West Virginia has pockets of nursing shortage, the really rural areas that have lost mining jobs and other employment, so nurses have left with the hubby to find a new start somewhere else. A facility close to me lays off nurses every so often, it takes a few years to get staff built back up and then they lay off again. It happens everytime ownership changes hands and it has been sold 5 times in 20 years. We have new facilities being built in the Clarksburg area, Ruby Memorial at WVU is good, CAMC is good, St. Mary's and Cabell Huntington are good. That said, many nurses drive to towns in border states for better money, more learning opportunities, and other perks.
It is a slower pace here, we have 4 seasons, decent schools, no gang activity to speak of, some drugs but "H" is not big, meth is getting worse everyday. Taxes are low for the most part, we are within driving distance of some of the major metropolitian areas of the northeast, and as a native I can tell you we have many, many secret places no one from other places see but are so beautiful it takes your breath away. I never lock my doors, I never worry about my car, I have a camper that has never been locked, and I can go out at midnight and walk the streets of 3 local towns without fear of mugging. So, it is a decision you and hubby may want to think about. My grandkids bring friends here all of the time and the kids never want to leave. They say time stands still here in many ways but VH1 is available. LOL. It has been years since there were racial problems here. Towns like Charleston, Parkersburg, and Huntington have an active gay community, also cultures from other countries seem to be under less stress here. A physician from Tennessee once told me that WV was the little known, little appreciated jewel of the east. He comes to a lot of festivals here and says he has more fun here than in Tennessee because we are more "real."
This is not a commercial for WV but you asked.