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Two nursing home developments are moving forward in Kentucky and West Virginia. The University of Kentucky approved a joint venture with Signature HealthCARE for a 105-bed facility, while Majestic Care plans three West Virginia facilities totaling 311 beds, targeted to open in 2028.
New nursing home projects are advancing in Kentucky and West Virginia, including a University of Kentucky-Signature HealthCARE joint venture for a 105-bed facility and Majestic Care’s planned $50 million investment in three West Virginia homes. The projects would add capacity for skilled nursing and post-acute care, with Majestic’s 311 beds expected to open in 2028.
The University of Kentucky Board of Trustees approved the joint venture on October 23. The partners 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 says limited skilled nursing capacity in Lexington has made post-acute placements difficult, while demand for advanced and specialty care has risen.
The venture builds on a relationship between UK and Kentucky-based Signature HealthCARE. A public-private partnership announced earlier was already planned to develop an 80,000-square-foot medical facility on the same campus, combining skilled nursing, outpatient clinical space and supporting infrastructure. The new nursing home is part of that broader development, according to the source report.
In West Virginia, Indiana-based Majestic Care is constructing three homes in Charleston, Morgantown and Fairmont. The projects add 311 beds and are reported to represent $50 million of a broader $80 million investment by the company in the state. Each building is planned at about 52,000 square feet, with clinical and rehabilitation areas, outdoor wellness spaces and dedicated staff training areas. All three are scheduled to open in 2028, according to WV News, cited in the report.
More Beds for Regional Care
The projects address reported capacity constraints and add planned nursing home space in two states. In Lexington, the University of Kentucky and Signature say the facility is intended to expand access to skilled nursing and support the movement of patients from hospital care to post-acute services. The West Virginia projects would distribute new beds across three communities rather than a single location.
The plans also include elements beyond bed counts. The Kentucky partnership is tied to workforce development and educational opportunities, while Majestic Care says its buildings will include training space and resources for care teams. Those features are part of the organizations’ stated plans; the source does not provide projected staffing levels, operating costs or estimates of how much the new capacity will reduce access delays.
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Two Partnerships, Different Plans
The Kentucky project is structured as a joint venture with defined roles for the university and Signature affiliates. The university’s wholly owned Beyond Blue Corp. will hold a 60% ownership stake; Signature affiliate Commonwealth Regional Skilled Nursing Holdings will hold the remaining 40% and manage day-to-day operations. The university is to provide clinical leadership and director services, and purchasing will involve vendor services from affiliates of both organizations.
A 10-member board of governors will oversee the joint venture, with six university appointees and four Signature representatives. The arrangement links a university health system with an experienced nursing home operator, while the West Virginia effort is a company-led construction program. Majestic Care’s three projects are part of its stated broader investment in West Virginia, but the report does not detail the remaining $30 million of that investment.
“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
Opening Details Still Pending
The Kentucky report does not specify a construction start date, expected completion date, opening date, project cost or planned staffing levels. It also does not provide details on how many beds will be available for particular patient groups or the projected effect on local placement delays. The board approval confirms authorization of the joint venture, but further construction and operating milestones have not been supplied.
For West Virginia, 2028 is the reported opening target; specific dates and construction schedules for Charleston, Morgantown and Fairmont are not stated. The source also gives no breakdown of the $50 million among the three homes, financing details, staffing plans or expected occupancy. The stated access and care benefits are goals from the organizations, not independently measured results.
Construction Milestones Ahead
Majestic Care plans groundbreaking ceremonies for each West Virginia facility, although the dates were not provided. Construction will need to proceed toward the company’s reported 2028 opening target. Further announcements could clarify project schedules, hiring plans and the services each building will offer.
In Kentucky, the joint venture’s next steps include progressing the Hamburg East development and setting out construction and operating details for the 105-bed home. The partnership also identifies workforce development and educational opportunities as areas of focus. The source does not give a timetable for those programs or for the nursing home’s opening.
Key Questions
What is planned in Kentucky?
Signature HealthCARE and the University of Kentucky plan to develop and operate a 105-bed nursing home on the university’s Hamburg East campus. University trustees approved the joint venture on October 23, 2026.
Where will Majestic Care build in West Virginia?
The three planned homes are in Charleston, Morgantown and Fairmont. Together, they are expected to add 311 beds.
When are the West Virginia nursing homes expected to open?
The facilities are targeted to open in 2028, according to the report. Individual opening dates have not been announced in the supplied material.
How is the Kentucky joint venture owned and managed?
University affiliate Beyond Blue Corp. will hold 60% ownership, and Signature affiliate Commonwealth Regional Skilled Nursing Holdings will hold 40% and manage day-to-day operations. A 10-member board will oversee the venture.
What remains unknown about the projects?
The available report does not give the Kentucky facility’s construction or opening timetable, its cost or staffing plan. For West Virginia, detailed construction schedules, facility-by-facility budgets and staffing information are also not provided.
Source: skillednursingnews.com
