Home›States›West Virginia

West Virginia

Nursing Home Staffing Profile — 2025Q3

121 facilities9,527 residents3.70 avg HPRD

vs National Average

-0.20 HPRD

National avg: 3.90 · West Virginia: 3.70

📋

West Virginia ranks among the lower-performing states for nursing home staffing, with an average of 3.70 HPRD — 0.20 hours below the national average. Only 50.4% of facilities meet the CMS staffing benchmark of 3.48 HPRD, compared to 65.8% nationally. RN staffing averages 0.71 HPRD, with 31.4% of facilities meeting the 0.75 research recommendation.

3.70

Average Total HPRD

All nursing staff combined

▼ 0.20 vs national

0.71

Average RN HPRD

Recommended: 0.75

▲ 0.03 vs national

50.4%

Meet CMS Benchmark

61 of 121 facilities

18.0%

Avg Weekend Drop-off

Staffing reduction on Sat/Sun

4.5%

Avg Agency Staff

Contractor/temp worker hours

—

Had Zero-RN Days

Data unavailable

3.49

Median HPRD

50th percentile (less skewed by outliers)

F-Rated Facilities

Under 2.5 HPRD — critically understaffed

Grade Distribution

How West Virginia's 121 facilities grade out

HPRD Distribution

Where facilities fall across the staffing spectrum

Staffing by Ownership Type

For-profit facilities consistently staff lower than non-profit and government-run homes

For-Profit

3.42

avg HPRD

98 facilities (81%)

Non-Profit

4.95

avg HPRD

19 facilities (16%)

Government

4.47

avg HPRD

4 facilities (3%)

💡 Non-profit facilities in West Virginia average 1.53 more HPRD than for-profit ones — about 45% higher staffing.

▲ Best Staffed in West Virginia

Top 5 by total nurse HPRD

A+

FAIRMONT MEDICAL CENTER

THOMAS HOSPITALS SKILLED NURSING UNIT

ST. JOSEPH'S HOSPITAL

WAR MEMORIAL HOSPITAL

ARTHUR B HODGES CENTER, THE

CHARLESTON

5.44 HPRD

RN: 1.56

▼ Most Understaffed in West Virginia

Bottom 5 by total nurse HPRD

121

FAIRMONT REHABILITATION AND HEALTHCARE CENTER LLC

BLUESTONE HEALTH AND REHABILITATION

BLUEFIELD

2.88 HPRD

RN: 0.39

⚖️

Compare Two Facilities Side by Side

Pick any two West Virginia nursing homes and see how they stack up across every metric

Open Comparison Tool →

County Breakdown

Staffing metrics by county in West Virginia — click a county to see individual facilities

Avg HPRD— total nurse hours per resident per day:≥ 3.48 meets federal benchmark,3.0–3.47 below benchmark,< 3.0 critically low

Meet Benchmark— share of facilities in the county at or above the 3.48 HPRD federal minimum:≥ 50%35–49%< 35%

County	Facilities ↓	Avg HPRD	RN HPRD	Meet Benchmark	Grades
▸Kanawha	11	4.06	0.99	45.5%	Mostly C
▸Harrison	6	3.57	0.78	33.3%	Mixed C/A+
▸Marion	6	4.31	0.93	50.0%	Mixed D/A+
▸Fayette	6	3.37	0.67	50.0%	Mixed C/B
▸Wood	5	3.44	0.53	60.0%	Mostly D
▸Cabell	4	3.43	0.70	50.0%	Mixed B/C
▸Raleigh	4	3.55	0.62	50.0%	Mixed B/C
▸Mercer	4	3.75	0.56	75.0%	Mixed C/B
▸Monongalia	4	3.60	0.59	50.0%	Mixed B/C
▸Greenbrier	4	3.56	0.68	50.0%	Mixed B/C
▸Ohio	3	3.82	0.73	100.0%	Mixed A/B
▸Randolph	3	3.66	0.50	33.3%	Mixed B/C
▸Jefferson	3	3.27	0.82	33.3%	Mostly C
▸Hancock	3	4.61	1.08	66.7%	Mixed A+/A
▸Barbour	2	3.48	0.53	50.0%	Mixed B/D
▸Berkeley	2	3.30	0.76	0.0%	Mostly C
▸Brooke	2	3.31	0.66	50.0%	Mostly C
▸Hampshire	2	3.78	0.90	50.0%	Mixed A/C
▸Jackson	2	3.06	0.69	0.0%	Mixed C/D
▸Logan	2	3.62	0.62	50.0%	Mixed B/C
▸Marshall	2	3.47	0.64	50.0%	Mixed B/C
▸Mason	2	3.94	0.96	50.0%	Mixed A/C
▸Mineral	2	3.75	0.70	100.0%	Mostly B
▸Morgan	2	4.65	0.96	50.0%	Mixed A+/C
▸Preston	2	3.95	0.66	50.0%	Mixed A/D
▸Putnam	2	2.99	0.61	0.0%	Mixed C/D
▸Roane	2	3.92	0.46	50.0%	Mostly C
▸Summers	2	3.67	0.45	50.0%	Mixed C/D
▸Taylor	2	3.31	0.65	50.0%	Mixed B/D
▸Upshur	2	4.67	0.71	50.0%	Mixed A+/F
▸Wyoming	1	3.96	0.80	100.0%	Mostly B
▸Nicholas	1	3.84	0.60	100.0%	Mostly B
▸Gilmer	1	3.23	0.42	0.0%	Mostly C
▸Pendleton	1	4.08	0.72	100.0%	Mostly B
▸Pleasants	1	3.24	0.57	0.0%	Mostly C
▸Pocahontas	1	3.00	0.50	0.0%	Mostly C
▸Wayne	1	3.70	0.68	100.0%	Mostly B
▸Webster	1	3.27	0.50	0.0%	Mostly C
▸Clay	1	3.71	0.64	100.0%	Mostly B
▸Braxton	1	3.59	0.45	100.0%	Mostly C
▸Ritchie	1	3.33	0.52	0.0%	Mostly C
▸Wetzel	1	3.15	0.45	0.0%	Mostly C
▸Lincoln	1	3.44	0.76	0.0%	Mostly C
▸Wirt	1	3.62	0.78	100.0%	Mostly B
▸Mc Dowell	1	3.59	0.43	100.0%	Mostly C
▸Lewis	1	3.56	0.49	100.0%	Mostly C
▸Boone	1	3.61	0.70	100.0%	Mostly B
▸Tucker	1	3.25	0.54	0.0%	Mostly C
▸Hardy	1	3.41	0.82	0.0%	Mostly C
▸Tyler	1	3.18	0.79	0.0%	Mostly C
▸Mingo	1	4.99	0.45	100.0%	Mostly C
▸Grant	1	4.35	0.69	100.0%	Mostly B
▸Monroe	1	3.72	1.00	100.0%	Mostly B

HPRD Range in West Virginia

The spread between best and worst staffed facilities

3.22

25th pctile

3.49

Median

3.81

75th pctile

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.