1539 COUNTRY CLUB ROAD OPERATIONS LLC
NPI 1578709341
Skilled Nursing Facility in Fairmont, WV

Q: What is 1539 Country Club Road Operations LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Q: What quality rating does 1539 Country Club Road Operations LLC have?

CMS rates Tygart Center At Fairmont Campus 2 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

Active since December 30, 2008

2/5

Overall Rating

1539 COUNTRY CLUB RD, FAIRMONT, WV 26554(304) 366-9100 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 23, 2025, Nov 22, 2024 (2 updates tracked since 2024).

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About 1539 Country Club Road Operations Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

1539 COUNTRY CLUB ROAD OPERATIONS LLC (NPI 1578709341), doing business as Tygart Center At Fairmount Campus, is a healthcare organization registered as a skilled nursing facility in Fairmont, West Virginia and active in the NPI registry since December 2008. The organization lists Michael Berg, Secretary, as its authorized official.

NPPES Registry Identity

NPI1578709341

Entity TypeOrganization

Primary Taxonomy314000000X

Legal Business Name1539 COUNTRY CLUB ROAD OPERATIONS LLC

Location Address1539 COUNTRY CLUB RDFairmont, WV 26554-1306

Mailing Address101 E State StKennett Square, PA 19348-3109 · (610) 925-4436 · Fax (610) 612-5327

Phone(304) 366-9100

Organization SubpartNo

Authorized OfficialMichael BergSecretary · (610) 444-6350

Enumeration DateDecember 30, 2008

Last NPPES UpdateJune 23, 20252 updates tracked since enumeration

NPPES CertifiedJune 23, 2025

✔ NPI 1578709341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities

Taxonomy Code314000000X

License✔ Licensed in WV · 62

Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

1539 COUNTRY CLUB RD, Fairmont, WV 26554

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Other Names 1

Doing Business AsTygart Center At Fairmount Campus

Other Identifiers 1

Medicaid3810013992WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Tygart Center At Fairmont Campus (CMS certification number 515053), from CMS Care Compare.

Tygart Center At Fairmont Campus

Nursing home · Fairmont, WV

2/5 CMS Overall Rating

OwnershipFor profit - Corporation

CMS Certification Number515053

Certified Beds119 beds108 residents per day on average

Medicare & Medicaid Participant SinceFebruary 13, 1975

Resident & Family CouncilResident council

Automatic sprinkler system

CMS Star Ratings

Quality Measures

Based on a select set of clinical quality measures.

2/5

Long-Stay Quality

Quality of care delivered to long-term residents.

2/5

Short-Stay Quality

Quality of care delivered to short-term and rehabilitation residents.

2/5

Staffing

Based on nursing staff hours relative to resident needs.

2/5

Weighted Health Inspection Score

Lower scores are better; the score summarizes deficiencies found on recent inspections.

95.33

Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing

nurse aide 1.76 · LPN 0.56 · RN 0.61

2.92 hrs per resident per day

Weekend Nurse Staffing

2.74 hrs per resident per day

Physical Therapist Staffing

0.02 hrs per resident per day

Nursing Staff Turnover

Share of nursing staff who left the facility within the past year.

36%

Registered Nurse Turnover

37.5%

Administrators Who Have Left

In the past year.

Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents

Substantiated Complaints

Fines

Medicare Payment Denials

Total Penalties

Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIC EBERHART PTA

Physical Therapy Assistant