Nursing Homes and Senior Care in West Virginia

Nursing Homes by City in West Virginia

The West Virginia cities with the most CMS-certified nursing homes. All 82 cities are listed below the table. Homes in West Virginia average 3.7 hours of nursing care per resident per day; the national median is 3.7 hours.

5-Star Nursing Homes in West Virginia

Homes with CMS's top overall rating, ordered by inspection rating. See all highest-rated nursing homes in West Virginia.

Assisted Living in West Virginia

Office of Health Facility Licensure and Certification (OHFLAC), West Virginia Office of Inspector General licenses assisted living in West Virginia. License types: Assisted Living Residence, Large Assisted Living, Small Assisted Living and Residential Care Community. Use the state's search to check a community's license and inspection history.

• West Virginia assisted living facility search
• West Virginia assisted living rules
• West Virginia assisted living licensing (Office of Health Facility Licensure and Certification (OHFLAC), West Virginia Office of Inspector General)

Memory Care Rules in West Virginia

West Virginia's term is "Alzheimer's/Dementia Special Care Units and Programs", a separate license or certification. Facilities must give families a written disclosure of their dementia care services.

• A facility that proposes to advertise, market, or otherwise promote itself as providing a specialized unit or program for residents requiring Alzheimer's/dementia care services shall first obtain an additional license from the Director to operate the special care unit or program (71CSR19, 3.1.1).
• The facility applies before operation and on an annual license renewal application, and submits a disclosure and application for approval on forms provided by the Director (71CSR19, 3.1.3 and 3.1.4).
• A designated staff member coordinates the unit or program and offers monthly educational and family support group meetings (71CSR19, 4.1.1).
• All assigned staff members shall complete a minimum of 30 hours of training on the care of residents with Alzheimer's disease and related dementia: at least 15 hours before supervised direct hands-on care and an additional 15 hours before unsupervised direct care (71CSR19, 4.1.3).
• The facility shall provide a minimum of eight hours of documented annual training to all staff on the required dementia care topics (71CSR19, 4.1.4).
• Staffing shall be no less than an average of 2.25 hours of direct care personnel time per resident per day, or during the hours of operation; available or on-call staff do not count (71CSR19, 4.2.2).
• Direct care staff shall not have housekeeping, laundry, food preparation or maintenance duties as their primary responsibilities (71CSR19, 4.2.4).
• Prior to admission, the facility shall provide a copy and an explanation of the disclosure statement to the resident or legal representative and keep a signed and dated copy in the resident's record (71CSR19, 5.4).
• An interdisciplinary team shall complete an initial assessment within seven days of admission (71CSR19, 6.2).
• Activities shall be structured seven days per week, with planned group and individual activities at least daily in gross motor, self-care, social, and sensory and memory enhancement areas, and at least one employee per shift responsible for activities programming (71CSR19, 9.1, 9.3 and 9.5).
• The site shall have security measures for wandering residents that are as unobtrusive as possible, and secured outdoor space and walkways which allow residents to ambulate but prevent undetected egress (71CSR19, 10.2.3 and 10.2.8).
• If locking devices are used on exit doors, they shall be electronic and release when the fire alarm or sprinkler system is activated, when power to the facility fails, and when a key button or keypad at the exit is used by staff (71CSR19, 10.5).

• West Virginia memory care rules

Medicaid Long-Term Care in West Virginia

West Virginia's Medicaid program is West Virginia Medicaid (Medicaid for Long Term Care). For nursing home Medicaid (2026), the state lists an income limit of 300% SSI = $2,982 and an asset limit of $2,000 (SSI Medicaid, one person). Residents keep a personal needs allowance of For most residents, the monthly amount deducted is $50.

• Aged and Disabled Waiver (ADW): in-home care and adult day. For people 18 and older who meet Medicaid waiver financial eligibility and are approved for a nursing home level of care. Once someone is accepted, an opening must be available to participate. The ADW site says the average time on the ADW waitlist last fiscal year was 44 days.
• Medicaid Personal Care Services: in-home care. State Plan program with hands-on, in-home services, including help with dressing, eating and bathing. A person can be on ADW and State Plan Personal Care at the same time if they qualify.

• West Virginia Medicaid (Medicaid for Long Term Care) nursing facility coverage
• West Virginia Medicaid long-term care limits

Nursing Home Inspections and Complaints in West Virginia

Office of Health Facility Licensure and Certification (OHFLAC), West Virginia Office of Inspector General inspects nursing homes in West Virginia for CMS. To file a complaint, call (304) 558-0050 or use the state's complaint page.

• West Virginia nursing home inspection lookup
• File a nursing home complaint in West Virginia

West Virginia Long-Term Care Ombudsman

The West Virginia Long-Term Care Ombudsman Program is a free, confidential advocate for residents of nursing homes and assisted living. Ombudsmen help with complaints, residents' rights and problems with care. Call 1-800-834-0598.

• Contact the West Virginia Long-Term Care Ombudsman Program

Aging Services and Caregiver Support in West Virginia

West Virginia Bureau of Senior Services runs West Virginia's aging services, delivered through local Area Agencies on Aging. Family caregivers can get help through Caregiver Support (Older Americans Act programs through county aging providers). Adult day services are licensed or certified by Office of Health Facility Licensure and Certification (OHFLAC), West Virginia Office of Inspector General (Medical Adult Day Care Centers).

• West Virginia aging services: West Virginia Bureau of Senior Services
• Area Agencies on Aging in West Virginia
• Caregiver support in West Virginia: Caregiver Support (Older Americans Act programs through county aging providers)
• West Virginia adult day services

Guides for Your Next Step

See how to choose a nursing home, what memory care is, how Medicaid pays for nursing home care and what Medicare covers. For local help, call the Eldercare Locator at 1-800-677-1116.

Frequently Asked Questions