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Two nursing home development plans are advancing in Kentucky and West Virginia. The University of Kentucky Board of Trustees approved a joint venture with Signature HealthCARE for a 105-bed facility, while Majestic Care plans three homes adding 311 beds in West Virginia, with openings scheduled for 2028.
Two nursing home development plans are moving forward in Kentucky and West Virginia: the University of Kentucky Board of Trustees approved a joint venture with Signature HealthCARE for a 105-bed skilled nursing facility on the university’s Hamburg East campus, while Majestic Care is investing $50 million in three West Virginia homes that will add 311 beds. The plans would add skilled nursing beds in both states. The report does not provide construction or opening dates for the Kentucky facility.
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 increase access to skilled nursing services, improve patient flow and care coordination, and improve patient outcomes. The report says limited skilled nursing capacity in Lexington has made post-acute placements difficult, while demand for advanced and specialty care is rising.
The arrangement divides ownership and responsibilities between the partners. The university’s wholly owned affiliate, Beyond Blue Corp., will hold a 60% stake; Signature affiliate Commonwealth Regional Skilled Nursing Holdings will hold 40% and manage daily operations. The university will provide clinical leadership and director services. The joint venture will be overseen by a 10-member board: six university appointees and four Signature representatives. The partnership also includes workforce development and educational opportunities.
In West Virginia, Indiana-based Majestic Care plans three facilities in Charleston, Morgantown and Fairmont. The $50 million project will add 311 beds, with each building planned at about 52,000 square feet and including clinical and rehabilitation space, outdoor wellness areas and dedicated training areas. The projects form part of a broader $80 million investment by Majestic in the state, according to the report. All three homes are scheduled to open in 2028; the company plans groundbreaking ceremonies for each.
Planned Beds Target Local Access Gaps
The projects could add capacity in places where access to post-acute and skilled nursing care is a concern. In Lexington, the report links the University of Kentucky partnership to limited local capacity and challenges placing patients after hospital care. The added beds may give patients and families another local option, though the report does not quantify the current shortage or say how many people are waiting for placements.
The plans also represent different approaches to expanding services. The Kentucky partnership includes stated aims around coordination, clinical leadership, workforce development and educational opportunities. Majestic’s West Virginia plans involve homes in Charleston, Morgantown and Fairmont, with rehabilitation and training space included in the reported plans. Those features are part of the plans described; their eventual effect on access, staffing or care quality has not been established.
For residents and families, the practical impact will depend on when the Kentucky facility is built, how many beds are available for patients, and whether the new homes can recruit and retain staff. The announcements indicate planned investment and capacity, not that the beds are already open or that access problems have been resolved.
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Two Partnerships With Different Timelines
The Kentucky nursing home joint venture is described as strengthening an existing relationship between the university and Kentucky-based Signature HealthCARE. A separate public-private partnership had been in development since April for an 80,000-square-foot medical facility on the same campus, according to the source report. That larger development was described as combining skilled nursing care, outpatient clinical space and supporting infrastructure. The report describes the 105-bed project as a joint venture and the medical facility as a separate partnership on the same campus; it does not provide a construction schedule for the nursing home.
UK HealthCare comprises the University of Kentucky’s hospitals and clinics and has more than 10,000 healthcare professionals, according to the source material. The report describes its academic and specialty care role. Majestic Care, described as Indiana-based, is involved in West Virginia projects that the report says are part of an initiative to strengthen care delivery in the state. The three homes are the portion of that statewide investment detailed in the report.
“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 Details Still Pending
The source report does not give a construction start date, a projected opening date or a total cost for the 105-bed Kentucky facility. It also does not specify how many of the planned beds will serve particular patient groups, what admissions criteria will apply, or how the new capacity will affect local placement delays.
For the West Virginia projects, 2028 is the stated opening target, but the report provides no individual schedules for the Charleston, Morgantown and Fairmont sites. It does not identify staffing levels, operating costs or payer mix. The announced investment and bed counts describe plans, not completed construction or currently available care.
Construction Milestones to Watch
Majestic Care says it will hold groundbreaking ceremonies for each of its three West Virginia nursing homes. Those ceremonies and subsequent construction progress will provide the next visible milestones toward the company’s stated 2028 opening schedule.
In Kentucky, the joint venture’s next steps include moving from board approval to development and construction planning. The report does not identify a groundbreaking date or a further approval timetable. Updates on the campus project, construction schedule and eventual admissions process would clarify when the 105 beds could become available to patients.
Key Questions
How many nursing home beds are planned in the two states?
The Kentucky joint venture plans a 105-bed facility. Majestic Care’s three West Virginia projects are expected to add 311 beds.
Where will the Kentucky facility be located?
The planned facility will be on the University of Kentucky’s Hamburg East campus in Lexington.
When are the West Virginia nursing homes expected to open?
Majestic Care’s three facilities in Charleston, Morgantown and Fairmont are scheduled to open in 2028, according to the report. Individual construction schedules were not provided.
Who will own and operate the Kentucky joint venture?
The university’s affiliate Beyond Blue Corp. will hold 60% ownership, and Signature affiliate Commonwealth Regional Skilled Nursing Holdings will hold 40% and manage daily operations. A 10-member board will oversee the joint venture.
Are any of the announced beds open to patients now?
No. The source describes planned projects. The West Virginia homes are scheduled for 2028, and no opening date was reported for the Kentucky facility.
Source: skillednursingnews.com
