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Two projects are set to add nursing home capacity in Kentucky and West Virginia. Signature HealthCARE and the University of Kentucky plan a 105-bed facility in Lexington, while Majestic Care says three West Virginia facilities will add 311 beds and open in 2028.
Signature HealthCARE and the University of Kentucky are planning a 105-bed nursing home on the university’s Hamburg East campus, while Majestic Care is investing $50 million in three new West Virginia nursing homes expected to add 311 beds. The projects would expand skilled nursing capacity in two states where providers and partners say access to post-acute and specialty care is under pressure.
The University of Kentucky Board of Trustees approved the joint venture with Signature on Oct. 23. The partners plan to develop and operate the Lexington facility, intended to expand access to skilled nursing and support patient flow, care coordination and outcomes. The project builds on an existing relationship between the university and the Kentucky-based provider.
The ownership and operating roles are divided between affiliates. The university’s wholly owned affiliate, Beyond Blue Corp., will hold 60% of the venture; Signature affiliate Commonwealth Regional Skilled Nursing Holdings will hold 40% and manage day-to-day operations. A 10-member board of governors will include six university appointees and four Signature representatives. The university will provide clinical leadership and director services, and the partnership also plans workforce development and educational opportunities.
In West Virginia, Majestic Care plans facilities in Charleston, Morgantown and Fairmont. According to WV News, the three buildings will add 311 beds and are expected 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. Majestic’s $50 million construction program is part of a broader $80 million investment in the state.
More Beds for Post-Acute Care
The proposals could add capacity for people who need nursing and rehabilitation services after hospital care, and offer families additional local options. The University of Kentucky and Signature say the Lexington project is intended to address limited skilled nursing availability in the area, which can make post-acute placements difficult.
The combined projects also represent substantial investment in facilities and staffing infrastructure. New buildings alone do not establish how many residents will be served or whether access will improve; workforce availability, operating plans and the facilities’ eventual opening will shape their effect. The Kentucky partnership’s training and education plans are one stated effort to connect development with workforce needs.
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Two Projects, Different Timelines
The Kentucky facility is part of a wider development planned for the university’s Hamburg East campus. A public-private partnership announced in April was already in the works for an approximately 80,000-square-foot medical facility combining skilled nursing, outpatient clinical space and supporting infrastructure. The new joint venture adds a defined nursing home plan to that campus development.
UK HealthCare is the University of Kentucky’s hospital and clinic system and an academic research institution. The source report describes it as having more than 10,000 health care professionals. In West Virginia, Majestic Care, an Indiana-based operator, has framed its three proposed nursing homes as part of a broader investment in state care delivery. The facilities are planned on a later schedule, with openings targeted for 2028.
“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
Construction and Operations Still Ahead
The announcements describe plans, not completed facilities. The source material does not provide a construction start date or a projected opening date for the Lexington nursing home, nor does it specify its final construction cost. The West Virginia facilities are expected to open in 2028, but the report does not give individual groundbreaking or opening schedules beyond saying Majestic will hold ceremonies for each project.
Details such as staffing levels, admission criteria, service mix and the rates residents or payers may face have not been provided. The stated bed counts and access goals do not by themselves show how quickly residents will be admitted or how much the projects will reduce local capacity constraints.
Construction Milestones to Watch
Majestic Care says it will hold groundbreaking ceremonies for its Charleston, Morgantown and Fairmont projects. Their next major milestones are construction progress and confirmation of whether the planned 2028 openings remain on schedule.
For the Kentucky joint venture, the partners’ next steps include advancing development and operating plans for the Hamburg East facility. Further details on construction timing, opening, staffing and services would clarify when the proposed 105 beds could become available.
Key Questions
How many nursing home beds are planned across the projects?
The projects are planned to add 416 beds in total: 105 in the University of Kentucky-Signature HealthCARE facility and 311 across Majestic Care’s three West Virginia buildings.
Where will Majestic Care build in West Virginia?
The planned facilities are in Charleston, Morgantown and Fairmont. Each is expected to be about 52,000 square feet.
When are the West Virginia nursing homes expected to open?
Majestic Care’s three facilities are expected to open in 2028. The source report does not provide a more specific schedule for each location.
Who will own and operate the Kentucky facility?
University affiliate Beyond Blue Corp. is set to hold a 60% ownership stake, while Signature affiliate Commonwealth Regional Skilled Nursing Holdings will hold 40% and manage day-to-day operations.
Source: skillednursingnews.com
