MORGANTOWN, West Virginia, Oct 20 (Reuters) - A shortage of nurses at U.S. hospitals hit West Virginia's Charleston Area Medical Center at the worst possible time.

The non-profit healthcare system is one of the state's largest employers and sits in the heart of economically depressed coal country. It faces a $40 million deficit this year as it struggles with fewer privately insured patients, cuts in government reimbursement and higher labor costs to attract a shrinking pool of nurses.

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