The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Orchard View Post Acute
Lewiston, ID · Medicare-certified · 127 beds
In good standing
For-profitChain member
Data as of July 1, 2026
2 of 5 overall
Orchard View Post Acute in Lewiston, ID has an overall rating of 2 out of 5 stars. Key signals are a 2-star health inspection rating and 2-star quality measures rating, no fines in the last 24 months, and reported nurse staffing of 3.39 hours per resident per day, below the federal benchmark of 4.1, even though the staffing rating is 4 stars.
Facility ratings
Health inspections
Staffing
3.3879 hrs/resident/day
Quality measures
Last inspection: August 15, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3879.
Staffing detail
- Registered nurses
- 0.94
- Licensed practical nurses
- 0.47
- Nurse aides
- 1.97
- Weekend nursing
- 3.01
Hours per resident per day.
Total staff turnover: 46%
Registered nurse turnover: 27%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
18.2%17%Improving
Residents with a fall causing major injury
6.9%3.5%Improving
Residents with pressure ulcers (bedsores)
11.9%1.9%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
1.9%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
24.5%5.9%Improving
Residents whose ability to walk got worse
24.3%3.3%Improving
Long-stay residents on antianxiety or sleep medication
14.8%12.7%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
3%0%Improving
Residents with new or worsening incontinence
14.3%15.7%Worsening
Residents with depressive symptoms
9.4%13.5%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
98.3%94.7%Worsening
Short-stay residents given the seasonal flu vaccine
—90.6%—
Short-stay residents given the pneumonia vaccine
92.9%91.8%Worsening
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited October 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to properly label and securely store medications and biologicals. Cited October 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: F
The nursing home failed to make sure its quality review group had the required members and met at least every three months. Cited October 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 868 — 42 CFR §483.75 — S/S: F
The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited October 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 803 — 42 CFR §483.60 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 17 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $16,790 in total fines.
- $16,790
Federal fine
Dec 8, 2023
Operator & ownership
Recent ownership change · Sep 1, 2024
Now operated by Orchard View Post Acute, previously Prestige Care & Rehabilitation-the Orchards.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of PACS GROUP · 281 homes · 2.8 stars avg
- Occupancy
- 69.8 residents on an average day (55% of 127 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 38 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.