Lewiston has 14 published senior-living communities on Local Senior Advisor, in Nez Perce County. Between them, they cover assisted living, memory care, and skilled nursing, with about 963 licensed beds where a bed count is published. The U.S. Census Bureau estimated Lewiston's population at 34,717 in 2025, and Nez Perce County had about 9,827 residents age 65 and older.
Every listing on this page comes from public records: Idaho Department of Health and Welfare license data for assisted living, CMS data for nursing facilities, and senior-living directories for independent living. The goal is to show what is actually licensed and operating in Lewiston, so a family can start from a real list instead of advertising.
Care Levels in Lewiston
Assisted Living: Nine communities in Lewiston offer assisted living, the most common level of care in Idaho. Most are licensed by the state as residential assisted living facilities, which provide help with daily activities such as bathing, dressing and medications, along with meals and supervision.
Memory Care: Three listings show memory care, based on secured beds in state license data or a memory-care listing for that community. Families should ask each building how its memory-care area is staffed and secured.
Skilled Nursing: Six communities provide skilled nursing under a CMS-certified nursing facility license, which covers 24-hour nursing care and, in many buildings, short-term rehabilitation after a hospital stay.
Licensing and Building Size
By license type, Lewiston's published listings include eight residential assisted living facilities, five skilled nursing facilities, and one campus that holds both an assisted living license and a nursing facility certification. Idaho's Department of Health and Welfare licenses and inspects residential assisted living facilities under IDAPA 16.03.22, while nursing facilities are also certified and inspected under federal CMS rules. Licensed capacity ranges from 8 to 188 beds, about 963 beds in total across the listings with a published bed count. Five are smaller settings of 16 beds or fewer, which can feel more like a private home, while the larger buildings offer more staff and on-site services.
Hospitals Nearby
Measured in a straight line from the average location of Lewiston's published communities, the closest hospitals are Valley Medical Center (about 1 mile) and Saint Joseph's Regional Medical Center (about 2 miles), based on OpenStreetMap hospital data. Driving distance and which hospital handles a given emergency can differ, so it is worth asking each community which hospital its residents usually use and how it handles doctor visits and transportation.
Paying for Care
Local Senior Advisor does not yet have verified, community-by-community pricing for Idaho. As a statewide reference, the 2024 CareScout Cost of Care Survey (formerly Genworth) put Idaho's median for assisted living at $4,600 a month, below the national median of $5,900, and Idaho nursing home care at $10,068 a month for a semi-private room and $10,707 for a private room. Actual rates depend on the room, the level of care and the building, so it is worth asking each community for its current pricing and what is included. Twelve of the listings appear as Idaho Medicaid providers in state or federal data, which matters for families planning for Medicaid now or later.
Nearby Options
Families who want a wider choice often look at nearby towns as well. The closest other cities with published communities are Winchester (2 listings, about 21 miles away), Moscow (5 listings, about 24 miles away), and Orofino (2 listings, about 36 miles away), measured between community locations.
Getting Help
Local Senior Advisor is a free service to families. A local advisor can help a family in Lewiston narrow the list by care needs, budget and location, explain the difference between license types, and set up tours. Before choosing, it helps to visit at a mealtime, ask how care plans are updated when needs change, and confirm in writing what the monthly rate includes.
