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Nursing care facilities may pay overtime over 40 hours each 7 day week, or, under an 8 and 80agreement with employees, pay overtime over 8 hours a day and 80 hours every 14 days.
In West Virginia, mandatory overtime is illegal. State law prohibits employers from punishing nurses who refuse overtime. Nurses are not allowed to work more than 16 hours in a day, and shifts of 12 or more hours must be followed by 8 consecutive hours of rest.