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Two nursing home development plans are advancing in Kentucky and West Virginia. Signature HealthCARE and the University of Kentucky approved a joint venture for a 105-bed facility, while Majestic Care plans three new homes adding 311 beds, scheduled to open in 2028.
Two nursing home development plans are advancing in Kentucky and West Virginia: the University of Kentucky and Signature HealthCARE plan a 105-bed facility in Lexington, while Majestic Care says it is investing $50 million in three new West Virginia homes that will add 311 beds. The projects would expand skilled nursing capacity, although construction and opening timelines remain ahead.
The University of Kentucky Board of Trustees approved the joint venture with Signature HealthCARE on October 23, according to Skilled Nursing News. The partners plan to develop and operate a 105-bed nursing home on the university’s Hamburg East campus. The project is intended to expand access to skilled nursing services and support patient flow and care coordination.
The joint venture builds on an existing relationship between the university and Kentucky-based Signature. A separate public-private partnership had been in development since April for an 80,000-square-foot medical facility on the same campus, combining skilled nursing, outpatient clinical space and supporting infrastructure, the report said. The partners also plan to focus on workforce development and educational opportunities.
In West Virginia, Indiana-based Majestic Care is constructing three facilities in Charleston, Morgantown and Fairmont. The homes are expected to add a total of 311 beds and are scheduled to open in 2028, according to WV News as cited by Skilled Nursing News. Each is planned at about 52,000 square feet, with clinical and rehabilitation areas, outdoor wellness spaces and dedicated training areas. The $50 million project is part of a broader $80 million investment in the state by Majestic.
Planned Beds Target Local Capacity
The projects address reported pressure on access to skilled nursing and post-acute care. The University of Kentucky partnership follows concerns that limited skilled nursing capacity in Lexington has made placements difficult. The report also points to rising demand for advanced and specialty care and increasing patient acuity.
If completed as planned, the Kentucky facility would link nursing home services with a major academic health system, while Majestic Care’s three West Virginia sites would add beds across three cities. Those are planned capacity gains, not evidence that access has already improved. The facilities’ eventual effect will depend on completion, staffing and the services available to residents.
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Two Partnerships, Separate Projects
The Kentucky development combines university and private-operator roles. According to the report, a 10-member board of governors will oversee the joint venture, with six university appointees and four Signature representatives. The university’s wholly owned affiliate, Beyond Blue Corp., is set to hold 60% ownership; Signature affiliate Commonwealth Regional Skilled Nursing Holdings will hold 40% and manage day-to-day operations.
The University of Kentucky is expected to provide clinical leadership and director services, and handle purchasing vendor services from affiliates of both organizations. Majestic’s West Virginia construction program is a separate effort, with its own sites and schedule. The report says the company plans groundbreaking ceremonies for each home.
“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 Staffing Still Ahead
The source material gives project plans and expected capacity, but does not provide construction completion milestones, final operating dates for the Kentucky facility, or opening dates more specific than 2028 for the West Virginia homes. It also does not say how many workers each location will require, how staffing will be secured, or what services and resident admission criteria the facilities will offer.
The stated goal of improving access has not yet been measured, and no projected costs beyond the reported investment figures or detailed financing terms are provided. The plans may change as development proceeds; the report does not confirm that construction has been completed at any site.
Projects Move Toward Construction
Majestic Care is expected to hold groundbreaking ceremonies for its three West Virginia homes, with openings planned for 2028. The report does not give ceremony dates or detailed construction schedules. In Kentucky, the approved joint venture’s next steps include developing the 105-bed facility and putting its governance and operating arrangements into practice.
Further updates will be needed to establish when the Lexington project will open and whether the announced bed additions arrive on schedule. Construction progress, staffing plans and the services each facility ultimately provides will help show how much additional local capacity the projects deliver.
Key Questions
What is planned in Kentucky?
The University of Kentucky and Signature HealthCARE plan to develop and operate a 105-bed nursing home on the university’s Hamburg East campus. The university’s Board of Trustees approved the joint venture on October 23, 2026.
Where will Majestic Care build in West Virginia?
Majestic Care plans three nursing homes in Charleston, Morgantown and Fairmont. Together, they are expected to add 311 beds.
When are the West Virginia homes expected to open?
The facilities are scheduled to open in 2028, according to the report. No more specific opening dates were provided.
How will the Kentucky joint venture be owned and managed?
University affiliate Beyond Blue Corp. is set to hold a 60% ownership stake, and Signature affiliate Commonwealth Regional Skilled Nursing Holdings a 40% stake. The Signature affiliate will manage day-to-day operations, while the university is expected to provide clinical leadership and director services.
Have the projects already improved access to care?
No outcomes are reported yet. The developments are intended to add capacity, but the facilities are still planned or under construction, and their effect on access will depend on completion, staffing and the services offered.
Source: skillednursingnews.com
