Total health inspections
4
Idaho average 3.2
Last Health inspection on Sep 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Living Spring Residential Care
Nursing Home · Idaho, ID
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Living Spring Residential Care
Nursing Home · Idaho, ID
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Living Spring Residential Care accepts Medicaid, Medicare, and private pay.
Overview of Living Spring Residential Care
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.
Quality ratings
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.
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.
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.
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
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.
Total nursing care / resident
This home is ranked 29th out of 31 homes in Idaho. 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.
This home is ranked 29th out of 31 homes in Idaho. 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 #29 / 31Nurse hours — State benchmarkedThis home is ranked 29th out of 31 homes in Idaho. Shows adjusted nurse hours per resident per day benchmarked to the Idaho average, with a ranking across 31 Idaho SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Idaho avg
-28%
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Weekend Total Nursing
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.
| 3h 19m per day |
Capacity and availability
This home usually has availability
Occupancy lower than 85% suggests more openings may be available.
Occupancy rate
83.2%
Rank #10 / 40Occupancy rate — State benchmarkedThis home is ranked 10th out of 40 homes in Idaho. Shows this facility's occupancy rate versus the Idaho average, with its Statewide rank out of 40. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
97 days
Occupancy rate
83.2%
Rank #10 / 40Occupancy rate — State benchmarkedThis home is ranked 10th out of 40 homes in Idaho. Shows this facility's occupancy rate versus the Idaho average, with its Statewide rank out of 40. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
97 days
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 SNFs. Larger communities may offer more amenities, programs, and on-site services for residents and families.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.
3 years in operation Rank #96 / 116Years in operation — State benchmarkedThis home is ranked 96th out of 116 homes in Idaho. Shows how long this facility has been in operation compared to other Idaho SNFs. Longer operating histories may benefit residents, families, and staff.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: 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 SNFs. Higher scores benefit residents, families, and staff.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
StatusActive
IssuanceJanuary 2, 2023
License NumberRC-1280
AccreditationsLicensed By Illinois Department Of Public Health
Services
Living Spring Residential Care is administrated by Nelson Paul.
Owner NameFowler Lucas | Fowler Michelle
Respite Care
24-Hour Staffing
Fax208-743-2684
Specific ProgramsSchedule A Consultation
Operating Hours24/7 Services Available
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
This scorecard compares key inspection, citation, 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)
• Total inspections (50% below)
Latest Inspection
October 9, 2024
Inspections
| This Facility | ID Average | vs. ID Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 2 | 4 | This facility has 50% fewer total inspections than a typical Idaho nursing home (2 vs. ID avg 4).↓ 50% better |
Health Inspection History
Inspections
Total health citations
17
Rank #3 / 31Health citations — State benchmarkedThis home is ranked 3rd out of 31 homes in Idaho. Shows this facility's total health deficiency citations benchmarked to the Idaho State average, with a ranking across all 31 ID SNFs. Lower citation counts earn a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Idaho average 25.2
Citations per inspection
4.25
Rank #2 / 31Citations per inspection — State benchmarkedThis home is ranked 2nd out of 31 homes in Idaho. Shows average deficiency citations per CMS inspection for this facility versus the Idaho mean across 31 SNFs with citation data. Lower is better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Idaho average 7.94
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
400% worse than Idaho averageIdaho average: 0.2
Serious Health citations
1
Rank #1 / 26Serious citations (G–I) — State benchmarkedThis home is ranked 1st out of 26 homes in Idaho. Shows G–I scope serious health citations for this facility versus other Idaho SNFs. Lower counts rank better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
17% better than Idaho averageIdaho average: 1.2
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
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
5% better than Idaho average
Avg staff/day
24
Average shift
8.3 hours
0% compared with Idaho average
Total staff hours (quarter)
18,231
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
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
7
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
LPN Staff
16
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
34
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursNo contractors work on this role.
Contractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
0%
0 contractor hours this quarter
No contractor roles were reported this quarter.
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 34 | 0 | 34 | 8,835 | 92 | 100% | 8.9 |
| Licensed Practical Nurse | 16 | 0 | 16 | 4,400 | 92 | 100% | 8.8 |
| Registered Nurse | 7 | 0 | 7 | 853 | 85 | 92% | 7.1 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 576 | 72 | 78% | 6.8 |
| Nurse Practitioner | 2 | 0 | 2 | 528 | 66 | 72% | 8 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 508 | 56 | 61% | 9.1 |
| Physical Therapy Aide | 2 | 0 | 2 | 492 | 54 | 59% | 6.6 |
| Other Dietary Services Staff | 4 | 0 | 4 | 417 | 58 | 63% | 5.4 |
| Dietitian | 2 | 0 | 2 | 360 | 58 | 63% | 6.2 |
| Physical Therapy Assistant | 4 | 0 | 4 | 352 | 59 | 64% | 5.3 |
| Qualified Social Worker | 2 | 0 | 2 | 264 | 50 | 54% | 5.3 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 106 | 34 | 37% | 2.8 |
| Speech Language Pathologist | 2 | 0 | 2 | 21 | 6 | 7% | 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%
Penalties and fines
Includes penalties issued in 2023
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 #27 / 31Federal fines — State benchmarkedThis home is ranked 27th out of 31 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 31 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
44% higher than Idaho averageIdaho average: $38K
Number of fines
1
44% fewer fines than Idaho averageIdaho average: 1.8
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Idaho averageIdaho average: 0.0
Fines amount comparison
Fines amount comparison
This facility
$55K
Idaho average
$38K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Jun 14, 2023 · $55K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 14, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 14, 2023
$55K
Last updated: Jan 2026
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.6
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 Idaho averageIdaho average: 9.6
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.6
5% better than Idaho averageIdaho average: 19.6
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
11.7%
Percent of long-stay residents whose need for help with daily activities has increased
11.7%
30% better than Idaho averageIdaho average: 16.7%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
21.0%
Percent of long-stay residents whose ability to move independently worsened
21.0%
7% worse than Idaho averageIdaho average: 19.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.9%
In line with Idaho averageIdaho average: 22.5%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.0%
Percent of long-stay residents experiencing one or more falls with major injury
3.0%
8% worse than Idaho averageIdaho average: 2.8%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
1.4%
Percent of long-stay high risk residents with pressure ulcers
1.4%
62% better than Idaho averageIdaho average: 3.6%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.5%
Percent of long-stay residents with a urinary tract infection
1.5%
24% better than Idaho averageIdaho average: 2.0%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
0.8%
Percent of long-stay residents who lose too much weight
0.8%
86% better than Idaho averageIdaho average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
19.7%
Percent of long-stay residents who have depressive symptoms
19.7%
54% worse than Idaho averageIdaho average: 12.8%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
10.5%
Percent of long-stay residents who received an antipsychotic medication
10.5%
43% better than Idaho averageIdaho average: 18.3%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Idaho averageIdaho average: 97.0%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
89.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
89.2%
7% worse than Idaho averageIdaho average: 96.2%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
86.4%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
86.4%
In line with Idaho averageIdaho average: 89.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.4%
73% better than Idaho averageIdaho average: 1.5%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
94.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
94.4%
9% better than Idaho averageIdaho 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.
Financial Trends
Historical financial and operational data for Living Spring Residential Care based on CMS SNF Cost Reports.
Occupancy Rate
83.2%
↑ 3.3pp vs 2022
Net Income
-$164.5K
↑ ~$474.9K vs 2022
Total Payroll
$3.9M
↑ ~$117.0K vs 2022
Profit Margin
-2.7%
↑ 8.8pp vs 2022
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$6.2M
Operating loss
-$164.5K
Privately-owned community
Operated by a business corporation.
Home revenue
$6.2M Rank #29 / 31Revenue — State benchmarkedThis home is ranked 29th out of 31 homes in Idaho. Shows this facility's annual revenue compared to the Idaho SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Operating loss
-$164.5K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #25 / 31Payroll — State benchmarkedThis home is ranked 25th out of 31 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$3.9M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #25 / 31Payroll — State benchmarkedThis home is ranked 25th out of 31 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$2.4M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$6.4M
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near Living Spring Residential Care
3.1 miles from city center
Estimated distance in miles from Lewiston's city center to Living Spring Residential Care's address, calculated via Google Maps.
— 1.82 miles to nearest hospital (Phillips Agency Inc)
Calculate Travel Distance to Living Spring Residential Care
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Financial Assistance for
Nursing Home in Idaho
Living Spring Residential Care is located in Lewiston, Idaho.
Here are the financial assistance programs available to residents in Idaho.
Frequently Asked Questions about Living Spring Residential Care
Who is the owner of Living Spring Residential Care?
The legal owner and operator of Living Spring Residential Care is Fowler Lucas | Fowler Michelle.
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.
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.
Are there photos of Living Spring Residential Care?
Yes — there are 14 photos of Living Spring Residential Care in the photo gallery on this page.
What is the phone number of Living Spring Residential Care?
(208) 743-2685 will put you in contact with the team at Living Spring Residential Care.
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