Best places to open an assisted living home in West Virginia
The top markets for residential assisted living in West Virginia, ranked by demand versus supply — plus the cities where the homes are.
Updated July 2026
The top markets for assisted living in West Virginia right now are Berkeley, Raleigh, Monongalia counties — ranked by RAL Market Scout's opportunity score, which weighs 75+ demand and projected senior growth against current bed supply. Statewide there are 81 licensed assisted living homes serving 150,224 residents aged 75+, at a median cost of about $6,340/mo.
Licensed homes
81
state roster
Population 75+
150,224
ACS
Median AL cost
$6,340/mo
near the national median
Bed supply
24.0/1k
tight supply
Top 10 markets for assisted living in West Virginia
RAL Market Scout's opportunity score blends 75+ demand and projected senior growth against current bed supply — a saturated market is scored down even when demand is high. Higher means more room for a new small home.
Berkeley County — opportunity 9.9/10 (Strong); 7,045 seniors 75+, growing 21.5%, with 4 licensed homes.
Raleigh County — opportunity 9.7/10 (Strong); 6,356 seniors 75+, growing 5.8%, with 1 licensed homes.
Monongalia County — opportunity 9.6/10 (Strong); 5,411 seniors 75+, growing 8.5%, with 3 licensed homes.
Kanawha County — opportunity 9.2/10 (Strong); 15,615 seniors 75+, growing 1.8%, with 9 licensed homes.
Wood County — opportunity 8.9/10 (Strong); 7,581 seniors 75+, growing 5.3%, with 3 licensed homes.
Mercer County — opportunity 8.8/10 (Strong); 5,641 seniors 75+, growing 5.5%, with 3 licensed homes.
Harrison County — opportunity 8.8/10 (Strong); 5,563 seniors 75+, growing 0.1%, with 3 licensed homes.
Jefferson County — opportunity 8.7/10 (Strong); 3,843 seniors 75+, growing 19.3%, with 0 licensed homes.
Cabell County — opportunity 8.7/10 (Strong); 7,980 seniors 75+, growing 8.6%, with 6 licensed homes.
Marshall County — opportunity 8.7/10 (Strong); 2,815 seniors 75+, growing 5.3%, with 1 licensed homes.
All West Virginia counties by market opportunity
County
Pop 75+
Demand
Homes
Market
Band
Berkeley
7,045
5.8
4
9.9
Strong
Raleigh
6,356
4.1
1
9.7
Strong
Monongalia
5,411
4.3
3
9.6
Strong
Kanawha
15,615
4.1
9
9.2
Strong
Wood
7,581
4.1
3
8.9
Strong
Mercer
5,641
4.4
3
8.8
Strong
Harrison
5,563
4.1
3
8.8
Strong
Jefferson
3,843
4.7
0
8.7
Strong
Cabell
7,980
4.7
6
8.7
Strong
Marshall
2,815
4.4
1
8.7
Strong
Marion
4,530
3.7
7
8.5
Strong
Putnam
4,542
4.3
6
8.5
Strong
Wayne
3,599
3.4
1
8.5
Strong
Fayette
3,518
2.4
2
8.5
Strong
Preston
2,687
2.8
2
8.4
Strong
Morgan
1,737
4.2
0
8.4
Strong
Boone
1,716
3.3
1
8.4
Strong
Mingo
1,682
2.7
0
8.3
Strong
Nicholas
2,327
4.6
0
8.3
Strong
Wyoming
1,757
4.1
4
8.2
Strong
Randolph
2,712
4.9
3
8.2
Strong
Hardy
1,386
4.7
0
8.2
Strong
Mineral
2,533
4.4
0
8.2
Strong
Ohio
3,937
3.6
2
8.0
Strong
Greenbrier
3,219
3.2
2
8.0
Strong
Hancock
2,805
3.2
4
7.9
Strong
Jackson
2,464
2.1
2
7.9
Strong
Logan
2,603
3.7
3
7.9
Strong
Lewis
1,412
3.7
0
7.8
Strong
Hampshire
2,336
6.6
0
7.8
Strong
Brooke
2,238
3.8
2
7.8
Strong
Upshur
2,172
4.4
1
7.7
Strong
Summers
1,331
4.2
0
7.6
Strong
McDowell
1,381
1.8
0
7.6
Strong
Braxton
1,257
2.7
0
7.5
Strong
Roane
1,281
4.1
0
7.5
Strong
Mason
2,368
3.3
0
7.4
Strong
Taylor
1,379
3.6
0
7.3
Strong
Lincoln
1,638
3.3
1
7.2
Strong
Grant
1,244
4.6
0
7.2
Strong
Wetzel
1,431
2.8
0
7.1
Strong
Barbour
1,320
3.1
2
6.9
Moderate
Monroe
1,359
2.6
1
6.9
Moderate
Wirt
442
2.3
0
—
—
Pleasants
590
3.6
1
—
—
Pendleton
822
2.9
0
—
—
Clay
668
3.1
0
—
—
Ritchie
768
2.4
0
—
—
Doddridge
706
3.4
0
—
—
Webster
799
3.8
0
—
—
Pocahontas
905
4.6
0
—
—
Tyler
799
4.0
0
—
—
Calhoun
617
2.2
0
—
—
Gilmer
553
3.1
0
—
—
Tucker
804
5.6
0
—
—
Top cities for assisted living in West Virginia
Where the homes actually are. Each linked city has its own page with local supply and market context.
What are the top markets for assisted living in West Virginia?
The strongest West Virginia markets on RAL Market Scout's opportunity scoring are Berkeley, Raleigh, Monongalia, Kanawha, Wood counties — based on 75+ demand and projected senior growth versus current bed supply.
Which West Virginia city has the most assisted living homes?
Charleston has the most, with 7 licensed assisted living homes (about 351 beds).
How much does assisted living cost in West Virginia?
The median assisted living cost in West Virginia is about $6,340 per month — near the national median.
How many assisted living homes are in West Virginia?
West Virginia has approximately 81 licensed assisted living homes serving 150,224 residents aged 75 and older.
See the full West Virginia picture
RAL Market Scout scores every county and ZIP in West Virginia on demand, supply gaps, and referral capacity — and builds a site-level report for any address you're evaluating.
Sources: Licensed-home and city counts from West Virginia state licensing rosters (RAL Market Scout data pipeline). 75+ population and growth from U.S. Census ACS. Bed supply from NIC MAP / state surveys. Cost figures are market medians. Data snapshot: 2026-07. Informational only — not legal, financial, or investment advice.