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.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
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.