Officials with the Kentucky Nurses Association and Appalachian Regional Healthcare met with a federal mediator on Monday.
For now, nurses are still on strike after walking out one week ago.
Officials with Appalachian Regional Healthcare say their final offer is still available.
After being on strike for one full week, with no paycheck, some union nurses say they are disappointed that negotiations did not resume, but not surprised.
“It's really a lack of respect for the patients and for us. What we're asking for is not costing them a dime....we're not asking for money,” Linda Trent said.
ARH officials met with the federal mediator, but say there was not an opportunity to resume negotiations.
“Our last offer is still on the table,” Candace Elkins said.
ARH officials say more than 140 union nurses decided not to strike and so far several more have crossed the picket line as well.
“We appreciate the nurses that have stayed for their patient care and their courage,” Elkins said.
In West Virginia, nurses marched saying they'll stay on the picket line as long as it takes.
About 75 nurses from West Virginia ARH hospitals rallied at the state capitol to draw attention to the strike.
In total about 650 nurses are on strike in Kentucky and West Virginia.