State plate · WV
Assisted living in West Virginia
West Virginia licenses assisted living through OIG, OHFLAC, under the license types Assisted Living Residence; Residential Care Community; Alzheimer's/Dementia Special Care Unit. West Virginia does not publish a downloadable list with capacity. CDC's 2020 survey estimated 80 residential care communities with 3,200 beds. HUD's active-loan file shows no FHA-insured assisted living loans in West Virginia as of September 30, 2026.
Licensing
- Licensing agency
- OIG, OHFLAC
- License types
- Assisted Living Residence; Residential Care Community; Alzheimer's/Dementia Special Care Unit
- Official program page
- oig.wv.gov
- Facility list
- no download (search form only)
Licensing details checked against each agency's site on 2026-10-24. HUD requires a Section 232 assisted living project to be licensed or regulated by the state and have at least 20 beds.
CDC survey profile (2020)
The National Post-acute and Long-term Care Study, run by CDC's National Center for Health Statistics, estimates residential care communities with four or more beds. 2020 is its latest wave with state figures, so these numbers differ from the state's own list.
| Measure | West Virginia | US |
|---|---|---|
| Communities | 80 | 30,600 |
| Beds | 3,200 | 1,197,600 |
| Average beds per community | 42 | 39 |
| For-profit | n/a% | 81.9% |
| Chain affiliated | n/a% | 61.4% |
| Medicaid certified | n/a% | 43.6% |
| Dementia-only communities | n/a | 10.5% |
| Dementia-only or with a dementia unit | n/a | 20.5% |
| Residents 85 and older | 53.8% | 49.9% |
| Residents with Alzheimer disease or other dementias | 44.6% | 42.1% |
Source: CDC/NCHS, Biennial Overview of Post-acute and Long-term Care (data.cdc.gov). Percentages are of communities, except the resident rows.
HUD Section 232 assisted living loans
- Active FHA loans
- 0
- Outstanding
- $0
- Median note rate
- n/a
- Endorsed since FY2001
- 2
Since fiscal 2001 HUD has endorsed 2 FHA-insured assisted living loans in West Virginia for $15.6 million of original principal, 1 of them for new construction or substantial rehabilitation, and 0 since fiscal 2021. The active file also lists 1 board and care loans in the state.
Active loans: HUD FHA insured mortgages, active, as of September 30, 2026. Endorsements: HUD Office of Healthcare Programs database, data run July 8, 2026. Facility type comes from HUD's endorsement records.
Own or are buying an assisted living or memory care building in West Virginia? See what HUD, Fannie Mae and Freddie Mac would lend against your NOI.
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ALF Atlas is operated by Janover Capital LLC and is not affiliated with HUD, FHA, CDC or any state agency. Methodology.