3.

Residents enjoy three daily meals plus snacks, housekeeping, medication management, bathing and dressing support, beauty and barber services, a library, activity lounge, and outdoor courtyards. Programming includes exercise classes, outings, bus tours, holiday celebrations, and games.

Transportation is provided.

The facility maintains a smoke-free policy.

The community fits residents seeking independent or light assisted living with available rehabilitation and respite services in a multi-decade family-operated setting.

Contact Evergreen Estates

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 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 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

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
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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.