Home Care in West Virginia: Agencies, Medicare Home Health Ratings, and What It Costs
September 8, 2026
Families in West Virginia choosing help at home have 142 agencies to compare on MyLivingChoice: 74 home care agencies for ongoing, non-medical help with daily life, and 68 home health agencies for nursing and therapy at home, 42 of them Medicare certified. This guide covers where they are, how the home health agencies rate, what care costs at common schedules, and how to pay for it.
Home care vs home health in West Virginia
The two are easy to confuse and pay for differently. Home care (personal care, companion care, in-home care) is ongoing help with bathing, dressing, meals, medication reminders, errands and company, billed by the hour and paid privately, through long-term care insurance, a Medicaid waiver, or VA benefits. No referral is needed. Home health is short-term, doctor-ordered clinical care, usually after a hospital stay, and Medicare covers it in full when the patient qualifies. The full comparison is here.
Medicare home health ratings in West Virginia
42 West Virginia agencies are Medicare certified for home health, which means Medicare pays for their nursing and therapy visits and reports on how their patients do.
Medicare publishes a Quality of Patient Care star rating for 41 of them. The West Virginia average is 3.6 out of 5 (national average 3.2), and 51% of rated agencies score 4 stars or better. On average, West Virginia agencies start care within two days of referral for 96% of patients (national 94%). About 4.4% of patients are readmitted to the hospital within 30 days of discharge, against 4.1% nationally.
Browse Medicare-certified home health agencies in West Virginia, each with its star rating, services, and hospital outcomes.
Where the agencies are
The cities with the most home care and home health agencies in West Virginia:
- Charleston: 11 agencies (7 Medicare certified)
- Elkins: 11 agencies (1 Medicare certified)
- Princeton: 10 agencies (3 Medicare certified)
- Bluefield: 8 agencies (5 Medicare certified)
- Barboursville: 7 agencies (2 Medicare certified)
- Beckley: 7 agencies (5 Medicare certified)
- Huntington: 7 agencies (3 Medicare certified)
- Buckhannon: 5 agencies (2 Medicare certified)
Outside these cities, most agencies serve a radius of 25 to 40 miles from their office, so a listing in a neighboring town usually covers yours. Enter your ZIP code to see who serves your address.
What home care costs
The national median for a home health aide or homemaker is about $35 an hour (CareScout Cost of Care Survey, 2025 data); West Virginia rates run above or below that with the local cost of living, and agencies in larger metros charge more than rural ones. At the national rate, common schedules come to roughly:
| Schedule | Hours per week | Monthly cost at $35/hr |
|---|---|---|
| A few mornings a week | 12 | $1,820 |
| Daily visits, 4 hours | 28 | $4,250 |
| Daily visits, 8 hours | 56 | $8,490 |
| Around the clock (hourly) | 168 | $25,480 |
For comparison, the national median for assisted living is about $6,200 a month. Home care usually costs less up to about 40 hours a week and more beyond it; the cost guide walks through the crossover, and home care vs assisted living covers how to decide.
Paying for home care in West Virginia
- Medicare pays for home health (doctor-ordered, short-term skilled care) but not for ongoing non-medical home care.
- Medicaid in West Virginia funds home and community-based services for people who qualify by income, assets and need, often including hours a family member can be paid to provide. Apply through the state Medicaid office or the local Area Agency on Aging; waiting lists exist in some programs, so apply early.
- VA benefits, including Aid and Attendance and the Homemaker and Home Health Aide program, cover part-time care for eligible veterans and surviving spouses.
- Long-term care insurance typically covers agency home care after an elimination period.
Every payment option, explained.
Choosing an agency
Ask about state licensing, background checks, backup caregivers, the minimum visit length, and exactly what the hourly rate includes; here is the full checklist. Then compare home care agencies across West Virginia by city, or answer a few questions and we will send your request only to the agencies you choose.