Assisted Living in West Virginia

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Families looking for assisted living in West Virginia (WV) 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 92 statewide. The state is also home to a rapidly growing number of senior citizens, with adults over 65 making up an estimated 19 percent of the population. A resident in an assisted living community in West Virginia will pay $3,619 per month on average.

Average Monthly Costs

States near West Virginia

$5,106.00 Maryland
$4,863.00 Virginia
$4,674.00 Ohio
$4,097.00 Pennsylvania
$4,000.00 US
$3,954.00 West Virginia
$3,846.00 Kentucky
Genworth lists the average cost of a private, one bedroom unit in an assisted living community in West Virginia as $3,954. This places West Virginia on the lower end of the scale at about $0 under the national average, and about $100 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


Assisted Living


In-Home Care

Average Monthly Costs

Cities in West Virginia

$4,761.00 Charleston
$3,999.00 Wheeling
$3,933.00 Weirton, Steubenville
$3,660.00 Rest Of State
$3,660.00 Huntington, Ashland
$3,614.00 Morgantown
$3,524.00 Beckley
$3,507.00 Parkersburg, Vienna
When estimating the cost of assisted living, it's important to know that average prices can differ significantly between various parts of West Virginia. The most affordable region in West Virginia for assisted living is Parkersburg, Vienna at $3,507.

What You Should Know About Assisted Living in West Virginia

West Virginia’s Department of Health and Human Resources (DHHR), along with other agencies, licenses two types of assisted living facilities:

  • Assisted living residences (ALRs)
  • Residential care communities (RCCs)

ALRs host four or more residents. Those with 4 to 16 residents are considered small ALRs, while those with 17 or more beds are classified as large. ALRs provide personal assistance and supervision to residents with physical or mental conditions that result in their dependence on others for support.

RCCs are facilities with 17 or more residential apartments that are part of a larger independent living community. RCCs are very similar to ALRs; the main difference is that residents of RCCs must be able to perform self-preservation actions in the case of an emergency, such as an evacuation. RCCs provide personal assistance and supervision as well as occasional nursing care.

While ALRs and RCCs may admit residents with early dementia symptoms, only specially licensed ALRs or skilled nursing homes can admit residents with moderate or late-stage Alzheimer’sdisease or similar dementia conditions.

In addition to ALRs and RCCs, West Virginia licenses adult family care homes (AFCH) to provide adult foster care. AFCHs are registered with the DHHR and accommodate up to three residents.

Financial Assistance for Assisted Living in West Virginia

West Virginia does not offer financial support through its Medicaid program, nor does it have an optional supplement payment; however, some residents may qualify for assistance under a special needs circumstances category.

Special Needs Circumstances

Qualified residents can receive up to $879.90 for AFCHs and $1,122.32 for ALRs. Resident income is subtracted from the maximum payment, although a personal needs allowance is applied.

West Virginia does allow for family supplementation. This means that family members can contribute to a resident’s expenses without affecting their SSI benefits or Medicaid, although restrictions apply. Be sure to contact a Medicaid expert in West Virginia to learn more about family supplementation.

Who Is Eligible?

Seniors aged 65 years or older and adults with disabilities living in a supported-living setting who have WV-10 SSI (supplemental security income) approval are eligible. Those not qualified for SSI but receiving the state assistance payment are also eligible.

How to Apply

To receive benefits under the special needs circumstances category, visit or contact your local social security office..

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 West Virginia

There are government-funded and private, nonprofit organizations dedicated to assisting seniors, whether they are transitioning into long-term care or looking for help in maintaining a more independent lifestyle.

West Virginia Area Agencies on Aging

The Area Agencies on Aging (AAA) is a nationwide network of over 600 government agencies and nonprofit organizations that provide seniors with information and programs aimed at improving senior care services and, whenever possible, facilitating independent living.

AAA offices serve a local population with programs such as meal and transportation services and are typically spread throughout the state.

Region I - Northwestern AAA

105 Bridge Street Plaza, Wheeling, WV 26003

Region II - WVSC-Metro AAA

1400 Ohio Avenue, Suite B, Dunbar, WV 25064

Region III - Upper Potomac AAA

131 Providence Lane, Petersburg, WV 26847
304-257-1221 / 800-296-1221

Region IV - Appalachian AAA

1460 Main Street, Box 2, Princeton, WV 24740
304-425-1147; 800-473-1207

Assisted Living Laws and Regulations in West Virginia

Assisted Living Service Plan Requirements

Both ALRs and RCCs in West Virginia must perform a functional needs assessment no earlier than 60 days before admission and no later than five working days post-admission for new residents. They must be performed by a physician or other authorized, licensed health-care professional. Assessments contain information about an individual resident’s health, psychosocial behavior and needs, mobility and dietary requirements. Communities and residential homes must reassess every resident at least once per year.

ALRs and RCCs must develop and complete a service plan using the assessment findings that outlines the resident's exact requirements and services needed within 45 days of resident admission.

Assisted Living Admission Requirements

Admission and retention policies ensure that seniors transition into facilities that are capable of meeting their unique needs, and they provides a safe environment for all residents.

ALRs cannot admit or retain any resident who:

  • Needs ongoing nursing
  • Requires physical or chemical restraints
  • May likely cause harm to themselves or others
  • Require a level of service outside the ALRs licensing

There are clarifications to the retention policy; for instance, residents who become bedridden and require nursing care that is intermittent and limited may remain in a home for up to 90 days following surgery or acute illness.

Residents with declining conditions who receive services from a licensed hospice or certified home health agency may remain at the residence if the licensee confirms the resident is receiving the needed care and services.

Assisted Living Scope of Care

The services offered by ALRs and RCCs can vary by location and license, but all provide:

  • Medication self-administration assistance
  • Medication administration
  • Personal assistance
  • Dietary aid
  • Health and dental care appointment assistance

Assisted living facilities offer help with the activities of daily living (ADLs) such as personal hygiene, eating and dressing. Services can also include instrumental activities of daily living (iADLs) like housekeeping, laundry and meal preparation.

Concerning dietary needs, all ALRs and RCCs must offer three meals per day, make snacks available and make adjustments for special diets in line with recommended dietary allowances. Facilities must accommodate residents who are unable to eat at scheduled meal times and provide meal substitution at a resident's request.

Each of these concerns should be covered and addressed during the assessment and service plan phase of admission.

Assisted Living Medicaid Policy

West Virginia does not use Medicaid to cover services in residential care communities or assisted living residences.

Assisted Living Facility Requirements

All West Virginia ALRs and RCCs must meet minimum facility standards concerning toilets, bathing and occupancy, though the rules differ between the two facility types.

Assisted living residences:

  • Must provide at least one toilet and sink for every six residents
  • Must have at least one bathtub or shower per floor
  • Must have at least one bath or shower per 10 residents
  • May provide private and shared rooms

No more than two residents may share a room in facilities built or renovated after May 1, 2006.

Residential care community apartments:

  • Must have lockable doors
  • Must have at least one bedroom
  • Must have a kitchenette with sink and refrigerator
  • Must have one full bathroom

A maximum of two residents may live in multi-occupancy apartments.

Medication Management Regulations

RCCs can assist with medication self-administration and may offer medication administration through a licensed health care professional. To self-administer medication, a resident must be evaluated and deemed capable by a licensed health care professional.

An attending physician or licensed pharmacist must review a resident's medication regimen at least annually or as needed.

ALR staff can assist with medication self-administration if a licensed health care provider deems the resident capable. Self-administration assistance includes:

  • Medication reminders
  • Opening containers
  • Checking actual dosage against labels
  • Reading labels
  • Observation
  • Reassuring residents that dosage is correct

To administer medication in an ALR, staff must complete training and testing. Approved medication assistive personnel may:

  • Open and give prescribed medication to residents
  • Administer injections
  • Apply eye drops

As with RCCs, medication regimens must be evaluated at least yearly.

Staffing Requirements

West Virginia mandates ALRs and RCCs to meet staffing requirements so that adequate care is available at all times.

Licensed ALRs must employ or have:

  • An administrator and direct care staff
  • A registered nurse if nursing services are offered
  • At least one staff member on duty at all times with current first aid and CPR certification

While no minimum staff-to-resident ratio is imposed, there are mandatory direct care staff ratios determined by specific resident requirements and behavioral conditions at individual residences.

At a minimum, one direct care staff member must be awake and on duty at all times, and ALRs must maintain adequate staffing to provide the required services. Multilevel residences may be exempt from the awake overnight staff member requirement if a physician or licensed psychologist determines that no residents need overnight supervision.

RCCs must employ residential staff and an administrator, and they must be adequately staffed to deliver services and care for residents. RCCs must have awake overnight staff when residents require nursing services or supervision.

In multistory RCCs, an awake staff member is required on each floor unless a call system is in place and residents do not need supervision or intermittent nursing services.

Staff Training Requirements

West Virginia requires all residences and communities to provide specific training for new staff and continuing training and education for all.

ALR administrators must complete eight hours of relevant continuing education per year. All staff members must receive annual in-service training in the following areas:

  • Policies and procedures
  • Resident rights
  • Ombudsman services
  • Complaint protocols
  • Emergency and disaster plans
  • Confidentiality
  • Abuse prevention and reporting
  • Group and individual activities
  • Infection control
  • Specialty care

New staff members must receive orientation on these topics within 15 days of hire. Additionally, new staff members must receive at least two hours of training that discusses Alzheimer's disease and other dementia conditions, including communication practices and behavioral management.

Residential Care Communities

RCC administrators must complete at least 10 hours of relevant continuing education per year. West Virginia allows communities 24 hours to give an orientation to new staff and residents on emergency procedures, protocol for reporting emergencies and evacuation procedures.

RCCs have 15 days to provide new hires training on:

  • Policies and procedures
  • Resident rights
  • Complaint procedures
  • Current resident requirements
  • Infection control
  • CPR
  • Needs and capabilities of seniors
  • Personal assistance procedures

Background Checks for ALR Staff in West Virginia

Owners and administrators must undergo a fingerprint background check. Owners are

West Virginia restricts residences and communities from hiring any staff with a prior record or evidence of:

  • Abuse or fraud
  • Substantial and repeated violations of health or social care facility rules and laws
  • Convictions for crimes related to the care of a dependent

Requirements for Reporting Abuse

If you suspect abuse at an assisted living facility, please contact the West Virginia Department of Health and Human Resources Adult Protective Services at 1-800-352-6513. Visit the Intake for Abuse and Neglect page for more information.

Assisted Living Facilities in West Virginia



Top-Rated Caring Stars Winners in West Virginia’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.

Rockin Chair Residential Care

Lerona, WV Cost Levels

3 reviews