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Two developments would add skilled nursing capacity in Kentucky and West Virginia: a planned 105-bed joint venture between Signature HealthCARE and the University of Kentucky, and three Majestic Care facilities totaling 311 beds. The West Virginia projects are scheduled to open in 2028; the Kentucky project’s construction and opening schedule has not been provided.
Two nursing home development plans in Kentucky and West Virginia would add a combined 416 beds, according to Skilled Nursing News. 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 scheduled to open in 2028.
The University of Kentucky Board of Trustees approved the joint venture on October 23, according to the report. Signature and the university plan to develop and operate the 105-bed nursing home on the university’s Hamburg East campus. The stated goals include expanding skilled nursing access and improving patient flow, care coordination and outcomes. The report did not give a construction start date or opening target.
The project builds on a relationship between the university and Kentucky-based Signature. A separate public-private development on the same campus had been in the works since April: an approximately 80,000-square-foot medical facility planned to include skilled nursing, outpatient clinical space and supporting infrastructure. The 105-bed project is described as a joint venture; details provided do not establish whether it is identical to, or a component of, that wider development.
In West Virginia, Indiana-based Majestic Care plans three facilities in Charleston, Morgantown and Fairmont. The projects are expected to add 311 beds, with each building measuring about 52,000 square feet and including clinical and rehabilitation areas, outdoor wellness spaces and dedicated training areas. The reported $50 million is part of a broader $80 million investment by Majestic in the state. The company plans groundbreaking ceremonies for each home.
More Beds for Regional Care
The projects address reported constraints on access to skilled nursing, particularly in Lexington, where limited capacity has made post-acute placements difficult. More beds could give hospitals and families additional local options for care after a hospital stay, although the projects’ actual effect will depend on staffing, opening schedules and the services available once the facilities are operating.
Both plans also tie construction to care delivery and workforce needs. The Kentucky partnership includes workforce development and educational opportunities, while Majestic says its West Virginia buildings will provide staff with training areas and additional resources. Those are stated project aims; the report does not provide staffing targets, projected occupancy or outcome measures.
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Partnerships Behind the Projects
UK HealthCare comprises the University of Kentucky’s hospitals and clinics and is also an academic research institution. The report says it employs more than 10,000 health care professionals and provides advanced subspecialty care. Signature’s arrangement with the university will combine university clinical leadership with the operator’s role in running the nursing home.
The joint venture will be overseen by a 10-member board, with six university appointees and four Signature representatives. University affiliate Beyond Blue Corp. will hold a 60% ownership stake; Signature affiliate Commonwealth Regional Skilled Nursing Holdings will hold 40% and manage day-to-day operations. The university will provide clinical leadership and director services, and purchasing and vendor services will be handled through affiliates of both organizations.
Majestic’s three proposed West Virginia homes are part of its wider investment in the state, rather than the entirety of the reported $80 million commitment. The report identifies the locations, planned capacity and expected opening year, but offers no detailed breakdown of the investment across the individual projects.
“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 Staffing Remain Open
The report gives no construction timeline or opening date for the Lexington nursing home. It also does not specify how many residents the project is expected to serve at opening, what staffing levels are planned, or how the partners will measure effects on patient flow and outcomes.
For West Virginia, 2028 is the stated expected opening year, but the report does not give month-by-month milestones, project-specific groundbreaking dates or a breakdown of the $50 million investment. It also does not provide projected staffing numbers or explain how many beds will be assigned to particular care needs. The cited bed totals and schedules are plans reported by the source, not confirmation that the facilities are already operating.
Construction Milestones to Watch
Majestic Care says it will hold a groundbreaking ceremony for each West Virginia facility. Those ceremonies and subsequent construction updates may clarify the projects’ start dates and progress toward the planned 2028 openings.
For the Kentucky joint venture, the next reported steps are development and construction planning, alongside work on workforce and educational opportunities. The partners’ announcements of a construction schedule, opening date and operational details would help clarify when the additional 105 beds could become available.
Key Questions
How many nursing home beds are planned across the two states?
The plans total 416 beds: 105 in the proposed Kentucky joint venture and 311 across Majestic Care’s three West Virginia facilities.
Where will Majestic Care build in West Virginia?
The planned homes are in Charleston, Morgantown and Fairmont. Each is expected to be about 52,000 square feet.
When are the West Virginia homes expected to open?
The report says all three are expected to open in 2028. It does not provide specific opening dates.
Who will own and operate the Kentucky joint venture?
University affiliate Beyond Blue Corp. is to hold a 60% stake, and Signature affiliate Commonwealth Regional Skilled Nursing Holdings a 40% stake. The Signature affiliate will manage day-to-day operations, while the university will provide clinical leadership and director services.
Is the Kentucky nursing home already under construction?
The report says the university’s Board of Trustees approved the joint venture on October 23, 2026, but does not state that construction has begun or give an opening date.
Source: rss
