Nursing home report
CHESTER, VA · Medicare-certified · 90 beds
Tyler's Retreat at Iron Bridge has a middling overall rating of 3 out of 5 stars. Its staffing rating is low at 2 stars, with reported nurse staffing below the federal benchmark (3.85 vs. 4.1 hours per resident per day), while its quality measures are stronger at 4 stars and it had no fines in the last 24 months.
Health inspections
Staffing
3.8475 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8475.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The home failed to assess bed rail safety, review the risks and benefits, get informed consent, or properly install and maintain the rail. Cited August 2025 — limited pattern, potential for harm.
F-Tag 700 — 42 CFR §483.25(n) — S/S: E
The home failed to notify the resident and family in time before a transfer or discharge, including their right to appeal. Cited January 2023 — limited pattern, potential for harm.
F-Tag 623 — 42 CFR §483.15 — S/S: E
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited January 2023 — limited pattern, potential for harm.
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited August 2021 — limited pattern, potential for harm.
F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2021 — limited pattern, potential for harm.
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 4 health deficiencies.
Health inspection found 6 health deficiencies.
Health inspection found 2 health deficiencies.
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.
