West Virginia Certificate of Need filings by service and county
2,900+ West Virginia filings in the file since 2016, grouped by what was requested and where. Counts are taken from the file dated October 29, 2026. 99% of decided filings were approved. The median filing took under a month from filing to decision.
By service or type
The fifteen largest groups, using West Virginia's own categories where the state prints them.
| Service or type | Rows | Approved | Denied | Pending | Approval rate | Median days to decision |
|---|---|---|---|---|---|---|
| Behavioral health | 707 | 628 | 5 | 7 | 99% | 1 |
| Other | 412 | 237 | 0 | 51 | 100% | 22 |
| Ambulatory care | 254 | 153 | 2 | 5 | 99% | 56 |
| Nursing home | 248 | 230 | 0 | 3 | 100% | 4 |
| Acquisition or change of control | 212 | 168 | 1 | 2 | 99% | 47 |
| Hospital services | 210 | 106 | 1 | 2 | 99% | 35 |
| IDD and waiver services | 199 | 151 | 9 | 2 | 94% | 1 |
| Relocation or office | 193 | 25 | 1 | 1 | 96% | 0 |
| Equipment and imaging | 111 | 62 | 0 | 0 | 100% | 9 |
| Home health | 96 | 43 | 0 | 2 | 100% | 63 |
| School-based health center | 68 | 66 | 0 | 0 | 100% | 0 |
| Personal care | 59 | 40 | 1 | 1 | 98% | 87 |
| Assisted living | 50 | 39 | 0 | 0 | 100% | 17 |
| Rural health clinic | 45 | 4 | 0 | 0 | ||
| Hospice | 37 | 11 | 0 | 1 | 100% | 60 |
By county
The fifteen counties with the most filings.
| County | Rows | Approved | Denied | Pending | Approval rate | Median days to decision |
|---|---|---|---|---|---|---|
| Kanawha | 204 | 156 | 3 | 2 | 98% | 1 |
| Cabell | 121 | 101 | 3 | 0 | 97% | 1 |
| Raleigh | 119 | 91 | 0 | 0 | 100% | 0 |
| Wood | 90 | 77 | 1 | 0 | 99% | 1 |
| Berkeley | 80 | 58 | 0 | 0 | 100% | 1 |
| Mercer | 64 | 50 | 0 | 0 | 100% | 1 |
| Harrison | 64 | 49 | 0 | 1 | 100% | 1 |
| Monongalia | 52 | 40 | 0 | 1 | 100% | 25 |
| Putnam | 43 | 25 | 5 | 0 | 83% | 36 |
| Nicholas | 37 | 31 | 1 | 0 | 97% | 1 |
| Marion | 36 | 29 | 0 | 1 | 100% | 21 |
| Jackson | 35 | 33 | 0 | 0 | 100% | 0 |
| Boone | 33 | 24 | 0 | 0 | 100% | 0 |
| Logan | 33 | 30 | 1 | 1 | 97% | 0 |
| Randolph | 31 | 23 | 0 | 0 | 100% | 1 |
The most recent decisions
| Number | Applicant | Service or type | County | Decided | Outcome |
|---|---|---|---|---|---|
| 26-2-13639-P | Boone Memorial Hospital, Inc. | Acquisition or change of control | Oct 26, 2026 | Withdrawn or delayed | |
| 26-7-13792-X | Safe Space Therapy, LLC | Other | Oct 26, 2026 | Approved | |
| 26-8-13789-X | Jacob's Ladder at Brrokside Farm, LLC | Other | Oct 26, 2026 | Approved | |
| 26-9-13799-X | PursueCare and XRHealth | Other | Oct 26, 2026 | Approved | |
| 26-10-13803-X | Westbrook Health Services | Other | Oct 26, 2026 | Approved | |
| 26-8-13811-X | Potomac Highlands Guild, Inc. | Other | Oct 26, 2026 | Approved | |
| 26-1/2/3/4/5/6/7/8/9/10/11-13553-BH | 3M's Services, LLC | Other | Oct 13, 2026 | Approved | |
| 26-3-13720-P | Charleston Area Medical Center, Inc. | Ambulatory care | Kanawha | Oct 13, 2026 | Approved |
| 26-11-13740-A | UPMC Trinity, Inc. | Acquisition or change of control | Brooke | Oct 13, 2026 | Approved |
| 26-5/10-13739-A | Amedisys Hospice, LLC d/b/a Amedisys Hospice of Vienna | Hospice | Pleasants; Tyler; Wetzel | Oct 13, 2026 | Approved |
| 26-2/3/4/5/6/7/8/9/10/11-13746-A | Home Care Regional Holdings, LLC | Home health | Berkeley; Boone; Braxton; Brooke; Cabell; Clay; Fayette; Gilmer; Grant; Hancock; Harrison; Jackson; Kanawha; Lewis; Lincoln; Logan; Marion; Marshall; Mason; Monongalia; Nicholas; Pleasants; Preston; Putnam; Ritchie; Roane; Taylor; Tucker; Tyler; Wayne; Wetzel; Wirt; Wood | Oct 13, 2026 | Approved |
| 26-12-13782-X | Charleston Area Medical Center, Inc. | Ambulatory care | Oct 13, 2026 | Not reviewed or other |
Numbers link to the state document for that decision where one is posted. Approval rate counts approvals and denials only and is shown where a group has at least five decided filings.
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