Best Assisted Living in West Virginia

Overview of Seneca Trail Healthcare Center

Seneca Trail Healthcare Center is an 80-bed skilled nursing facility in Lewisburg, West Virginia, offering medically complex care, post-surgical rehabilitation, hospice, and Alzheimer’s and dementia care to residents in Greenbrier County. It is operated by GB WV Maplewood Leasing Co., LLC.

The facility holds a 4-star overall CMS rating, with a 5-star Quality Measures sub-rating that places it significantly above the West Virginia average — driven by standout long-stay outcomes including a pressure ulcer rate of 0.2% against a state average of 4.9%, and an antipsychotic use rate of 5.2% compared to 13.2% statewide. The facility’s occupancy rate is 98%, ranking 8th among 73 West Virginia nursing homes and signaling strong local demand.

Inspection performance has been mixed: the most recent survey in October 2024 found the facility to be in full compliance, with no deficiencies cited. However, the September 2024 annual inspection identified nine deficiencies across care planning, food safety, and documentation. A September 2023 complaint investigation was substantiated involving verbal abuse by a nurse aide and delayed reporting by a social worker, resulting in a $10,000 federal civil money penalty.

Short-stay rehabilitation outcomes are a relative strength: rehospitalization rates are 16.5%, well below the West Virginia average of 23%, and the facility recorded zero short-stay falls with major injury, compared with a state average of 0.8%. Resident activities include pet therapy, bingo, crafts, and holiday programming.

The facility’s combination of dementia care programming, hospice capacity, and a Medicaid-heavy long-stay census makes it suited for residents requiring sustained clinical support. The short-stay quality measures also make it a reasonable fit for post-acute rehabilitation admissions in Greenbrier County. However, families should review the facility’s prior abuse-related citation.

Trinity Health Care of Logan is a 120-bed skilled nursing and rehabilitation facility at 1000 West Park Avenue in Logan, West Virginia, offering short-term rehabilitation and long-term care, including memory care and programming for Alzheimer’s and dementia. It is operated by Lilly Jessie and accepts Medicaid, Medicare, and private pay.

The facility holds a 1-star CMS overall rating, with all four sub-ratings below the West Virginia average — health inspection performance runs 59% below the state benchmark. Over the past seven years, the facility has averaged 12.9 deficiencies per year, about 43% above the West Virginia average of 9.

A June 2024 complaint investigation resulted in an Immediate Jeopardy determination for failure to protect residents from verbal and sexual abuse, including an incident of nonconsensual sexual contact between residents; the IJ was abated following staff termination and implementation of 1:1 supervision. The most recent annual inspection on July 29, 2024, found the facility to be in substantial compliance, with zero deficiencies. One measure runs in the facility’s favor: total nurse staffing of 3 hours and 33 minutes per resident per day, modestly above West Virginia’s average of 3 hours and 11 minutes.

The clinical program list is broad, covering PT, OT, and speech therapy; advanced wound care; respite care; cardiac and pulmonary recovery; Parkinson’s care and management; post-surgical and orthopedic rehabilitation; IV therapy; PICC management; and off-site dialysis coordination. The facility provides 24-hour nurse staffing.

Trinity Health Care of Logan suits residents requiring post-acute rehabilitation or long-term skilled nursing in Logan County, with clinical capacity for complex medical needs. However, families should review the facility’s inspection history and prior Immediate Jeopardy findings related to abuse before making a placement decision.

Overview of Putnam Center

Putnam Center is a 120-bed skilled nursing facility in Hurricane, Putnam County, West Virginia, offering memory care services. The facility is operated by Putnam Center under the administration of Julie Bishop and accepts Medicaid, Medicare, and private pay, supporting a range of payer situations.

Across 31 inspection events over the past seven years, Putnam Center recorded 130 deficiencies — roughly 89% above the West Virginia average of 9 per year. The May 2025 annual survey cited 16 deficiencies, including medication errors, infection-control lapses, dignity failures, and inadequate hydration. A follow-up review in June 2025 closed with zero new deficiencies after the plans of correction were accepted.

The facility holds a 1-star CMS overall rating, driven largely by a staffing score that is 57.8% below the West Virginia average. Total nurse staffing averages 2 hours and 42 minutes per resident per day — ranked 44th out of 46 West Virginia SNFs — with RN staffing at 32 minutes daily compared with a state average of 42 minutes. Several complaints have been substantiated over the period, and the facility has incurred approximately $40,000 in federal fines. No Immediate Jeopardy findings appear in the seven-year record.

The facility’s occupancy rate is 95%, above the West Virginia average of 89.9%, indicating consistent demand.

Putnam Center is best suited for residents seeking Medicaid- or Medicare-supported long-term skilled nursing or post-acute care in Putnam County, including those requiring memory care services. Families considering placement should carefully review the facility’s extended deficiency history, staffing levels, and prior substantiated complaints.

Overview of Pendleton Manor

Pendleton Manor is a 91-bed nonprofit nursing home in Franklin, West Virginia, providing skilled nursing, memory care, and rehabilitation services, along with outpatient therapy, home health, and independent apartments — an unusually broad continuum for a rural community of its size. The facility is operated by Pendleton Manor, Inc.

CMS rates Pendleton Manor 3 stars overall. Health Inspection performance is 63.9% above the West Virginia average, a meaningful signal for a facility with this breadth of care. Staffing pulls in the opposite direction: a 2-star staffing rating reflects nurse staffing that averages 2 hours and 45 minutes per resident per day — above the state average — but LPN staffing averages 37 minutes, roughly a third below the West Virginia norm. The distribution suggests strong basic care coverage with thinner clinical nursing capacity.

Across the past four years, Pendleton Manor logged five inspections. The May 2024 annual survey cited seven deficiencies spanning resident privacy, incomplete medical records, infection control, and gaps in hospice coordination; a concurrent life-safety survey that same month cited eight deficiencies in fire and emergency preparedness. A 2022 survey included one substantiated complaint related to resident rights and the reporting of abuse. No fines, Immediate Jeopardy findings, or license actions appear in the record.

The campus offers an on-site Nurse Aide Training and Competency Evaluation Program, an active Resident Council, and a continuum that runs from short-term post-acute rehabilitation through long-term skilled nursing and memory care. Medicaid, Medicare, and private pay are all accepted.

Pendleton Manor serves residents seeking a full continuum of care in Pendleton County — particularly those who may move between rehabilitation, skilled nursing, and memory care over time without leaving the community.

White Sulphur Springs Center is a 68-bed skilled nursing facility in White Sulphur Springs, West Virginia, serving residents requiring long-term nursing care and memory care support in Greenbrier County. The facility is operated by Genesis Operations V LLC and accepts Medicaid, Medicare, and private pay.

The facility holds a 1-star overall CMS rating. Inspection performance is the primary driver: the facility’s deficiency rate is 72% above the West Virginia average, at 15.5 citations per year, compared with the state average of 9.

The most recent standard inspection, conducted in July 2024, cited 17 deficiencies spanning behavioral health services, dementia care planning, dietary staff qualifications, medication management, infection control, and environmental safety — with two substantiated complaints from that cycle involving care plan revisions and abuse prevention. A follow-up revisit in August 2024 found the facility in substantial compliance. No fines or Immediate Jeopardy findings appear in the available inspection reports.

Nurse staffing averages 2 hours and 48 minutes per resident per day, ranking 39th out of 46 West Virginia skilled nursing facilities — 15.6% below the state average. Quality Measures, by contrast, score 65.3% above the West Virginia average, a meaningful gap from the overall picture. The facility’s occupancy rate is 91%, with 62 of 68 beds occupied, which is in line with the West Virginia average of 89.9%.

Confirmed on-site services include pharmacy, therapy, social services, and dietary services.

White Sulphur Springs Center fits residents requiring skilled nursing or memory care who accept shorter availability windows given current occupancy, and whose families are prepared to engage closely with care planning and staff communication given the facility’s compliance history.

St. Barbara’s Memorial Nursing Home is a 57-bed nonprofit skilled nursing facility in Monongah, West Virginia, providing long-term nursing care, memory care, short-term rehabilitation, and contracted hospice services. The community is operated by Marcy Farinacci and serves residents across Marion County. It accepts Medicare and Medicaid.

The facility holds a 4-star CMS overall rating, driven by strong performance on Health Inspections and Staffing — both rated above West Virginia averages by roughly 64% and 69%, respectively. Nurse staffing averages 3 hours and 57 minutes per resident per day, compared with a state average of 3 hours and 27 minutes, placing St. Barbara’s 9th among 46 West Virginia skilled nursing facilities. The most recent standard inspection, conducted in May 2025 with a July 2025 closeout, found the facility in substantial compliance following an unsubstantiated complaint of physical abuse; the deficiencies cited were limited to resident rights notification and an incomplete internal investigation. Across 23 years of inspection history, the facility averages 7.6 deficiencies per year — 16% below the West Virginia average — with no fines or license actions on record.

The facility offers rehabilitation services, 24-hour nursing coverage, memory care programming, and on-site amenities, including a beauty shop, an outdoor patio, a resident council, and in-room and group activities.

St. Barbara’s Memorial Nursing Home is best suited for residents seeking long-term nursing care or post-acute rehabilitation in a small, community-rooted setting. Its staffing depth and stable compliance record suit residents with moderate to high clinical needs.

Overview of Fairmont Rehabilitation and Healthcare Center LLC

Fairmont Rehabilitation and Healthcare Center LLC is a 120-bed privately owned nursing facility in Fairmont, West Virginia, offering long-term care, short-term rehabilitation, and memory care. The center accepts both Medicaid and Medicare and serves Marion County residents.

The facility holds a 1-star CMS overall rating, with all sub-ratings — Health Inspection, Staffing, and Quality Measures — running roughly 55–59% below the West Virginia average. Staffing is a defining concern: adjusted nurse staffing averages 2 hours and 41 minutes per resident per day, compared with a state average of 3 hours and 11 minutes, placing the facility 44th out of 46 West Virginia SNFs. Over eight inspections in the seven-year window — 53% fewer than the state average — the facility recorded 41.5 deficiencies per inspection, 184% above the West Virginia norm.

The most recent standard inspection in May 2023 cited 14 deficiencies spanning medication management, infection control, and care plan accuracy; a subsequent complaint investigation in October 2023 found substantial compliance with one minor deficiency. Three complaints were substantiated during a February 2022 annual survey, involving resident dignity, insufficient staffing, and infection control lapses. No fines or Immediate Jeopardy findings appear in the available inspection record, and the facility’s overall trajectory shows fewer and less severe deficiencies in recent cycles.

Amenities for residents include semi-private suites, a courtyard and patio, varied dining options, and on-site beautician and barber services.

Fairmont Rehabilitation and Healthcare Center’s rehabilitation capacity and dual Medicare and Medicaid acceptance make it best suited for residents seeking both short-term post-acute stays and longer-term placements in Marion County.