North Dakota vs West Virginia: Senior Care Cost Comparison (2026)
Side-by-side comparison of nursing home, assisted living, and home care costs.
Which State is More Affordable for Senior Care?
West Virginia has lower nursing home costs by $305/month ($3,660/year). Over 5 years, that's a difference of $18,300.
Detailed Cost Comparison
| Care Type | North Dakota | West Virginia | Difference |
|---|---|---|---|
| Nursing Home (Private) | $10,373/mo | $10,068/mo | +$305 |
| Nursing Home (Semi-Private) | $9,354/mo | $9,050/mo | +$304 |
| Assisted Living | $4,250/mo | $4,250/mo | $0 |
| Home Health Aide | $28.00/hr | $22.00/hr | +$6.00 |
| Adult Day Care | $1,733/mo | $1,517/mo | +$216 |
| Homemaker Services | $26.00/hr | $20.00/hr | +$6.00 |
Annual Cost Comparison
North Dakota Annual Costs
Nursing Home (Private)$124,476/yr
Assisted Living$51,000/yr
Home Health Aide (8hr/day)$59,136/yr
Adult Day Care$20,796/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
Senior Care Planning Resources
Long-Term Care Insurance Quotes
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Medicaid Planning Services
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Medicare Part A Coverage
Understand what Medicare covers for skilled nursing facility care.
Elder Law Attorneys
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Frequently Asked Questions
Which state has cheaper nursing homes: North Dakota or West Virginia?
West Virginia has lower nursing home costs. North Dakota averages $10,373/month while West Virginia averages $10,068/month, a difference of $305/month.
How do assisted living costs compare between North Dakota and West Virginia?
Assisted living in North Dakota costs $4,250/month compared to $4,250/month in West Virginia.
What about home health aide costs?
Home health aides charge $28.00/hour in North Dakota 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. North Dakota: North Dakota Medicaid covers nursing homes. SPED waiver for home-based services.... 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