Best Nursing Homes in West Virginia

Overview of Tygart Valley Health & Rehabilitation

Tygart Valley Health & Rehabilitation is a skilled nursing and rehabilitation community in Belington, West Virginia, that serves Barbour County and nearby regions. The community is also licensed for 57 beds and has been in operation since May 2024, under the Belington SNF Operations LLC. With a wide range of care services, including short-term rehabilitation, long-term skilled nursing care, memory care, and hospice support, it is one of the more medically capable senior care communities in the area.

With over one year of operation, older adults and families can expect further improvements with the community’s physical spaces and programming. Additionally, 47 out of 57 beds are occupied, marking an approximately 82% occupancy rate, which is in line with West Virginia’s state average. The community has also undergone 4 inspections by the West Virginia Department of Health and Human Resources, Office of Health Facility Licensure, with the most recent inspection dated September 1, 2024. As a relatively new community, inspection history and other data are limited; hence, it is highly suggested that older adults and families inquire directly during visits.

Following the care philosophy, “People First”, the community focuses on providing individualized attention within a residential setting, along with a wide scope of care services. These care services include 24-hour skilled nursing, short-term rehabilitation, physical therapy, occupational therapy, speech therapy, wound care, orthopedic rehab, post-surgical care, pulmonary care, bariatric care, oncology care, tracheostomy care, and Alzheimer’s and dementia care, making it a suitable option for both long-term placement and post-acute recovery. To help families navigate costs and eligibility challenges, the community also accepts Medicare and Medicaid. An outdoor recreation area, a patio garden, a dedicated rehabilitation gym, a beauty and barber shop, a library, pastoral support, and transportation services are also among the community’s on-site amenities.

With its clinical depth, Tygart Valley Health & Rehabilitation is appropriate for those who require medically supervised care, as well as individuals with complex chronic conditions and those with Alzheimer’s or dementia. The community also appeals to those seeking a more personalized care experience, as it has a more intimate setting compared to larger institutional nursing communities.

Overview of Princeton Health Care Center

Princeton Health Care Center is a 122-bed skilled nursing facility administered by Stephanie Compton at 315 Courthouse Road in Princeton, Mercer County, West Virginia. Owned by non-profit entity Princeton Memorial Hospital Company, the facility accepts Medicare, Medicaid, and private pay. Occupancy stands at 95 percent, above the West Virginia average of 89.9 percent, and 91.2 percent of the current residents are Medicaid-funded, reflecting the facility’s deep integration into Mercer County’s long-term care infrastructure.

CMS rates Princeton Health Care Center 2 stars overall. Its strongest dimension is staffing, rated 68.8 percent above West Virginia average and ranked 3rd of 46 West Virginia SNFs for total nursing hours at 4 hours 49 minutes per resident per day. CNA hours of 2 hours 56 minutes per day are 42 percent above the state average, and weekend total nursing at 3 hours 39 minutes is 15 percent above average. RN hours are the notable gap at 29 minutes per day, 31 percent below the West Virginia average, and weekend RN coverage at just 7 minutes per day is 70 percent below the state benchmark, a meaningful concern for residents with complex clinical needs on weekends. Quality measure performance is the primary driver of the significantly below-average 2-star rating. The most significant long-stay outliers are antipsychotic use at 24.7 percent (87 percent above the 13.2 percent West Virginia average), hospitalizations at 3.38 per 1,000 resident days (82 percent above state average), and ED visits at 3.89 per 1,000 days (103 percent above average). Short-stay outcomes are also substantially below average, particularly ED visits during SNF stays at 25.3 percent (104 percent above average), and falls with major injury at 2.4 percent (217 percent above average). No penalties have been issued in the past three years. The inspection record shows a mixed but recent improvement trend. The January 2025 complaint investigation found the facility in full substantial compliance with zero deficiencies. The May 2024 annual survey was more significant, citing 16 care deficiencies across resident dignity, care planning, psychotropic medication consent, trauma-informed care, infection control, and privacy, plus 3 fire safety deficiencies related to fire barriers and smoke barrier doors, with one complaint substantiated. All were corrected. The July 2023 annual survey found 11 care and 9 fire safety deficiencies, also corrected. The 2022 annual survey cited 10 deficiencies including infection control, catheter care, and resident privacy lapses.

The facility provides rehabilitation services, respite care, and long-term skilled nursing care, with a doctor on staff and wheelchair-accessible facilities. The Active Resident Council and Nurse Aide Training program round out the community’s on-site programs.

Princeton Health Care Center is best for Mercer County and southern West Virginia residents needing long-term Medicaid-funded skilled nursing, particularly those who benefit from the facility’s strong CNA coverage and non-profit hospital affiliation. Families should weigh the quality measure data and the latest inspection record carefully alongside the staffing strengths when deciding.

Autumn Lake Healthcare at Crystal Springs is located in Elkins, West Virginia. It offers short-term rehabilitation and long-term living services, focusing on creating a warm and inviting atmosphere for residents. The facility provides advanced care programs for complex medical conditions, overseen by a team of in-house specialists.

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 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.

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.