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Two nursing home development plans are advancing in Kentucky and West Virginia. Signature HealthCARE and the University of Kentucky plan a 105-bed facility in Lexington, while Majestic Care is investing $50 million in three West Virginia homes expected to open in 2028.
Two nursing home projects are moving forward in Kentucky and West Virginia, including a planned 105-bed Lexington facility developed by Signature HealthCARE and the University of Kentucky, and three new homes in West Virginia backed by a $50 million investment from Majestic Care. The projects would add skilled nursing capacity as providers and state health systems respond to care needs, though the Kentucky project’s construction schedule was not specified in the report.
The University of Kentucky Board of Trustees approved the joint venture with Kentucky-based Signature HealthCARE on Oct. 23. The partners plan to develop and operate a 105-bed nursing home on the university’s Hamburg East campus. The university said the project is intended to expand access to skilled nursing and improve patient flow, care coordination and outcomes. The report cited limited skilled nursing capacity in Lexington as a barrier to post-acute placements, alongside growing demand for advanced and specialty care.
The venture builds on an existing relationship between the university and Signature. A separate public-private partnership, reported as in development since April, involves an approximately 80,000-square-foot medical facility on the same campus, with skilled nursing care, outpatient clinical space and supporting infrastructure. The nursing home venture will have a 10-member board: six members appointed by the university and four representing Signature. University affiliate Beyond Blue Corp. will hold a 60% ownership stake; Signature affiliate Commonwealth Regional Skilled Nursing Holdings will hold 40% and oversee day-to-day operations. The university will provide clinical leadership and director services, while the partnership also plans workforce development and educational opportunities.
In West Virginia, Indiana-based Majestic Care is building three nursing homes in Charleston, Morgantown and Fairmont. According to WV News, the facilities will add a combined 311 beds and are scheduled to open in 2028. Each is planned at about 52,000 square feet, with clinical and rehabilitation areas, outdoor wellness spaces and dedicated training areas. The $50 million project is part of a broader $80 million investment Majestic Care says it is making in the state. The company plans groundbreaking ceremonies for each home.
Planned Beds Address Local Capacity
The developments could add new options for patients needing skilled nursing and post-acute care in two states. In Lexington, the university and Signature have linked the project to constrained capacity and difficulties placing patients after hospital care. If completed as planned, a facility on the university campus could connect nursing home services with a major academic health system; the partners have also described workforce training and care coordination as aims.
Majestic Care’s plans would add 311 beds across three West Virginia communities, with dedicated clinical, rehabilitation and training space. The announced investment is a substantial expansion by the company in the state, but the report does not establish how much unmet demand the new beds will address or when they will begin accepting residents. The projects are plans for added capacity, not evidence that current access pressures have already eased.
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Two Partnerships, Separate Timelines
The Kentucky project pairs a university health system with a private nursing home operator. UK HealthCare operates the University of Kentucky’s hospitals and clinics and has more than 10,000 health care professionals, according to the source report. The joint venture’s ownership and operating arrangements divide responsibilities between the university and Signature, while a governing board will oversee the venture.
The separate Hamburg East medical facility was already being developed through a public-private partnership announced earlier in the year. The 105-bed nursing home venture strengthens the organizations’ relationship but is described as a distinct project. In West Virginia, Majestic Care’s construction plan spans three cities, with 2028 listed as the expected opening year. No comparable opening date was provided for the Kentucky nursing home.
“West Virginia is an important part of Majestic Care’s future, and these new communities will help us better serve residents and families.”
— Paul Pruitt, Majestic Care CEO
Schedules and Operating Details
The source report does not provide a construction start date, completion date or opening schedule for the 105-bed Kentucky facility. It also does not give projected costs for that project or explain how many patients it expects to serve annually. For the West Virginia builds, 2028 is the stated opening target, but the report does not specify individual dates, construction milestones or whether the schedule could change.
Both sets of projects remain subject to execution of their plans. The report does not detail financing arrangements, staffing levels, expected resident mix, reimbursement arrangements or the current status of permits. The stated goals of improving access, patient flow and care coordination are partner intentions; outcome data are not yet available.
Construction Milestones Ahead
In Kentucky, the next visible steps are development and construction planning for the Hamburg East nursing home under the approved joint venture, alongside the partners’ work on governance, workforce development and educational opportunities. The source report gives no timetable for those milestones.
Majestic Care says it will hold groundbreaking ceremonies for the Charleston, Morgantown and Fairmont facilities. The homes are expected to open in 2028. Updates on construction progress, staffing and final operating arrangements will help show whether the announced capacity arrives on schedule.
Key Questions
How many nursing home beds are planned in Kentucky?
Signature HealthCARE and the University of Kentucky plan a 105-bed facility on the university’s Hamburg East campus. The report does not state its opening date.
Where will Majestic Care build in West Virginia?
The three planned nursing homes are in Charleston, Morgantown and Fairmont. Together, they are expected to add 311 beds.
When are the West Virginia facilities expected to open?
The facilities are expected to open in 2028, according to the report. Specific dates for each location were not provided.
Who will own and operate the Kentucky joint venture?
University affiliate Beyond Blue Corp. will own 60%, and Signature affiliate Commonwealth Regional Skilled Nursing Holdings will own 40% and manage day-to-day operations. A 10-member board will oversee the venture.
Source: skillednursingnews.com
