Orofino has two published senior-living communities on Local Senior Advisor, in Clearwater County. Between them, they cover assisted living and skilled nursing, with about 111 licensed beds where a bed count is published. The U.S. Census Bureau estimated Orofino's population at 3,259 in 2025, and Clearwater County had about 2,833 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 Orofino, so a family can start from a real list instead of advertising.
Care Levels in Orofino
Assisted Living: One community in Orofino offers 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.
Skilled Nursing: One community provides 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, Orofino's published listings include one residential assisted living facility and one skilled nursing facility. 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 51 to 60 beds, about 111 beds in total across the listings with a published bed count.
Hospitals Nearby
Measured in a straight line from the average location of Orofino's published communities, the closest hospitals are Clearwater Valley Hospital (under a mile) and Saint Mary's Hospital (about 30 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. Two 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 24 miles away), Lewiston (14 listings, about 36 miles away), and Moscow (5 listings, about 38 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 Orofino 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.
