ElderCarePeek

New Hampshire vs West Virginia: Senior Care Cost Comparison (2026)

Side-by-side comparison of nursing home, assisted living, and home care costs.

New Hampshire

$12,167/mo

Nursing home (private room)

Senior population: 18.7%

West Virginia

$10,068/mo

Nursing home (private room)

Senior population: 20.5%

Which State is More Affordable for Senior Care?

West Virginia has lower nursing home costs by $2,099/month ($25,188/year). Over 5 years, that's a difference of $125,940.

Detailed Cost Comparison

Care TypeNew HampshireWest VirginiaDifference
Nursing Home (Private)$12,167/mo$10,068/mo+$2,099
Nursing Home (Semi-Private)$11,135/mo$9,050/mo+$2,085
Assisted Living$5,500/mo$4,250/mo+$1,250
Home Health Aide$29.00/hr$22.00/hr+$7.00
Adult Day Care$2,017/mo$1,517/mo+$500
Homemaker Services$27.00/hr$20.00/hr+$7.00

Annual Cost Comparison

New Hampshire Annual Costs

Nursing Home (Private)$146,004/yr
Assisted Living$66,000/yr
Home Health Aide (8hr/day)$61,248/yr
Adult Day Care$24,204/yr

West Virginia Annual Costs

Nursing Home (Private)$120,816/yr
Assisted Living$51,000/yr
Home Health Aide (8hr/day)$46,464/yr
Adult Day Care$18,204/yr

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Frequently Asked Questions

Which state has cheaper nursing homes: New Hampshire or West Virginia?
West Virginia has lower nursing home costs. New Hampshire averages $12,167/month while West Virginia averages $10,068/month, a difference of $2,099/month.
How do assisted living costs compare between New Hampshire and West Virginia?
Assisted living in New Hampshire costs $5,500/month compared to $4,250/month in West Virginia.
What about home health aide costs?
Home health aides charge $29.00/hour in New Hampshire and $22.00/hour in West Virginia.
Which state has better Medicaid coverage for senior care?
Both states offer Medicaid coverage for nursing home care. New Hampshire: New Hampshire Medicaid covers nursing facilities. Choices for Independence waiver for community care.... West Virginia: West Virginia Medicaid covers nursing home care. Aged and Disabled waiver for community services....

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Data verified March 2026 · Source: Genworth Cost of Care Survey