About Assisted Living in West Virginia

With most of the state covered in forest, rolling Appalachian Mountains, and quaint towns with unique culture, West Virginia is fairly inexpensive. Although income and sales taxes are slightly above the national average, the cost of living is significantly below, as well as the costs for nursing home and assisted living care.

What Options are Available for Assisted Living?

In the state of West Virginia there are two options for assisted living: an Assisted Living Residence (ALR) and a Residential Care Community (RCC). An ALR is a living facility for 4 or more residents, providing personal assistance and supervision to individuals with physical or mental impairments that may require nursing intermittent care. An RCC is a group of assisted living (17 or more) of residential apartments that are part of a larger independent living community.

All ALRs and RCCs must comply with state fire rules regarding the use of smoke detectors, fire alarm systems, and fire suppression systems. The size of the facility determines the type of suppression system. Facilities must have manual pull stations and a fire alarm system, as well as written disaster and emergency preparedness plans.

What are the Alzheimer’s Requirements for ALRs and RCCs in West Virginia?

If a facility advertises or promotes special Alzheimer’s or dementia care, they must obtain a special license to care for cognitively impaired residents.

Senior Assisted Living Details and Costs for Cities in West Virginia

Listed below are some of the larger cities in West Virginia. Each listing page provides details on assisted living facilities, independent living, senior group homes, and Alzheimer's care. Details include amenities, services offered and other useful information.

What Training is Required for ALR and RCC Staff?

Personal care staff must complete an orientation and yearly in-service training.

Staff working in a licensed Alzheimer’s care unit require 30 hours of additional training related to the care of residents with Alzheimer’s disease and related dementias.

Is an Assessment Required Before Move-In?

A written, signed, and dated health assessment by a licensed physician or health care provider no more than 30 days prior or 5 days after the resident’s admission into the facility, and annually thereafter. A functional needs assessment, including health status, psychosocial, activity, and dietary needs must also be completed and maintained as part of the resident’s health record.

What Care is Available in an ALR and RCC?

  • Assistance with activities of daily living (ADLs).
  • Limited or intermittent nursing care.
  • Arrange for hospice or Medicare-certified home health.

The facility may contract 3rd party care if the one-on-one needs of the resident are not provided by the facility directly, as long as the provision of services does not interfere with the services to other residents.

How is Medication Managed?Depositphotos_6361557_original

Only licensed staff may administer or supervise resident’s self-admiration of medication.

What are the Bathroom Requirements for an ALR and RCC?

Common bathrooms are permitted.

What are the Move-In or Move-Out Requirements?

ALRs and RCCs can only admit residents whose needs can be met by the facility, and they may not admit or retain residents who require extensive ongoing nursing care. 30-day written notice is required to discharge a resident unless he or she is a danger to themselves or others.

Is an ALR or RCC Covered by Medicaid in the State of West Virginia?

No. Currently, there is no Medicaid home and community-based services waiver in West Virginia.

Who can I contact for more information?

Department of Health and Human Resources, Office of Health Facilities Licensure and Certification
Jolynn Marra
(304) 558-0050