Assisted Living in Idaho

Get the insights you need to find the right city.

Families looking for assisted living in Idaho (ID) have a wide array of communities to choose from, since estimated that there are more than 30,000 assisted living communities serving seniors across the U.S., and over 144 statewide. The state is also home to a rapidly growing number of senior citizens, with adults over 65 making up an estimated 15 percent of the population. A resident in an assisted living community in Idaho will pay $3,475 per month on average.

Average Monthly Costs

States near Idaho

$5,611.00 Washington
$4,282.00 Montana
$4,000.00 US
$3,797.00 Idaho
$3,660.00 Utah
Genworth lists the average cost of a private, one bedroom unit in an assisted living community in Idaho as $3,797. This places Idaho on the lower end of the scale at about $200 under the national average, and about $200 lower than the median cost of assisted living in nearby states.

Compare Monthly Care Costs

When it comes to care options, assisted living is just one of several choices available to seniors. Some care options, like part-time in-home care or independent living, may cost less, while others like memory care or skilled nursing are likely to cost significantly more. Seniors can speak with their medical practitioners to receive guidance on what level of care will best suit their needs and abilities.

Nursing Home Care


In-Home Care


Assisted Living

Average Monthly Costs

Cities in Idaho

$4,705.00 Lewiston
$4,097.00 Coeur D'alene
$3,824.00 Boise City
$3,660.00 Rest Of State
$3,660.00 Pocatello
$3,510.00 Idaho Falls
When estimating the cost of assisted living, it's important to know that average prices can differ significantly between various parts of Idaho. For example, assisted living rates in areas such as Lewiston are at least $900 more than the state average of $3,797, but in areas like Pocatello, you're saving on average $100. The most affordable region in Idaho for assisted living is Idaho Falls at $3,510.

What You Should Know About Assisted Living in Idaho

Assisted living communities in Idaho are referred to as assisted living facilities (ALF) or residential care facilities (RCF). They are classified as any facility or residence that cares for three or more seniors not related to the owner by providing meals, lodging, personal assistance and necessary supervision.

Assisted living facilities in Idaho help residents with tasks such as dressing, eating, meal preparation and entertainment activities. Assisted living community residents include those with age-related impairments and disabilities who need assistance with regular daily activities.

Financial Assistance for Assisted Living in Idaho

Low-income seniors in Idaho may be eligible to receive assistance from state subsidy programs to help cover the costs of assisted living.

Aid for Aged, Blind and Disabled (AABD) Program

The Aid for Aged, Blind and Disabled program provides cash assistance to eligible participants as part of Idaho Medicaid services. The amount applicants receive is determined by calculating their income, living arrangements and resources.

Who Is Eligible?

Eligibility is limited to Idaho residents who are U.S. citizens and are either 65 years or older, blind or are classified as disabled by Social Security standards. Applicants must also fall within the financial guidelines set by the state for Medicaid approval.

How to Apply

Applications for cash assistance can be found online and must be completed and submitted to the local Health and Welfare office. Hard copies of applications are also located at Health and Welfare offices and can be completed on-site. At the office, a representative will discuss your situation with you to determine what services you may be eligible for. Make sure to bring documentation with you that verifies relevant information such as income, resources and expenses to speed up the process.

You can find your nearest Health and Welfare office on the Contact Us page of the Idaho Health and Welfare website under the Regional Contact Information tab.

More Ways to Finance Assisted Living

While many families use their own funds or personal assets to pay for assisted living, there are plenty of additional options to cover these costs. Visit our 9 Ways to Pay for Assisted Living page for more information.

Free Assisted Living Resources in Idaho

Elderly Idaho residents and their family members can take advantage of the many free resources available across the state to provide information and assistance regarding long-term care needs. The nonprofit and federally funded organizations are available to help identify the needs of seniors, refer appropriate care options and identify possible sources for financing if needed.

Area Agency on Aging (AAA)

Idaho is divided into six regional districts, each with its own Area Agency on Aging (AAA). The federally funded program offers services to Idaho adults over the age of 60 as part of a national network of more than 600 offices. Seniors can contact their local office for assistance with transportation, meals, money management, case management and family caregiver support programs.

You can find your nearest AAA office by using the interactive map on the Idaho Commission on Aging website.

Area Agency on Aging of North Idaho

2120 Lakewood Drive, Suite B, Coeur d'Alene, ID 83814
(208) 667-3179

Area Agency on Aging of North Central Idaho

124 New Sixth Street, Lewiston, ID 83501
(800) 877-3206

Southwest Idaho Area Agency on Aging

701 S. Allen, Ste 100, Meridian, ID 83642
(208) 898-7060

College of Southern Idaho Office on Aging

315 Falls Ave, P.O. Box 1238, Twin Falls, ID 83303
(208) 736-2122

Southeast Idaho Council of Governments, Inc. - Area Agency on Aging

214 East Center, P.O. Box 6079, Pocatello, ID 83201
(208) 233-4032

Agency on Aging of Eastern Idaho

357 Constitution Way, P.O. Box 51098, Idaho Falls, ID 83405
(208) 522-5391

Assisted Living Laws and Regulations in Idaho

Assisted living communities in Idaho must follow the state's comprehensive laws regarding senior care to stay in operation. Some of these laws are highlighted below.

Assisted Living Service Plan Requirements

All residents in assisted living communities must have a written agreement with the home that covers the minimum information required by Idaho law. This includes an overview of any services that will be provided, staffing patterns and qualifications, a breakdown of the community's rates for services and supplies, a plan for resident funds management, description of the conditions needed for emergency transfers and the responsibilities of the resident.

Assisted living homes are required to perform an assessment to determine the needs of each resident. This assessment should cover any ADL support needed and include the level and frequency of support necessary, health services required, any agreement for medication assistance, behavioral symptoms along with interventions for each symptom, and any physician's orders for the resident. Once the assessment is complete, a service agreement is negotiated based on the results.

Assisted Living Admission Requirements

Assisted living homes may not admit residents who require care the community is not licensed to provide. This could include ongoing skilled nursing services, the use of physical restraints, intravenous therapy, tracheotomy care and syringe feeding. Residents who have needs that are incompatible with other residents, whether emotional, physical or social, may not be admitted, especially if they demonstrate they are a danger to themselves or others. Any resident who requires ambulatory assistance must reside on the ground floor unless certain fire safety rules are met.

Assisted Living Scope of Care

All assisted living communities must be able to provide basic services to residents, such as necessary supervision, assistance with activities of daily living (ADLs), medication assistance and monitoring, first aid, emergency interventions, outside service coordination and basic housekeeping that includes laundry. If necessary, residents can contract with third parties for additional services.

Assisted Living Medicaid Policy

Idaho Medicaid offers programs to pay for seniors' personal services at any location, including an assisted living facility, as long as they are not in a nursing home. The two Medicaid programs offered are the HCBS Aged and Disabled waiver and the Personal Care Services program. Neither program pays for meals or room and board as both are limited to personal services.

Assisted Living Facility Requirements

Idaho does not require apartment-style units for residents, but no more than two residents may share a single unit if licensed after July 1, 1991. Assisted living communities licensed before that date can house up to four residents in one unit. The home must provide at least one toilet for every six residents housed within the facility.

Meals in assisted living facilities are also regulated. Therapeutic diets require an order from an authorized provider or the resident's physician. A therapeutic diet menu plan must be approved with the date and a signature from a licensed dietitian. Food selections must be provided with the resident's habits, preferences and physical abilities in mind. Communities are required to offer snacks between meals and at bedtime.

Medication Management Regulations

Residents have the options of self-administering their medications, requesting assistance or having them administered. Staff who are unlicensed can help with self-administration provided they complete a course covering medication assistance and are designated to do so by a licensed nurse. Only a licensed nurse may administer medication or check medication regimens, which should be done on a quarterly basis.

All medications must be received in blister packs or medisets and must be filled by a licensed nurse or a pharmacy. For residents who display behavioral issues, the community must attempt intervention without drugs before psychotropic drugs are used. Should any resident demonstrate behavior that may require psychotropic drugs, possible side effects and need for the medication must be monitored.

Staffing Requirements

Every assisted living community must have a dedicated administrator on staff unless approved for a variance allowing an administrator to oversee multiple residences. The administrator is required to be on site long enough to ensure the safety of residents and confirm that care is adequate. Each community must have a licensed nurse on staff to handle administering medications and delegating staff for assistance with self-administered medications. Additional staff must be trained to provide services to residents. At least one direct-care staff member who is certified in first aid and cardiopulmonary resuscitation must be on site at all times.

Assisted living communities with a license for no more than 15 beds must have at least one trained and qualified staff member available during sleeping hours. If any resident requires night care or is unable to call for assistance, on-site staff must be awake. For communities licensed for more than 15 beds, staff is required to be awake during sleeping hours. If detached units house residents, at least one trained staff member must be present in each of those buildings.

Staff Training Requirements

Staff members at assisted living communities are prohibited from providing unsupervised personal assistance to residents until the completion of a 16-hour job-related orientation. All staff members are required to complete eight hours of job-related continuing training annually except licensed administrators, who must complete 12 hours of continuing education each year.

If the community is admitting residents who have been diagnosed with traumatic brain injury, mental illness or a developmental disability, staff must receive targeted training that covers the specialized needs of those residents.

Background Checks for ALF Staff in Idaho

All employees or contractors with direct access to residents must submit to a thorough criminal history and background check. This check must be conducted using a fingerprint search through the Federal Bureau of Investigations, Nurse Aide Registry, National Criminal History Background Check System and any other relevant state registries.

Requirements for Reporting Abuse

Idaho has an extensive list of mandated reporters for elder abuse, including medical professionals, any employees of a health facility, ombudsmen for the elderly, social workers, law enforcement and professional caregivers. Reporting is required if there is reasonable evidence that a senior has been abused, neglected or exploited. Nursing facilities and their employees report directly to the Department of Health and Welfare while others must report to the Idaho Commission on Aging. If an act of suspected abuse results in serious injury or death, a report must be made to the appropriate law enforcement agency.

Assisted Living Facilities in Idaho



Top-Rated Caring Stars Winners in Idaho’s Caring Stars award program recognizes the best assisted living facilities across the U.S. based on reviews from family caregivers and older adults. This award is meant to help older adults and their loved ones find the best assisted living or in-home care option in their area. The list below shows up to 10 listings that have won the most Caring Stars annual awards in their state, sorted by their current overall average rating. For a complete list of Caring Stars winners for each year, please visit our Caring Stars info center.


Lincoln Court

Idaho Falls, ID $$

27 reviews


North Star Retirement Community

Coeur D Alene, ID $

25 reviews


Overland Court Senior Living

Boise, ID $$

19 reviews


Brookdale Lewiston

Lewiston, ID $$

9 reviews


Prestige Assisted Living at Autumn Wind

Caldwell, ID $$$$

13 reviews