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ElderCareCosts
Updated August 2026

Assisted Living in Lewiston, Idaho

Lewiston, ID has 11 licensed assisted living communities listed on ElderCareCosts. The median estimated cost is $5,354/mo. That's above the Idaho state median by about 3%. Most assisted living in Lewiston is small: 64% of licensed providers have 16 beds or fewer, against 65% nationally.

Not sure which type of care fits? Take our 3-question care quiz →

Median monthly price, Lewiston

$5,354/mo

Estimated range $4,407 – $6,754

● Lewiston $5,354 ○ National median $6,230

Source: CareScout 2025 survey, adjusted for local wages

What senior care costs in Lewiston

2025 figures

Assisted Living cost comparison (2025)
Assisted LivingLewistonIdahoNational
25th percentile$4,407/mo$4,940/mo$5,488/mo
Median$5,354/mo$5,175/mo$6,230/mo
75th percentile$6,754/mo$5,625/mo$7,083/mo

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Staying home instead

Home care in Lewiston runs about $40 an hour. Here is what common schedules cost a month:

Hours of careWhat it looks likeEst. monthly cost
20 hrs/weekMornings or afternoons, weekdays~$3,452
44 hrs/weekMost of every weekday$7,594
24/7 (168 hrs/week)Round-the-clock coverage~$28,995

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Medicare generally does not cover long-term custodial care. Families usually combine private pay, long-term care insurance, VA Aid and Attendance, or a Medicaid waiver where they qualify. See paying for care and the state Medicaid guides.

What can you afford?

Here is what different monthly budgets cover in Lewiston.

Under $2,500/mo

Adult day, family care, or affordable senior housing

Adult day care and help from family are the usual options at this budget. Income-restricted affordable senior housing is the other common choice, and Lewiston has 7 such properties. The county aging agency at (208) 667-3179 can help you sort through options for free. If money is very tight, ask about Medicaid waivers.
$2,500 – $7,000/mo

Part-time home care or entry assisted living

Part-time home care usually falls here. Full-time care at 44 hours a week runs about $7,594 a month. The local assisted living median is $5,354 a month, and smaller homes often charge less. If Medicaid may apply, ask about waiver programs.
$7,000 – $11,000/mo

Assisted living with room to spare

Covers the Lewiston assisted living median of $5,354 a month with room to spare. It also covers close to full-time home care, about $7,594 a month.
Over $11,000/mo

Nursing care or heavy home-care schedules

Nursing homes in Lewiston run about $10,856 a month at the median. Around-the-clock home care usually costs more.
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11 assisted living communities in Lewiston

What assisted living looks like in Lewiston

Lewiston is a market of small licensed homes. 64% have 16 beds or fewer, against 65% nationally. The typical one has 12 beds, where the Idaho figure is 16.

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Free local help worth saving

Lewiston, in Nez Perce County, has about 34,651 residents. About 7,146 of them (21%) are 65 or older. The median household income is $72,197.

Source: US Census Bureau

National helplines, including the Eldercare Locator and 211, are listed on paying for care.

Veterans & surviving spouses: VA Aid & Attendance can help wartime veterans who qualify. How Aid & Attendance works →

Questions families ask

Is assisted living in Lewiston more expensive than the rest of Idaho?

Lewiston's median assisted living cost is about 3% higher than the Idaho state median.

Find Lewiston care options

Tell us what you need and your budget, and we will email you licensed options right away.

Find care options →

Reading up first? Assisted Living across Idaho → · Assisted Living cost across Idaho → · Adult Day Care vs Assisted Living →

Touring this week? Print our checklist: what to ask on a tour, what to notice, and the license paperwork to request. Or email it to yourself to have it on your phone.

Assisted Living in Lewiston: 2026 Costs & Licensed Providers