1543 COUNTRY CLUB ROAD MANOR OPERATIONS LLC
NPI 1942446745
Assisted Living Facility in Fairmont, WV

Q: What is 1543 Country Club Road Manor Operations LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Q: What quality rating does 1543 Country Club Road Manor Operations LLC have?

CMS rates Pierpont 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 29, 2008

2/5

Overall Rating

1543 COUNTRY CLUB RD, FAIRMONT, WV 26554(304) 363-2273 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About 1543 Country Club Road Manor Operations Llc NPPES

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

1543 COUNTRY CLUB ROAD MANOR OPERATIONS LLC (NPI 1942446745), doing business as Wishing Well Assisted Living Community At Fairmont Campus, is a healthcare organization registered as an assisted living facility in Fairmont, West Virginia and active in the NPI registry since December 2008. The organization lists Michael T Berg, Secretary, as its authorized official.

NPPES Registry Identity

NPI1942446745

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business Name1543 COUNTRY CLUB ROAD MANOR OPERATIONS LLC

Location Address1543 COUNTRY CLUB RDFairmont, WV 26554-1306

Mailing Address101 E State StKennett Square, PA 19348-3109 · (610) 925-4436 · Fax (610) 347-4099

Phone(304) 363-2273

Organization SubpartNo

Authorized OfficialMichael T BergSecretary · (610) 444-6350

Enumeration DateDecember 29, 2008

Last NPPES UpdateJuly 9, 2025

NPPES CertifiedJuly 9, 2025

✔ NPI 1942446745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in WV · 506062

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

1543 COUNTRY CLUB RD, Fairmont, WV 26554

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Other Names 1

Doing Business AsWishing Well Assisted Living Community At Fairmont Campus

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Pierpont Center At Fairmont Campus (CMS certification number 515155), from CMS Care Compare.

Pierpont Center At Fairmont Campus

Nursing home · Fairmont, WV

2/5 CMS Overall Rating

OwnershipFor profit - Corporation

CMS Certification Number515155

Certified Beds120 beds111 residents per day on average

Medicare & Medicaid Participant SinceMay 14, 1997

Resident & Family CouncilResident council

Automatic sprinkler system

CMS Star Ratings

Quality Measures

Based on a select set of clinical quality measures.

3/5

Long-Stay Quality

Quality of care delivered to long-term residents.

3/5

Short-Stay Quality

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

4/5

Staffing

Based on nursing staff hours relative to resident needs.

3/5

Weighted Health Inspection Score

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

120.67

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 1.72 · LPN 0.55 · RN 0.63

2.9 hrs per resident per day

Weekend Nurse Staffing

2.58 hrs per resident per day

Physical Therapist Staffing

0.03 hrs per resident per day

Nursing Staff Turnover

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

43.4%

Registered Nurse Turnover

35.3%

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

Infection-Control Citations

Fines

1 totaling $3,250.00

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.

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.

MR. JOSEPH PRICE RUGGIERI PTA

Physical Therapy Assistant