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Two projects would add skilled nursing capacity in Kentucky and West Virginia. Signature HealthCARE and the University of Kentucky are planning a 105-bed facility in Lexington, while Majestic Care is investing $50 million in three West Virginia homes with 311 beds, scheduled to open in 2028.
Signature HealthCARE and the University of Kentucky plan to develop and operate a 105-bed nursing home in Lexington, while Majestic Care is spending $50 million on three new West Virginia facilities adding 311 beds. The projects would expand skilled nursing capacity in both states, though the West Virginia homes are not expected to open until 2028.
The University of Kentucky Board of Trustees approved the joint venture on October 23. The facility is planned for the university’s Hamburg East campus. The partners say the project is intended to expand access to skilled nursing services and support patient flow, coordination of care and outcomes. The report says limited skilled nursing capacity in Lexington has made post-acute placements difficult, amid increased demand for advanced and specialty care.
The venture builds on an existing relationship between the university and Kentucky-based Signature. A separate public-private partnership announced in April was already planning an 80,000-square-foot medical facility on the same campus, including skilled nursing, outpatient clinical space and supporting infrastructure. The 105-bed project is described as part of a broader development there.
Majestic Care, an Indiana-based operator, is building facilities in Charleston, Morgantown and Fairmont. The three homes will add 311 beds and are each planned at about 52,000 square feet, with clinical and rehabilitation space, outdoor wellness areas and dedicated training areas. The $50 million construction program is part of a broader $80 million investment in West Virginia, according to the report.
More Beds for Regional Care
The projects address a practical constraint for patients leaving hospitals: access to a skilled nursing placement for rehabilitation or continuing care. The Kentucky partnership is intended to add capacity in Lexington, where the report describes limited availability. In West Virginia, Majestic’s planned 311 beds would add facilities across three cities, potentially giving residents and families more local options once the homes are operating.
The developments also involve different approaches to expansion. The Kentucky project links a university health system with a private operator and includes stated plans for workforce development and education. Majestic’s project is a multi-site construction investment with training areas planned within each building. The number of beds and facilities is confirmed in the report as planned capacity; actual availability will depend on construction, staffing and opening schedules.
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Two Projects, Different Timelines
The Kentucky nursing home is part of a wider campus development involving UK HealthCare, the University of Kentucky’s hospitals and clinics. The university says UK HealthCare has more than 10,000 health professionals and provides advanced subspecialty care, while also operating as an academic research institution. Under the nursing-home venture, the partners plan to connect clinical services with education and workforce development.
A 10-member board of governors will oversee the Kentucky venture: six members appointed by the university and four representatives from Signature. University affiliate Beyond Blue Corp. is set to hold a 60% ownership stake; Signature affiliate Commonwealth Regional Skilled Nursing Holdings will hold 40% and manage day-to-day operations. The university is also expected to provide clinical leadership and director services and handle purchasing vendor services from affiliates of both organizations.
Majestic’s projects are at an earlier construction stage, with openings planned for 2028. The company said it will hold groundbreaking ceremonies for each home. The source report does not provide specific construction start dates.
“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 reported plans do not establish when construction will begin or when the Kentucky facility will open. Details such as its construction budget, staffing levels, operating capacity at opening and the range of services are not provided. The partners’ stated goals for access, care coordination and outcomes are intentions; the source does not report measured results.
For West Virginia, the stated opening year is 2028, but the report gives no individual project timelines, groundbreaking dates or staffing plans. It is also unclear how quickly the planned beds will become available after construction, or how the projects will affect local access once operating.
Next Steps Toward Opening
For the Kentucky venture, the next steps are development and construction planning for the Hamburg East facility, alongside work on workforce and educational opportunities and the governance arrangements. No opening date is specified in the report.
Majestic Care says it will hold groundbreaking ceremonies for the Charleston, Morgantown and Fairmont homes. Construction and preparation for operations will precede the company’s planned 2028 openings. Future announcements may clarify start dates, staffing, services and the timing for each location.
Key Questions
How many beds are planned in Kentucky?
The University of Kentucky and Signature HealthCARE plan a 105-bed nursing home on the university’s Hamburg East campus in Lexington.
Where will Majestic Care build in West Virginia?
The three planned facilities are in Charleston, Morgantown and Fairmont. Together, they are expected to add 311 beds.
When are the West Virginia nursing homes expected to open?
Majestic Care’s homes are planned to open in 2028. The report does not specify construction start dates or separate opening dates for each facility.
Who will own and operate the Kentucky facility?
University affiliate Beyond Blue Corp. is set to own 60% of the venture, and Signature affiliate Commonwealth Regional Skilled Nursing Holdings 40%. The Signature affiliate is expected to manage day-to-day operations, while the university will provide clinical leadership and director services.
Source: skillednursingnews.com
