Tyler's Retreat at Iron Bridge
12001 Iron Bridge Rd · Chester, VA · 23831 · 8047061023
90 certified beds For profit - Corporation Chain: Saber Healthcare Group
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.67 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.79 | 0.55–0.75 |
| Weekend hours / resident-day | 3.32 | ≈ weekday level |
| Nursing turnover / year | 52% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (45 in the current record)
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Potential for harm · D August 13, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected September 18, 2025 · Quality of Life and Care
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Potential for harm · D August 13, 2025
Provide safe, appropriate pain management for a resident who requires such services.
Corrected September 18, 2025 · Quality of Life and Care
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Potential for harm · E August 13, 2025
Try 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.
Corrected September 18, 2025 · Quality of Life and Care
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Potential for harm · D August 13, 2025 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected September 18, 2025 · Resident Rights
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Potential for harm · D June 12, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected July 16, 2024 · Resident Rights
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Potential for harm · D June 12, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected July 16, 2024 · Resident Assessment and Care Planning
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Potential for harm · D June 12, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected July 16, 2024 · Resident Assessment and Care Planning
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Potential for harm · D June 12, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected July 16, 2024 · Quality of Life and Care
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Potential for harm · D June 12, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 16, 2024 · Quality of Life and Care
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Potential for harm · D June 12, 2024 · found via complaint
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected July 16, 2024 · Nursing and Physician Services
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Potential for harm · D October 17, 2023 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 9, 2023 · Resident Assessment and Care Planning
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Potential for harm · D October 17, 2023 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected November 9, 2023 · Quality of Life and Care
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Potential for harm · D January 19, 2023
Honor 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.
Corrected February 14, 2023 · Resident Rights
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Potential for harm · D January 19, 2023
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected February 14, 2023 · Resident Rights
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Potential for harm · D January 19, 2023
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected February 14, 2023 · Resident Rights
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Potential for harm · E January 19, 2023
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected February 14, 2023 · Resident Rights
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Potential for harm · E January 19, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 14, 2023 · Resident Assessment and Care Planning
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Potential for harm · D January 19, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected February 14, 2023 · Resident Assessment and Care Planning
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Potential for harm · D January 19, 2023
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected February 14, 2023 · Resident Assessment and Care Planning
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Potential for harm · D January 19, 2023
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected February 14, 2023 · Resident Assessment and Care Planning
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Potential for harm · D January 19, 2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected February 14, 2023 · Quality of Life and Care
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Potential for harm · D January 19, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 14, 2023 · Quality of Life and Care
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Potential for harm · D January 19, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Corrected February 14, 2023 · Quality of Life and Care
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Potential for harm · D January 19, 2023
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected February 14, 2023 · Quality of Life and Care
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Potential for harm · D January 19, 2023
Have 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.
Corrected February 14, 2023 · Nursing and Physician Services
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 495401 · certified since January 13, 2010. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.