The average starting cost of home care in West Virginia is $31 per hour, according to A Place for Mom’s proprietary data. Based on our ranking methodology, the top-rated home care agencies in West Virginia are Home Care of Barboursville, SYNERGY Home Care of Barboursville, West Virginia or Right at Home - Wheeling, WV.
Finding the right home care agency in West Virginia can feel overwhelming, especially when you’re balancing your loved one’s comfort, safety, and budget. Families across cities like Charleston, Huntington, and Morgantown often look for compassionate caregivers who can provide reliable support that allows seniors to remain in familiar surroundings.
It’s also helpful to understand that home care typically refers to nonmedical assistance, while home health care consists of skilled medical services provided by licensed professionals. While many agencies provide both nonmedical support and home health care services, the agencies in A Place for Mom’s network offer nonmedical care. A Place for Mom has partnered with 22 home care agencies to help seniors and their loved ones find the right provider.
Reviewer Ranking
5.0/ 5.0
(2)The staff are punctual, professional, caring and kind. The administration is attentive and accessible. And also go the extra step to honor the client's needs (sending cards or birthday flowers)
Reviewer Ranking
4.5/ 5.0
(1)I think we have the kinks ironed out now. The stress level has been so much less for me now. Once they are there I don't have to worry about her for the night. They haven't sent anyone that I have not liked....
Reviewer Ranking
5.0/ 5.0
(2)The staff are punctual, professional, caring and kind. The administration is attentive and accessible. And also go the extra step to honor the client's needs (sending cards or birthday flowers)
Reviewer Ranking
4.0/ 5.0
(1)Amada provided caregiver service while I recovered from hip surgery. While both my caregivers were competent, one was exceptional. Changes in schedule were accomplished easily. They even helped me with my...
Reviewer Ranking
5.0/ 5.0
(2)The staff are punctual, professional, caring and kind. The administration is attentive and accessible. And also go the extra step to honor the client's needs (sending cards or birthday flowers)
Reviewer Ranking
4.0/ 5.0
(1)Amada provided caregiver service while I recovered from hip surgery. While both my caregivers were competent, one was exceptional. Changes in schedule were accomplished easily. They even helped me with my...
Reviewer Ranking
4.0/ 5.0
(1)Amada provided caregiver service while I recovered from hip surgery. While both my caregivers were competent, one was exceptional. Changes in schedule were accomplished easily. They even helped me with my...
Reviewer Ranking
3.3/ 5.0
(3)We have been with Cornerstone for over a year and it has been a good experience. When our usual caregiver is unable to do it they provide a different a qualified caregiver to fill in. The caregiver does the...
Reviewer Ranking
4.5/ 5.0
(2)What we like most about their services is the flexibility with scheduling and nurse [name removed]. [name removed] was absolutely wonderful. Yes, we would recommend Home Instead to other families.
Reviewer Ranking
4.5/ 5.0
(2)We gave it an overall rating of a 4 because nothing is perfect, we had a couple hick ups and IC Care took care of it. Other than that we had a great experience with them and would recommend them to others.
Reviewer Ranking
4.0/ 5.0
(1)Right At Home has been helping my parents stay in their house for the past year. It has been nice to have a primary caregiver who they’ve gotten to know really well. Some of the other caregivers that were...
Home care in West Virginia typically costs $31 per hour, which can be compared to the national average rate of $32 per hour. Rates can differ by community based on caregiver availability, travel distance, and local demand.[01] What a family pays will also depend on the agency, the services provided, and how often care is scheduled.
Monthly expenses depend largely on the number and length of caregiver visits. A lighter schedule may provide enough time for companionship, meal preparation, errands, or help around the house. Someone who needs regular assistance with bathing, dressing, mobility, or other personal care may need more frequent visits.
The following costs are determined based on the average hourly rate in West Virginia.
Several factors can affect home care costs in West Virginia, including:
Average monthly costs
West Virginia
US National average
Average monthly costs
Average monthly costs
Average monthly costs
| Community type | West Virginia | U.S. | Cost difference |
|---|---|---|---|
| Assisted Living | $5,730/mo | $5,830/mo | 1.7% below national average |
| Memory Care | $6,951/mo | $6,999/mo | 0.7% below national average |
| Independent Living | $3,496/mo | $3,520/mo | 0.7% below national average |
Let our care assessment guide you
Our free tool provides options, advice, and next steps based on your unique situation.
In West Virginia, families often pay for home care using a mix of private funds and public programs. While nonmedical home care is usually paid out of pocket, certain programs can help cover costs depending on eligibility.
Private pay can give families more control over the agency, schedule, and type of assistance their loved one receives. Most families rely on a combination of income sources, insurance policies, and assets to pay for care. Common options include:
Veterans may qualify for assistance through the U.S. Department of Veterans Affairs (VA). Veterans enrolled in VA health care may qualify for home- and community-based services, including:[03,04]
Eligibility and availability can vary based on the veteran’s needs and local VA resources. Some veterans may also have a copay.
VA Aid and Attendance provides additional monthly pension payments to eligible veterans and survivors who need help with daily activities or are largely confined to their homes. Families may be able to use these funds toward the cost of nonmedical home care.[02]
You can learn more at VA.gov or through the West Virginia Department of Veterans Assistance.
Medicaid is a joint federal and state program that helps eligible people pay for health care and long-term services. West Virginia’s Medicaid program may cover certain in-home services for eligible seniors through programs such as the Aged and Disabled Waiver (ADW). The waiver serves adults age 18 and older who meet Medicaid financial requirements, need a nursing home level of care, and meet other program requirements. Because enrollment is limited, eligible applicants may need to wait for an opening.
Depending on the person’s approved plan, services may include personal attendant care, case management, home modifications, medical adult day care, nonmedical transportation, personal emergency response systems, and other supports.
ADW members can receive personal attendant services through an agency or use Personal Options to self-direct their care. With Personal Options, members hire and manage their own workers. A spouse or legal guardian cannot be paid as the member’s personal attendant.[05,06]
Read more: Medicaid Home Health Care and Nonmedical Home Care: Your Questions, Answered
Medicare is a federal health insurance program for adults 65 and older and some younger people with disabilities. It does not typically cover nonmedical home care, such as bathing, grooming, and medication management. However, it may cover these services when provided in conjunction with medically necessary home health care services provided by licensed medical professionals.[07]
West Virginia does not have a general state license for nonmedical home care agencies. However, state law requires certain home care service providers that aren’t otherwise licensed, certified, or registered to register with the Office of Health Facility Licensure and Certification. Licensed home health agencies that provide medical services follow separate requirements.[08]
No. West Virginia does not license nonmedical home care agencies, but does require some to register, as mentioned above.[08,09] Because of this distinction, families should take extra steps to evaluate nonmedical providers.
Licensed home health agencies are subject to state and federal oversight. Nonmedical home care providers that aren’t licensed as home health agencies do not follow the same routine licensing inspection process.[09]
West Virginia does not set one statewide training standard for caregivers employed by private-pay nonmedical home care agencies.
While requirements vary by agency, many reputable providers:
Different requirements apply to some Medicaid-funded personal care providers and other covered health care providers, including state background-screening requirements.[10]
Choosing a provider in a state without strict licensing requirements means doing a bit more homework. Here are some tips to help you feel confident in your decision:
Read more: How to Choose a Home Care Agency
Let our care assessment guide you
Our free tool provides options, advice, and next steps based on your unique situation.
The average cost of home care in West Virginia is $31 per hour.
It depends. Medicare covers home health care, and can cover nonmedical home care services, such as help with bathing, grooming, and feeding, if they are medically necessary and provided in conjunction with skilled services.
Yes, HCBS waiver programs may cover home care services for eligible individuals.
Yes, family members can be paid for providing personal attendant services under Personal Options, a self-directed part of the West Virginia Aged and Disabled Waiver (ADW) program. However, spouses and legal guardians cannot be compensated through this program.
Home care assistance eligibility depends on income, health needs, and program requirements.
Home care agencies typically provide help with bathing, dressing, meal preparation, light housekeeping, mobility, transportation, companionship, and support with daily routines.
Common signs that your parent or loved one needs help include mismanaged medications, difficulty with daily tasks, poor hygiene and nutrition, safety concerns, and difficulty getting around.
A Place for Mom. (2026). A Place for Mom proprietary data.
U.S. Department of Veterans Affairs. (2026, April 27). VA Aid and Attendance benefits and Housebound allowance.
U.S. Department of Veterans Affairs. (2026, March 6). Geriatrics and Extended Care: Homemaker and Home Health Aide Care.
U.S. Department of Veterans Affairs. (2026, March 6). Geriatrics and Extended Care: Respite Care.
West Virginia Department of Human Services. Home and community-based services (HCBS)/waivers.
West Virginia Department of Human Services. Home and Community Based Services. Aged and Disabled Waiver.
U.S. Centers for Medicare and Medicaid Services. Home health services. Medicare.gov.
Office of Health Facility Licensure & Certification. Home health agency.
Overview of Home Care in WV
The information contained on this page is for informational purposes only and is not intended to constitute medical, legal or financial advice or create a professional relationship between A Place for Mom and the reader. Always seek the advice of your health care provider, attorney or financial advisor with respect to any particular matter, and do not act or refrain from acting on the basis of anything you have read on this site. Links to third-party websites are only for the convenience of the reader; A Place for Mom does not endorse the contents of the third-party sites.
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