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Two projects would add skilled nursing capacity in Kentucky and West Virginia. Signature HealthCARE and the University of Kentucky plan a 105-bed facility in Lexington, while Majestic Care is building three West Virginia homes with 311 beds, scheduled to open in 2028.
New skilled nursing projects in Kentucky and West Virginia are set to add capacity, with the University of Kentucky and Signature HealthCARE planning a 105-bed facility in Lexington and Majestic Care investing $50 million in three West Virginia nursing homes. The developments respond to reported limits on skilled nursing access in Lexington and form part of a larger investment by Majestic in West Virginia.
The University of Kentucky Board of Trustees approved the joint venture with 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 stated aims include expanding access to skilled nursing services and improving patient flow, care coordination and outcomes.
The arrangement builds on an existing relationship between the university and Kentucky-based Signature. The partners’ responsibilities and ownership are divided: university affiliate Beyond Blue Corp. will hold a 60% stake, while Signature affiliate Commonwealth Regional Skilled Nursing Holdings will hold 40% and manage daily operations. A 10-member board, with six university appointees and four Signature representatives, will oversee the venture. The university is also slated to provide clinical leadership and director services.
In West Virginia, Indiana-based Majestic Care is constructing three facilities in Charleston, Morgantown and Fairmont. The projects will add a reported 311 beds and are expected to open in 2028. Majestic puts the cost of the three builds at $50 million, within a broader $80 million investment in the state. Each facility is planned at about 52,000 square feet, with clinical and rehabilitation space, outdoor wellness areas and dedicated training areas.
Planned Beds Address Local Capacity
The developments could expand the options available to people who need post-acute or skilled nursing care, as well as their families and care teams. The report says limited skilled nursing capacity in Lexington has made placement difficult. Adding beds there could give hospitals and clinicians another destination for patients who need continued care after a hospital stay, though the project’s eventual effect on access has not yet been measured.
The West Virginia builds are a substantial planned addition across three communities, and their training areas point to an effort to support staff as well as add space. The projects are not yet open, however, and the announcement alone does not establish how many residents will be served, what staffing levels will be, or whether the new capacity will meet local demand.
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Two States, Separate Partnerships
The Lexington project is part of a wider development planned for the university’s Hamburg East campus. A public-private partnership had been in development since April for an 80,000-square-foot medical facility combining skilled nursing, outpatient clinical space and supporting infrastructure. The 105-bed venture is described as strengthening an existing university–Signature relationship; it is not the same project as Majestic Care’s West Virginia construction program.
UK HealthCare, the university’s hospitals and clinics, has more than 10,000 health care professionals and provides advanced subspecialty care, according to the source report. The Kentucky partnership also includes workforce development and educational opportunities. In West Virginia, Majestic described the three homes as part of a broader effort to strengthen care delivery in the state.
“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 Dates and Care Capacity
The West Virginia openings are scheduled for 2028, but the source report does not provide individual completion dates or construction milestones. It also does not specify when the Lexington facility will open. Details about project budgets for the Kentucky venture, staffing plans, operating capacity over time and the expected number of patients served were not provided.
The stated goals of improved access, coordination and outcomes are plans, not reported results. It remains unclear how much either project will ease local placement constraints or how the added beds will be distributed among patient needs.
Construction and Partnership Steps
Majestic Care says it will hold groundbreaking ceremonies for each West Virginia facility, though dates were not included in the source report. Construction will need to proceed toward the stated 2028 openings. In Kentucky, the joint venture’s board and partner organizations will oversee development, with workforce and educational planning included in the partnership.
Further updates to watch for include construction schedules, the Lexington facility’s opening timeline, staffing and service details, and whether the projects change access to skilled nursing placements in the communities they are intended to serve.
Key Questions
How many nursing home beds are planned in Kentucky?
The University of Kentucky and Signature HealthCARE plan a 105-bed facility on the university’s Hamburg East campus in Lexington.
Where will Majestic Care build in West Virginia?
The three planned nursing homes are in Charleston, Morgantown and Fairmont. Together, they are reported to add 311 beds.
When are the West Virginia facilities expected to open?
Majestic Care’s three facilities are scheduled to open in 2028. The source report did not give individual opening dates.
Who will own and operate the Kentucky facility?
University affiliate Beyond Blue Corp. will hold a 60% ownership stake, and Signature affiliate Commonwealth Regional Skilled Nursing Holdings will hold 40% and manage day-to-day operations.
Are the projects already improving access to care?
No results are reported yet. The partners describe improved access and care coordination as goals; the facilities are still planned or under construction.
Source: skillednursingnews.com
