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Signature HealthCARE and the University of Kentucky plan to develop and operate a 105-bed nursing home on UK’s Hamburg East campus. Majestic Care is investing $50 million in three West Virginia nursing homes, adding 311 beds and targeting openings in 2028.
Two nursing home development projects are advancing in Kentucky and West Virginia: 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 that will add 311 beds. The projects would expand skilled nursing capacity in both states, though the Kentucky facility’s opening date has not been provided.
The University of Kentucky Board of Trustees approved the joint venture on Oct. 23. The facility is planned for the university’s Hamburg East campus and is intended to expand access to skilled nursing services, improve patient flow and support care coordination. The development is part of a broader campus project that also includes outpatient clinical space and supporting infrastructure.
Ownership and operating roles are divided between the partners. The university’s wholly owned affiliate, Beyond Blue Corp., will hold 60% of the facility, while Signature affiliate Commonwealth Regional Skilled Nursing Holdings will hold 40% and manage day-to-day operations. A 10-member board of governors will oversee the venture, with six university appointees and four Signature representatives. The university is also set to provide clinical leadership and director services; the partnership is expected to include workforce development and educational opportunities.
In West Virginia, Indiana-based Majestic Care is building three homes in Charleston, Morgantown and Fairmont. The $50 million project adds 311 beds and is part of a broader $80 million investment by the company in the state, according to the report. Each facility is planned at about 52,000 square feet, with clinical and rehabilitation areas, outdoor wellness spaces and dedicated training areas. All three are scheduled to open in 2028.
More Beds for Regional Care
The projects address reported limits on skilled nursing capacity in Lexington and represent new investment in West Virginia nursing home infrastructure. Additional beds could give hospitals and families more options for post-acute care placements, where patients need nursing or rehabilitation services after hospital treatment. The Kentucky partners have specifically identified patient flow and care coordination as aims of their project; the report does not establish what effects the facility will have once open.
The West Virginia development also includes dedicated training areas and is part of Majestic Care’s wider investment in the state. These are planned features, not evidence of measured changes in staffing or care quality. The number of new beds and planned services indicates the scale of the developments, while their practical impact will depend on completion, staffing and operations.
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Existing Kentucky Partnership
The Kentucky nursing home venture builds on an existing relationship between the university and Kentucky-based Signature HealthCARE. A public-private partnership announced earlier was already in development for an 80,000-square-foot medical facility on the Hamburg East campus, according to the source report. That larger development was described as including skilled nursing care, outpatient clinical space and supporting infrastructure.
UK HealthCare comprises the University of Kentucky’s hospitals and clinics and provides advanced subspecialty care. The source describes it as an academic research institution with more than 10,000 health care professionals. The new venture links the university’s clinical role with Signature’s operating role; the report does not give a construction schedule for the 105-bed home.
Majestic Care’s three projects are also presented as part of a broader state investment. The company’s planned $80 million commitment includes the $50 million construction program, though the source does not detail how the remainder will be allocated.
“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 Kentucky project’s construction timeline and opening date have not been reported. The source also does not specify its final construction budget, expected staffing levels or how many patients it will serve annually. The West Virginia openings are listed for 2028, but detailed construction milestones and staffing plans are not provided.
Claims about improved access, patient flow, coordination and care outcomes are stated as project goals. The available information does not show whether those changes have been measured or how outcomes will be evaluated. Final services, operating details and the pace of construction may become clearer as the projects proceed.
Construction Milestones Ahead
Majestic Care plans to hold groundbreaking ceremonies for each of its three West Virginia homes. The facilities are scheduled to open in 2028, making construction progress and staffing plans key milestones to watch.
In Kentucky, the approved joint venture will move toward development of the 105-bed facility on the Hamburg East campus. Further announcements are needed to clarify when construction will begin, when the home may open and how its clinical and workforce programs will operate.
Key Questions
How many nursing home beds are planned in the two states?
The Kentucky project is planned for 105 beds. Majestic Care’s three West Virginia homes will add 311 beds, for 416 planned beds across the projects.
When are the West Virginia facilities expected to open?
Majestic Care’s three facilities in Charleston, Morgantown and Fairmont are scheduled to open in 2028. The source does not provide more specific dates.
Who will own and operate the Kentucky facility?
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. A 10-member board will oversee the joint venture.
When will the Kentucky nursing home open?
No opening date or construction schedule for the 105-bed Kentucky facility has been provided in the source report.
Source: skillednursingnews.com
