E.a. Hawse Healthcare Center is a nursing home and a multi-service healthcare community in Baker, West Virginia, serving Hardy County and nearby rural communities since 1981. Owned and operated by Route 55 Leasing Co., LLC and administered by Pauline Vance, the community offers comprehensive care options, including skilled nursing, medical, dental, behavioral, health, and pharmacy services, making it one of the more care-equipped communities in the area. The community is certified under a nursing home license (License No. 108) for 60 beds and accepts Medicare and Medicaid.
With around 53 beds occupied out of 60, the community’s occupancy rate of approximately 88% is in line with West Virginia’s state average. While availability may be limited, it is not constrained; families with an immediate need for placement are encouraged to inquire early for assessment. Additionally, the West Virginia Office of Health Facility Licensure has inspected the community 12 times, citing 115 deficiencies throughout its inspection history. The most recent inspection, dated January 28, 2025, was prompted due to a formal complaint, making it a complaint investigation rather than a routine scheduled review.
Compared to most rural nursing communities, the community offers comprehensive, integrated health offerings. Along with 24-hour staffing and skilled nursing care, on-site medical, dental, behavioral health, and pharmacy services are also provided. For those in Hardy County and nearby rural areas with limited access to healthcare, the community’s wide range of care options and integrated health offerings is a practical option. With its established presence and over four decades of providing care in the locality, the community is a familiar and trustworthy option compared to newer communities.
With its 60-bed scale, E.a. Hawse Healthcare Center supports a more personalized approach to care compared to larger institutional communities. Additionally, the community’s rural setting also appeals to those looking to remain close to home. The community’s decades-long operational history, as well as comprehensive, integrated healthcare services, is well-suited to the region that prioritizes continuity of care.










