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Living Spring Residential Care
Nursing Home, Home Care, Hospice Care, Memory Care & Respite Care · Lewiston, ID
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Living Spring Residential Care

Living Spring Residential Care

Nursing Home, Home Care, Hospice Care, Memory Care & Respite Care · Lewiston, ID
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
1050 Hemlock Dr, Lewiston, ID 83501 View map Calculator: See prices in your area
Living Spring Residential Care accepts Medicaid, Medicare, and private pay.
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Living Spring Residential Care accepts Medicaid, Medicare, and private pay.

Overview of Living Spring Residential Care

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Living Spring Residential Care is an assisted living community offering comprehensive elderly care tailored to the unique needs and desires of each resident. Their dedicated staff is committed to creating a safe and clean environment that feels like home, where independence is encouraged, and support is readily available.
With a focus on promoting well-being and peace of mind for both residents and their loved ones, Living Spring Residential Care ensures that daily living is pleasant and worry-free. Experience a place where individualized care and a sense of community come together to create a nurturing and fulfilling environment for all. 

Facility Direct Line (208) 743-2685
Facility Direct Line (208) 743-2685 info@livingspringservices.com
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Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.

Staffing hours breakdown

Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day — compared to state averages

Total nursing care / resident Info Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 6m per day
Rank #31 / 33Nurse hours — State benchmarkedThis home is ranked 31st out of 33 homes in Idaho. Shows adjusted nurse hours per resident per day benchmarked to the Idaho average, with a ranking across 33 Idaho facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Rankings are based only on facilities in Idaho that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. 21m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. 1h 3m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 2h 6m per day
Weekend Total Nursing Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours. 2h 55m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation. 8m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent. 19m per day

Capacity and availability

Avg. Length of Stay
97 days
Bed community size
8-bed community Rank #114 / 114Bed count — State benchmarkedThis home is ranked 114th out of 114 homes in Idaho. Shows this facility's certified or reported bed count compared to other Idaho facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Rankings are based only on facilities in Idaho that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
Years in operation
3 years in operation Rank #96 / 117Years in operation — State benchmarkedThis home is ranked 96th out of 117 homes in Idaho. Shows how long this facility has been in operation compared to other Idaho facilities. Longer operating histories may benefit residents, families, and staff.Rankings are based only on facilities in Idaho that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
An established community with some operational experience and growing routines.
Walk Score
Walk Score: 4 / 100 Rank #188 / 197Walk Score — State benchmarkedThis home is ranked 188th out of 197 homes in Idaho. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Idaho facilities. Higher scores benefit residents, families, and staff.Rankings are based only on facilities in Idaho that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate
83%
Rank #11 / 42Occupancy rate — State benchmarkedThis home is ranked 11th out of 42 homes in Idaho. Shows this facility's occupancy rate versus the Idaho average, with its Statewide rank out of 42. Higher occupancy signals strong local demand and financial stability.Rankings are based only on facilities in Idaho that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Higher than the Idaho average: 69.1%
Occupied beds
7 / 8
Average occupied beds in Idaho homes 55 beds

License Details

StatusActive
IssuanceJanuary 2, 2023
License NumberRC-1280
AccreditationsLicensed By Illinois Department Of Public Health

Ownership & Operating Entity

Living Spring Residential Care is administered by Nelson Paul.

Owner NameFowler Lucas | Fowler Michelle

Therapy & Rehabilitation

1 service
Respite Care

Staffing & Medical

1 service
24-Hour Staffing

Contact Information

Fax208-743-2684

Amenities & Lifestyle

Operating Hours24/7 Services Available

Contact Living Spring Residential Care

Inspection History

In Idaho, the Department of Health and Welfare, Bureau of Facility Standards is the state agency tasked with inspecting and licensing assisted living and nursing home facilities.

Inspection Scorecard Info This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Idaho state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Overall vs. ID average 0 Worse No metrics in this bucket. 1 Better Metrics better than Idaho average:
• Total inspections (50% below)
Latest Inspection October 9, 2024

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityID Averagevs. ID Avg
Total inspections Info Combined count of all routine and focused inspections. Excludes complaint investigations. 24 This facility has 50% fewer total inspections than a typical Idaho assisted living residence (2 vs. ID avg 4).↓ 50% better
Inspection breakdown
1initial inspection
1licensing inspection

Health Inspection History

Inspections since 2023
Total health inspections 4

State average N/A

Last Health inspection on Sep 2025

Total health citations
17 Rank #4 / 33Health citations — State benchmarkedThis home is ranked 4th out of 33 homes in Idaho. Shows this facility's total health deficiency citations benchmarked to the Idaho State average, with a ranking across all 33 ID facilities. Lower citation counts earn a better rank.Rankings are based only on facilities in Idaho that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
4.25 Rank #2 / 33Citations per inspection — State benchmarkedThis home is ranked 2nd out of 33 homes in Idaho. Shows average deficiency citations per CMS inspection for this facility versus the Idaho mean across 33 facilities with citation data. Lower is better.Rankings are based only on facilities in Idaho that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

6 of 17 resulted from complaint investigations; and 11 of 17 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical health citations
1
In line with State average

State average: N/A

Serious health citations
1
In line with State average

State average: N/A

1 critical citation State average: N/A
1 serious citation State average: N/A
15 moderate citations State average: N/A
0 minor citations State average: N/A
Citations history (last 3 years)
Abuse/Neglect serious citation Sep 04, 2025
Corrected
Abuse/Neglect moderate citation Sep 04, 2025
Corrected
Nursing Services moderate citation Jan 10, 2025
Corrected
Pharmacy moderate citation Jan 10, 2025
Corrected

Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 82
Employees 82
Contractors 0
Staff to resident ratio 1.91 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 24
Average shift 8.3 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 18,231

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 7 RN Staff are full-time employees. No contractors work on this role. 7
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.1 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 16 LPN Staff are full-time employees. No contractors work on this role. 16
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.8 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 34 CNA Staff are full-time employees. No contractors work on this role. 34
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.9 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors 0% — all staff are direct employees this quarter

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant340348,83592100%8.9
Licensed Practical Nurse160164,40092100%8.8
Registered Nurse7078538592%7.1
Respiratory Therapy Technician2025767278%6.8
Nurse Practitioner2025286672%8
Administrator1015206571%8
Mental Health Service Worker1015085661%9.1
Physical Therapy Aide2024925459%6.6
Other Dietary Services Staff4044175863%5.4
Dietitian2023605863%6.2
Physical Therapy Assistant4043525964%5.3
Qualified Social Worker2022645054%5.3
Clinical Nurse Specialist3031063437%2.8
Speech Language Pathologist2022167%3.4
34 Certified Nursing Assistant
% of Days 100%
16 Licensed Practical Nurse
% of Days 100%
7 Registered Nurse
% of Days 92%
2 Respiratory Therapy Technician
% of Days 78%
2 Nurse Practitioner
% of Days 72%
1 Administrator
% of Days 71%
1 Mental Health Service Worker
% of Days 61%
2 Physical Therapy Aide
% of Days 59%
4 Other Dietary Services Staff
% of Days 63%
2 Dietitian
% of Days 63%
4 Physical Therapy Assistant
% of Days 64%
2 Qualified Social Worker
% of Days 54%
3 Clinical Nurse Specialist
% of Days 37%
2 Speech Language Pathologist
% of Days 7%
View All Staffing Data

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $55K Rank #31 / 33Federal fines — State benchmarkedThis home is ranked 31st out of 33 homes in Idaho. Shows this facility's cumulative CMS federal fine dollars versus the Idaho average among facilities with fines, and where it ranks among 33 facilities in the pool. Lower total dollars mean a better rank.Rankings are based only on facilities in Idaho that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
44% higher than State average

State average: $38K

Number of fines 1
44% fewer fines than State average

State average: 1.8

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than State average

State average: 0.0

Fines amount comparison
Fines amount comparison
This facility $55K
State average $38K

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 7.6
21% better than State average

State average: 9.6

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 18.6
5% better than State average

State average: 19.6

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 11.7%
30% better than State average

State average: 16.7%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 21.0%
7% worse than State average

State average: 19.6%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 22.9%
In line with State average

State average: 22.5%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 3.0%
8% worse than State average

State average: 2.8%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 1.4%
62% better than State average

State average: 3.6%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.5%
24% better than State average

State average: 2.0%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 0.8%
86% better than State average

State average: 5.6%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 19.7%
54% worse than State average

State average: 12.8%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 10.5%
43% better than State average

State average: 18.3%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
In line with State average

State average: 97.0%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 89.2%
7% worse than State average

State average: 96.2%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 86.4%
In line with State average

State average: 89.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.4%
73% better than State average

State average: 1.5%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 94.4%
9% better than State average

State average: 86.5%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

Breakdown by payment type

Medicare

49% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

48% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

4% of new residents, often for long-term daily care.

Typical stay 3 - 4 years

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 43
Medicare
4
9.3% of residents
Medicaid
24
55.8% of residents
Private pay or other
15
34.9% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$5.9M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$270.6K
For-profit Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$5.9M Rank #31 / 33Revenue — State benchmarkedThis home is ranked 31st out of 33 homes in Idaho. Shows this facility's annual revenue compared to the Idaho average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in Idaho that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$270.6K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$106.2K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #26 / 33Payroll — State benchmarkedThis home is ranked 26th out of 33 homes in Idaho. Shows total annual staff payroll benchmarked to the Idaho average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Idaho that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$3.5M 59.2% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #1 / 33Payroll % — State benchmarkedThis home is ranked 1st out of 33 homes in Idaho. Shows payroll as a percentage of revenue versus the Idaho average. Well-run Idaho facilities typically land around 54–58% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Idaho that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$2.7M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$6.1M
How we calculate these figures

This home is administered by Nelson Paul.

This home is owned by Fowler Lucas | Fowler Michelle

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 135147

Show certification details

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

New residents most often arrive under Medicare (49% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Admissions
164 total

Coverage residents most often arrive under.

Medicare 49%
Private pay 48%
Medicaid 4%
Discharges
162 total

Coverage residents most often leave under.

Medicare 49%
Private pay 46%
Medicaid 4%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near Living Spring Residential Care

Address 3.1 miles from city center Info Estimated distance in miles from Lewiston's city center to Living Spring Residential Care's address, calculated via Google Maps.

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Frequently Asked Questions about Living Spring Residential Care

Who is the owner of Living Spring Residential Care?

Living Spring Residential Care is legally operated by Fowler Lucas | Fowler Michelle, and administered by Nelson Paul.

Is Living Spring Residential Care in a walkable area?

Living Spring Residential Care has a walk score of 4. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of Living Spring Residential Care?

According to ID state health department records, Living Spring Residential Care's license number is RC-1280.

What is the occupancy rate at Living Spring Residential Care?

Living Spring Residential Care's occupancy is 83%.

Does Living Spring Residential Care operate as a for-profit or non-profit?

Living Spring Residential Care is registered as a for-profit in ID.

Who is the administrator of Living Spring Residential Care?

Nelson Paul is the administrator of Living Spring Residential Care.

How many beds does Living Spring Residential Care have?

Living Spring Residential Care has 8 beds.

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