Alzheimers, Dementia & Memory
Care Facilities in West Virginia

Being the one to have to find memory care homes for your parent or older relative is not a job that anyone wants to do, but this might be something that you have to do as they get more advanced in age and can no longer live on their own.

In West Virginia, there are many Alzheimer's care homes that offer great care to the patients in their care. With the information in this article, you will be able to find the best Alzheimer's care facilities that money can buy without any delay.

Memory Care Costs in West Virginia

Memory care costs in West Virginia can vary based on the city, facility, and level of care needed. The average cost for memory care in the state of West Virginia is approximately $5,600 per month. Below is a table showing the average monthly costs for memory care in some of the largest cities in the state.

Memory care costs in West Virginia range from $5,300 to $5,700 per month, depending on the location. Cities like Charleston and Morgantown have slightly higher costs, while places like Clarksburg and Parkersburg tend to be on the lower end.

When compared to nearby states, memory care costs in West Virginia are generally lower than in neighboring areas. For instance, in Ohio (Cincinnati), the average cost for memory care is around $6,200 per month, and in Virginia (Roanoke), it can reach $6,000 per month. In Pennsylvania (Pittsburgh), memory care typically costs about $5,800 per month. Therefore, West Virginia offers a more affordable option for those seeking memory care services compared to some of its neighboring states.

Cost of Memory Care in Most and Least Expensive Zip Codes in West Virginia

The cost of memory care can vary significantly depending on the zip code within West Virginia. Below is a table showing the 5 most expensive and 5 least expensive zip codes for memory care in the state.

The most expensive zip codes for memory care in West Virginia are concentrated in larger cities like Charleston and Morgantown, where the cost can exceed $6,000 per month. On the other hand, the least expensive zip codes tend to be in smaller or more rural areas, with costs starting around $5,100 per month. This difference highlights how location within the state can significantly influence memory care expenses.

Comparison of Memory Care Costs to Other Types of Senior Living in West Virginia

Memory care is typically more expensive than other forms of senior living due to the specialized care and services provided. Below is a table that compares the average monthly costs for different types of senior living in West Virginia, including memory care.

In West Virginia, memory care is the second most expensive option after nursing homes, which provide intensive medical care. Memory care costs are higher than assisted living and independent living, reflecting the additional services required for residents with dementia or Alzheimer's. Independent living, being more basic and without the need for specialized care, is the most affordable option. However, nursing homes, especially for private rooms, are significantly more expensive compared to all other types of senior living.

Can You Use Medicare to Pay for Memory Care in West Virginia?

In West Virginia, as in the rest of the United States, Medicare typically does not cover the full cost of memory care. Memory care is often provided in specialized facilities, such as assisted living communities or dedicated memory care units, and these services are generally not covered by Medicare in the way they cover hospital or doctor visits. However, there are some important details to understand when navigating memory care costs in West Virginia using Medicare.

What Medicare Covers in West Virginia

Medicare is primarily designed to cover short-term medical needs rather than long-term care. For individuals with memory loss, such as those living with Alzheimer's disease or other forms of dementia, Medicare may cover some medical expenses related to the condition, but not the full range of services associated with memory care.

1. Medicare Part A may cover hospital stays if the person with memory loss needs to be admitted to a hospital for treatment related to their condition. This might include hospitalizations for severe symptoms or complications related to dementia. However, Medicare Part A will not cover long-term stays in a memory care facility.

2. Medicare Part B may cover outpatient services, such as doctor’s visits, diagnostic tests, and certain types of therapy (e.g., physical therapy or occupational therapy), which can be relevant for individuals with dementia. However, these outpatient services do not extend to the actual memory care services in a facility, like daily supervision or assistance with personal care.

3. Medicare Part D covers prescription medications, which may be important for managing symptoms of memory loss. If the individual with memory loss is prescribed medications to help with dementia or related conditions, Medicare Part D can help with those costs.

What Medicare Does Not Cover in West Virginia

While Medicare covers certain medical treatments and services, it does not pay for the custodial care and supervision typically required in memory care settings. Memory care facilities in West Virginia provide services like 24/7 supervision, assistance with daily activities (e.g., bathing, dressing, eating), and specialized programs to help individuals manage symptoms of dementia. These types of services are generally considered custodial care, which Medicare does not cover.

Alternatives to Medicare for Memory Care in West Virginia

Since Medicare does not cover memory care in West Virginia, families often need to explore other options for covering the costs of these services. Some alternatives include:

1. Medicaid in West Virginia: Medicaid is a state and federally funded program that provides health coverage for low-income individuals. In West Virginia, Medicaid may cover certain long-term care services, including care in a memory care facility, if the person qualifies financially. However, Medicaid eligibility requirements are strict, and there may be a waiting period or other requirements that must be met before coverage is granted.

2. Long-Term Care Insurance: Some families in West Virginia have purchased long-term care insurance that covers memory care services. This can help cover the cost of care in memory care units or assisted living facilities.

3. Private Pay: Many families use personal savings, assets, or other financial resources to cover the cost of memory care services. Private pay can be expensive, but it may be the only option for those who do not qualify for Medicaid or other forms of assistance.

In West Virginia, Medicare does not cover memory care services in facilities like assisted living or specialized memory care units. While Medicare Part A, B, and D can help with specific medical expenses related to memory loss, such as hospital stays, outpatient care, and prescription medications, families must look to alternatives such as Medicaid, long-term care insurance, or private pay to cover the cost of memory care services.

Who Is a Perfect Candidate For West Virginia Dementia & Alzheimer's Care Facilities?

West Virginia facilities that provide memory care were created to help those who need specialized care to treat the severe symptoms of dementia and Alzheimer’s. With the help of specially-trained medical staff and emergency services, patients at these facilities get the care that they need to live a healthy life. These dementia care facilities were created to cater to the tough challenges that sufferers face when dealing with the symptoms of a degenerative disease.

Residents at these homes are diagnosed with some form of dementia and often struggle with extreme memory loss that can make them feel confused and frustrated. Because of these negative emotions, patients may have outbursts of anger or violence and the staff at these facilities must be prepared to handle this situation. So, memory care facilities have staff that is ready and willing to help patients deal with these side effects of their disease so that they can have a better quality of life.

Amenities Provided in West Virginia Memory Care Facilities

West Virginia dementia care homes offer a variety of amenities to their residents to improve their quality of life and ensure that not only are their basic needs met but that they are comfortable and living a healthy lifestyle as well. Patients who are housed in memory care communities are given access to 24/7 medical care that includes the distribution of medication and emergency services.

However, although dementia care communities offer many medical services, they also offer personal care and psychological services as well. Patients can get assistance with meal preparations and feeding as well as bathing if needed. For those who have many physical limitations that keep them from doing many of their normal daily activities, they may also have help with dental care and grooming.

These homes also provide psychological care to patients to help them cope with the negative emotions that tend to accompany dementia symptoms. Patients may feel angry when they are unable to remember what they needed to say or may get frustrated and upset when they aren't able to communicate what they mean to say properly. This can cause their mood to suffer greatly, so psychological counseling is a way to teach them how to cope with these emotions more positively.

Memory Care Admission Requirements in West Virginia

Admission requirements vary by facility, but there are common standards and state regulations that guide the process in West Virginia.

1. Medical Evaluation

Most memory care facilities in West Virginia require a comprehensive medical evaluation as the first step in the admission process. This evaluation typically includes:

• A physician’s assessment of the individual’s physical and cognitive health.
• A diagnosis of the specific cognitive impairment or dementia-related condition.
• Documentation of any other medical conditions, as these can influence the level of care needed.

The facility may request recent medical records and a letter from the primary physician confirming the diagnosis and the need for specialized care.

2. Assessment of Care Needs

Memory care facilities in West Virginia assess the individual’s specific care needs. This includes determining:

• The level of assistance needed with daily activities (e.g., eating, bathing, dressing).
• Whether the individual has a history of wandering, aggression, or behavioral issues.
• The extent to which the individual can manage their personal care and hygiene.
• The ability to participate in social or therapeutic activities.

This assessment ensures that the facility can provide the appropriate level of care and determine whether they can meet the resident's needs.

3. Eligibility for Specialized Memory Care Services

Memory care units are designed specifically for individuals with advanced cognitive decline and are equipped to manage conditions such as Alzheimer's and other forms of dementia. To qualify for admission:

• The individual must demonstrate a cognitive impairment that requires constant supervision and a structured environment to prevent harm.
• The person should need help with tasks that require cognitive skills, such as remembering appointments, following instructions, or managing medications.

Facilities may also require that the individual does not have medical conditions that would require intensive care beyond what the facility can provide, such as acute medical or psychiatric conditions.

4. Financial Considerations

Admission to memory care facilities in West Virginia typically requires a financial assessment. This includes:

• Determining the individual's ability to pay for services, including private pay options or long-term care insurance.
• Some facilities accept Medicaid, but the eligibility requirements for Medicaid vary. Medicaid in West Virginia will generally cover memory care if the person qualifies for long-term care services and meets the financial criteria.
• Facilities will often work with the family to explore payment options, including private insurance, veterans’ benefits, or other financial support programs.

5. Behavioral and Psychological Considerations

West Virginia memory care facilities also consider whether the individual’s behavior can be managed within their care model. If the individual exhibits behaviors such as severe aggression, severe wandering, or self-harm, the facility may need to evaluate whether they can adequately manage these behaviors. Some facilities may have specialized units for individuals with more complex behavioral health needs.

6. Legal and Administrative Documentation

Families are often required to submit specific legal and administrative documentation, such as:

• Power of attorney or guardianship papers, if applicable.
• Any advanced directives or Do Not Resuscitate (DNR) orders that outline medical preferences.
• Insurance information and any legal documents related to the financial responsibility for the resident’s care.

7. Safety and Environmental Suitability

West Virginia memory care facilities must meet state and local health and safety standards, which include having secure areas to prevent wandering, a high staff-to-resident ratio, and appropriate environmental accommodations. Admission to these facilities depends on the ability to maintain a safe and comfortable environment for the individual.

8. Family and Caregiver Involvement

Finally, facilities may require that families or caregivers participate in the admission process by providing background information, discussing care preferences, and agreeing to ongoing communication about the resident’s well-being. Many memory care units encourage family involvement in activities and regular updates on the care progress.

Memory Care Facilities in West Virginia Vs Nursing Home / Assisted Living

In many states, there are multiple options available for elderly patients, but not all of them provide the level of care that Alzheimer's care communities do. Places like assisted living and nursing homes may provide residential care and medical treatment for the aging, but these facilities are very different.

Assisted living homes were created to house patients who are no longer to stay at their homes alone, but many of these residents are able to take care of most of their daily activities still. That is why these facilities are transitional and offer care to those who may become more limited over time.

Nursing homes are pretty similar in that they offer care to elderly patients and have medical care available on the premises, but they are made for elderly patients who don’t have to deal with the symptoms of dementia. Because these symptoms are more severe than the average aging patient’s memory loss, it requires a specialized treatment. This treatment is only available at homes that offer dementia care.

Questions to ask West Virginia memory care facilities

When considering a memory care facility for a loved one in West Virginia, it's crucial to gather as much information as possible to ensure it meets their needs and provides a safe, supportive environment. Here are some important questions to ask during your research and facility visits:

1. What is the facility’s licensing and accreditation status?

• Ask if the facility is licensed by the West Virginia Department of Health and Human Resources (DHHR). A licensed facility must comply with state regulations regarding care and safety.
• Inquire whether the facility is accredited by any national organizations, such as the Joint Commission or CARF (Commission on Accreditation of Rehabilitation Facilities), which signals adherence to high care standards.

2. What is the staff-to-resident ratio?

• Understanding the ratio of caregivers to residents is vital. A lower ratio often means more personalized care and attention. Ask about both day and night shifts to get a complete picture of staffing levels.

3. What kind of training do staff members receive?

• Memory care requires specialized training. Inquire about the training staff undergoes, particularly in dementia care and handling behavioral challenges. Ask whether the staff has certifications or ongoing education in memory care.

4. How is care tailored to individual needs?

• Memory care needs vary greatly from one individual to another. Ask how the facility creates personalized care plans for residents and how often these plans are updated to reflect changes in condition or behavior.

5. What are the facility’s security measures?

• Safety is a top priority in memory care. Ask about how the facility prevents wandering and ensures residents' safety while maintaining a homelike environment. This could include locked doors, security systems, and supervision protocols.

6. What types of therapies and activities are available?

• Cognitive stimulation is important for residents with memory impairment. Inquire about the types of therapies (e.g., music, art, physical, or occupational) offered, as well as daily activities designed to engage residents, reduce anxiety, and improve quality of life.

7. How is nutrition and dining handled?

• Ask about meal options, including dietary accommodations for medical conditions (e.g., diabetes, low-sodium diets). Ask if residents are assisted during meals and if there is flexibility in meal times. You may also want to inquire about family involvement in meals or special events.

8. How does the facility manage challenging behaviors?

• People with dementia or Alzheimer’s disease may exhibit challenging behaviors, including aggression, agitation, or confusion. Ask the facility about their approach to managing these behaviors and if they use non-pharmacological methods before resorting to medication.

9. What is the cost structure and what’s included in the pricing?

• Understand the cost of care, including whether it covers room and board, medical services, and activities. Ask if there are additional fees for services like transportation or special care needs. It's important to clarify if Medicaid or long-term care insurance is accepted.

10. What is the process for emergencies or medical issues?

• Find out how the facility handles medical emergencies, including the availability of medical professionals on-site, emergency procedures, and coordination with local hospitals or physicians.

11. Can families be involved in care planning?

• Ask about the level of family involvement in care planning and regular updates on the resident’s health and progress. Some facilities have family meetings, while others provide a more independent approach.

12. What is the facility’s policy on visits?

• Inquire about the facility’s visiting hours and policies. Due to COVID-19 or other health concerns, some facilities may have restrictions, but it’s important to understand how you can stay involved in your loved one’s life.

13. What is the transition process like if care needs increase?

• As memory care needs change, it's important to know how the facility accommodates higher levels of care. Ask how the facility handles transitions for residents whose conditions worsen, including whether they offer specialized services or assist in finding alternative care options.

14. What is the facility’s policy on end-of-life care?

• If your loved one requires hospice or palliative care, ask how the facility manages this process. Do they work with hospice agencies? What are the procedures for supporting both residents and families through end-of-life care?

15. What is the facility’s turnover rate?

• High staff turnover can be a red flag, as it may indicate poor working conditions or inadequate support. Ask about staff retention rates and the reasons why employees stay or leave.

16. Can you provide references from other families?

• To get an accurate picture of the facility’s care quality, request references from other families whose loved ones live there. Their experiences can provide valuable insights into the day-to-day operations and quality of life within the facility.

How Can I Pay for Dementia & Alzheimer's Care in West Virginia?

If you are struggling to find a way to cover the cost of memory care for a parent or loved one, know that you are not the only one. Many families find themselves unable to pay for the high cost of these facilities alone. With the average memory care facility costing around $5,300 to $5,700 a month, these homes can seem like too much to handle.

However, in West Virginia, families can get financial assistance through Medicaid that will help provide resources to cover the cost of these homes. Through this program, patients who show major financial need may get some cost the facility covered. This can help lessen the stress on the families knowing that their loved one will receive care.

Even if the patient doesn’t qualify for Medicaid coverage, they can still get assistance through waivers. Medicaid waivers provide ways to get assistance for certain types of care, such as, personal care service, home health workers, or home modifications for those who have major physical limits. It should be noted that these waivers are not an entitlement program, which means that there is a specific number of applicants that will be able to get coverage. After that number is reached, those who are still not getting assistance will have to be put on a waitlist in order to be able to receive the payment that they need to cover their medical and home expenses.

Struggling to find a memory facility that seems like the right fit for your parent or loved one can be a long journey, but with many options to choose from, you will be able to make a choice that will benefit your family member and help to put your family's minds at ease. With the information from this article, you will be able to find the right option for your family so that your loved one gets the care they need.

If you would more information about where to locate these dementia and Alzheimer's care homes in your area, look below to find a home for your family members today.

Memory care regulations in West Virginia

In West Virginia, memory care facilities, which provide specialized services for individuals with Alzheimer's disease, dementia, and other memory-related conditions, are subject to state regulations that ensure the safety, well-being, and proper care of residents. These regulations are set forth by the West Virginia Bureau for Public Health (BPH), which operates under the West Virginia Department of Health and Human Resources (DHHR). The regulations are designed to ensure that memory care facilities meet specific standards for staffing, safety, medical care, and resident rights.

Licensing and Certification Requirements

Memory care facilities in West Virginia must be licensed by the Bureau for Public Health. They are categorized under Assisted Living Residences (ALRs) or Specialized Assisted Living (SAL), depending on the level of care they provide. SAL facilities, which are dedicated to individuals with memory impairments, have additional certification requirements to meet the specific needs of residents with dementia or Alzheimer's disease.

To receive a license, these facilities must comply with the regulations set forth in the West Virginia Code of State Rules, Title 64, Series 24: Regulations for Assisted Living Residences. Facilities must pass an initial inspection and undergo regular, unannounced inspections to ensure compliance with health, safety, and care standards.

Staffing and Training

Memory care facilities are required to have qualified staff members who are trained to care for individuals with dementia or other cognitive impairments. The regulations mandate that direct care staff receive training on dementia care, including how to manage behaviors associated with cognitive decline, how to communicate effectively with residents, and how to provide safe environments. The training must be ongoing, and staff are required to attend refresher courses.

The minimum staffing ratio for memory care units is specified to ensure that residents receive the level of care and attention they need. For instance, staff-to-resident ratios are based on the level of care needed by the residents, with increased staffing during higher levels of care.

Additionally, the facility must have a qualified administrator who has undergone specialized training in dementia care. The administrator is responsible for overseeing all aspects of the facility's operation, including staffing, care delivery, and ensuring adherence to state regulations.

Resident Rights and Care Plans

Memory care facilities in West Virginia are required to provide personalized care plans for each resident. These care plans are developed based on individual needs and must be reviewed and updated regularly. The facility must ensure that residents are provided with services to maintain their dignity, privacy, and autonomy to the extent possible. Residents are also protected under state regulations that ensure they are not subjected to abuse, neglect, or exploitation.

The regulations also require facilities to provide a safe, secure environment. For individuals with dementia, this often includes additional safety measures, such as secure doors or alarm systems, to prevent wandering. There must also be clear protocols for handling medical emergencies, and residents should have access to medical care as needed.

Health and Safety Requirements

Facilities must comply with strict health and safety standards to protect residents. This includes requirements for cleanliness, food safety, medication management, and infection control. Memory care facilities are required to have a comprehensive infection control plan in place and ensure that staff members follow proper hygiene protocols to prevent the spread of disease.

In addition, the facilities must ensure that their physical environment is safe. This includes providing secure areas for residents, minimizing fall hazards, and ensuring that any physical adaptations (e.g., grab bars, wheelchair accessibility) are in place. Regular maintenance and inspection of the building are required to meet safety standards.

Reporting and Compliance

Memory care facilities must also adhere to reporting requirements set by the West Virginia Bureau for Public Health. This includes the timely reporting of any incidents involving abuse, neglect, or injury. If a facility fails to meet the required standards, it may face penalties, including fines or the revocation of its license.

Facilities must also keep accurate and up-to-date records of each resident's care, medication administration, and any changes in their condition. These records must be available for review during inspections.