Starfile / Virginia

TYLER'S RETREAT AT IRON BRIDGE

12001 IRON BRIDGE RD, CHESTER, VA 23831 · CCN 495401

Inspection history vs Virginia & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$0

Number of fines

0

Number of penalties

0

Payment denials

0

Chain

Chain

SABER HEALTHCARE GROUP

Facilities in chain

126

Chain avg overall

3.00 / 5

Inspection citations (45)

1. DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-08-13 · Health · corrected 2025-09-18

   Potential for more than minimal harm

2. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-08-13 · Health · corrected 2025-09-18

   Potential for more than minimal harm

3. DF0697Provide safe, appropriate pain management for a resident who requires such services.2025-08-13 · Health · corrected 2025-09-18

   Potential for more than minimal harm

4. EF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2025-08-13 · Health · corrected 2025-09-18

   Potential for more than minimal harm

5. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-06-12 · Health · corrected 2024-07-16

   Potential for more than minimal harm

6. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-06-12 · Health · corrected 2024-07-16

   Potential for more than minimal harm

7. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-06-12 · Health · corrected 2024-07-16

   Potential for more than minimal harm

8. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-06-12 · Health · corrected 2024-07-16

   Potential for more than minimal harm

9. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-06-12 · Health · corrected 2024-07-16

   Potential for more than minimal harm

10. DF0710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.2024-06-12 · Health · corrected 2024-07-16

    Potential for more than minimal harm

11. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-10-17 · Health · corrected 2023-11-09

    Potential for more than minimal harm

12. DF0692Provide enough food/fluids to maintain a resident's health.2023-10-17 · Health · corrected 2023-11-09

    Potential for more than minimal harm

13. DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2023-01-19 · Health · corrected 2023-02-14

    Potential for more than minimal harm

14. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-01-19 · Health · corrected 2023-02-14

    Potential for more than minimal harm

15. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2023-01-19 · Health · corrected 2023-02-14

    Potential for more than minimal harm

16. EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-01-19 · Health · corrected 2023-02-14

    Potential for more than minimal harm

17. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-01-19 · Health · corrected 2023-02-14

    Potential for more than minimal harm

18. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-01-19 · Health · corrected 2023-02-14

    Potential for more than minimal harm

19. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-01-19 · Health · corrected 2023-02-14

    Potential for more than minimal harm

20. DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2023-01-19 · Health · corrected 2023-02-14

    Potential for more than minimal harm

21. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-01-19 · Health · corrected 2023-02-14

    Potential for more than minimal harm

22. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-01-19 · Health · corrected 2023-02-14

    Potential for more than minimal harm

23. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-01-19 · Health · corrected 2023-02-14

    Potential for more than minimal harm

24. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2023-01-19 · Health · corrected 2023-02-14

    Potential for more than minimal harm

25. DF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2023-01-19 · Health · corrected 2023-02-14

    Potential for more than minimal harm

26. CF0732Post nurse staffing information every day.2023-01-19 · Health · corrected 2023-02-14

    Potential for minimal harm

27. DF0760Ensure that residents are free from significant medication errors.2023-01-19 · Health · corrected 2023-02-14

    Potential for more than minimal harm

28. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-01-19 · Health · corrected 2023-02-14

    Potential for more than minimal harm

29. DF0880Provide and implement an infection prevention and control program.2023-01-19 · Health · corrected 2023-02-14

    Potential for more than minimal harm

30. DF0558Reasonably accommodate the needs and preferences of each resident.2021-08-05 · Health · corrected 2021-09-10

    Potential for more than minimal harm

31. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2021-08-05 · Health · corrected 2021-09-10

    Potential for more than minimal harm

32. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2021-08-05 · Health · corrected 2021-09-10

    Potential for more than minimal harm

33. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2021-08-05 · Health · corrected 2021-09-10

    Potential for more than minimal harm

34. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2021-08-05 · Health · corrected 2021-09-10

    Potential for more than minimal harm

35. DF0641Ensure each resident receives an accurate assessment.2021-08-05 · Health · corrected 2021-09-10

    Potential for more than minimal harm

36. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2021-08-05 · Health · corrected 2021-09-10

    Potential for more than minimal harm

37. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2021-08-05 · Health · corrected 2021-09-10

    Potential for more than minimal harm

38. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2021-08-05 · Health · corrected 2021-09-10

    Potential for more than minimal harm

39. DF0675Honor each resident's preferences, choices, values and beliefs.2021-08-05 · Health · corrected 2021-09-10

    Potential for more than minimal harm

40. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2021-08-05 · Health · corrected 2021-09-10

    Potential for more than minimal harm

41. DF0695Provide safe and appropriate respiratory care for a resident when needed.2021-08-05 · Health · corrected 2021-09-10

    Potential for more than minimal harm

42. DF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2021-08-05 · Health · corrected 2021-09-10

    Potential for more than minimal harm

43. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2021-08-05 · Health · corrected 2021-09-10

    Potential for more than minimal harm

44. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2021-08-05 · Health · corrected 2021-09-10

    Potential for more than minimal harm

45. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2021-08-05 · Health · corrected 2021-09-10

    Potential for more than minimal harm

Ownership

Other facilities in CHESTER

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.